SUB-PROTOCOL AIM A: Platelet count >= ,/mm^ SUB-PROTOCOL AIM A: Hemoglobin >= . g/dL SUB-PROTOCOL AIM A: Serum triglyceride =< mg/dL SUB-PROTOCOL AIM A: Serum creatinine =< . x ULN SUB-PROTOCOL AIM A: Patients who required therapeutic doses of anticoagulants AIM : Have an actual or potential diagnosis of thoracic cancer AIM : Must be a current or recent former smoker (defined as smoked within past months) AIM : Former smoker greater than months Due to receive at least weeks (for aim and ) or weeks (for aim ) of CTX at enrollment PHASE I AIM (STAKEHOLDER INPUT) PHASE I AIM : Malignant diagnosis in any cancer type at any stage PHASE I AIM : Receiving any type of cancer treatment PHASE I AIM : Life expectancy of at least six months PHASE I AIM : Current outpatient status PHASE I AIM : Fluent in English PHASE I AIM (STAKEHOLDER INPUT) EXCLUSION PHASE I AIM : Prisoners PHASE I AIM : Pregnant women PHASE I AIM . (EVALUATION STUDY) PHASE I AIM .: Malignant diagnosis in any cancer type at any stage PHASE I AIM .: Receiving any type of cancer treatment PHASE I AIM .: Life expectancy of at least six months PHASE I AIM .: Current outpatient status PHASE I AIM .: Fluent in English PHASE I AIM . (EVALUATION STUDY) EXCLUSION PHASE I AIM .: Prisoners PHASE I AIM .: Pregnant women PHASE I AIM . (PILOT STUDY) PHASE I AIM .: Malignant diagnosis in breast, gynecologic (GYN), genitourinary (GU) cancer at any stage PHASE I AIM .: Receiving surgery and/or chemotherapy treatment PHASE I AIM .: Life expectancy of at least six months PHASE I AIM .: Current outpatient status (participation will be suspended during hospitalization) PHASE I AIM .: Fluent in English PHASE I AIM . (PILOT STUDY) EXCLUSION PHASE I AIM .: Prisoners PHASE I AIM .: Pregnant women PHASE I AIM .: Currently participating in other psychosocial studies PHASE II AIM (RANDOMIZED CONTROLLED TRIAL) PHASE II AIM : Malignant diagnosis of breast, lung, or colorectal cancer at any stage PHASE II AIM : Receiving any type of cancer treatment PHASE II AIM : Life expectancy of at least six months PHASE II AIM : Current medical oncology outpatient status (participation will be suspended during hospitalization) PHASE II AIM : Fluent in English PHASE II AIM (RANDOMIZED CONTROLLED TRIAL) EXCLUSION PHASE II AIM : Prisoners PHASE II AIM : Pregnant women PHASE II AIM : Currently participating in other psychosocial studies For Aim only: individuals who took part in the focus group AIM (SURVEY) AIM (VACCINE EVALUATION) Meets all inclusion criteria outlined in Aim AIM (VACCINE EVALUATION) Aim : Organization was contacted to participate in Aim Inclusion criteria for Aim : Inclusion criteria for Aim : AIM : Text messaging more than once a month AIM : Will consider participants from phase of this study ineligible for this phase of the study AIM : Will not re-screen participants who were considered ineligible for phase of this study, as determined from study records AIM - AIM ONLY