Table 1.

An overview of the Positively Smoke Free course curriculum.

Session #	General Themes	HIV-Referent Themes
1	Introduction Education about tobacco use Role of social and buddy support Setting quit date	Introduction of PLWH group co-leader Review of tobacco related risks in PLWH Dispelling myths about smoking benefits for PLWH
2	Review of social cues of smoking and strategies to respond to them Behavioral tools to resist craving Role of pharmacotherapy	Explore the relationship between self-discipline, delaying instant gratification, etc. and improved health outcomes in the PLWH individual and community
3	Smoking cessation as an element of a healthy lifestyle	The importance of healthy lifestyle decisions in PLWH
4	High risk smoking situations for quitters Responding to slip-ups	Comparison to high risk situations pertaining to HIV Comparison of tobacco slip-ups to antiretroviral adherence slip-ups
5	Quit Day: review of pharmacotherapy, role of buddy/social support, appropriate responses to high risk situations and slip-ups	Comparison of this momentous day to the first day of antiretroviral therapy. Enduring temporary discomfort for the sake of long-term health
6	Coping with urges to smoke Assertiveness training in navigating high risk situations and in mediating social support	Constructive responses to urges to skip HIV-medications or appointments The role of assertiveness in negotiation HIV-care
7	Thoughts that lead to relapses Maintaining abstinence	Relationship between HIV, pain, tobacco use, and smoking cessation
8	Review long-term health benefits of smoking cessation Planning for long-term abstinence	Abstinence as a major element of long-term health maintenance in PLWH