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Findings showed that rates of smoking cessation were the same for this group, as compared to smokers without COPD. Thus intervention efforts failed to result in adequate smoking cessation. An intervention was needed that addresses social contextual factors involved in smoking behaviors, in order to assist this and other disease patients. This research study is designed to investigate the efficacy of a smoking cessation intervention based on a social contextual model. The findings from this study will provide information regarding the efficacy of a social contextual smoking cessation intervention. Expected positive effects of the intervention will demonstrate the need to understand and focus on social contexts of the COPD patient as well as behaviors (antecedent and outcome/reinforced) and patient-beliefs related to smoking and these contexts. Findings will provide a more comprehensive understanding of what is needed to help all smokers quit this habit and will help guide future directions for research. Sorensen,áBarbeau, Hunt, and Emmonsá(2004) provided a theoretical framework for the understanding of tobacco cessation interventions that will be used for this study. This model, a social context model, addresses social aspects involved in tobacco control interventions. Th |