Koori Quit Pack: Mailout smoking cessation support for Aboriginal and Torres Strait Islander people who smoke.

This study will test the feasibility, and acceptability of Koori Quit Pack, a mailed out smoking cessation package, including optional nicotine replacement therapy (NRT), smoking cessation pamphlets, MyQuitBuddy app, iCanQuit app, Koori Quitline Facebook page, Aboriginal Quitline webpage, and proactive Quitline referral for Aboriginal and Torres Strait Islander people in NSW, ACT and VIC. Quit Pack: The quit pack will include readily available resources from the Australian Government Department of Health and the Aboriginal Health and Medical Research Council (AH&MRC) such as pamphlets and resources on quitting, info card on MyQuitBuddy App, iCanQuit App, link to Aboriginal Quitline webpage, exercise card or information/motivation, sensory fidgets, shirt or promotional merchandise. As well as health promotion and motivation merchandise. An offer of nicotine replacement therapy (NRT): Research assistance (RA) will telephone participants prior to commencing the interventions (baseline), at 2-week, 6-week, 10-week and finally at 6-months post-intervention. Each telephone call will last between 20-30 minutes. The RA will check receipt of the mail, provide a brief assessment of smoking behaviours, all participants will be offered the option of support at recruitment, and each follow up time point. Before NRT is provided RA will confirm any possible contraindications with NRT. If participants agree to the offer of NRT they will be asked if they intend to use the NRT in the first week and asked to add postage details for their quit pack. NRT will include 21mg nicotine patches and a number of oral NRT options (lozenge, gum, inhalator) as combination NRT, consistent with the recommended best practice according to the 2019 RACGP smoking cessation guidelines. The RACGP recommends a 10-week course of NRT treatment for effective smoking cessation. We will start with mailing out 2 weeks of NRT supply based on the participants’ preference. At 2 weeks, we will assess adherence, medication preference changes, utilisations and provide a further 4 weeks of NRT supply for two courses (total of 10 weeks). Behavioural counselling: Participants will be offered a referral to Aboriginal Quitline. The RA will explain that the most effective way to quit smoking is to have something to help with the cravings (the NRT) plus help to manage triggers to smoke (e.g. stress or others smoking around you) like that provided by an Aboriginal Quitline. After describing what Aboriginal Quitline offers, i.e. a dedicated Aboriginal counsellor (profiles available on Aboriginal Quitline webpage https://www.quit.org.au/articles/aboriginal-quitline/), yarning approach, as many or as few calls from Quitline as they would like, help with using the NRT products, the RA will only refer the participant to Aboriginal Quitline if they consent and are interested. One of the benefits of Aboriginal Quitline is that it is able to provide highly flexible and timely support, for example, more frequent calls in the first week immediately following a quit attempt when the risk of smoking relapse, even when using NRT, is highest.