Online Mindfulness Research Articles

P1072 The influence of anxiety and depression and the online mindfulness interventions on the quality of life among patients with Inflammatory Bowel Disease (IBD) : Web-Based Survey Study

Abstract Background Patient diagnosed with Inflammatory Bowel Disease (IBD) experience distressing psychological symptoms and a diminished quality of life (QOL). The efficacy and feasibility of online mindfulness intervention for patients with IBD is unknown.We conducted a mobile-delivered mindfulness intervention among IBD patients to study its feasibility and efficacy in lowering their anxiety or depression level and improving their QOL. Methods We utilized individuals diagnosed with IBD to investigate the correlation between the severity of depression/anxiety and their QOL. The severity of anxiety and depression symptoms was evaluated using the Generalized Anxiety Disorder-7 (GAD-7) and Patient Health Questionnaire-9 (PHQ-9), respectively. QOL was assessed using the Short Health Scale (SHS). The relationship was analyzed through regression analysis. Additionally, a randomized parallel design was employed to conduct the Online MINdfulness-based stress reduction with Daily EXercise (MINDEX) program, and its effects on QOL and psychological symptoms were studied over a period of 2 months. Results A total of 521 participants initiated the survey and 484 completed and submitted the survey. More than 80% of the patients experienced severe symptoms of anxiety or depression, as indicated by GAD-7 scores ≥ 10 or PHQ-9 scores ≥ 10. The study found that increases in GAD-7 total scores were significantly associated with increases in SHS total scores, with an R2 value of 0.43 and coefficient of 12.6 (95% CI 9.4-15.7) for UC (Ulcerative Colitis) and R2 value of 0.27 and a coefficient of 10.4 (95% CI 8.8-12.1) for CD (Crohn’s Disease). Similarly, increases in PHQ-9 scores also showed significant correlations with increases in SHS total scores, with an R2 value of 0.37 and a coefficient of 9.2 (95% CI 6.5-11.8) for UC and R2 value of 0.22 and a coefficient of 7.2 (95% CI 5.9-8.6) for CD. However, when depression severity was considered, the significant differences between SHS and PHQ-9 scores disappeared in both UC and CD. Yet, the positive correlation between GAD-7 and SHS scores remained significant in UC. Regarding the MINDEX program, the study included 30 MINDEX patients and 22 control patients who completed the program. After 2 months, the scores of GAD-7, PHQ-9, SHS between MINDEX patients and 22 control patients were not statistically significant (.052 < P < .908). Conclusion IBD significantly influenced patients’ anxiety, depression, QOL, and sleep quality. Online mindfulness interventions did not show a significant reduction in anxiety or depression. When formulating personalized treatment plans, it is crucial to take into account the patient’s overall condition to optimize treatment outcomes and enhance the patient’s QOL.

Impact of an online mindfulness-based program on wellbeing and trait mindfulness for research postgraduate students: a randomized-controlled trial

ObjectivesPursuing a research postgraduate (RPg) degree is a major life event and could be stressful. The current study aims to explore the effectiveness of an online eight-week mindfulness-based intervention on improving wellbeing and alleviating illbeing among a group of RPg students using a randomized waitlist-controlled design.MethodsA total of 88 RPg students, either studying in Hong Kong or Macau, were recruited (43 were randomized into the immediate intervention group; 67 females; mean age = 27.7; SD = 4.60). The “Finding Peace in a Frantic World” was adopted as the mindfulness-based program. Linear mixed models were applied to test the effects of the intervention on trait mindfulness, compassion, wellbeing related measures (i.e., subjective wellbeing, resilience, wellbeing literacy) and illbeing related measures (i.e., emotional and sleeping disturbances), while controlling for the effects of age and gender. The intervention group was also assessed at two-month follow-up to evaluate the sustained effects.ResultsThe results revealed that participants from the intervention group showed increased resilience (b = 0.88, p = .012), wellbeing literacy (b = 2.52, p = .04), trait mindfulness (b = 5.16, p = .006), and decreased emotional disturbances (b=-8.24, p = .015), while there were no changes in subjective wellbeing, sleeping quality, and self-compassion or compassion towards others compared to the waitlist controls. Positive effects were sustained after two months in the intervention group.ConclusionsThis study provides evidence for online mindfulness training in alleviating RPg students’ emotional disturbance and supporting their resilience and wellbeing literacy.RegistrationThe study was retrospectively registered with the ISRCTN Registry on 11/11/2022 (registration number: ISRCTN18262344).

