Intervention to Increase Intention to Change Alcohol/Tobacco Use in Veterans With Chronic Disease

Inclusion Criteria: * an active diagnosis of diabetes, cardiovascular disease (CVD), or a cardiovascular risk factor (hypertension {HTN}, hyperlipidemia {HLD}) AND signs of reticence to change their smoking and/or alcohol use as evidenced by the two consecutive prior screens being positive for hazardous (e.g., Alcohol Use Disorders Test-Consumption \[AUDC\], and/or smoking (I.e., whether they are a current smoker or not). * Confirmation of smoking and/or drinking status during telephone screening (e.g., Alcohol Use Disorders Test-Consumption \[AUDC\], and/or smoking (I.e., whether they are a current smoker or not). * Veteran * Age 18 years * utilize VA for medical care more than 1 time per year * are due to complete their smoking/alcohol use screen in approximately 3 months (to ensure they will likely receive UC during intervention period) * a scheduled PC appointment within the intervention period. Exclusion Criteria: * dementia or severe cognitive impairment per Problem List * significant visual impairment per Problem List * Other Exclusion criteria assessed by study staff during screening/self-report are: * inability to communicate or read in English; * Hearing impairment; and * cognitive impairment or screening for cognitive impairment (\>=weighted score of 10 on Blessed screener).