Volunteering to quit: new study tests community service as a smoking cessation tool

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion/exclusion criteria (All Aims): * Sexual and/or gender minority (SGM)-identified * Adults (i.e., ≥ 18 years old) * Currently smoking cigarettes * Living in a high stigma environment in the U.S. * Able to read English at \> 6th-grade level Individuals with serious psychological distress (i.e., score of 13 ≥ 18 on the Kessler PD Scale-6 19) will be excluded from all Aims because of likelihood of functional impairments that substantially interfere with one or more major life activities. Aim 3 (Pilot RCT) inclusion criteria will be: * (1) ≥ 18 years old * (2) sexual and/or gender minority-identified (see definition above) * (3) living in Oklahoma or one of the 8 counties in San Joaquin Valley, California (verified by address) * (4) a current cigarette smoker (see definition above) * (5) willing to quit smoking within 30 days of enrollment (see definition above) * (6) own a smartphone * (7) ability to read English at \> 6th-grade level (see definition above) * have no NRT contraindications * (8) ≥ weekly internet access * (9) willing and able to participate in SGM-serving volunteer activities. Aim 3 (Pilot RCT) exclusion criteria: Individuals will be excluded if currently using other smoking cessation treatments. Sexual minority identity will be indicated by selecting any non-heterosexual response option(s) from: Heterosexual (Straight); Gay or Lesbian; Bisexual; Something else (please state)." Participants will indicate the sex assigned on their birth certificate (i.e., natal sex). Gender minority identity will be indicated by "Trans male/Trans man;" "Trans female/Trans woman;" "Gender queer/Gender non-conforming;" "Different identity (please state)" or a binary identity (male or female) non-concordant with natal sex. Current cigarette smoking will be indicated by ≥100 lifetime cigarettes and currently smoking cigarettes "every day" or "some days". High SGM stigma states are defined as the 22 states wherein ˂60% of the population 'thinks that homosexuality should be accepted'.21 High SGM stigma municipalities are defined as one of the 246 U.S. municipalities (out of the 496 scored from all U.S. states) that scored below the median (71) on the HRC Municipal Equality Index. Willingness to quit smoking will be assessed with a single item: "Are you willing to quit smoking cigarettes within 30 days after enrolling in this study? (yes/no)". To be classified as 'ready to quit smoking,' participants will report readiness to quit in the next 30 days and at least 1 past-year quit attempt (i.e., in the "Preparation" stage of change). An equal number of female and male participants (i.e., natal sex) will be recruited so as to examine sex as a biological factor. Recruitment targets will aim to reflect the racial/ethnic composition of the populations from which the samples are drawn.