A randomized controlled trial of an online mindfulness program for adolescents at risk for internalizing problems.

The purpose of this randomized controlled trial was to test the effects of an online, coached mindfulness intervention on momentary negative affect (mNA) for youth with high levels of trait negative affectivity. Participants were 111 youth ages 12 to 17 years old (M = 14.17, SD = 1.60). Youth self-identified as 68% female, 29% male, and 4.5% gender diverse; 54.55% identified as White; 31.82 reported being Hispanic/Latinx. Participants were selected for having high levels of trait negative affect and were randomized to receive either the mindfulness program or no intervention. We used ecological momentary assessment to measure stress and emotions and to derive measures of mNA comprised of stressor-independent and stressor-reactive negative affect. The ecological momentary assessment protocol involved participants completing a short survey/diary entry on Qualtrics four times per day for 5 days. Internalizing symptoms were assessed with the Patient Health Questionnaire-8, Generalized Anxiety Disorder-7, and the Screen for Child Anxiety Related Disorders. The mindfulness intervention resulted in a significant reduction in stressor-reactive negative affect (t = 2.001, df = 96, p = .048; Cohen's d = .40), but not stressor-independent mNA or overall mNA. Additionally, reductions in stressor-reactive negative affect significantly correlated with changes in internalizing symptomatology (standardized β = .26, p = .032). These results indicate that among youth with high levels of trait negative affectivity, a relatively affordable and accessible digital mindfulness program significantly reduced stressor-reactive negative affect. The absence of an effect on stressor-independent or overall average mNA suggests some specificity of the effects of mindfulness to stressor-reactive negative affect in an at-risk sample of adolescents. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Supplemental Material for A Randomized Controlled Trial of an Online Mindfulness Program for Adolescents at Risk for Internalizing Problems

Supplemental Material for A Randomized Controlled Trial of an Online Mindfulness Program for Adolescents at Risk for Internalizing Problems

Feasibility study of the psychosocial effects of an online mindfulness intervention in children and adolescents with achondroplasia and their parents

IntroductionAchondroplasia is a common skeletal dysplasia caused by a mutation in the FGFR3 gene, leading to disproportionate short stature and various clinical features. Despite the absence of definitive pharmacological treatments, mindfulness-based interventions may offer psychosocial benefits for affected individuals and their families. ObjectivesThis study aimed to assess the feasibility and psychosocial effects of an online mindfulness intervention for children and adolescents with achondroplasia and their parents. MethodologyThe intervention was an eight-week, synchronous online program with 15 participants: seven children and adolescents with achondroplasia and eight parents. Quantitative outcomes were assessed pre-and post-intervention using the State-Trait Anxiety Inventory for Children (STAIC) and the Multifactorial Self-Assessment Child Adaptation Test (TAMAI) for the younger participants, along with the Brief Symptom Inventory (BSI-18) for parents. Participant satisfaction was assessed using a customized survey, and qualitative data were collected through semi-structured interviews. ResultsThe study demonstrated high feasibility, with 84.61% adherence and 93.75% participant satisfaction. Average anxiety levels decreased in children and adolescents (30.60 ± 5.12 to 26.80 ± 6.94, p = .285) and parents (3.67 ± 3.98 to 1.00 ± .89, p = .066). Emotional regulation was the most reported improvement category by children and adolescents (31.4%), while general well-being was the most noted by parents (29.63%). ConclusionsThe results support the feasibility of this online mindfulness intervention for individuals with achondroplasia and their parents, indicating benefits for psychosocial well-being. Future studies should address these limitations by expanding sample sizes, exploring hybrid intervention models, and ensuring data anonymity. Integrating mindfulness into comprehensive psychosocial care strategies could enhance the quality of life for these populations.

Mindfulness's moderating role applied on online SEL education.

