TELEhealth Shared decision-making COaching for lung cancer screening in Primary care (TELESCOPE) for Hispanics.

Inclusion Criteria: Aim 1 (Cultural Adaptation): To be eligible, patients must: 1. Identify as Hispanic and/or Latino(a) 2. Able to read and speak in English or Spanish 3. Be 50 to 77 years of age 4. Be a current or former smoker 5. Have at least a 20-pack-year smoking history Aims 2-3 (Pilot Randomized Controlled Trial) To be eligible, patients must: - Identify as Hispanic or Latino(a) - Able to speak and read in English or Spanish - Be 50 to 77 years of age - Be a current or former smoker having quit within the past 15 years - Have at least a 20 pack-year smoking history - Be scheduled for a non-acute care visit at one of the study sites. - Not coughing up blood in the last two weeks Interviews Providers completing the semi-structured interviews will be: - A practicing primary care clinician or a clinic director (n=20), nursing director, or clinic practice administrator at one of the participating sites, or a TELESCOPE study patient navigator and nurse navigator - Age 18 or older - Fluent in English Online surveys Providers completing online PRISM construct surveys will be: - A practicing primary care provider at one of the participating sites or a TELESCOPE study navigator - Age 18 or older - Fluent in English Exclusion Criteria: For the cluster randomized trial, excluded will be patients who: - Do not speak English - Are not Hispanic or Latino(a) - Have a history of lung cancer - Had a CT scan in the past 12 months - Has been coughing up blood in the last two weeks - Have health conditions that make them poor candidates for curative treatment as determined by the primary care provider, - Are unable to provide informed consent Interviews Providers/administrators will be excluded if they: - Are unable to provide informed consent Online surveys - Are unable to provide informed consent - Women who are pregnant.