Study objective
SECONDARY
Our study objective was to test the effect of a commercially established mobile app–based mindfulness training telehealth intervention focused on guided mindfulness meditation but not specific to smoking cessation relative to a time-matched mobile attention control on smoking among people who currently smoke and are willing to make a quit attempt. In this remotely administered study, we recruited people who were current smokers from all 58 counties in California. Our daily delivery of the interventions for 2 weeks leading up to a planned quit date provided individuals who smoke the opportunity to prepare for their quit date. We used an investigator-blinded, parallel, between-group, randomized controlled trial design to test the hypothesis that the app-based mindfulness training group would show a greater proportion of smoking abstinence (complete 7-day point-prevalence abstinence and total days abstinent) and show fewer cigarettes smoked per day among those who continue to smoke (secondary harm reduction outcome) during the 28 days following the quit attempt start date. We anticipated that our findings could uniquely contribute to the fields of medicine and public health by determining whether a low-demand mindfulness training stand-alone app not specific to smoking behavior or craving symptoms—as proposed in previous studies (