Abstract
The digital age presents particular challenges to maintaining mindfulness, which has, in turn, has been proposed as a corrective agent to various negative consequences of habitual phone use. This study examined the feasibility, acceptability, and preliminary efficacy of an app-based intervention called Mindful Messaging, which was developed to increase overall mindfulness as well as mindfulness related to technology use and during text-based interactions. In a sample of 29 young adults, the use of Mindful Messaging resulted in a statistically significant increase in self-reported mindfulness and statistically significant decreases in drunk texting, texting while walking, and having accidents while walking and texting at follow-up relative to baseline. Effects of medium size were observed across outcomes (Cohen’s d ranged from 0.30 to 0.45). Non-significant reductions were also observed for emotional regulation difficulties, sexting and texting while driving, with small effect sizes. Participants’ use of an in-the-moment intervention for composing messages revealed that in comparison to pre-intervention texts, post-intervention texts conveyed increased honesty, vulnerability, self-awareness, empathy, perspective-taking, and concern about the recipient’s feelings. Feedback suggested the app was highly acceptable to users. Findings point to the potential health benefits of developing mobile interventions which induce mindfulness related to texting and other technology use.
Similar content being viewed by others
References
Atchley, P., Atwood, S., & Boulton, A. (2011). The choice to text and drive in younger drivers: behavior may shape attitude. Accident Analysis & Prevention, 43(1), 134–142.
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45.
Benotsch, E. G., Snipes, D. J., Martin, A. M., & Bull, S. S. (2013). Sexting, substance use, and sexual risk behavior in young adults. Journal of Adolescent Health, 52(3), 307–313.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241.
Bravo, A. J., Boothe, L. G., & Pearson, M. R. (2016). Getting personal with mindfulness: latent profile analysis of mindfulness and psychological outcomes. Mindfulness, 7, 420–432.
Broaddus, M., & Dickson-Gome, J. (2013). Text messaging for sexual communication and safety among African American young adults. Qualitative Health Research, 23(10), 1344–1353.
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
Carmody, J., & Baer, R. A. (2008). Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program. Journal of Behavioral Medicine, 31, 23–33. doi:10.1007/s10865-007-9130-7.
Carmody, J., Baer, R. A., Lykins, B., & Olendzki, N. (2009). An empirical study of the mechanisms of mindfulness in a mindfulness-based stress reduction program. Journal of Clinical Psychology, 65, 613–626. doi:10.1002/jclp.2057.
Chambers, R., Gullone, E., & Allen, N. B. (2009). Mindful emotion regulation: an integrative review. Clinical Psychology Review, 29(6), 560–572.
Chiesa, A., & Serretti, A. (2014). Are mindfulness-based interventions effective for substance use disorders? A systematic review of the evidence. Substance Use & Misuse, 49(5), 492–512.
Cho, J. (2015). Roles of smartphone app use in improving social capital and reducing social isolation. Cyberpsychology, Behavior, and Social Networking, 18(6), 350–355.
Cullen, M. (2011). Mindfulness-based interventions: an emerging phenomenon. Mindfulness, 2(3), 186–193.
Coffey, K. A., & Hartman, M. (2008). Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complementary Health Practice Review, 13(2), 79–91.
Dir, A., Coskunpinar, A., Steiner, J., & Cyders, M. (2013). Understanding differences in sexting behaviors across gender, relationship status, and sexual identity, and expectancies in sexting. Cyberpsychology, Behavior, and Social Networking, 16(8), 568–574.
Drouin, M., & Tobin, E. (2014). Unwanted but consensual sexting among young adults: relations with attachment and sexual motivations. Computers in Human Behavior, 31, 412–418.
Dunne, E. M., & Katz, E. C. (2015). Alcohol outcome expectancies and regrettable drinking-related social behaviors. Alcohol and Alcoholism, 50(4), 393–398.
Ellis, Y., Daniels, B., & Jauregui, A. (2010). The effect of multitasking on the grade performance of business students. Research in Higher Education Journal, 8, 1–10.
Feldman, G., Greeson, J., & Senville, J. (2010). Differential effects of mindful breathing, progressive muscle relaxation, and loving-kindness meditation on decentering and negative reactions to repetitive thoughts. Behaviour Research and Therapy, 48, 1002–1011.
Feldman, G., Greeson, J., Renna, M., & Robbins-Monteith, K. (2011). Mindfulness predicts less texting while driving among young adults: examining attention- and emotion-regulation motives as potential mediators. Personality and Individual Differences, 51(7), 856–861.
Fernandez, A. C., Wood, M. D., Stein, L. A. R., & Rossi, J. S. (2010). Measuring mindfulness and examining its relationship with alcohol use and negative consequences. Psychology of Addictive Behaviors, 24(4), 608–616.
Fresco, D. M., Moore, M. T., van Dulmen, M. H. M., Segal, Z. V., Ma, S. H., Teasdale, J. D., & Williams, J. M. G. (2007). Initial psychometric properties of the experiences questionnaire: validation of a self-report measure of decentering. Behavior Therapy, 38, 234–246. doi:10.1016/j.beth.2006.08.003.
