Inclusion Criteria:

1. aged 18 and older;

2. smoke at least 10 cigarettes per day for every day in the past month;

3. want to quit smoking in the next 30 days;

4. are able to speak and read in English;

5. are a GH member enrolled living in the greater Seattle area;

6. are not currently participating in other smoking cessation interventions;

7. not currently using other nicotine products (e.g., smokeless tobacco)

8. are willing to attend five 90-minute group intervention sessions and to receive NRT
over the next 3 months;

9. have no medical contraindications for NRT use (i.e., pregnant, breastfeeding, recent
heart attack, or skin allergy preventing use of the patch, as assessed using the
standard GH contraindication screening for NRT patch);

10. no household member currently enrolled in the study

Exclusion Criteria:

1. fails to meet the eligibility criteria above;

2. has a significant cognitive or physical impairment (e.g., dementia, deafness) that
would preclude full participation in the counseling sessions. This will be assessed
both by self-report and by in-person assessment at the baseline enrollment
appointment

3. Does not have smoking cessation benefit or has a co-pay for NRT and is not also a
Medicare recipient