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Grant Details

Grant Number: 5P50CA101451-10 Interpret this number
Primary Investigator: Strecher, Victor
Organization: University Of Michigan
Project Title: Michigan Center for Health Communications Research II
Fiscal Year: 2012
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Abstract

Research on tailoring for health-related behaviors and decision-making has increased dramatically since the early 1990's. Results from numerous randomized trials suggest that tailored communications for cancer prevention and control have a greater influence on behavioral and decision making outcomes than one-size-fits-all approaches. Until recently, however, we had little understanding of why tailored communications influenced behavior, or which components of these communications were effective. CECCR1 funding helped us to organize a concerted interdisciplinary effort to open the "black box" of health communications interventions, which led to identifying a broad array of psychosocial and communications components relevant to health behavior change and decision making. We also identified important individual characteristics that moderate the impact of health communications messages. Results from several of these studies have already been published, and are leading to significant new research funding and a new generation of health communications investigators. Moreover, CECCR1 results are also being adopted in health care, employer, pharmaceutical, and government settings of the U.S. and other parts of the world. The overarching aims of CECCR2 are to: (1) Extend our tailoring research beyond the prevention area to the broader cancer care continuum, including early detection, treatment, and long-term survival; (2) Extend our tailoring research to new clinical and post-treatment settings; (3) Deepen our understanding of the key psychosocial and communications components identified in CECCR1, including motivation, ethnic identity, risk perception, and cognitive processing; (4) Explore methods of tailoring to patient preferences for shared decision making; (5) Develop new social and cognitive neuroscience strategies for identifying immediate impact and mechanisms of health communications messages; (6) Develop new interdisciplinary collaborations with scientists and research institutions; (7) Train a new generation of health communications scientists and practitioners; and (8) Disseminate both the scientific and practical results of our research efforts. Woven through CECCR2 research are crosscutting interests related to: tailoring and relevant communications channels; reaching underserved populations through more relevant and easier-to-process content; physiological mechanisms of communication effect; and methodological issues of design, data collection, and measurement. CECCR2 involves four primary research sites and networks, and collaborations with 34 research investigators from 13 institutions. Because of the ambitious scope of our proposed studies, we have obtained over $10 million in matched funding from other sources to help us carry out the proposed research.

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Publications

Understanding patient perceptions of shared decision making.
Authors: Shay LA, Lafata JE
Source: Patient Educ Couns, 2014 Sep;96(3), p. 295-301.
EPub date: 2014 Jul 21.
PMID: 25097150
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Informed choice about breast cancer prevention: randomized controlled trial of an online decision aid intervention.
Authors: Korfage IJ, Fuhrel-Forbis A, Ubel PA, Zikmund-Fisher BJ, Greene SM, McClure JB, Smith DM, Alford SH, Fagerlin A
Source: Breast Cancer Res, 2013;15(5), p. R74.
PMID: 24004815
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Pedometer-based internet-mediated intervention for adults with chronic low back pain: randomized controlled trial.
Authors: Krein SL, Kadri R, Hughes M, Kerr EA, Piette JD, Holleman R, Kim HM, Richardson CR
Source: J Med Internet Res, 2013 Aug 19;15(8), p. e181.
EPub date: 2013 Aug 19.
PMID: 23969029
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Belief in numbers: When and why women disbelieve tailored breast cancer risk statistics.
Authors: Scherer LD, Ubel PA, McClure J, Greene SM, Alford SH, Holtzman L, Exe N, Fagerlin A
Source: Patient Educ Couns, 2013 Aug;92(2), p. 253-9.
EPub date: 2013 Apr 24.
PMID: 23623330
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Results from a randomized trial of a web-based, tailored decision aid for women at high risk for breast cancer.
Authors: Banegas MP, McClure JB, Barlow WE, Ubel PA, Smith DM, Zikmund-Fisher BJ, Greene SM, Fagerlin A
Source: Patient Educ Couns, 2013 Jun;91(3), p. 364-71.
EPub date: 2013 Feb 8.
PMID: 23395006
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Breast cancer anxiety's associations with responses to a chemoprevention decision aid.
Authors: Dillard AJ, Scherer L, Ubel PA, Smith DM, Zikmund-Fisher BJ, McClure JB, Greene S, Stark A, Fagerlin A
Source: Soc Sci Med, 2013 Jan;77, p. 13-9.
EPub date: 2012 Nov 2.
PMID: 23200299
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Impulsivity and inhibitory control deficits are associated with unhealthy eating in young adults.
Authors: Jasinska AJ, Yasuda M, Burant CF, Gregor N, Khatri S, Sweet M, Falk EB
Source: Appetite, 2012 Dec;59(3), p. 738-47.
EPub date: 2012 Aug 8.
PMID: 22885454
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In a survey, marked inconsistency in how oncologists judged value of high-cost cancer drugs in relation to gains in survival.
Authors: Ubel PA, Berry SR, Nadler E, Bell CM, Kozminski MA, Palmer JA, Evans WK, Strevel EL, Neumann PJ
Source: Health Aff (Millwood), 2012 Apr;31(4), p. 709-17.
PMID: 22492887
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Helping patients decide: ten steps to better risk communication.
Authors: Fagerlin A, Zikmund-Fisher BJ, Ubel PA
Source: J Natl Cancer Inst, 2011 Oct 5;103(19), p. 1436-43.
EPub date: 2011 Sep 19.
PMID: 21931068
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Survey Response Styles, Acculturation, and Culture Among a Sample of Mexican American Adults.
Authors: Davis RE, Resnicow K, Couper MP
Source: J Cross Cult Psychol, 2011 Oct 1;42(7), p. 1219-1236.
PMID: 21927503
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Creating a knowledge translation trainee collaborative: from conceptualization to lessons learned in the first year.
Authors: Cornelissen E, Urquhart R, Chan VW, Deforge RT, Colquhoun HL, Sibbald S, Witteman H
Source: Implement Sci, 2011 Aug 25;6, p. 98.
EPub date: 2011 Aug 25.
PMID: 21867500
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A web-based pedometer programme in women with a recent history of gestational diabetes.
Authors: Kim C, Draska M, Hess ML, Wilson EJ, Richardson CR
Source: Diabet Med, 2012 Feb;29(2), p. 278-83.
PMID: 21838764
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Comparison of hemoglobin A1c with fasting plasma glucose and 2-h postchallenge glucose for risk stratification among women with recent gestational diabetes mellitus.
Authors: Kim C, Herman WH, Cheung NW, Gunderson EP, Richardson C
Source: Diabetes Care, 2011 Sep;34(9), p. 1949-51.
EPub date: 2011 Jul 12.
PMID: 21750276
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Associations between glucose tolerance and sex hormone binding globulin among women with recent gestational diabetes mellitus.
Authors: Kim C, Sen A, Osborne E, Lee JM, Richardson CR
Source: Diabetes Res Clin Pract, 2011 Sep;93(3), p. e110-2.
EPub date: 2011 Jun 28.
PMID: 21715040
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