Skip to main content
An official website of the United States government
Grant Details

Grant Number: 5R03CA154016-02 Interpret this number
Primary Investigator: Hamann, Heidi
Organization: Ut Southwestern Medical Center
Project Title: Conceptualization and Measurement of Lung Cancer Stigma
Fiscal Year: 2011


DESCRIPTION (provided by applicant): Lung cancer stigma has far-reaching and devastating consequences for both stigmatized individuals and public health efforts. Preliminary data suggest that lung cancer patients are stigmatized based on smoking status and that lung cancer stigma has negative psychosocial and interpersonal effects for patients. However, there is a significant need for conceptual clarification and an integrative focus on appropriate measurement. The proposed research will synthesize perspectives from patients, providers and published literature into a coherent conceptual blueprint for developing a psychometrically sound measure of perceived lung cancer stigma. Specific study objectives are to: 1) develop a conceptual framework of the lung cancer stigma construct through literature review and patient interviews (N = 36), 2) Construct an initial item pool based on the patient interviews, assessments from clinical experts, and patient focus groups, 3) Reduce and refine measure items through use of cognitive interviews and a readability analysis. This study represents an initial effort to refine conceptualization needed to accurately assess stigma among lung cancer patients and generate a theoretically-derived measure. This research is significant because it will provide the basis for development of a psychometrically sound and culturally sensitive measure of lung cancer related stigma. The findings will provide a foundation for quantitative evaluation of the proposed measure, as well as future planned investigations into psychosocial, communication, and behavioral correlates of lung cancer stigma. Ultimately, this research will guide the development of interventions to address lung cancer stigma and its consequences.


Identifying Barriers to Advocacy Among Patients With Lung Cancer: The Role of Stigma-Related Interpersonal Constraint.
Authors: Price S.N. , Shen M. , Rigney M. , Ostroff J.S. , Hamann H.A. .
Source: Oncology nursing forum, 2022-10-20; 49(6), p. 553-563.
PMID: 36413734
Related Citations

Lung Cancer Stigma: Does Smoking History Matter?
Authors: Williamson T.J. , Kwon D.M. , Riley K.E. , Shen M.J. , Hamann H.A. , Ostroff J.S. .
Source: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2020-06-12; 54(7), p. 535-540.
PMID: 31942920
Related Citations

Lung cancer stigma and depression: Validation of the Lung Cancer Stigma Inventory.
Authors: Ostroff J.S. , Riley K.E. , Shen M.J. , Atkinson T.M. , Williamson T.J. , Hamann H.A. .
Source: Psycho-oncology, 2019 May; 28(5), p. 1011-1017.
EPub date: 2019-04-16.
PMID: 30779396
Related Citations

Structured Analysis of Empathic Opportunities and Physician Responses during Lung Cancer Patient-Physician Consultations.
Authors: Johnson Shen M. , Ostroff J.S. , Hamann H.A. , Haque N. , Banerjee S.C. , McFarland D.C. , Molena D. , Bylund C.L. .
Source: Journal of health communication, 2019; 24(9), p. 711-718.
EPub date: 2019-09-16.
PMID: 31525115
Related Citations

Development and Preliminary Psychometric Evaluation of a Patient-Reported Outcome Measure for Lung Cancer Stigma: The Lung Cancer Stigma Inventory (LCSI).
Authors: Hamann H.A. , Shen M.J. , Thomas A.J. , Craddock Lee S.J. , Ostroff J.S. .
Source: Stigma and health, 2018 Aug; 3(3), p. 195-203.
EPub date: 2017-04-06.
PMID: 30393760
Related Citations

Decreasing Smoking but Increasing Stigma? Anti-tobacco Campaigns, Public Health, and Cancer Care.
Authors: Riley K.E. , Ulrich M.R. , Hamann H.A. , Ostroff J.S. .
Source: AMA journal of ethics, 2017-05-01; 19(5), p. 475-485.
EPub date: 2017-05-01.
PMID: 28553905
Related Citations

Association between patient-provider communication and lung cancer stigma.
Authors: Shen M.J. , Hamann H.A. , Thomas A.J. , Ostroff J.S. .
Source: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2016 May; 24(5), p. 2093-2099.
EPub date: 2015-11-09.
PMID: 26553030
Related Citations

Stigma among patients with lung cancer: a patient-reported measurement model.
Authors: Hamann H.A. , Ostroff J.S. , Marks E.G. , Gerber D.E. , Schiller J.H. , Lee S.J. .
Source: Psycho-oncology, 2014 Jan; 23(1), p. 81-92.
EPub date: 2013-10-03.
PMID: 24123664
Related Citations

Back to Top