Smoking is the greatest risk factor for upper aerodigestive cancers (thoracic or head and neck) and negatively impacts survival and other outcomes, but many patients have difficulty quitting after their diagnosis. Smoking cessation interventions for cancer patients thus far have had limited success. This is a pilot randomized controlled trial designed to determine if a new comprehensive, evidence-based smoking cessation intervention can improve quit rates for cancer patients who smoke.

Inclusion Criteria:

• New diagnosis of head and neck or thoracic (including lung) cancer
• Undergoing radiation at Johns Hopkins Radiation Oncology for 5 or more weeks
• English-speaking and able to provide informed consent
• Smoked any cigarettes in previous 14 days

Exclusion Criteria:

• Palliative radiation
• Undergoing stereotactic radiosurgery
• Pregnant or breastfeeding