Smoking Cessation Intervention During Low Dose CT (LDCT) Screening for Lung Cancer

Questionnaires completed at baseline and at 6 weeks, 12 weeks, and 6 months after the CT scan.

Participants have a CT scan of chest to look for signs of lung cancer.

Participants given shared decision making and discussion about screening with the LDCT provider. Participants watch a short video about lung cancer, CT scans, and smoking cessation.

Brief cessation counseling given by LDCT provider.

Participants referred to the Quitline for counseling. Participants have 5 smoking cessation counseling sessions over the next 12 weeks.

Participant informed of the risk, benefits and relative efficacy of cessation medications and to assess their medication preferences, expectations and medical suitability for either option. At the conclusion of this conversation the patient is provided with an initial supply of the medication jointly decided between provider and patient.

Nicotine patch dispensed. Dosing at physician's discretion.

Varenicline or Buproprion prescribed by study doctor with directions of when and how much of anti-smoking drug that should be taken each time.

Participant referred to Tobacco Treatment Program (TTP). TTP provides 4-8 counseling sessions and pharmacotherapy over a 10-12 week period,

Participant asked to blow air through a CO-measuring device.