Brief Advice and Breathing EXercises (BABEX) for quitting tobacco use in low income communities in India

INTERVENTION: Intervention arm: 1. Obtain informed consent 2. Complete questionnaire by interview and offer the intervention. 3. Provide brief advice based on a script with personalized modifications 4. Provide training on breathing exercises using a standard video 5. Help the tobacco user practice the breathing exercises briefly in your presence to ensure understanding 6. Inform regarding the follow ?up after one month and six months Control arm: 1. Obtain informed consent 2. Complete questionnaire by interview 3. Provide Very Brief Advice based on a script 4. Inform regarding follow up after one month and six months CONDITION: Tobacco users ; Mental and Behavioural Disorders ; Mental and behavioural disorders due to use of tobacco PRIMARY OUTCOME: 1. Self reported abstinence from tobacco use in the 6 months preceding the follow up ; 2. Salivary cotinine concentration of less than 20ng/ml at that point using a Enzyme‐linked immunosorbent (ELISA) assay; Measured at 7 months SECONDARY OUTCOME: 1. One week self reported point prevalence abstinence from tobacco use at one month follow up; 2. Attempts to stop tobacco use between the intervention and the 1 month follow up; 3. One week point prevalence abstinence at the follow up at 7 months confirmed by saliva cotinine assessment INCLUSION CRITERIA: 1. Adults, aged 23+ years of age ( the age limit is necessary to avoid contamination with a previous research study with participants up to 21 years) 2. Current self reported tobacco users of any tobacco containing product and providing consent for the study