Testing C-Raven, a Virtual Tobacco Cessation Intervention, in the Community
To inform a future randomized trial of a virtual counselor led computer delivered intervention for tobacco cessation augmented with community health worker (CHW) support and navigation to lung cancer screening in low-income housing units in Baltimore, the investigators propose to collect data on intervention acceptability and feasibility among individuals in public housing as well as feedback on use of shared decision making when referring for low-dose chest CT (LDCT).

The investigators will conduct a feasibility pilot study of a virtual counselor plus community health worker intervention. With a sample of participants from public housing units (N=15), the investigators will collect data on feasibility of recruitment, intervention engagement and completion, and short-term smoking cessation outcomes. Individuals will be assessed at baseline, 1 month and 3 months. At the end of three months, the investigators will conduct follow up interviews with a subset of pilot participants to collect qualitative data on intervention acceptability. Based on this information, the investigators will make iterative improvements to the combined intervention.
- EligibilityCriteria: Inclusion Criteria:  Age 50 or older Current tobacco use with >100 cigarettes smoked in their lifetime English speaking (intervention currently in English only and housing units are in largely English-speaking neighborhoods) Considering smoking cessation Planning to remain in current housing unit for 6 months  Exclusion Criteria:  Current use of pharmacological treatment for tobacco cessation Contraindication to nicotine replacement therapy Current engagement in formal smoking cessation program Major cognitive or psychiatric impairment Severe hearing impairment Investigator discretion - HealthyVolunteers: No - Gender: All - MinimumAge: 50 Years - StdAgeList: Adult, Older Adult