• Corey R Roos, Brian Kiluk, Kathleen M Carroll, Jonathan B Bricker, Chung Jung Mun, Margarita Sala, Megan Kirouac, Elena Stein, Maya John, Robert Palmer, Andrew DeBenedictis, Jena Frisbie, Angela M Haeny, Declan Barry, Lisa M Fucito, Sarah Bowen, Katie Witkiewitz, and Hedy Kober.
• Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
• Ann. Med. 2024 Dec 1; 56 (1): 23152282315228.

Background/ObjectivesThere is a great unmet need for accessible adjunctive interventions to promote long-term recovery from substance use disorder (SUD). This study aimed to iteratively develop and test the initial feasibility and acceptability of Mindful Journey, a novel digital mindfulness-based intervention for promoting recovery among individuals with SUD.Patients/MaterialsTen adults receiving outpatient treatment for SUD.MethodsPhase 1 (n = 5) involved developing and testing a single introductory digital lesson. Phase 2 included a separate sample (n = 5) and involved testing all 15 digital lessons (each 30- to 45-minutes) over a 6-week period, while also receiving weekly brief phone coaching for motivational/technical support.ResultsAcross both phases, quantitative ratings (rated on a 5-point scale) were all at or above a 4 (corresponding with 'agree') for key acceptability dimensions, such as usability, understandability, appeal of visual content, how engaging the content was, and helpfulness for recovery. Additionally, in both phases, qualitative feedback indicated that participants particularly appreciated the BOAT (Breath, Observe, Accept, Take a Moment) tool for breaking down mindfulness into steps. Qualitative feedback was used to iteratively refine the intervention. For example, based on feedback, we added a second core mindfulness tool, the SOAK (Stop, Observe, Appreciate, Keep Curious), and we added more example clients and group therapy videos. In Phase 2, 4 out of 5 participants completed all 15 lessons, providing initial evidence of feasibility. Participants reported that the phone coaching motivated them to use the app. The final version of Mindful Journey was a smartphone app with additional features, including brief on-the-go audio exercises and a library of mindfulness practices. Although, participants used these additional features infrequently.ConclusionsBased on promising initial findings, future acceptability and feasibility testing in a larger sample is warranted. Future versions might include push notifications to facilitate engagement in the additional app features.

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