Gratz, K., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54.
Gratz, K. L., & Tull, M. T. (2010). Emotion regulation as a mechanism of change in acceptance- and mindfulness-based treatments. In R. Baer (Ed.), Assessing mindfulness and acceptance processes in clients: illuminating the theory and process of change (pp. 107–133). Oakland: New Harbinger.
Greenfield, P. M. (2009). Technology and informal education: what is taught, what is learned. Science, 323(5910), 69–71.
Gu, J., Strauss, C., Bond, R., & Cavanagh, K. (2015). How do mindfulness based CBT and mindfulness based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies. Clinical Psychology Review, 37, 1–12.
Hoffner, C. A., Lee, S., & Park, S. J. (2015). “I miss my mobile phone!”: self-expansion via mobile phone and responses to phone loss. New Media & Society, 18(11), 2452–2468. doi:10.1177/1461444815592665.
Houck, C. D., Barker, D., Rizzo, C., Hancock, E., Norton, A., & Brown, L. K. (2014). Sexting and sexual behavior in at-risk adolescents. Pediatrics, 133(2), e276–e282.
Howells, A., Ivtzan, I., & Eiroa-Orosa, F. J. (2016). Putting the ‘app’ in happiness: a randomized controlled trial of a smartphone-based mindfulness intervention to enhance wellbeing. Journal of Happiness Studies, 17(1), 163–185.
Hülsheger, U. R., Alberts, H. J., Feinholdt, A., & Lang, J. W. (2013). Benefits of mindfulness at work: the role of mindfulness in emotion regulation, emotional exhaustion, and job satisfaction. Journal of Applied Psychology, 98(2), 310–325.
Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry, 4(1), 33–47.
Kabat-Zinn, J. (1994). Wherever you go, there you are: mindfulness meditation in everyday life. New York: Hyperion.
Kabat-Zinn, J., Massion, M. D., Kristeller, J., Peterson, L. G., Fletcher, K. E., Pbert, L., et al. (1992). Effectiveness of a meditation-based stress reduction program in the treatment of anxiety disorders. American Journal of Psychiatry, 149(7), 936–943.
Kelly, L., Keaten, J. A., Becker, B., Cole, J., Littleford, L., & Rothe, B. (2012). “It’s the American lifestyle!”: an investigation of text messaging by college students. Qualitative Research Reports in Communication, 13(1), 1–9. doi:10.1080/17459435.2012.719203.
Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: a practical primer for t-tests and ANOVAs. Frontiers in Psychology, 4, 863–900.
Leung, L. (2008). Leisure boredom, sensation seeking, self-esteem, and addiction. In E. A. Konijn, S. Utz, M. Tanis, & S. B. Barnes (Eds.), Mediated interpersonal communication (pp. 359–381). New York: Routledge.
Lenhart, A., Purcell, K., Smith, A., & Zickuhr, K. (2010). Social media and young adults [Data file]. Retrieved from http://pewinternet.org/Reports/2010/Social-Media-and-Young-Adults.aspx.
Linehan, M. M. (1993). Skills training manual for treating borderline personality disorder. New York: Guilford.
Lister-Landman, K. M., Domoff, S. E., & Dubow, E. F. (2015). The role of compulsive texting in adolescents’ academic functioning. Psychology of Popular Media Culture. doi:10.1037/ppm0000100.
Mahatanankoon, P., & O’Sullivan, P. (2008). Attitude toward mobile text messaging: an expectancy-based perspective. Journal of Computer-Mediated Communication, 13(4), 973–992. doi:10.1111/j.1083-6101.2008.00427.x.
Mani, M., Kavanagh, D. J., Hides, L., & Stoyanov, S. R. (2015). Review and evaluation of mindfulness-based iPhone apps. JMIR Mhealth Uhealth, 3(3), e82.
Morrill, T. B., Jones, R. M., & Vaterlaus, J. M. (2013). Motivations for text messaging: age and gender differences among young adults. North American Journal of Psychology, 15(1), 1–15.
Nasar, J. L., & Troyer, D. (2013). Pedestrian injuries due to mobile phone use in public places. Accident Analysis and Prevention, 57, 91–95. doi:10.1016/j.aap.2013.03.021.
National Safety Council (2015). Annual estimate of cell phone crashes 2013 [Data file]. Retrieved from http://www.nsc.org/DistractedDrivingDocuments/CPK/Attributable-Risk-Summary.pdf
Ostafin, B. D., Bauer, C., & Myxter, P. (2012). Mindfulness decouples the relation between automatic alcohol motivation and heavy drinking. Journal of Social and Clinical Psychology, 31(7), 729–745.
Panek, E. T., Bayer, J. B., Dal Cin, S., & Campbell, S. W. (2015). Automaticity, mindfulness, and self-control as predictors of dangerous texting behavior. Mobile Media & Communication, 3(3), 383–400.
Payne, H. E., Lister, C., West, J. H., & Bernhardt, J. M. (2015). Behavioral functionality of mobile apps in health interventions: a systematic review of the literature. JMIR Mhealth Uhealth, 3(1), 1–9.
