Brief Bio

Dr. Lipkus is Professor in the School of Nursing and the Department of Community Medicine and Director of the Risk Communication Laboratory. He received his Ph.D. at the University of North Carolina-Chapel Hill, specializing in the area of social psychology. Dr. Lipkus, a nationally and internationally known expert on risk communication, is engaged in development of more effective tools for this purpose. For the last 14 years, his research has focused on cancer prevention and detection, and on the role of risk communication in patients' decisions pertaining to cancer treatment and modification of health behaviors. He has applied social cognitive models (with an emphasis on risk communication processes) to motivate changes in life style such as smoking cessation and changes in diet and exercise; to increase participation in screening for breast cancer and colorectal cancer; and to improve breast cancer treatment decisions. His recent research explores the influence of feedback about genetic factors on decision making concerning smoking cessation and choice of treatment of breast cancer.

Academic Program Affiliations

Master of Science in Nursing Program
PhD in Nursing Program
Doctor of Nursing Practice Program

Education

PhD	University of North Carolina - Chapel Hill
MA	University of North Carolina - Chapel Hill
BS	University of California-San Diego

Research Interests

Dr. Lipkus is interested in:
1) the impact of risk perceptions (e.g., optimistic and pessimistic biases) on modifying precautionary behaviors (e.g., early prevention and detection of cancer, etc.) and
2) how dispositional variables (e.g., hostility) and attitudinal variables (e.g belief in a just world) affect coping with negative life events (e.g., cancer, conflict in interpersonal relationships)

Awards and Honors

• 1994 New Directions Award, Academy of Management

• 1993 Postdoctoral Felllow in Behavioral Medicine, Department of Psychiatry, Ohio State University

• 1993 Postdoctoral Felllow in Psychoneuroimmunology, Ohio State University

• 1992 Reuben Hill Award, National Council on Family Relations

• 1991 Postdoctoral Fellow, Department of Psychiatry, Duke University Medical Center

• 1986 B.S. cum laude (Sociology), University of California - San Diego

Areas of Expertise

• Oncology
• Psychiatric / Behavioral Health

Representative Publications

• 2015 -- Pubmed # 26514587 McBride, C. M., Blocklin, M., Lipkus, I. M., Klein, W. M., Brandon, T. H. Patient's lung cancer diagnosis as a cue for relatives' smoking cessation: evaluating the constructs of the teachable moment. Psychooncology. October 30, 2015 Epub ahead of print;

• 2015 -- Pubmed # 26438650 Mays, D., Tercyak, K. P., Lipkus, I. M. The Effects of Brief Waterpipe Tobacco Use Harm and Addiction Education Messages Among Young Adult Waterpipe Tobacco Users. Nicotine Tob Res. October 4, 2015 Epub ahead of print;

• 2015 -- Pubmed # 26065633 Stone, E. R., Gabard, A. R., Groves, A. E., Lipkus, I. M. Effects of Numerical Versus Foreground-Only Icon Displays on Understanding of Risk Magnitudes. J Health Commun. October, 2015; 20(10); 1230-41

• 2015 -- Pubmed # 25542922 Lipkus, I. M., Reboussin, B. A., Wolfson, M., Sutfin, E. L. Assessing and Predicting Susceptibility to Waterpipe Tobacco Use Among College Students. Nicotine Tob Res. September, 2015; 17(9); 1120-5 PMCID: PMC4542741

• 2015 -- Pubmed # 26257321 Ross, K. M., Ranby, K. W., Wooldridge, J. S., Robertson, C., Lipkus, I. M. Effects of physical and mental health on relationship satisfaction: a dyadic, longitudinal examination of couples facing prostate cancer. Psychooncology. August, 2015, Epub ahead of print;

• 2015 -- Pubmed # 25173776 Lipkus, I. M., Schwartz-Bloom, R., Kelley, M. J., Pan, W. A preliminary exploration of college smokers' reactions to nicotine dependence genetic susceptibility feedback. Nicotine Tob Res. March, 2015; 17(3); 337-43

• 2015 -- Pubmed # 25603929 vanDellen, M. R., Boyd, S. M., Ranby, K. W., MacKillop, J., Lipkus, I. M. Willingness to provide support for a quit attempt: A study of partners of smokers. J Health Psychol. January, 2015 Epub ahead of print;

