CONNECTing to LungCare

PRIMARY OBJECTIVES: Aim 1: Development of the smoking cessation and LCS intervention, CONNECTing to LungCare. Aim 2: Test CONNECTing to Lung Care for Feasibility and Acceptability (N=120) Aim 3: To qualitatively evaluate feasibility and acceptability of the intervention and study procedures from the perspectives of patients, providers, staff and administrators and other stakeholders. OUTLINE: BETA TESTING: Participants interact with the CONNECTing to LungCare intervention and provide feedback in support of intervention refinement. FEASIBILITY TRIAL: Participants are randomized to 1 of 2 groups. GROUP I: Participants receive the CONNECTing to LungCare intervention, including education about the benefits and risks of LCS and the importance of shared decision making, computerized assessments of the participant's smoking status, readiness to quit and concerns about quitting, and video segments tailored to the participant's responses to assessment questions, prior to their primary care appointment. Participants and their providers receive a tailored summary of the participant's concerns and barriers to quitting to enhance motivation for smoking cessation and shared decision making discussions. Participants then receive up to 3 follow-up phone calls over 10-15 minutes each encouraging them to follow up with their provider, to complete the shared decision-making conversation, obtain LCS if appropriate, and access smoking cessation resources. Participants may also receive brief, tailored follow-up text messages that include links to video segments or cessation resources 1-3 times weekly. GROUP II: Participants receive usual care from their provider at their primary care appointment. After completion of study intervention, participants are followed up at 1 and 3 months.