Trial Parameters
Brief Summary
The study team proposes a multi-level trial to test 1) novel implementation programs in rural counties designed to increase access to 2) recent advances in tobacco control services for people who are not-yet-ready-to-quit smoking. In this field, most trials have focused only on those already ready-to-quit. Thus, the proposed trial addresses an important knowledge gap critical to advance tobacco control in rural areas.
Eligibility Criteria
Inclusion Criteria: * Current Smoker * at least 18 years old * speaks English * Able to receive texts and read text (literate) * Have a text-enabled phone or receive one from the study team * Not yet ready to quit smoking Exclusion Criteria: * actively quitting smoking * preparing to quit smoking within 30 days * prisoners * FDA- defined NRT contraindications * unable or unwilling to provide informed consent