Mild to moderate depression, anxiety, and stress imbalances are prevalent emotional issues among college students and are primary factors leading to deficiencies in social-emotional skills within this population. Without timely intervention, these mild to moderate emotional issues may escalate into more severe conditions. Social-Emotional Learning (SEL) programs are effective for building social-emotional skills. However, current research on SEL programs has not adequately addressed the issue of high-quality teacher-student interactions for students who suffer emotional problems. To tackle this issue, this study proposes a curriculum approach that integrates mindfulness with rhythmic music? and evaluated the emotional changes of students after mindfulness with rhythmic music curriculum. This study adopted a pre-post experimental design. Two hundred and ninety-four firefighting universities students participated in a one-semester "online mindfulness combined with music rhythm SEL course". The study used the Beck Anxiety Inventory, Center for Epidemiologic Studies Depression Scale and Perceived Stress Scale to measure the anxiety, depression and stress levels of the participants before and after the course, and used the participants' self-reflection reports as a method to explore the students' emotional transformation patterns. The research findings indicate that: (1) eighth-note, quarter-note, and sixteenth-note rhythmic music significantly improve the emotional wellbeing of students with depression, anxiety, and stress imbalances, respectively. (2) The degree of emotional improvement has a certain impact on academic performance. (3) Students with anxiety require more instructional support focused on attention concentration during the early phases of the course; students with depression should not be scheduled for social skills learning modules in the short term and need long-term instructional guidance; individuals experiencing stress imbalances require attention to their personal music preferences and benefit from additional listening activities and exercise. These findings assist teachers in accurately identifying emotional changes among students with emotional problems and managing the patterns of these emotional transitions, thereby providing effective instructional support and promoting high-quality interactions between teachers and students.

Evaluating the Impact of an Online Mindfulness Program on Healthcare Workers in Korean Medicine Institutions: A Two-Year Retrospective Study.

Background/Objectives: This retrospective study evaluated the effectiveness of a two-year online mindfulness program (five biweekly sessions) combined with a smartphone application for healthcare workers (HCWs) in Korean medicine (KM) institutions. Methods: Twenty-three participants, including KM University students, KM doctors, and nurses, completed a 9-week online mindfulness program in 2023 or 2024. The pre- and post-intervention surveys assessed subjective health status (SHS), knowledge of mind-body modalities (MBMs), hwa-byung (HB) symptoms, emotional labor (EL), burnout, and program satisfaction. Results: Participants showed significant improvements in SHS (p = 0.008) and MBM knowledge (p = 0.035). HB personality scores decreased significantly (p = 0.027), while the reduction in HB symptoms approached statistical significance (p = 0.052). The frequency of interactions among job-focused EL increased (p = 0.003). The subgroup analysis revealed significant reductions in HB personality traits (p = 0.017) and symptoms (p = 0.006) among practicing KM doctors and nurses. No significant changes were observed in burnout levels. Participants reported high satisfaction (median 8.00 [IQR 8.0-9.0]) and willingness to recommend the program (median 5.00 [IQR 4.0-5.0]). Conclusions: Analysis of the 2-year results suggests that the online mindfulness program effectively improved SHS, MBM knowledge, and HB-related symptoms among HCWs in KM institutions, particularly among practicing professionals. High satisfaction rates indicated the acceptability of the program. Future research should use larger sample sizes and randomized controlled designs to further validate these findings and explore long-term outcomes. This intervention shows promise as a tool to promote mental health in Korean healthcare settings.

Intervention Study on the Impact of Internet-Based Mindfulness Meditation on Depression and Anxiety among University Students

This study explores the effectiveness of internet-based mindfulness meditation interventions in mitigating depression and anxiety symptoms among college students. A total of 72 participants were randomly assigned to one of three groups: offline mindfulness intervention, online mindfulness intervention, and a control group. The intervention lasted for eight weeks, during which participants' mental health was assessed using the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder Scale (GAD-7). Findings revealed that both interventions significantly reduced depression and anxiety levels, with the offline group exhibiting the most pronounced improvement. The online intervention, while slightly less effective, demonstrated considerable potential, particularly in terms of accessibility and scalability. The study highlights the need for future research to refine online intervention techniques by incorporating greater opportunities for interaction, thereby enhancing participant engagement and intervention efficacy. These findings provide empirical support for the broader application of internet-based mindfulness practices in promoting mental well-being among university populations.

The Western Australian medical schools mindfulness project: a randomised controlled trial

