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A U.S. national adult sample (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009497) was randomized to self-compassionate touch with habit formation tools (SCT+HABITS) or self-compassionate touch alone (SCT)\u2014and assessed at baseline, month-3, and month-6. Relative to SCT, SCT+HABITS showed greater baseline-to-3-month and baseline-to-6-month increases in practice frequency, practice automaticity (habit formation), self-compassion, and self-compassion automaticity, as well as greater baseline-to-6-month reductions in symptoms of psychopathology (mental health symptoms). Baseline-to-3-month increases in practice automaticity mediated baseline-to-6-month effects, accounting for approximately 40\u201383% of the total group effects. Both interventions demonstrated high acceptability. Their outcomes did not differ by racialized identity. Findings highlight the role of habit formation in promoting positive outcomes of self-compassionate touch micropractice, and perhaps well-being practices more broadly. The scalability and adaptability of SCT+HABITS highlight a promising model for advancing efficient, effective, user-friendly interventions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial registration<\/jats:bold>\n                    ClinicalTrials.gov Identifier: NCT05866718, registered 23\/05\/2023.\n                  <\/jats:p>","DOI":"10.1038\/s41598-026-63457-4","type":"journal-article","created":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T09:04:47Z","timestamp":1789463087000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Habit-formation strategies enhance long-term outcomes of a self-compassionate touch micropractice: a randomized controlled trial"],"prefix":"10.1038","volume":"16","clinical-trial-number":[{"clinical-trial-number":"nct05866718","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3304-4363","authenticated-orcid":false,"given":"Eli S.","family":"Susman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serena","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dacher","family":"Keltner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison G.","family":"Harvey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,15]]},"reference":[{"key":"63457_CR1","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1080\/07448481.1997.9936894","volume":"45","author":"TW Grace","year":"1997","unstructured":"Grace, T. 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