Table 2.

Description of the intervention sessions of the areca nut/betel quid cessation study known as the Betel Nut Intervention Trial.

Session	Day	Description of Session
1	1	•Introduction of program, ground rules, informed consent
		•Health effects of betel nut chewing, esp. oral cancer risk
		•Discuss self-monitoring (logs introduced)
		•Discuss triggers (logs introduced)
		•Discuss concept of betel nut fading: rate reduction prior to quitting
		•Saliva collection
2	8	•Review trigger logs, discuss self-management approach
		•Discuss lifestyle change to support quitting AN/BQ
		•Discuss "excuses" for not chewing, use of "fake chew" (concepts derived from pilot testing intervention)
		•Remind participants about betel nut fading and that Quit Day is morning of the next session
3	15	•QUIT DAY. Facilitator is tasked with reminding participants to be supportive and nonjudgmental, regardless of individual chewing status
		•Remind participants that withdrawal symptoms, if applicable, are generally worse in first 2 weeks, but will pass
		•Discuss coping strategies to prevent relapse
		•Plan to maximize social support for non-chewing
		•Recommend physical activity
4	18	•Continue overall discussion of quitting experiences, including coping with triggers and high-risk situations, short-term benefits from quitting chewing
		•Discuss negative health effects of AN/BQ chewing again, including oral cancer risk (reinforcing this throughout derived from pilot testing)
		•Discuss additional strategies for coping with urges to chew
5	22	•Continue overall discussion of quitting experience
		•Encourage participants who have relapsed to chewing to attempt to quit again
		•Introduce strategies for managing thoughts that can lead to relapse
		•Review lifestyle changes that support quitting
		•Reinforce using "excuses" for not chewing, employing "fake chew"
		•Final remarks about planning for the future
		•Saliva collection