Beyond the Lung Cancer Diagnosis: Leveraging the Oncology Clinic Setting for Actively Smoking Family Members

Patient Inclusion Criteria: 1. patient with newly diagnosed lung cancer within the last 6 months of initial diagnosis/confirmation of diagnosis at the study sites 2. Able to provide informed consent 3. Able to speak and read English Family Member/Caregiver Participant Criteria: 1. Family member or caregiver (defined as first degree relative \[parent, sibling, child\] or person living in the same household) 2. Family member or caregiver must be a current, active smoker (defined as 10 cigarettes per day for 6 consecutive months). 3. At least 18 years of age at time of study consent 4. Able to provide informed consent 5. Able to speak and read English Exclusion Criteria: 1. Currently receiving formal tobacco dependence treatment- Nicotine replacement of any kind, varenicycline or Bupropion. 2. Medical condition that precludes proposed pharmacotherapy for smoking cessation : Recent (≤ 2 weeks) myocardial infarction , history of underlying arrhythmias , history of serious or worsening angina pectoris, pregnancy and breastfeeding