Implementing Tobacco Treatment in Low Dose CT Lung Cancer Screening Sites

Inclusion Criteria:

Site Eligibility (as per SC self-report)

& Must be designated as an American College of Radiology (ACR) designated lung cancer screening site

Reports at least one year of lung cancer screening experience
Reports conducting at least 20 new initial screenings per month Site Coordinator (SC) Eligibility (as per SC self-report)
Employed as a full-time Site Coordinator at participating lung cancer screening site Patient Eligibility (as per self-report)
Between the ages of 50-80 years old
Seeking baseline or annual follow-up LDCT lung cancer screening
Have at least a 20 pack-year history of smoking
Currently a smoker, defined as self-reported cigarette smoking (some days, every day) within the past 30 days.
Must be reachable by telephone
Must be English or Spanish speaking due to the study materials being available in only these languages and limited available resources for translation.

Exclusion Criteria:

Patient (as per self-report)

NRT is medically contraindicated (e.g., recent heart attack within the last 2 weeks or, unstable/worsening angina).
Smokers who are receiving other tobacco treatment services or have used cessation medications (NRT, bupropion, varenicline) within the past month.