BREATHE 2 Clinic Stop-Smoking Treatment Outreach Study

The purpose of this research study is to see if offering adult primary care patients who smoke combustible cigarettes more frequent outreach, more choices about how they receive that outreach, and more smoking treatment options will increase the use of smoking treatments and help more people quit smoking, when compared against a standard outreach approach. Only patients at participating adult primary care clinics will be eligible for the study. Five clinic sites will be randomized to an enhanced outreach approach, while another 5 will be randomly assigned to standard smoking treatment outreach. Eligible patients at these clinics will be in this study for up to 18 months.

Inclusion Criteria:Adult age 18 years or olderMeet criteria for inclusion on a smoking registry (based on current smoking status and/or recent diagnosis of nicotine dependence or treatment of nicotine dependence)Being seen in a participating clinic in the past 1-3 years, as documented in the EHRHaving a valid addressNot having a language other than English listed as preferred languageExclusion Criteria:Invalid addressParticipant opted out of the study within 18 months of initial outreach letter (or were opted out of the study by a legally authorized representative or an activated power of attorney for health care)Participant clarification that they did not meet criteria for the smoking registry at the time of initial outreach