Inclusion Criteria:

• Mayo Clinic Midwest patient (Rochester or Mayo Clinic Health System [MCHS]) (has a Mayo Clinic number)
• Aged 18 years or older
• Can read and speak in the English language. Based on 2019 data, 97% of our Rochester and MCHS patients speak English. The study will provide all participants with a smoking cessation program delivered through the Mayo Clinic patient portal. Currently, Mayo Clinic’s portal services are not offered in languages other than English.
• Has a Minnesota, Iowa, or Wisconsin address currently or at date of most recent visit.
• Rural resident based on RUCA codes derived from ZIP code of current or last known address.
• Has access to a phone (of any type). Access to a phone is needed to complete the coaching support intervention and to follow-up with participants if there are issues with accessing the patient portal for the smoking cessation intervention.
• Current smoker defined as one or more cigarettes (even a puff) smoked in the past 30 days. This definition allows for enrollment of non-daily and/or “light smokers” enhancing the generalizability. In addition, to enhance the generalizability of our findings, we will enroll participants using other tobacco/nicotine products if cigarette smoking is the primary product used.
• For past 3 months not enrolled in a program or using pharmacotherapy to stop smoking.
• Willing to make a quit attempt.
• Has digital access barriers defined by one or more of the following:
  • based on participant ZIP code from current or last known address geocoded census block group indicates area of poor BB internet coverage;
  • no existing Mayo Clinic patient portal account; or
  • has a Mayo Clinic patient portal account but has not used it in the past 5 years;
  • self-reports having no access to broadband (high speed) internet connection for personal use; and/or
  • self-reports low digital literacy defined with the screening question “How comfortable are you using technology to manage your health care remotely? For example, using patient online services (i.e., patient portal) to schedule appointments, check for test results, or send a message to your provider?” (included: not at all or a little comfortable).

Exclusion Criteria:

• Anyone not meeting all inclusion criteria will be excluded. 
• Has participated in a behavioral smoking cessation program in the past 3 months.

Eligibility last updated 11/5/21.  Questions regarding updates should be directed to the study team contact.