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The Transtheoretical Model (TTM) of behavioral change can be used to describe and assess patients motivation to quit smoking and has been validated in empirical studies and has demonstrated usefulness and practicality [14]

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At a carrier with separate cigar, smokeless tobacco, or pipe provisions, a positive cotinine result combined with accurate disclosure of the specific non-cigarette tobacco type confirms the usage pattern and produces the appropriate non-smoker or preferred non-smoker class