![]() ![]() Interventions were implemented over 4 weeks and study assessments were collected at baseline and 3- and 6-month follow-up periods, including self-reported 7-day point prevalence abstinence, program usage, smoking-related measures, and psychosocial factors. Adolescents ( n = 146) smoking 5 or more cigarettes per day were recruited. Six high schools were pair-matched and randomly assigned to one of three interventions: (1) mindfulness training delivered via mobile smoking cessation application (Craving to Quit, C2Q), (2) NCI’s QuitSTART smoking cessation application (NCI), and (3) written cessation materials (Materials). This pair-matched cluster-randomized controlled school-based pilot study evaluated program feasibility and preliminary smoking outcomes in relation to intervention engagement. Mindfulness training delivered via smartphone technology therefore has potential to help adolescent smokers break this addictive loop and quit smoking. Operant conditioning theory suggests an addictive smoking loop is formed between nicotine use and affective states, leading to habitual cue-induced craving and automatic behavior mindfulness training may bring automated smoking behavior into awareness, so smokers may work mindfully with cravings. The use of mobile technology for smoking cessation holds promise for adolescents, who do not typically access traditional treatments, but most are not grounded in theory or mechanism. ![]()
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