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The 2021 National Survey on Drug Use and Health reported that 0.6% of the American population aged 12 or older had a meth use disorder in the past 12 months

Experts say if current smoking trends continue, the habit will be responsible for one billion deaths by the end of the 21st century

The aims of this cluster-randomized trial are to evaluate multi-level implementation strategies to increase the Reach (i.e., proportion of tobacco-using patients who enroll in the Quitline) and Impact (i.e., Reach Efficacy [efficacy is defined as the proportion of tobacco-using patients who enroll in Quitline treatment that successfully quit]) and to evaluate characteristics of healthcare system, providers, and patients that may influence tobacco-use outcomes

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Once the sub-themes and themes were generated, they were compared with the textual segments of the interview transcripts to ensure that the themes reflected the message conveyed by the participants during the interviews