Title

iQuit Mindfully: Text Messaging for Smoking Cessation
iQuit Mindfully: A Randomized Controlled Trial of Mindfulness-based Smoking Cessation Enhanced With Mobile Technology
  • Phase

    N/A
  • Study Type

    Interventional
  • Intervention/Treatment

    nicotine ...
  • Study Participants

    72
The purpose of this study is to investigate text messaging as a way to enhance mindfulness-based treatment for smoking cessation.
This study is a pilot investigation of mindfulness-based smoking cessation treatment incorporating between-session text messaging ("iQuit Mindfully"). Participants will be randomly assigned to one of two groups: Mindfulness-based Addiction Treatment (MBAT) or iQuit Mindfully (MBAT with the addition of between-session text messages).

All participants will receive in-person group treatment based on the 8-week MBAT protocol in addition to nicotine patch therapy and self-help materials. Participants assigned to iQuit Mindfully will receive additional support via text messaging. Assessments will occur at baseline, at each of the weekly in-person visits, at end of treatment, and at 1-month follow-up. Feasibility, smoking abstinence, mindfulness practice, and indicators of tobacco dependence and psychological well-being will be assessed.
Study Started
Jan 18
2017
Primary Completion
Aug 10
2017
Study Completion
Oct 03
2017
Results Posted
Dec 17
2018
Last Update
Jan 08
2019

Behavioral Mindfulness-based Addiction Treatment

Mindfulness-based Addiction Treatment (MBAT) consists of 8 weekly 2-hour sessions that teach mindfulness and cognitive-behavioral strategies for smoking cessation (Wetter et al., 2009).

Behavioral iQuit Mindfully

iQuit Mindfully involves text messages on each day between treatment sessions. The text messages provide mindfulness and cognitive-behavioral strategies and support for smoking cessation.

  • Other names: Mindfulness-based text messaging for smoking cessation

Behavioral Self-Help guide

Self-help materials for smoking cessation are based on the Treating Tobacco Use and Dependence Clinical Practice Guideline (Fiore et al. Clinical practice guideline for treating tobacco use and dependence, 2008).

Drug Nicotine Patch

Patch therapy (beginning the week before quit day) for participants who smoke >10 cigarettes/day will consist of 4 weeks of 21 mg patches, 1 week of 14 mg patches, and 1 week of 7 mg patches. Patch therapy for participants who smoke 5-10 cigarettes/day will consist of 4 weeks of 14 mg patches and 2 weeks of 7 mg patches.

  • Other names: Generic Nicotine Patch

Mindfulness-based Addiction Treatment (MBAT) Active Comparator

Nicotine patch; self-help guide; MBAT

iQuit Mindfully Experimental

Nicotine patch; self-help guide; MBAT; text messaging

Criteria

Inclusion Criteria:

age 18-65 years
current smoker with history of >5 cigarettes/day for past year (and expired carbon monoxide >6 parts per million [ppm])
motivated to quit within next 30 days
valid home address in the greater Atlanta, Georgia area
functioning telephone number
own a mobile phone with text messaging capacity
can speak, read, and write in English
at least a sixth-grade level of health literacy

Exclusion Criteria:

contraindication for nicotine patch
active substance abuse/dependence
regular use of tobacco products other than cigarettes
current use of tobacco cessation medications
pregnancy or lactation
household member enrolled in the study
current diagnosis of schizophrenia or bipolar disorder, or use of antipsychotic medications
clinically significant depressive symptoms

Summary

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

All Events

Event Type Organ System Event Term Mindfulness-based Addiction Treatment (MBAT) iQuit Mindfully

Smoking Abstinence

Number of participants who abstained from smoking (based on self-reported 7-day abstinence, which is biochemically verified by expired carbon monoxide <6 parts per million (ppm)

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

Participant Engagement

Number of participants who respond to interactive text messages

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

Participant Ratings

Perceived Text Message Helpfulness (minimum value 1 ["not at all helpful"], maximum value 10 ["extremely helpful"], higher scores mean better outcome)

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

8.0
units on a scale (Mean)
Standard Deviation: 2.4

Attrition

Number of participants who do not attend end-of-treatment session

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

Number of Cigarettes Smoked Per Day

Self-reported number of cigarettes smoked per day (questionnaire)

Outcome Measure Data Not Reported

Weekly Mindfulness Practice

Self-reported average weekly mindfulness practice (questionnaire)

Outcome Measure Data Not Reported

Self-reported Mindfulness and Psychological Functioning

Mindfulness, affect, self-efficacy, dependence, and withdrawal symptoms (questionnaire)

Outcome Measure Data Not Reported

Total

71
Participants

Age, Continuous

45.6
Years (Mean)
Standard Deviation: 12.0

Baseline cigarettes per day

16.5
Cigarettes per day (Mean)
Standard Deviation: 9.6

Ethnicity (NIH/OMB)

Race (NIH/OMB)

Sex: Female, Male

Overall Study

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully

Drop/Withdrawal Reasons

Mindfulness-based Addiction Treatment (MBAT)

iQuit Mindfully