BackgroundEvidence for the longer-term benefits of online mindfulness training for medical students, including in the reduction of stress and improved wellbeing, is limited. This study aimed to evaluate the impact of a novel online mindfulness training program on trait mindfulness, wellbeing and study engagement of medical students at program completion and 6-month follow-up.MethodsThis was a randomised waitlist control study of an 8-week, online, mindfulness-based intervention versus normal curriculum alone for medical students (N = 114). The primary outcome measures were the changes from baseline to program completion at Week 8 for self-reported trait mindfulness (Freiburg Mindfulness Inventory), perceived stress (Perceived Stress Scale), self-compassion (Self-Compassion Scale) and study engagement scores (Utrecht Work Engagement Scale for Students). The secondary outcome measures were these score changes from baseline to 6-month follow up. Intervention and control students completed surveys at all three time points. Program adherence (Mindfulness Adherence Questionnaire) was also measured in the intervention group.ResultsThe intervention group experienced modest but statistically significant improvements in mindfulness (9%, p = 0.0002), self-compassion (5%, p = 0.026), and study engagement (4%, p = 0.035) from baseline to Week 8. They also reported a sustained improvement of 5% (p = 0.017) in mindfulness scores at 6 months. The control group reported no significant changes at Week 8 or 6 Months. Between-group comparisons showed that compared to the control group, the intervention group improved significantly more in mindfulness (p = 0.0076), and statistically marginally more in study engagement (p = 0.0534) at Week 8. No statistically significant between-group differences were observed at 6 months.ConclusionsThese results add to the small but growing body of evidence suggesting that online mindfulness-based interventions with minimal contact can improve, albeit in modest magnitude, mindfulness and possibly study engagement in medical students for the duration of a mindfulness program. Further refinements to the program may be important to maintain improvements in the longer-term.Trial registrationRegistration number ACTRN12624000783527.

Enhancing College Students’ Well-Being through an Online Mindfulness Intervention During the COVID-19 Pandemic: An Exploratory Study

ABSTRACT Background Mental health challenges continue to be on the rise with college students. The COVID-19 pandemic further accentuated these challenges. Thus, consideration could be given to exploring various strategies to support the well-being of students. Purpose This study examined the effects of an online mindfulness intervention in an academic course measuring the well-being in a two-group pretest and posttest study design. Methods Participants included (N = 40) undergraduate students ages 18–23. The experimental group consisted of participants in an online health course with a mindfulness component. The control group enrolled in an identical health course without a mindfulness component. Results The results indicated greater statistically significant increases in the experimental group’s well-being, mindfulness and positive affect, as well as a decrease in negative affect compared to the control group. Discussion This study offers insight into the potential effectiveness of online mindfulness interventions embedded in academic courses for benefiting students’ well-being. This is especially relevant as it was implemented during the COVID-19 pandemic when focus on well-being was paramount. Translation to Health Education Practice Certified Health Education Specialists (CHES) play an important role in enhancing well-being in the college student population through the needs assessment, implementation, evaluation, research and usage of findings.

Interplay of yoga, physical activity, and probiotics in irritable bowel syndrome management: A double-blind randomized study

ObjectivesThis study aimed to explore the synergistic impact of online yoga, mindfulness practices, and probiotics on irritable bowel syndrome (IBS) by evaluating changes in physical fitness, mental health, and gut microbiota composition. Design, setting and interventionsThe six-week randomized, double-blinded, placebo-controlled trial included 31 IBS patients categorized into three groups: online yoga with probiotics (EP), online yoga with a placebo (EC), and probiotics only (P). Assessments involved physical fitness tests, subjective questionnaires (IBS-QOL, BSRS-5), and gut microbiome analysis. Main outcome measuresParticipants self-collected stool samples and were given a set of questionnaires at baseline and after six weeks of intervention. Their symptoms were measured by changes in the gut microbiota, physical fitness and quality of life, and psychological well-being. ResultsThe EP group demonstrated improved cardiovascular endurance (P < 0.001) and a significant reduction in Klebsiella bacterial strains (P < 0.05). Both the EP and EC groups exhibited significantly decreased IBS-QOL scores (P < 0.001 and P < 0.05, respectively), indicating enhanced quality of life. While BSRS-5 scores decreased in both groups, the reduction was statistically insignificant. ConclusionIntegrating online yoga, mindfulness practices, and probiotics demonstrated comprehensive benefits for IBS patients. This intervention improved physical fitness and mental well-being and positively influenced gut microbiota composition. The study highlights the potential of this multifaceted approach in managing IBS symptoms and enhancing overall health, emphasizing the relevance of the gut-muscle-brain axis in understanding and addressing IBS complexities. Trial registrationTaiwanese Registry of Institutional Review Board IRBHP210009/CH11000259.

Effects of mindfulness and movement on affect and vitality.

