Table 1 Break Free protocols for smokers ready to quit immediately and within 6 months

1

Baseline tobacco use and assessment of tobacco history

Rate reduction by 25%

Rate reduction strategies, including, situational control (smoke in only certain situations or never smoke in others), temporal control (a time-based strategy), and access (keep cigarettes in an inconvenient spot to avoid “automatic cigarettes”)

Nicotine replacement therapy

2

Set a quit date

Prepare to quit

Rate reduction (additional 25%)

Discuss future quit

3

Evaluate the quit date

Develop short-term relapse prevention plan

Rate reduction (additional 25%; 75% total)

Discuss plans short-term relapse prevention for future quit

4

Develop long-term relapse prevention plan

Rate reduction to reduce amount of each cigarette smoked (e.g., marking cigarette with a non-toxic pen to encourage participants to smoke 50% of each cigarette)

Discuss longer-term relapse prevention strategy for future quit

Encourage targeted future quit date