Integrating Financial Management Counseling and Smoking Cessation Counseling to Reduce Health and Economic Disparities in Low-Income Immigrants

This is a two-arm randomized, wait-list control study with 610 participants total: 600
patient participants and 10 staff participants. 600 smokers will be recruited to complete a
9-week intervention that integrates financial management and smoking cessation counseling.
Participants will be randomized (300 per arm, stratified by site) to receive the intervention
immediately after enrolling (Intervention Arm) or 6 months later (Waitlist Control Arm). Both
arms will receive nicotine replacement therapy (NRT) for four weeks as part of their time in
integrative counseling. Participants will be observed at baseline, 2 months, 6 months and 12
months to assess outcomes and their satisfaction with treatment.

Inclusion Criteria:

- Smokes ≥5 cigarettes per day

- Born outside the U.S.

- Interested in receiving smoking and financial counseling

- Self-reported income below 200% of the current federal poverty level for a given
household composition

- New York City resident

- English or Spanish language

- Able to provide informed consent, and

- Does not have a representative who manages his/her funds (to ensure the participant
has the ability to manage household money). We will exclude participants who report
being pregnant or breastfeeding (unable to receive NRT).

Hospital staff participants:

- Must be current medical or non-medical provider or administrator at Bellevue Hospital
or New York University Lutheran Medical Center

Exclusion Criteria:

- We will exclude participants who report being pregnant or breastfeeding.