Tobacco and Socioeconomic Disadvantage

Addressing Tobacco Use Among Those At Socioeconomic Disadvantage

Randomized clinical trial comparing 3 brief interventions designed to increase motivation to quit smoking in socioeconomically disadvantaged smokers.

The investigators propose a randomized clinical trial comparing 3 brief interventions designed to increase motivation to quit smoking in socioeconomically disadvantaged smokers. Participants will be randomly assigned to receive a) A brief motivational interviewing intervention, b) A nicotine replacement therapy sampling intervention, or c) A referral-only intervention.

Inclusion Criteria:

• Participants must be between the age of 19 and 65
• Participants must self-report being a daily smoker and provide biochemical verification of smoking status (expired breath carbon monoxide reading >5)
• Participants must be at socioeconomic disadvantage, defined as receiving services at a New Brunswick, New Jersey based social services agency (i.e., living in New Brunswick Housing Authority-run public housing units or requesting social services from the community social service agency, "Elijah's Promise")
• Participants must be able to speak and read English.

Exclusion Criteria:

• Participants may not be taking FDA approved smoking cessation or anti-psychotic medications
• Participants may not reported medical issues of potential concern to nicotine replacement users (e.g., unstable angina pectoris, myocardial infarction, or significant cardiac arrythmia (including atrial fibrillation) in the past 30 days)
• Participants may not report pending legal issues with potential to result in incarceration.
• Participants may not be pregnant or nursing, planning on becoming pregnant in the next two months, and must be using effective birth control.