Table 1 Overview of the interventions

Orientation & Session 1

Welcome participants, answer questions about the program, assess readiness to quit encourage group participation.

CTQ Orientation. Discussion of general and culturally specific LGBT determinants of smoking (e.g. social norms, uptake, tobacco industry targeting).

Focus on group support. Discuss health benefits, describe models of nicotine addiction, focus on motivation for cessation, discuss nicotine replacement uses and function.

CTQ Session 1. Discussion of LGBT health, teach relaxation techniques

Session 2

Focus on factors leading to smoking, stress reduction management, encourage peer one-on-one support and social support.

CTQ Session 2. Discussion of study development phase outcomes, focus on LGBT specific factors of smoking uptake and triggers, discussion of additional support resources, quit day preparation.

Session 3

Quit week, nicotine replacement therapy (NRT), offer hope that quitting is possible, provide information on NRT, discuss symptoms of recovery (withdrawal), participants commit to a quit smoking attempt.

CTQ Session 3. Provide testimonies of ex-smokers, craving and withdrawal management.

Session 4

Focus on barriers and facilitators to cessation. Discuss recovery symptoms, relapse prevention, weight management concerns and the grief process.

CTQ Session 4. Discussion of LGBT related health and weight concerns, discussion of study development phase testimonies.

Session 5

Focus on goal setting and skill building. Discuss long-term goal setting, planning for social and stressful situations.

CTQ Session 5. Review of relapse causes and prevention, development of social support, and reminder of smoking goals.

Session break

Session 6

Recap the program and review challenges of previous week. Focus on long-term maintenance. Introduce anger management tools, discuss relapse prevention, and celebrate new lifestyle.

CTQ Session 6. Review of study development phase testimonies.