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OpenTrials
Completed

NCT Number: NCT05440903

Mindfulness Training for Smoking Cessation

Participants will complete this study remotely, either at home or at their preferred location using an online platform. The investigators propose to test the effects of a mindfulness training [MT: Headspace] intervention compared to a time and attention psycho-education control [control: TedTalks] among N=200 adult smokers of a nicotine product. Previous studies suggest that mindfulness training may be beneficial in reducing craving during tobacco abstinence. During the study, participants will complete baseline questionnaires, followed by two weeks of daily MT or control training and self-report on questionnaires assessing affect, cognition, and smoking behavior using Ecological Momentary Assessment (EMA) for remote data capture. Following this two weeks of training, participants will complete a smoking quit attempt and complete daily EMA questionnaires for two weeks. The first day of the smoking quit attempt will include a remote Zoom video session following overnight smoking abstinence. During this session the participants will complete a remote stressor task (Trier Social Stress Test, TSST), and the investigators will collect EMA data on affect and smoking behavior before and after the TSST. One month after the start of the quit attempt, participants will complete a phone call as a follow-up to assess smoking behavior over the previous 30 days, and to complete a debriefing. Study objectives are to test the effect of MT on: (1) smoking lapses during the follow-up periods; and (2) stress (affect, smoking urge, withdrawal symptoms) during the TSST.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Keck School of Medicine of USC

Los Angeles, California, 90032, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • At least 18 years of age
  • Smoke at least 5 cig/day for the past year
  • English fluency
  • Motivation to quit smoking in next 30 days, or willing to make a practice quit attempt
  • Reside in California
  • Have remote video capability (i.e., computer, laptop, tablet with working camera and audio) in order to complete all data collection procedures (Note that the study does not have resources to provide these materials)
  • Have working smartphone capable of downloading the app for EMA assessments

Exclusion criteria

  • Current use of any nicotine replacement products (i.e., nicotine patch, gum, lozenge) or smoking cessation medications (i.e., Chantix, Bupropion, Wellbutrin, Zyban)
  • Current mindfulness or meditation practice of greater than 5 minutes each day.

Treatment and study plan

Headspace

Behavioral

A smartphone application that provides users with mindfulness and meditation sessions.

Other names: Mindfulness

TEDTalk

Behavioral

A smartphone application that provides users with psychoeducational audio recordings from TEDTalk.

Primary outcomes

  1. Smoking Cessation Behavior at 14 days

    Time frame: 14 days after start of quit attempt

    7-day point prevalence abstinence (i.e., no cigarettes smoked in the previous 7 days). 0=did not smoke; 1=smoked at least one cigarette.

  2. Smoking Cessation Behavior at 30 days

    Time frame: 30 days after start of quit attempt

    7-day point prevalence abstinence (i.e., no cigarettes smoked in the previous 7 days). 0=did not smoke; 1=smoked at least one cigarette.

Secondary outcomes

  1. Cessation Motivation

    Time frame: baseline (start of the study) and 30 days after start of quit attempt

    change in motivation to quit (or stay quit) as measured by the Contemplation Ladder, a visual graphic used to select current level of quit motivation (0="no thought of quitting"; 10="taking action to quit"). A higher number indicates greater motivation to quit smoking.

  2. App training adherence

    Time frame: 14 days after starting app training

    Adherence to app use will be calculated as the number of times an individual used the app out of a total of 28 sessions (2 session per day for 14 days). A higher number indicates better adherence.

  3. Stress-related feelings of "anxious"

    Time frame: 1 min before the Trier Social Stress Test (TSST), and +5, +30, +60 min after TSST

    visual analog scales of "I feel anxious" using the scale (0="not at all" to 100="extremely"). A higher number indicates greater feelings of "anxious"

  4. Stress-related feelings of "relaxed"

    Time frame: 1 min before the Trier Social Stress Test (TSST), and +5, +30, +60 min after TSST

    visual analog scales of "I feel relaxed" using the scale (0="not at all" to 100="extremely"). A higher number indicates greater feelings of "relaxed"

  5. Stress-related feelings of "stressed"

    Time frame: 1 min before the Trier Social Stress Test (TSST), and +5, +30, +60 min after TSST

    visual analog scales of "I feel stressed" using the scale (0="not at all" to 100="extremely"). A higher number indicates greater feelings of "stressed"

  6. Stress-related feelings of "urge to smoke"

    Time frame: 1 min before the Trier Social Stress Test (TSST), and +5, +30, +60 min after TSST

    visual analog scales of "I have an urge to smoke" using the scale (0="not at all" to 100="extremely"). A higher number indicates greater feelings of "urge to smoke"

Sponsors and collaborators

Lead sponsor

University of Southern California

Other

Registry information

Official study title

Examining the Effects of Brief Mindfulness Training on Smoking Quit Attempts

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
Jul 1, 2022
Registry last updated
Sep 7, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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