Increasing levels of distress and barriers to healthcare have coincided with increasing use of Complementary and Alternative Medicine (CAM). While mindfulness and movement interventions may improve wellbeing, little research has compared the effectiveness of these two approaches. This single intervention study aimed to (1) explore the effects of two brief, online, self-administered mindfulness and movement interventions on affect and vitality, and (2) establish whether changes in affect and vitality could be predicted by age, gender, general distress, previous CAM experience and enjoyment of the intervention. Participants (n = 62) were randomly allocated to follow a brief online mindfulness or movement intervention. Levels of affect (using PANAS) and subjective vitality (using the Subjective Vitality Scale) were measured pre and post intervention. Demographics, experience with CAM and general distress (using the DASS-21) were collected pre intervention, while level of enjoyment (using the ENJOY scale) was measured post intervention. Open-text responses gathered qualitative data on participant experience. Participants completing the mindfulness intervention reported increased vitality and decreased positive and negative affect. Those completing the movement intervention reported increased vitality and positive affect and decreased negative affect. Higher DASS-21 levels were predictive of greater reductions in negative affect. Higher levels of enjoyment were predictive of greater increases in positive affect and vitality. Differences between mindfulness and movement interventions may indicate that they could have targeted applications. While further research is necessary, these brief, online interventions may provide a sustainable, accessible self-management and wellbeing intervention.

Feasibility of a brief online mindfulness intervention for parents of children with developmental disabilities

Parents of children with developmental disabilities often experience increased levels of distress but have difficulty accessing face-to-face mental health care due to parenting demands. A brief, online mindfulness intervention was designed to improve accessibility for these families. Ten mothers completed a 2-week intervention in addition to pre-post measures of mood and mindfulness. Six participants provided 3-month follow-up data. Immediate reductions in distress and improvements in mindfulness were reported, with gains maintained over time. Despite difficulties with recruitment, satisfaction ratings and user-end data suggested good engagement. Online mindfulness training may help to alleviate distress as well as enhance wellbeing for parents of children with a developmental disability. These promising findings require confirmation with an adequately powered randomised controlled trial.

Effects of mindfulness meditation training offered in-person and via a virtual world on self-compassion: A study with U.S. military active duty and veterans.

Mindfulness-based, in-person programs are effective at reducing stress and enhancing resilience in military and civilian samples, yet few studies have examined or compared training offered via real-time, interactive social media. Such a program would have a wider-reach and could include those unable to attend in-person. There is also interest in resolving ambiguity about the effects of mindfulness training on individual difference variables, such as self-compassion. The purpose of this research was to compare pre/post self-compassion for three interventions; Mindfulness-based Stress Reduction delivered in-person (IP), mindfulness meditation training delivered via a Virtual World (VW), and a wait-list Control Group (CG) among active duty and veteran U.S. military. A 2 (pre/post)×3 (group) factorial design was conducted with 250 active duty and veteran U.S. Military service members, with self-compassion measures as dependent variables. Self Compassion improved 10% for the IP group and 14% for the VW group, while the CG group did not improve. Combined treatment groups yielded a 10.3% improvement in self-compassion compared with no change in the CG and with a group×time interaction effect (p < 0.01). Participants with lower initial self-compassion experienced greater benefits than those with higher baseline self-compassion (p < 0.01). IP and VW Mindfulness Meditation training were equally effective in increasing self-compassion. Adding effective on-line mindfulness delivery will promote self-compassion among a more extensive audience, likely yielding improved coping, confidence, connectedness, cheerfulness, steadiness, and self-satisfaction, while lessening anxiety, fear-of-failure, and stress among participants.

Development and effectiveness of an online mindfulness program for university students

Development and effectiveness of an online mindfulness program for university students

Effectiveness of Online Mindfulness Platform in Improving Anxiety, Depression, and Stress in Adults During the COVID-19 Pandemic: A Randomized Control Trial.

COVID-19 epidemic bring a great threat to human physical and mental health. This study aimed to investigate the effectiveness of an online mindfulness platform in improving mental status. Patients from a regional hospital were randomly divided into the experimental and control groups. The experimental group received online mindfulness interventions, and control group received general health education. There were no significant differences in the stress or depression scores between the two groups (P > 0.05). Intervention group had significantly lower anxiety scores than control group at fourth and eighth weeks (P<0.001). There was no significant difference in the emotion change over time in control group (P > 0.05). The anxiety in the intervention group was significantly improved at the 4th and 8th weeks (P<0.05). Moreover, the stress and depression in the intervention group were significantly improved at the 8th week (P<0.05). Online mindfulness intervention can effectively improve emotional status.

Taking the edge off: a feasibility randomized controlled trial of an online mindfulness-based intervention to reduce suspiciousness/paranoia in high positive schizotypy.

