This trial studies how well a new smoking cessation and prevention intervention works in enhancing smoking cessation for university students. The new intervention may be easier to use for students to quit smoke.

PRIMARY OBJECTIVES:

I. To establish the feasibility of a new smoking cessation and prevention intervention including two new modules addressing alcohol use and depression.

II. Demonstrate the feasibility of a smoking prevention website.

OUTLINE: Participants are assigned to 1 of 2 arms.

ARM I: Participants who currently smoke complete a survey over 30 minutes and discuss the survey results with the counselor over 30 minutes at week 2. Participants also complete 3 internet surveys over 20 minutes.

ARM II: Participants who currently do not smoke complete a survey over 30 minutes and discuss the survey results with the counselor over 30 minutes at week 2.

After completion of study, participants are followed up at 3 months.

Inclusion Criteria:

• CESSATION ARM: Student at University of Houston Central Campus or Texas A&M University
• CESSATION ARM: Smoke 1 or more cigarettes a day
• CESSATION ARM: Speak and read English
• CESSATION ARM: Signed informed consent and an acknowledgement of participation requirements
• CESSATION ARM: Be enrolled in at least one class at respective campus at baseline
• CESSATION ARM: Provide current contact information
• CESSATION ARM: Have access to the Internet
• PREVENTION ARM: Student at University of Houston Central Campus or Texas A&M University
• PREVENTION ARM: Speak and read English
• PREVENTION ARM: Signed Informed Consent and an acknowledgement of participation requirements
• PREVENTION ARM: Be enrolled in at least one class at respective campus at baseline
• PREVENTION ARM: Provide current contact information
• PREVENTION ARM: Have access to the Internet
• PREVENTION ARM: Evidence of smoking susceptibility (as defined by the Smoking Susceptibility Scale)
• CESSATION ARM: Willing to answer all survey questions on all survey instruments throughout the duration of study
• PREVENTION ARM: Willing to answer all survey questions on all survey instruments throughout the duration of study

Exclusion Criteria:

• CESSATION ARM: Evidence of major depressive disorder (as defined by PHQ-9 [Patient Health Questionnaire-9])
• CESSATION ARM: Evidence of severe alcohol abuse (as defined by AUDIT [Alcohol Use Disorders Identification Test] measure)
• PREVENTION ARM: Current tobacco use
• PREVENTION ARM: Does not plan to continue as a student at their campus for at least one more year
• CESSATION ARM: Does not plan to continue as a student at their campus for at least one more year
• PREVENTION ARM: Evidence of major depressive disorder (as defined by PHQ-9 [Patient Health Questionnaire-9])
• PREVENTION ARM: Evidence of severe alcohol abuse (as defined by AUDIT measure)
• CESSATION ARM: Pregnancy