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Sex differences in cigarette smoking following a mindfulness-based cessation randomized controlled trial.

Addictive behaviors
January 1, 2025
David S Black et al. (4 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether mindfulness-based interventions (MBIs) for smoking cessation had sex-specific effects on smoking outcomes.

Results Summary

The study found a significant sex-intervention interaction effect for daily cigarettes smoked, with females in the MBI group smoking fewer cigarettes than those in the control group, but no significant effects on complete 7-day point prevalence abstinence or proportion of days abstinent. Males showed significantly less use of the MBI app compared to the control app.

Population

Adults recruited from California participating in a smoking cessation study (N = 213, 55-56% female).

Effective Dosage

Daily 14-day app-based intervention.

Duration

14 days of intervention, with smoking outcomes assessed over the following 4 weeks.

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness-based interventions (MBIs) for smoking cessation
no change
outcomes
-
-
lack formal reporting of sex-intervention tests of interaction
#1
daily 14-day app-based mindfulness-based intervention (MBI) with a quit plan and quit aid workbook
decrease
daily cigarettes smoked
female participants
IRR = 0.68, 95% CI: 0.57-0.81
significant sex-intervention interaction effect
#2
daily 14-day app-based mindfulness-based intervention (MBI) with a quit plan and quit aid workbook
increase
daily cigarettes smoked
male participants
IRR = 1.14, 95% CI: 0.95-1.37
significant sex-intervention interaction effect
#3
daily 14-day app-based mindfulness-based intervention (MBI) with a quit plan and quit aid workbook
no change
complete 7-day point prevalence abstinence (PPA)
-
OR = 1.24, 95% CI: 0.31-4.89, p = 0.76
no significant sex-intervention interaction effect
#4
daily 14-day app-based mindfulness-based intervention (MBI) with a quit plan and quit aid workbook
no change
proportion of total days abstinent
-
OR = 1.97, 95% CI: 0.53-7.37, p = 0.31
no significant sex-intervention interaction effect
#5
daily app-based MBI with a quit plan and quit aid workbook
decrease
daily cigarettes smoked
females
-
smoked fewer cigarettes per day
#6
daily app-based MBI with a quit plan and quit aid workbook
decrease
app use
males
-
showed significantly less use
#7
Abstract

Some interventions for smoking cessation such as quit smoking aids show sex-specific effects on outcomes, but behavioral interventions such as mindfulness-based interventions (MBIs) for smoking cessation lack formal reporting of sex-intervention tests of interaction to date. To address this gap, we conducted a secondary analysis of a RCT dataset (N = 213), recruiting participants from California, to statistically test a sex-intervention interaction effect on complete 7-day point prevalence abstinence (PPA), proportion of days abstinent, and daily cigarettes smoked. Smoking was assessed using the timeline follow back method spanning the four weeks following a daily 14-day app-based intervention and a planned smoking quit date immediately following the intervention phase. All models adjusted for baseline nicotine dependence. The study groups had comparable sex proportions (MBI: 56 % female; control: 55 % female) and the ratio of outcome assessment completion by group was not dependent on sex. Adjusted analyses revealed a significant sex-intervention interaction effect for daily cigarettes smoked ([female coded 1]: two-way interaction effect IRR = 0.59, 95 % CI: 0.46-0.77, p < 0.0001; effect for female: IRR = 0.68, 95 % CI: 0.57-0.81, effect for male: IRR = 1.14, 95 % CI: 0.95-1.37), but not for complete 7-day PPA ([female coded 1] two-way interaction effect OR = 1.24, 95 % CI: 0.31-4.89, p = 0.76) or proportion of total days abstinent ([female coded 1] two-way interaction effect OR = 1.97, 95 % CI: 0.53-7.37, p = 0.31). Females, but not males, allocated to a daily app-based MBI with a quit plan and quit aid workbook smoked fewer cigarettes per day compared to females in the control group. Males, but not females, showed significantly less use of the MBI app compared to the control app.

Medical Subject Headings (MeSH)
HumansFemaleMaleSmoking CessationMindfulnessCigarette SmokingAdultSex FactorsMiddle AgedCalifornia
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Research Impact Scores
APT Score0.05
Weight Score2.50
Normalized Score0.61
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