Mindfulness-Based Smoking Cessation Enhanced With Mobile Technology (iQuit Mindfully): Pilot Randomized Controlled
Claire Adams Spears1, Lorien C Abroms2, Carol R Glass3
1Department of Health Policy and Behavioral Sciences, Georgia State University School of Public Health, Atlanta, GA, United States.
JMIR Mhealth and Uhealth
|June 26, 2019
Summary
Mindfulness training combined with text messages is a feasible way to help people quit smoking. This approach particularly benefits low-income smokers by providing accessible support and resources for cessation.
Area of Science:
- Behavioral Science
- Public Health
- Digital Health
Background:
- Mindfulness training shows effectiveness in smoking cessation and relapse prevention.
- Mobile health interventions, like text messaging, can improve engagement and outcomes in cessation programs.
- Personalized, real-time text support is beneficial for low-income smokers with limited resources.
Purpose of the Study:
- To assess the feasibility of the iQuit Mindfully text messaging program as a supplement to in-person Mindfulness-Based Addiction Treatment (MBAT) for smoking cessation.
- To evaluate participant engagement, satisfaction, and retention in a mindfulness-based smoking cessation program augmented with text messaging.
Main Methods:
- A pilot study randomly assigned 71 participants to either MBAT or iQuit Mindfully (MBAT + text messages).
- The study included a high proportion of African American participants and those with low income.
- Outcomes measured feasibility (attrition, engagement, ratings), participant feedback, and biochemically confirmed smoking cessation.
Main Results:
- High retention rates were observed (76% at end of treatment, 89% at 1-month follow-up).
- The iQuit Mindfully group showed high engagement with text messages (88% read most texts, 89% engaged interactively) and positive ratings (recommendation score 8.4/10).
- Biochemically confirmed smoking cessation rates were 22% at treatment end and 19% at 1-month follow-up, with no significant group differences; low income predicted worse outcomes in the in-person only group.
Conclusions:
- Text messaging is a feasible and acceptable method for supporting mindfulness-based smoking cessation.
- The 24/7 availability of text messaging support is particularly valuable for low-income smokers facing daily barriers.
- This digital health approach can enhance the effectiveness of traditional cessation treatments for underserved populations.
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