A Community Health Education Intervention for Increasing Community-driven Actions to Reduce the Cancer Burden in Western New York

PRIMARY OBJECTIVES: Phase I - Feasibility and Acceptability - 100 participants to be enrolled * Examine the feasibility of the I CAN intervention. (Phase I) * Examine the acceptability of the I CAN intervention. (Phase I) * Examine topic areas selected for action within participants' I CAN plans for action. (Phase I) Phase II - Effectiveness of intervention trial for Lung Cancer Screening - 400 participants to be enrolled * Determine whether the I CAN intervention will result in higher number of individuals who complete lung cancer screening compared to didactic educational control. (Phase 2 \[Effectiveness of intervention trial for lung cancer screening\]) * Evaluate whether the I CAN intervention improves adherence to recommended annual lung cancer screening follow-up among participants who initially received low dose computed tomography of the chest (LDCT) screening. (Phase 2 \[Effectiveness of intervention trial for lung cancer screening\]) * Assess whether the I CAN intervention results in different levels of lung cancer screening knowledge and self-efficacy compared to the control group. (Phase 2 \[Effectiveness of intervention trial for lung cancer screening\]) OUTLINE: Participants are assigned to 1 of 2 phases. Phase I - Participants attend an I CAN intervention workshop over 2 hours. Phase 2 - Community-based programs are randomized to 1 of 2 arms and participants are assigned to the arm to which their community-based program was randomized.