Inclusion Criteria:

• A Mayo Clinic Rochester (MCR) or Mayo Clinic Health System (MCHS) patient.

• Aged 18 years or older.

• Can read and speak English

• Has a MN, WI, or IA address currently or on the date of most recent clinic visit.

• Rural resident based on RUCA codes 4-10 based on zip code of current/last known address.

• Has access to a phone of any type (e.g., landline, smartphone, iPad) and email.

  • If participant does not have regular access to a phone or email, we will send them a guide to help find computers and internet access in your area.  We will also offer to lend them an iPad with a free data connection plan. If they do not have an email account, the study staff can help them set one up.

• Current cigarette smoking, defined as having smoked one or more cigarettes (even a puff) in the past 7 days.

• Digital access and literacy challenges, defined as:

  • no device and/or internet access based on the Digital Health Screening Tool (DEST) measure or Federal Communications Commission (FCC) data on broadband internet availability in their zip code,

  • AND

  • DEST digital literacy item response of “somewhat comfortable”, “a little comfortable”, or “not at all comfortable”.

  • Note: If a participant does not have regular access to an internet-connected device, we will send them a guide to help find computers and internet access in their area.  We will also offer to lend them an iPad with a free data connection plan.

• Considering or willing to make an attempt to quit smoking cigarettes within the next 6 months.

• Willing to sign informed consent form.

• Willing to complete baseline and follow-up surveys.

Exclusion Criteria:

• Anyone not meeting all inclusion criteria will be excluded.

• Was previously enrolled in the original IDEA smoking cessation trial at Mayo Clinic.

• Does not have valid contact information, i.e., no usable physical address, email address, or phone number.

• Has used any EBCT in the past 30 days (e.g., pharmacotherapy or counseling.  Other types of nicotine/tobacco products including e-cigarettes are allowed).

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 08/31/2026. Questions regarding updates should be directed to the study team contact.