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For example, the VA trial conducted at the University of Washington did not find significant differences between the standard of care and the trial intervention, perhaps due to the low uptake of behavioral counseling (14% of intervention participants).18 The trial at the Medical University of South Carolina tested a lower-intensity intervention of messaging plus a 2-week starter package of NRT and did not find significant improvements in the quit rate.19 Factors that promoted success included having an accessible navigator or a tobacco cessation champion within the LCS setting

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