Associates Directory Listing

Constance M Johnson
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Nursing Informatics
Research Interests:

Dr. Johnson's research interests include human-computer interaction and how presentation of information impacts health-related decisions in the areas of cancer prevention and diabetes. For example, her R03 study (1 R03 CA132562-01), “Strategies to help inform colorectal cancer risk magnitudes” focused on developing an intervention that addressed different dimensions of risk and assessed how people’s reactions and understanding on various dimensions of risk were related to intentions to screen for colorectal cancer. Her R21 study (R21LM010727-01), “Second Life Impacts Diabetes Education & Self-Management (SLIDES)” assessed the feasibility and acceptability of using a virtual environment to provide self-management interventions to people with type 2 diabetes on the Internet. Her AHRQ grant, “EHR Information Design and Usability Toolkit” developed a model for a toolkit to assess how well the usability and information design of health IT systems supports primary care clinicians in delivering care. Dr. Johnson was also the Co-I on another AHRQ grant, “Development of a Model Electronic Health Record Format for Children” where her primary role was to conduct usability studies. She is also currently a Co-PI on a grant titled, “Visualization of Multidimensional Data Obtained from a Virtual Environment Intervention” awarded by RENCI@Duke Faculty Engagement Program in Applied Scientific and Information Visualization to work on models to visualize the multidimensional data collected during her R21 study. Her current R01 study (1R01-HL118189-01), “Diabetes Self–Management & Support LIVE (Learning in Virtual Environments)” is evaluating the efficacy of a technologically based bio–behavioral diabetes self–management training and support (DSMT/S) intervention in a virtual gaming environment.

Areas of Interest:

Health Informatics
Human-computer interaction
Colorectal cancer prevention
Diabetes prevention
Qualitative analysis
Visualization methods of analysis
Research methods


Colorectal cancer prevention • Diabetes prevention • Electronic health records • Health informatics • Health-related decisions • Human-computer interaction • Informatics • Information design • Information visualization • Usability • Virtual environment

Representative Publications   (search)

  • Jenko, M. and Adams, J. A. and Johnson, C. M. and Thompson, J. A. and Bailey Jr, D. E., Facilitating Palliative Care Referrals in the Intensive Care Unit: A Pilot Project., Dimensions of critical care nursing : DCCN, vol. 34 no. 6 (Nov-Dec, 2015), pp. 329-39, ISSN 1538-8646 [doi]  [abs]
  • Vorderstrasse, A. A. and Melkus, G. D. and Pan, W. and Lewinski, A. A. and Johnson, C. M., Diabetes Learning in Virtual Environments: Testing the Efficacy of Self-Management Training and Support in Virtual Environments (Randomized Controlled Trial Protocol)., Nursing research, vol. 64 no. 6 (November-December, 2015), pp. 485-93, ISSN 1538-9847 [doi]  [abs]
  • Zozus, M. N. and Pieper, C. and Johnson, C. M. and Johnson, T. R. and Franklin, A. and Smith, J. and Zhang, J., Factors Affecting Accuracy of Data Abstracted from Medical Records., PloS one, vol. 10 no. 10 (October, 2015), pp. e0138649, ISSN 1932-6203 [doi]  [abs]
  • Shaw, R. J. and Horvath, M. M. and Leonard, D. and Ferranti, J;. M. and Johnson, C. M., Developing a user-friendly interface for a self-service healthcare research portal: cost-effective usability testing, Health Systems, vol. 40 (July, 2015), pp. 151-158 [html], [doi]  [abs]
