명상도서관

명상도서관

Rationale, design and pilot feasibility results of a smartphone-assisted, mindfulness-based intervention for smokers with mood disorders: Project mSMART MIND 자세히보기
  • 자료유형학술지논문
  • 저자명Minami, Haruka,Brinkman, Hannah R.,Nahvi, Shadi,Arnsten, Julia H.,Rivera-Mindt, Monica,Wetter, David W.,Bloom, Erika Litvin,Price, Lawrence H.,Vieira, Carlos,Donnelly, Remington,McClain, Lauren M.,Kennedy, Katherine A.,D'Aquila, Erica,Fine, Micki,McCarthy
  • 학회/출판사/기관명ELSEVIER SCIENCE B.V. AMSTERDAM
  • 출판년도2018
  • 언어영어
  • 학술지명/학위논문주기CONTEMPORARY CLINICAL TRIALS
  • 발행사항Vol.66No.-[2018]_x000D_
  • ISBN/ISSN1551-7144
  • 소개/요약Background: Although individuals with psychiatric disorders are disproportionately affected by cigarette smoking, few outpatient mental health treatment facilities offer smoking cessation services. In this paper, we describe the development of a smartphone-assisted mindfulness smoking cessation intervention with contingency management (SMI-CM), as well as the design and methods of an ongoing pilot randomized controlled trial (RCT) targeting smokers receiving outpatient psychiatric treatment. We also report the results of an open-label pilot feasibility study. Methods: In phase 1, we developed and pilot-tested SMI-CM, which includes a smartphone intervention app that prompts participants to practice mindfulness, complete ecological momentary assessment (EMA) reports 5 times per day, and submit carbon monoxide (CO) videos twice per day. Participants earned incentives if submitted videos showed CO≤6ppm. In phase 2, smokers receiving outpatient treatment for mood disorders are randomized to receive SMI-CM or enhanced standard treatment plus non-contingent CM (EST). Results: The results from the pilot feasibility study (N=8) showed that participants practiced mindfulness an average of 3.4times/day (≥3min), completed 72.3% of prompted EMA reports, and submitted 68.0% of requested CO videos. Participants reported that the program was helpful overall (M=4.85/5) and that daily mindfulness practice was helpful for both managing mood and quitting smoking (Ms=4.50/5). Conclusions: The results from the feasibility study indicated high levels of acceptability and satisfaction with SMI-CM. The ongoing RCT will allow evaluation of the efficacy and mechanisms of action underlying SMI-CM for improving cessation rates among smokers with mood disorders.