Pearson, M. R., Brown, D. B., Bravo, A. J., & Witkiewitz, K. (2015). Staying in the moment and finding purpose: the associations of trait mindfulness, decentering, and purpose in life with depressive symptoms, anxiety symptoms, and alcohol-related problems. Mindfulness, 6(3), 645–653.
Pepping, C. A., O’Donovan, A., Zimmer-Gembeck, M. J., & Hanisch, M. (2014). Is emotion regulation the process underlying the relationship between low mindfulness and psychosocial distress? Australian Journal of Psychology, 66(2), 130–138.
Peters, J. R., Erisman, S. M., Upton, B. T., Baer, R. A., & Roemer, L. (2011). A preliminary investigation of the relationships between dispositional mindfulness and impulsivity. Mindfulness, 2(4), 228–235.
Praissman, S. (2008). Mindfulness-based stress reduction: a literature review and clinician’s guide. Journal of the American Academy of Nurse Practitioners, 20(4), 212–216.
Rasmussen, M., & Pidgeon, A. (2011). Direct and indirect benefits of dispositional mindfulness on self-esteem and social anxiety. Anxiety, Stress, & Coping, 24(2), 227–233.
Roche, M., Haar, J. M., & Luthans, F. (2014). The role of mindfulness and psychological capital on the well-being of leaders. Journal of Occupational Health Psychology, 19(4), 476–489.
Roberts, K. C., & Danoff-Burg, S. (2010). Mindfulness and health behaviors: is paying attention good for you? Journal of American College Health, 59(3), 165–173.
Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton Mifflin.
Shapiro, S. L., Schwartz, G. E., & Bonner, G. (1998). Effects of mindfulness-based stress reduction on medical and premedical students. Journal of Behavioral Medicine, 21(6), 581–599.
Shapiro, S. L., Carlson, L. E., Astin, J. A., & Freedman, B. (2006). Mechanisms of mindfulness. Journal of Clinical Psychology, 62, 373–386. doi:10.1002/jclp.20237.
Smith, A. (2015). US smartphone use in 2015. Pew Research Center. Retrieved from http://www.pewinternet.org/2015/04/01/us-smartphone-use-in-2015/
Thomée, S., Eklöf, M., Gustafsson, E., Nilsson, R., & Hagberg, M. (2007). Prevalence of perceived stress, symptoms of depression and sleep disturbances in relation to information and communication technology (ICT) use among young adults—an explorative prospective study. Computers in Human Behavior, 23(3), 1300–1321.
Thurlow, C., & Brown, A. (2003). Generation txt? The sociolinguistics of young people’s text-messaging. Discourse analysis online, 1(1).
Trub, L., & Barbot, B. (2016). The paradox of phone attachment: development and validation of the Young Adult Attachment to Phone Scale (YAPS). Computers in Human Behavior, 64, 663–672.
Trub, L., & Starks, T. J. (2016). Texting under the influence: emotional regulation as a moderator of the association between binge drinking and drunk texting. Cyberpsychology, Behavior, and Social Networking, 20(1), 3–9.
Trub, L. & Starks, T. J. (2017). Insecure attachments: attachment, emotional regulation, sexting and condomless sex among women in relationships. Computers in Human Behavior, 71, 140–147.
van Deursen, A. J., Bolle, C. L., Hegner, S. M., & Kommers, P. A. (2015). Modeling habitual and addictive smartphone behavior: the role of smartphone usage types, emotional intelligence, social stress, self-regulation, age, and gender. Computers in Human Behavior, 45, 411–420.
Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19(3), 211–228.
Acknowledgements
This study was supported by a grant awarded to Leora Trub by the Pace University’s Provost’s Grants for the Thinkfinity Initiative for Innovative Teaching, Technology and Research. Thanks to Walter Roth and Nathaniel Wolfe of InwardInc.com for their tireless efforts in creating the mobile behavioral change platform for Mindful Messaging. They brought their innovative approach to translating evidence based principles to mobile delivery for target populations in a spirit of generosity and collaboration. A special thanks to Jeremy Richards for his tremendous efforts in overseeing the study. Thanks to Sarah Davis and Chrystal Marte for their assistance data preparation, and to Ryan Cunningham, Jonathan O’Hadi, Ana Lomidze, Katerina Lup, Ramiz Rafailov, Jeremy Richards and Samantha Slavkin for their efforts in developing the content, and to Tom Dauerheimer for developing the artwork for Mindful Messaging—it was a true labor of love!
Author’s Contributions
LT: Designed and executed the study, performed data analyses, and wrote the paper.
TS: Collaborated in the design, data analyses, and writing/editing of the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of Interest
The authors declare that they have no conflicts of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed Consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Trub, L., Starks, T.J. Textual Healing: Proof of Concept Study Examining the Impact of a Mindfulness Intervention on Smartphone Behavior. Mindfulness 8, 1225–1235 (2017). https://doi.org/10.1007/s12671-017-0697-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12671-017-0697-y