  • Rose, M. A. and Hanna, L. A. and Nur, S. A. and Johnson, C. M., Utilization of electronic modified early warning score to engage rapid response team early in clinical deterioration., Journal for nurses in professional development, vol. 31 no. 3 (May-June, 2015), pp. E1-7, ISSN 2169-981X [doi]  [abs]
  • Pereira, K. and Phillips, B. and Johnson, C. and Vorderstrasse, A., Internet delivered diabetes self-management education: a review., Diabetes technology & therapeutics, vol. 17 no. 1 (January, 2015), pp. 55-63, ISSN 1557-8593 [doi]  [abs]
  • Vorderstrasse, A. and Shaw, R. J. and Blascovich, J. and Johnson, C. M., A theoretical framework for a virtual diabetes self-management community intervention., Western journal of nursing research, vol. 36 no. 9 (October, 2014), pp. 1222-37, ISSN 1552-8456 [doi]  [abs]
  • Nagler, A. and Schlueter, J. and Johnson, C. and Griffith, B. and Prewitt, J. and Sloane, R. and Adams, M., Calling for collaboration: piloting smartphones to discover differences between users and devices., Teaching and learning in medicine, vol. 26 no. 3 (July, 2014), pp. 258-65, ISSN 1532-8015 [doi]  [abs]
  • Shaw, R. J. and Steinberg, D. M. and Zullig, L. L. and Bosworth, H. B. and Johnson, C. M. and Davis, L. L., mHealth interventions for weight loss: a guide for achieving treatment fidelity., Journal of the American Medical Informatics Association : JAMIA, vol. 2014 (May, 2014), pp. 1-5, ISSN 1527-974X [doi]  [abs]
  • Johnson, C. and Feinglos, M. and Pereira, K. and Hassell, N. and Blascovich, J. and Nicollerat, J. and Beresford, H. F. and Levy, J. and Vorderstrasse, A., Feasibility and preliminary effects of a virtual environment for adults with type 2 diabetes: pilot study., JMIR research protocols, vol. 3 no. 2 (April, 2014), pp. e23, ISSN 1929-0748 [available here], [doi]  [abs]
  • Park, E. (features C. Johnson, A. Vorderstrasse), Duke’s virtual reality world tackles diabetes, WNCN (Raleigh, NC) (November 15, 2013) [dukes-virtual-reality-world-tackles-diabetes]  [abs]
  • Harrington, L. and Clyne, K. and Fuchs, M. A. and Hardison, V. and Johnson, C., Evaluation of the use of bar-code medication administration in nursing practice using an evidence-based checklist., The Journal of nursing administration, vol. 43 no. 11 (November, 2013), pp. 611-7, ISSN 1539-0721 [doi]  [abs]
  • Shaw, R. J. and Bosworth, H. B. and Silva, S. S. and Lipkus, I. M. and Davis, L. L. and Sha, R. S. and Johnson, C. M., Mobile health messages help sustain recent weight loss., The American journal of medicine, vol. 126 no. 11 (November, 2013), pp. 1002-9, ISSN 1555-7162 [doi]  [abs]
  • Johnson, C. and Feenan, K. and Setliff, G. and Pereira, K. and Hassell, N. and Beresford, H. F. and Epps, S. and Nicollerat, J. and Tatum, W. and Feinglos, M. and Vorderstrasse, A., Building a virtual environment for diabetes self-management education and support, International Journal of Virtual Communities and Social Networking (IJVCSN), vol. 5 no. 3 (July-September, 2013), pp. 68-80 [doi]  [abs]
  • De Gagne, J. C. and Oh, J. and Kang, J. and Vorderstrasse, A. A. and Johnson, C. M., Virtual worlds in nursing education: a synthesis of the literature., The Journal of nursing education, vol. 52 no. 7 (July, 2013), pp. 391-6, ISSN 0148-4834 [doi]  [abs]
  • Johnson, C. M. and Wei, C. and Ensor, J. E. and Smolenski, D. J. and Amos, C. I. and Levin, B. and Berry, D. A., Meta-analyses of colorectal cancer risk factors., Cancer causes & control : CCC, vol. 24 no. 6 (June, 2013), pp. 1207-22, ISSN 1573-7225 [doi]  [abs]
  • Shaw, R. J. and Bosworth, H.B. and Hess, J.C. and Silva, S. and Lipkus, I. and Davis, L.L. and Johnson, C.M., Development of a theoretically driven mHealth short message service (SMS) application for sustaining weight loss., JMIR mHealth and uhealth, vol. 1 no. 1 (2013), pp. e5 [available here], [doi]  [abs]
