@文章{信息:doi/10.2196/32794，作者=“Stecher, Chad and Sullivan, Mariah and Huberty, Jennifer”，标题=“使用个性化锚点在移动应用程序中建立常规冥想练习:随机对照试验”，期刊=“JMIR Mhealth Uhealth”，年=“2021”，月=“12”，日=“22”，卷=“9”，数=“12”，页=“e32794”，关键词=“正念”;冥想;手机冥想app;行为的持久性;习惯形成;随机对照试验;心理健康;身体健康;应用程序参与;背景:通过移动冥想应用程序持续、长期地进行正念冥想可以获得身心健康益处，但总体而言，很少有移动健康应用程序用户持续参与到获得相应健康益处所必需的水平。 Anchoring or pairing meditation with a mobile app to an existing daily routine can establish an unconsciously initiated meditation routine that may improve meditation persistence. Objective: The purpose of this study was to test the use of either personalized anchors or fixed anchors for establishing a persistent meditation app routine with the mobile app, Calm. Methods: We conducted a randomized controlled trial and randomly assigned participants to one of 3 study groups: (1) a personalized anchor (PA) group, (2) fixed anchor (FA) group, or (3) control group that did not use the anchoring strategy. All participants received app-delivered reminder messages to meditate for at least 10 minutes a day using the Calm app for an 8-week intervention period, and app usage data continued to be collected for an additional 8-week follow-up period to measure meditation persistence. Baseline, week 8, and week 16 surveys were administered to assess demographics, socioeconomic status, and changes in self-reported habit strength. Results: A total of 101 participants across the 3 study groups were included in the final analysis: (1) PA (n=56), (2) FA (n=49), and (3) control group (n=62). Participants were predominantly White (83/101, 82.2{\%}), female (77/101, 76.2{\%}), and college educated (ie, bachelor's or graduate degree; 82/101, 81.2{\%}). The FA group had a significantly higher average odds of daily meditation during the intervention (1.14 odds ratio [OR]; 95{\%} CI 1.02-1.33; P=.04), and all participants experienced a linear decline in their odds of daily meditation during the 8-week intervention (0.96 OR; 95{\%} CI 0.95-0.96; P<.001). Importantly, the FA group showed a significantly smaller decline in the linear trend of their odds of daily meditation during the 8-week follow-up (their daily trend increased by 1.04 OR from their trend during the intervention; 95{\%} CI 1.01-1.06; P=.03). Additionally, those who more frequently adhered to their anchoring strategy during the intervention typically used anchors that occurred in the morning and showed a significantly smaller decline in their odds of daily meditation during the 8-week follow-up period (1.13 OR; 95{\%} CI 1.02-1.35; P=.007). Conclusions: The FA group had more persistent meditation with the app, but participants in the FA or PA groups who more frequently adhered to their anchoring strategy during the intervention had the most persistent meditation routines, and almost all of these high anchorers used morning anchors. These findings suggest that the anchoring strategy can create persistent meditation routines with a mobile app. However, future studies should combine anchoring with additional intervention tools (eg, incentives) to help more participants successfully establish an anchored meditation routine. Trial Registration: ClinicalTrials.gov NCT04378530; https://clinicaltrials.gov/ct2/show/NCT04378530 ", issn="2291-5222", doi="10.2196/32794", url="https://mhealth.www.mybigtv.com/2021/12/e32794", url="https://doi.org/10.2196/32794", url="http://www.ncbi.nlm.nih.gov/pubmed/34941558" }