ประสิทธิผลของแอปพลิเคชันที่ใช้การฝึกสติ ในการเลิกสูบบุหรี่: การทบทวนวรรณกรรมอย่างเป็นระบบ

Weerachai Kuankaew; Nattira Tiwato; Winai Robkob; Woraporn Thinwang; Sipraphai Inchaithep; Pitsini Mongkhonsiri

Authors

Weerachai Kuankaew Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok institute
Nattira Tiwato Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok institute
Winai Robkob Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok institute
Woraporn Thinwang Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok institute
Sipraphai Inchaithep Boromarajonani College of Nursing, Nakhon Lampang, Faculty of Nursing, Praboromarajchanok institute
Pitsini Mongkhonsiri Faculty of Medicine, Praboromarajchanok institute

Keywords:

smoking cessation, mindfulness-based applications, systematic review

Abstract

Introduction: Smoking is a major cause of premature death worldwide. Smoking cessation significantly reduces health risks. Mindfulness-based applications are an alternative way to support smoking cessation, although their effectiveness remains unclear.

Research objectives: To synthesize evidence on the effectiveness of mindfulness-based applications for smoking cessation.

Research methodology: This systematic review involved research articles published between 2015 and 2024. Eligible studies included both Thai and English-language research that investigated the use of mindfulness-based applications for smoking cessation in databases: CINAHL Complete, PubMed, Embase, Scopus, Google Scholar, and ThaiJo. Data were analyzed using descriptive statistics and content analysis. Six research papers from 295 studies met the inclusion criteria.

Results: The findings revealed that awareness of bodily sensations, self-compassion, breath awareness, and the RAIN technique are core components of mindfulness-based smoking cessation applications, which feature behavior tracking and experience-sharing functions. Most programs lasted between 22 and 30 days, with daily practice sessions of 5 to 15 minutes. The applications significantly reduced stress and anxiety levels and increased the likelihood of achieving seven-day point-prevalence abstinence.

Conclusions: Analyzing mindfulness-based apps for smoking indicates they can help reduce stress and anxiety and support short-term smoking abstinence.

Implications: Future research should focus on evaluating the effectiveness of systematically designed mindfulness-based smoking cessation applications using standardized tools and outcome measures. This would help reduce data variability and facilitate future meta-analyses.

Downloads

Download data is not yet available.

References

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians 2021;71(3):209-49.

Rigotti NA, Kruse GR, Livingstone-Banks J, Hartmann-Boyce J. Treatment of tobacco smoking: a review. JAMA 2022;327(6):566-77.

National Statistical Office, Ministry of digital economy and society. Health behaviour of population survey 2021. National Statistical Office, Ministry of Digital Economy and Society: Bangkok; 2021.

Jha P, Peto R. Global effects of smoking, of quitting, and of taxing tobacco. New England Journal of Medicine 2014;370(1):60-8.

Thitisak S. Tobacco control among nursing students in fundamentals of nursing practicum. Thai Journal of Nursing 2021;70(1):42-51. (in Thai)

Stead LF, Perera R, Bullen C, Mant D, Hartmann-Boyce J, Cahill K, et al. Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews 2018 May 31;5:CD000146.

Brewer JA, Elwafi HM, Davis JH. Craving to quit: psychological models and neurobiological mechanisms of mindfulness training as treatment for addictions. Psychology of Addictive Behaviors 2013;27(2):366-79.

Kabat-Zinn J. Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion; 1994.

Heffner JL, Vilardaga R, Mercer LD, Kientz JA, Bricker JB. Feature-level analysis of a novel smartphone application for smoking cessation. American Journal of Drug and Alcohol Abuse 2015;41(1):68-73.

Whittaker R, McRobbie H, Bullen C, Rodgers A, Gu Y, Dobson R. Mobile phone text messaging and app-based interventions for smoking cessation. Cochrane Database of Systematic Reviews 2019 Oct 22;10(10):CD006611

Vidrine JI, Spears CA, Heppner WL, Reitzel LR, Marcus MT, Cinciripini PM, et al. Efficacy of mindfulness-based addiction treatment (MBAT) for smoking cessation and lapse recovery: a randomized clinical trial. Journal of Consulting and Clinical Psychology 2016;84(9):824-38.

Garrison KA, Pal P, O’Malley SS, Pittman BP, Gueorguieva R, Rojiani R, et al. Craving to quit: a randomized controlled trial of smartphone app–based mindfulness training for smoking cessation. Nicotine and Tobacco Research 2020;22(3):324-31.

Minami H, Nahvi S, Arnsten JH, Brinkman HR, Rivera-Mindt M, Wetter DW, et al. A pilot randomized controlled trial of smartphone-assisted mindfulness-based intervention with contingency management for smokers with mood disorders. Experimental and Clinical Psychopharmacology 2021;1:1–27.

Chhabra D, Tushya T, Penberthy J, Sripada RK, Sigel BA, Elwy AR. Effectiveness of remotely delivered mindfulness and acceptance and commitment therapy-based smoking cessation programs: a systematic review. Current Psychology 2024;43:8158–72.

Guo YQ, Chen Y, Dabbs AD, Wu Y. The effectiveness of smartphone app–based interventions for assisting smoking cessation: systematic review and meta-analysis. Journal of Medical Internet Research 2023;25:e43242.

The Joanna Briggs Institute. Reviewers’ manual 2021 edition. Australia: Solito Fine Colour Printers; 2021.

Asfar T, Koru-Sengul T, Annane D, McClure LA, Perez A, Antoni MA, et al. Reach versus effectiveness: the design and protocol of randomized clinical trial testing a smartphone application versus in-person mindfulness-based smoking cessation intervention among young cancer survivors. Contemporary Clinical Trials Communications 2021;22:1-12.

Mhende J, Bell SA, Cottrell-Daniels C, Luong J, Streiff M, Dannenfelser M, et al. Mobile delivery of mindfulness-based smoking cessation treatment among low-income adults during the COVID-19 pandemic: pilot randomized controlled trial. JMIR Formative Research 2021;5(7):1-14.

Asfar T, Alcaide ML, Jones DL, McClure LA, Brewer J, Lee DJ, et al. HIV patients’ perceptions of a potential multi-component mindfulness-based smoking cessation smartphone application intervention. PLOS ONE 2022;17(8):1-20.

Cioe PA, Sokolovsky AW, Brewer JA, Kahler CW. App-delivered mindfulness training to reduce anxiety in people with HIV who smoke: a one-armed feasibility trial. International Journal of Environmental Research and Public Health 2023;20(6):1-11.

Bandura A. Social cognitive theory of self-regulation. Organizational Behavior and Human Decision Processes 1991;50(2):248-87.

Chomnard P, Matrakul M, Phadeanok N, Singkhon O. Counselling for smoking cessation by self-regulation. Thai Journal of Nursing 2020;69(1):54-61. (in Thai)

Pichayapa P, Tepsatitporn S, Juntapremjit S. Reduction of smoking and cigarette craving in adolescents with smoking addiction using transcranial direct current stimulation integrated with mindfulness-based therapy programs. Nursing Journal of The Ministry of Public Health 2020;30(3):62-73. (in Thai)

Richard M, Rick H. Buddha's Brain. 5th ed. Bangkok: Amarin; 2015.

Spears CA, Abroms LC, Glass CR, Hedeker D, Eriksen MP, Cottrell-Daniels C, et al. Mindfulness-based smoking cessation enhanced with mobile technology (iQuit Mindfully): pilot randomized controlled trial. JMIR mHealth and uHealth. 2019;7(6):e13059.