  • Kitzmiller, R. R. and McDaniel, R. R. and Johnson, C. M. and Lind, E. A. and Anderson, R. A., Exploring interpersonal behavior and team sensemaking during health information technology implementation., in Advances in Health Care Management 14: Leading in Health Care Organizations: Improving Safety, Satisfaction and Financial Performance, edited by Simons, T. and Leroy, J. and Savage, G. T. (2013), pp. 119-144, Emerald Group Publishing Limited, Bingley, U.K., ISBN 978-1-78190-633-0 [doi]  [abs] [author's comments]
  • Johnson, C. M. and Shaw, R. J., A usability problem: conveying health risks to consumers on the internet., AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, vol. 2012 no. 6 (November, 2012), pp. 427-35, ISSN 1942-597X [doi]  [abs] [author's comments]
  • Johnson, C. M. and Johnston, D. and Crowley, P. K. and Culbertson, H. and Rippen, H. E. and Damico, D. J. and Plaisant, C., EHR Usability Toolkit: A Background Report on Usability and Electronic Health Records (AHRQ Publication No. 11-0084-EF) (August, 2011), Agency for Healthcare Research and Quality, Rockville, MD  [abs]
  • Shaw, R. J. and Johnson, C. M., Health Information Seeking and Social Media Use on the Internet among People with Diabetes., Online journal of public health informatics, vol. 3 no. 1 (June 22, 2011), pp. pii: 3561, ISSN 1947-2579 [3011]  [abs] [author's comments]
  • Johnson, C. M. and Corazzini, K. N. and Shaw, R., Assessing the feasibility of using virtual environments in distance education., Knowledge Management & E-Learning: An International Journal, vol. 3 no. 1 (March, 2011), pp. 5-16, ISSN 2073-7904 [72]  [abs]
  • Taylor, H. A. and Sullivan, D. and Mullen, C. and Johnson, C. M., Implementation of a user-centered framework in the development of a web-based health information database and call center., Journal of biomedical informatics, vol. 44 no. 5 (March, 2011), pp. 897-908, ISSN 1532-0480 [doi]  [abs]
  • Harrington, L. and Kennerly, D. and Johnson, C., Safety issues related to the electronic medical record (EMR): synthesis of the literature from the last decade, 2000-2009., Journal of healthcare management / American College of Healthcare Executives, vol. 56 no. 1 (January-February, 2011), pp. 31-43; discussion 43-4, ISSN 1096-9012  [abs]
  • Johnson, C. M. and Nahm, M. and Shaw, R. J. and Dunham, A. and Newby, K. and Dolor, R. and Smerek, M. and Del Fiol, G. and Zhang, J., Can prospective usability evaluation predict data errors?, AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, vol. 2010 (November 13, 2010), pp. 346-50, ISSN 1942-597X (Nominated for the Harriet H. Werley Award.)  [abs]
  • Stewart, D. J. and Johnson, C. and Lopez, A. and Glisson, B. and Rhee, J. M. and Bekele, B. N., Extensive disease small cell lung cancer dose-response relationships: implications for resistance mechanisms., Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer, vol. 5 no. 11 (November, 2010), pp. 1826-34, ISSN 1556-1380 [doi]  [abs]
  • Phillips, B. and Shaw, R. J. and Sullivan, D. T. and Johnson, C., Using virtual environments to enhance nursing distance education., Creative nursing, vol. 16 no. 3 (August, 2010), pp. 132-5, ISSN 1078-4535  [abs]
  • Johnson, C. M. and Vorderstrasse, A. and Shaw, R., Virtual environments in health care higher education., Journal of Virtual Worlds Research, vol. 2 no. 2 (August, 2009), pp. 2-9, ISSN 1941-8477 [699]  [abs] [author's comments]
  • Nahm, M., Johnson, C.M., Walden, C.A., Johnson, T., Zhang, J., Clinical research data management tasks and definitions., Data Basics, vol. 16 no. 1 (2008) []
  • Johnson, C. M. and Smolenski, D., Risk assessment models to estimate cancer probabilities., Current oncology reports, vol. 9 no. 6 (November, 2007), pp. 503-8, ISSN 1534-6269  [abs]
