Smoking Treatment and Exercise Program for Underserved Populations (STEP UP)

Participants will receive five cognitive-behavioral counseling sessions designed to improve rates of smoking cessation, enhance relapse prevention, and increase physical activity.

Participants will be asked to provide video recordings of themselves taking carbon monoxide readings in order to confirm smoking abstinence. They will also be asked to wear a fitness tracker to monitor physical activity (i.e., steps walked). Participants are provided monetary reward for videos that suggest smoking abstinence, and for fitness tracker readings that suggest increased physical activity.

All participants who are medically eligible will be prescribed bupropion, which they will start two weeks prior to their quit day. Dosage will be 150 mg/daily for days 1-7 and 300 mg/daily (administered in two daily doses) until the 6-month follow-up.

Initiated at smoking quit date; 7 mg to 21 mg patch depending on amount smoked by participant

Nicotine gum will be initiated at smoking quit date; 4 mg dose administered as needed

Nicotine lozenge will be initiated at smoking quit date; 4 mg dose administered as needed