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Background: Mindfulness‐based interventions can improve psychological health; yet the mechanisms of change are underexplored. This pre‐registered remote RCT evaluated a freely accessible digital mindfulness programme aiming to improve well‐being, mental health and sleep quality. Health behaviour cognitions were explored as possible mediators. Methods: Participants from 91 countries (N = 1247, Mage = 27.03 [9.04]) were randomized to 30 days of mindfulness practice or attention‐matched control condition. Measures of well‐being, depression, anxiety, stress, sleep quality, barriers self‐efficacy, self‐regulation and behavioural predictors (e.g., attitudes and behavioural intentions) were taken at baseline, 1‐month (post‐intervention) and 2‐months (follow‐up). Linear regression examined intervention effects between and within groups. Longitudinal mediation analyses explored indirect effects through health behaviour cognitions. Results: Three hundred participants completed post‐intervention measures. Those receiving mindfulness training reported significantly better well‐being (Mdifference = 2.34, 95%CIs.45–4.24, p =.016), lower depression (Mdifference = −1.47, 95%CIs −2.38 to −.56, p =.002) and anxiety symptoms (Mdifference = −.77, 95%CIs −1.51 to −.02, p =.045) than controls. Improvements in well‐being and depression were maintained at follow‐up. Intervention effects on primary outcomes were mediated by attitudes towards health maintenance and behavioural intentions. Mediating effects of attitudes remained when controlling for prior scores in models of depression and well‐being. Conclusions: Digital, self‐administered mindfulness practice for 30 days meaningfully improved psychological health, at least partially due to improved attitudes towards health behaviours and stronger behavioural intentions. This trial found that digital mindfulness is a promising and scalable well‐being tool for the general population, and highlighted its role in supporting health behaviours. [ABSTRACT FROM AUTHOR]

The Covid-19 pandemic led the British Tinnitus Association to offer more online support to people with tinnitus. The aim of this study was to understand how low-intensity group-based digital interventions could benefit people with tinnitus. Semi-structured interviews explored participants' experiences and views on receiving support via an online group. Sixteen people with tinnitus who had attended a recent online tinnitus group and/or workshop were recruited using convenience sampling Three overarching themes were extrapolated from the data: feeling part of a community, being reliably informed, and living better with tinnitus. Participants reported significant benefits from both types of online group. There was appreciation for the accessibility of help during lockdown, and participants felt that this type of support would continue to be valuable post-pandemic. As seen in research on face-to-face groups, benefits came from a supportive community of people with tinnitus and knowledgeable, skilled and trustworthy facilitation and information provision. Outcomes focussed on feeling less isolated, more informed and hopeful. Online groups could offer an accessible ongoing resource supporting people on their journey with tinnitus. [ABSTRACT FROM AUTHOR]