  • Johnson, C. M. and Turley, J. P., A new approach to building web-based interfaces for healthcare consumers., Electronic Journal of Health Informatics, vol. 2 no. 2 (2007), pp. e8, ISSN 1446-4381 [30]  [abs]
  • Bernstam, E. V. and Pancheri, K. K. and Johnson, C. M. and Johnson, T. R. and Thomas, E. J. and Turley, J. P., Reasons for after-hours calls by hospital floor nurses to on-call physicians., Joint Commission journal on quality and patient safety / Joint Commission Resources, vol. 33 no. 6 (June, 2007), pp. 342-9, ISSN 1553-7250  [abs]
  • Johnson, C. M. and Turley, J. P., The significance of cognitive modeling in building healthcare interfaces., International journal of medical informatics, vol. 75 no. 2 (February, 2006), pp. 163-72, ISSN 1386-5056 [doi]  [abs]
  • Johnson, C. M. and Johnson, T. R. and Zhang, J., A user-centered framework for redesigning health care interfaces., Journal of biomedical informatics, vol. 38 no. 1 (February, 2005), pp. 75-87, ISSN 1532-0464 [doi]  [abs]
  • Johnson, C. and Ensor, J. and Amos, C. and Spitz, M. and Peterson, S. and Levin, B. and Berry, D. A., An informatics tool to assess colon cancer risk., AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium (2005), pp. 998, ISSN 1942-597X  [abs]
  • Johnson, T. R. and Zhang, J. and Tang, Z. and Johnson, C. and Turley, J. P., Assessing informatics students' satisfaction with a web-based courseware system., International journal of medical informatics, vol. 73 no. 2 (March, 2004), pp. 181-7, ISSN 1386-5056 [doi]  [abs]
  • Traverso, G. and Diehl, F. and Hurst, R. and Shuber, A. and Whitney, D. and Johnson, C. and Levin, B. and Kinzler, K. W. and Vogelstein, B., Multicolor in vitro translation., Nature biotechnology, vol. 21 no. 9 (September, 2003), pp. 1093-7, ISSN 1087-0156 [doi]  [abs]
  • Traverso, G. and Shuber, A. and Olsson, L. and Levin, B. and Johnson, C. and Hamilton, S. R. and Boynton, K. and Kinzler, K. W. and Vogelstein, B., Detection of proximal colorectal cancers through analysis of faecal DNA., Lancet, vol. 359 no. 9304 (February, 2002), pp. 403-4, ISSN 0140-6736 [doi]  [abs]
  • Traverso, G. and Shuber, A. and Levin, B. and Johnson, C. and Olsson, L. and Schoetz Jr, D. J. and Hamilton, S. R. and Boynton, K. and Kinzler, K. W. and Vogelstein, B., Detection of APC mutations in fecal DNA from patients with colorectal tumors., The New England journal of medicine, vol. 346 no. 5 (January, 2002), pp. 311-20, ISSN 1533-4406 [doi]  [abs]
  • Dong, S. M. and Traverso, G. and Johnson, C. and Geng, L. and Favis, R. and Boynton, K. and Hibi, K. and Goodman, S. N. and D'Allessio, M. and Paty, P. and Hamilton, S. R. and Sidransky, D. and Barany, F. and Levin, B. and Shuber, A. and Kinzler, K. W. and Vogelstein, B. and Jen, J., Detecting colorectal cancer in stool with the use of multiple genetic targets., Journal of the National Cancer Institute, vol. 93 no. 11 (June, 2001), pp. 858-65, ISSN 0027-8874  [abs]
  • Johnson, C. M. and Johnson, T. and Zhang, J., Increasing productivity and reducing errors through usability analysis: a case study and recommendations., Proceedings / AMIA ... Annual Symposium. AMIA Symposium (2000), pp. 394-8, ISSN 1531-605X  [abs]
  • Steinbach, G. and Ford, R. and Glober, G. and Sample, D. and Hagemeister, F. B. and Lynch, P. M. and McLaughlin, P. W. and Rodriguez, M. A. and Romaguera, J. E. and Sarris, A. H. and Younes, A. and Luthra, R. and Manning, J. T. and Johnson, C. M. and Lahoti, S. and Shen, Y. and Lee, J. E. and Winn, R. J. and Genta, R. M. and Graham, D. Y. and Cabanillas, F. F., Antibiotic treatment of gastric lymphoma of mucosa-associated lymphoid tissue. An uncontrolled trial., Annals of internal medicine, vol. 131 no. 2 (July, 1999), pp. 88-95, ISSN 0003-4819  [abs]