• 2014 -- Pubmed # 23928987 Lipkus, I. M., Eissenberg, T., Schwartz-Bloom, R. D., Prokhorov, A. V., Levy, J. Relationships among factual and perceived knowledge of harms of waterpipe tobacco, perceived risk, and desire to quit among college users. J Health Psychol. December, 2014; 19(12); 1525-35

• 2014 -- Pubmed # 24804802 Demark-Wahnefried, W., Jones, L. W., Snyder, D. C., Sloane, R. J., Kimmick, G. G., Hughes, D. C., Badr, H. J., Miller, P. E., Burke, L. E., Lipkus, I. M. Daughters and Mothers Against Breast Cancer (DAMES): Main outcomes of a randomized controlled trial of weight loss in overweight mothers with breast cancer and their overweight daughters. Cancer. August, 2014; 120(16); 2522-34

• 2014 -- Pubmed # 25473429 Haga, S. B., Mills, R., Pollak, K. I., Rehder, C., Buchanan, A. H., Lipkus, I. M., Crow, J. H., Datto, M. Developing patient-friendly genetic and genomic test reports: formats to promote patient engagement and understanding. Genome Med. July, 2014; 6(7); 58 PMCID: PMC4254435

• 2014 -- Pubmed # 24222509 Shepperd, J. A., Novell, C. A., O'Neill, S. C., Docherty, S. L., Sanderson, S. C., McBride, C. M., Lipkus, I. M. Contemplating genetic feedback regarding lung cancer susceptibility. Ann Behav Med. June, 2014; 47(3); 395-403 PMCID: PMC4008648

• 2014 -- Pubmed # 25478181 Shofer, S., Beyea, M., Li, S., Bastian, L. A., Wahidi, M. M., Kelley, M., Lipkus, I. M. Feasibility of using an epigenetic marker of risk for lung cancer, methylation of p16, to promote smoking cessation among US veterans. BMJ Open Respir Res. June, 2014; 1(1); e000032

• 2014 -- Pubmed # 24556984 Sanderson, S. C., McBride, C. M., O'Neill, S. C., Docherty, S., Shepperd, J., Lipkus, I. M. Young Smokers' Interpretations of the Estimated Lung Cancer Risk Associated with a Common Genetic Variant of Low Penetrance. Public Health Genomics. April, 2014; 17(2); 68-75

• 2013 -- Pubmed # 23943846 Lipkus, I. M., Ranby, K. W., Lewis, M. A., Toll, B. Reactions to framing of cessation messages: insights from dual-smoker couples. Nicotine Tob Res. December, 2013; 15(12); 2022-8 PMCID: PMC3819974

• 2013 -- Pubmed # 22744911 O'Neill, S. C., Lipkus, I. M., Sanderson, S. C., Shepperd, J., Docherty, S., McBride, C. M. Motivations for genetic testing for lung cancer risk among young smokers. Tob Control. November, 2013; 22(6); 406-11 PMCID: PMC3586780

• 2013 -- Pubmed # 24625237 Trevena, L. J., Zikmund-Fisher, B. J., Edwards, A., Gaissmaier, W., Galesic, M., Han, P. K., King, J., Lawson, M. L., Linder, S. K., Lipkus, I., Ozanne, E., Peters, E., Timmermans, D., Woloshin, S. Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers. BMC Med Inform Decis Mak. November, 2013; 13 Suppl 2 S7

• 2013 -- Pubmed # 24050486 Shaw, R. J., Bosworth, H. B., Silva, S. S., Lipkus, I. M., Davis, L. L., Sha, R. S., Johnson, C. M. Mobile Health Messages Help Sustain Recent Weight Loss. Am J Med. September, 2013;

• 2013 -- Pubmed # 25100678 Shaw, R. J., Bosworth, H. B., Hess, J. C., Silva, S. G., Lipkus, I. M., Davis, L. L., Johnson, C. M. Development of a Theoretically Driven mHealth Text Messaging Application for Sustaining Recent Weight Loss. JMIR Mhealth Uhealth. May, 2013; 1(1); e5