Positive schizotypy can uniquely predict the development of psychosis with suspiciousness/paranoia having emerged as a key risk factor, pointing to significant worth in reducing this aspect in individuals with high positive schizotypy. Reduced paranoia in the general population following brief online mindfulness training has been previously reported. This study investigated the feasibility of a 40-day online mindfulness-based intervention (MBI) (n = 12) in the individuals with high positive schizotypy characterized by high suspiciousness/paranoia and to estimate its effect on paranoia as compared with an active control condition using reflective journaling (n = 12). The outcome measures were self-reported trait and VR-induced state paranoia, completed at baseline, after 10 days and post-intervention. The feasibility criteria included retention, adherence, engagement, and acceptability. There was 100% retention, excellent adherence to content and engagement, with an average MBI session completion rate of 91%. Acceptability, indexed by a self-rated motivation to continue practice post-intervention, was also high. No MBI effect on trait paranoia was observed; however, the MBI group showed a reduction in the VR-induced state paranoia with a medium-to-large effect (d = 0.63). The findings support conducting larger-scale randomized controlled trials to evaluate the effects of online MBIs on reducing suspiciousness/paranoia to mitigate psychosis risk in individuals with high positive schizotypy. Clinical Trial Registration:https://www.isrctn.com/, identifier ISRCTN78697391.

A pilot study on the efficacy of an online mindfulness intervention for Canadian police officers

A pilot study on the efficacy of an online mindfulness intervention for Canadian police officers

10-Week Trajectories of Candidate Psychological Processes Differentially Predict Mental Health Gains from Online Dyadic versus Mindfulness Interventions: A Randomized Clinical Trial.

Background: App-based contemplative interventions, such as mindfulness-based interventions, have gained popularity for the promotion of mental health; however, the understanding of underlying intervention-specific mechanisms remains limited, especially related to novel inter-relational dyadic practices. Methods: We tested (n = 253) seven putative mechanisms underlying two brief (daily 12-min) online mental interventions: attention-focused mindfulness and socio-emotional partner-based, both supported by weekly online coaching. Weekly self-reports of rumination, worry, psychological flexibility, affective control, social support, acceptance, and mindfulness were obtained over 10 weeks of intervention, and depression, anxiety, and resilience were assessed as pre- and post-intervention outcomes. Results: Significant week-to-week reductions in rumination and increases in psychological flexibility were observed in both interventions. Only attention-based practice led to temporal reductions in worry, and only socio-emotional dyadic practice led to temporal increases in affective control. Mediation analyses with slopes of weekly variables as mediators detected no significant indirect effects. However, exploratory moderation analyses revealed that intervention-related reductions in depressive symptomatology and anxiety vulnerability and increases in resilience were predicted by weekly increases in acceptance and affective control in the socio-emotional dyadic group, and by weekly reductions in rumination and worry in the mindfulness group. Limitations of the study include reliance on brief self-report measures, relatively small sample size, and absence of long-term follow-up assessments indicating the need for future well-powered longitudinal studies comparing intervention modalities. Conclusions: We present preliminary evidence for practice-specific active ingredients of contemplative interventions, which can be leveraged to enhance their efficiency for mental health.

Smartband-based smoking detection and real-time brief mindfulness intervention: findings from a feasibility clinical trial

Background Smartbands can be used to detect cigarette smoking and deliver real time smoking interventions. Brief mindfulness interventions have been found to reduce smoking. Objective This single arm feasibility trial used a smartband to detect smoking and deliver brief mindfulness exercises. Methods Daily smokers who were motivated to reduce their smoking wore a smartband for 60 days. For 21 days, the smartband monitored, detected and notified the user of smoking in real time. After 21 days, a ‘mindful smoking’ exercise was triggered by detected smoking. After 28 days, a ‘RAIN’ (recognize, allow, investigate, nonidentify) exercise was delivered to predicted smoking. Participants received mindfulness exercises by text message and online mindfulness training. Feasibility measures included treatment fidelity, adherence and acceptability. Results Participants (N=155) were 54% female, 76% white non-Hispanic, and treatment starters (n=115) were analyzed. Treatment fidelity cutoffs were met, including for detecting smoking and delivering mindfulness exercises. Adherence was mixed, including moderate smartband use and low completion of mindfulness exercises. Acceptability was mixed, including high helpfulness ratings and mixed user experiences data. Retention of treatment starters was high (81.9%). Conclusions Findings demonstrate the feasibility of using a smartband to track smoking and deliver quit smoking interventions contingent on smoking.