  • Johnson, C. M., Fecal occult blood testing brochure (1999), American Cancer Society  [abs]
  • Jen, J. and Johnson, C. and Levin, B., Molecular approaches for colorectal cancer screening., European journal of gastroenterology & hepatology, vol. 10 no. 3 (March, 1998), pp. 213-7, ISSN 0954-691X  [abs]
  • Levin, B. and Hess, K. and Johnson, C., Screening for colorectal cancer. A comparison of 3 fecal occult blood tests., Archives of internal medicine, vol. 157 no. 9 (May, 1997), pp. 970-6, ISSN 0003-9926  [abs]
  • Allbert, J. R. and Johnson, C. and Roberts, W. E. and Martin, R. W. and Gookin, K. S. and Morrison, J. C., Tocolysis for recurrent preterm labor using a continuous subcutaneous infusion pump., The Journal of reproductive medicine, vol. 39 no. 8 (August, 1994), pp. 614-8, ISSN 0024-7758  [abs]
  • Morrison, J. C. and Martin, R. W. and Johnson, C. and Hess, L. W., Characteristics of uterine activity in gestations less than 20 weeks., Obstetrics and gynecology, vol. 76 no. 1 Suppl (July, 1990), pp. 60S-62S, ISSN 0029-7844  [abs]
  • Watson, D. L. and Welch, R. A. and Mariona, F. G. and Lake, M. F. and Knuppel, R. A. and Martin, R. W. and Johnson, C. and Bentley, D. L. and Hill, W. C. and Fleming, A. D., Management of preterm labor patients at home: does daily uterine activity monitoring and nursing support make a difference?, Obstetrics and gynecology, vol. 76 no. 1 Suppl (July, 1990), pp. 32S-35S, ISSN 0029-7844  [abs]
Selected Grant Support

  • Diabetes Self-Management & Support LIVE (Learning in Virtual Environments), National Institutes of Health, 1R01-HL118189-01.      
  • RENCI Visualization of Multidemensional Data Obtained from a Virtual Environment Intervention, Renaissance Computing Institute.      
  • A Three-Month RCT to Sustain Weight-Loss among Obese Persons through Tailored SMS, National Institutes of Health, 1F31-NR012599-01.      
  • eHealth: Second Life Impacts Diabetes Education & Self-Management (SLIDES), National Institutes of Health, 1R21-LM010727-01.      
  • Curriculum Development Centers Program, Office of the National Coordinator for Health Information Technology (ONC).      
  • Immersive Learning Environment At Duke (ILE@D), The Duke Endowment, for the Nanaline Duke Trust.      
  • NRC D2 HER Information Design and Usability Toolkit, Westat, Inc., 8704.07-S-002.      
  • Doctor of Nursing Practice, Health Resources and Service Administration (HRSA), 1D09-HP14827.      
  • Development of a Model Electronic Health Record Format for Children, Westat/AHRQ, 8704.03-S-004.      
  • Health Informatics Workforce Training Program, WFT CTSA Supplement: NCRR Admin. Supplements for Research Workforce Development & Dissemination, UL1-RR024128-04.      
  • Calling for Collaboration: Comparing Communication Devices for Enhanced GME Training and Quality Patient Care, Graduate Medical Education Innovation Fund, Duke University.      
  • The Duke University Nursing Education Program, Health Resources and Service Administration (HRSA), D09-HP09345-02.      
  • Interactive Nursing Education Using Second Life as the 3D Environment, Duke Center for Instructional Technology, 3914079.      
  • Strategies to Help Inform Colorectal Cancer Risk Magnitudes, National Institutes of Health / National Cancer Institute, 1R03-CA132562-01.      
  • Translation of Computational Risk Model to Consumer-Based Information System for WWW, University of Texas MD Anderson Cancer Center.      
  • Applying Usability to a Knowledge-Based System, National Library of Medicine, 1F38LM007188-01.      
  • Redesign of a Genetics Tracking Program to Improve Ease and Use and Reduce Errors, Texas Higher Education Advanced Research Program, ATP-011618-0077-199.