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Methods Overview of CASTL study design The CASTL Project utilizes a multiphase optimization strategy trial (MOST) [20] conducted at 18 lung cancer screening sites located across the USA

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22 in the American Journal of Preventive Medicine

14 A longitudinal analysis of US adolescents 15 estimated that a 10% increase in the proportion of classmates who smoke would increase the likelihood of smoking by more than 3%, while an increase in smoking rates of 10% among an individuals close friends will increase the likelihood of smoking by 5%