Clinical Research Directory

Inclusion Criteria: Age: 18 years old or older * Smoking: an average of 10 or more cigarettes, little cigars, or cigarillos combined per day within the past 30 days preceding the phone screen * Expired carbon monoxide (CO): \> 6 ppm * Can install and run the study app on their Android smartphone, or agree to use the study smartphone loaned from the research team * Agree to return the study smartphone if the participant loans one from the research team * Willing to reduce smoking (Aim 1) * Seeking smoking cessation treatment (Aim 2) * Fluency in spoken and written English * Agree to be treated via telehealth (live audio-video conference and phone) and to be contacted via text and/or email * Provide informed consent and agree to all assessments and study procedures * Willing to refrain from the use of other nicotine/tobacco products for the duration of the study * Willing to refrain from the use of marijuana, prescription medications not prescribed to the participant, and illegal drugs Exclusion Criteria: * Taking psychotropic, anticonvulsive, or narcotic medication * Meet criteria for a current major depressive episode or suicidality according to the PHQ (indicated by a score of 10 or higher). * Involved in current and imminent (within the next 45 days) smoking cessation activity * Women who are pregnant or breastfeeding * Shares the same address as a currently enrolled participant * Unwilling to use or allergic to nicotine patches (Aim 2) * Considered by the investigator to be an unsuitable or unstable candidate, such as those who appear to have cognitive impairment, and those who reside in a shelter, group/recovery facility, or treatment facility * Any plans to move out of the state in the next 6 months * Using marijuana, prescription medications not prescribed to the participant, and illegal drugs on a daily basis * Have experienced abnormal heart rhythms or cardiovascular disease, such as stroke, chest pain, and heart attack, in the last month (Aim 2)