• 2013 -- Pubmed # 22544562 Mosher, C. E., Lipkus, I., Sloane, R., Snyder, D. C., Lobach, D. F., Demark-Wahnefried, W. Long-term outcomes of the FRESH START trial: exploring the role of self-efficacy in cancer survivors' maintenance of dietary practices and physical activity. Psychooncology. April, 2013; 22(4); 876-85 PMCID: PMC3429767

• 2013 -- Pubmed # 23354113 Jarvis, J. G., Strantzas, S., Lipkus, M., Holmes, L. M., Dear, T., Magana, S., Lebel, D. E., Lewis, S. J. Responding to neuromonitoring changes in 3-column posterior spinal osteotomies for rigid pediatric spinal deformities. Spine (Phila Pa 1976). April, 2013; 38(8); E493-503

• 2013 -- Pubmed # 22990222 Ranby, K. W., Lewis, M. A., Toll, B. A., Rohrbaugh, M. J., Lipkus, I. M. Perceptions of smoking-related risk and worry among dual-smoker couples. Nicotine Tob Res. March, 2013; 15(3); 734-8 PMCID: PMC3572873

• 2013 -- Pubmed # 22888806 Shepperd, J. A., Lipkus, I. M., Sanderson, S. C., McBride, C. M., O'Neill, S. C., Docherty, S. Testing Different Communication Formats on Responses to Imagined Risk of Having Versus Missing the GSTM1 Gene. J Health Commun. January, 2013; 18(1); 124-37 PMCID: PMC3543503

• 2013 -- Lipkus, I. M. Tidbits about risk communication: It is more than communicating and understanding probabilities. In The International Encyclopedia of Communication, edited by Donsbach, W. 2013; : Wiley-Blackwell and the International Communication Association (ICA).

• 2012 -- Pubmed # 22283474 Haga, S. S., O'Daniel, J. M., Tindall, G. M., Mills, R., Lipkus, I. M., Agans, R. Survey of genetic counselors and clinical geneticists' use and attitudes toward pharmacogenetic testing. Clin Genet. August, 2012; 82(2); 115-20 PMCID: PMC3351546

• 2012 -- Pubmed # 21633294 Haga, S. B., O'Daniel, J. M., Tindall, G. M., Lipkus, I. R., Agans, R. Public attitudes toward ancillary information revealed by pharmacogenetic testing under limited information conditions. Genet Med. August, 2012; 13(8); 723-8 PMCID: PMC3150617

• 2012 -- Haga, S., O'Daniel, J., Tindall, G., Mills, R., Lipkus, I., Agans, R. Response to Newman et al. Clin Genet. August, 2012; 82(2); 203

• 2012 -- Pubmed # 22927848 Malo, T. L., Lipkus, I., Wilson, T., Han, H. S., Acs, G., Vadaparampil, S. T. Treatment Choices Based on OncotypeDx in the Breast Oncology Care Setting. J Cancer Epidemiol. August, 2012; 2012 941495 PMCID: PMC3425834

• 2012 -- Trevena, L., Zikmund-Fisher, B., Edwards, A., Timmermans, D., Peters, E., Lipkus, I., King, J .and Lawson, M., Galesic, M., Han, P., Woloshin, S., Linder, S., Gaissmaier, W., Ozanne, E. 2012 Update of the IPDAS Collaboration Background Document, Chapter C: Presenting probabilities. 2012;

• 2012 -- Pubmed # 21321582 Haga, S. B., O'Daniel, J. M., Tindall, G. M., Lipkus, I. R., Agans, R. Survey of US public attitudes toward pharmacogenetic testing. Pharmacogenomics J. June, 2012; 12(3); 197-204 PMCID: PMC3139751

• 2012 -- Pubmed # 22100301 Crockett, S. D., Lipkus, I. M., Bright, S. D., Sampliner, R. E., Wang, K. K., Boolchand, V., Lutzke, L. S., Shaheen, N. J. Overutilization of endoscopic surveillance in nondysplastic Barrett's esophagus: a multicenter study. Gastrointest Endosc. January, 2012; 75(1); 23-31.e2

• 2012 -- Pubmed # 22249915 Ottenbacher, A. J., Day, R. S., Taylor, W. C., Sharma, S. V., Sloane, R., Snyder, D. C., Lipkus, I. M., Jones, L. W., Demark-Wahnefried, W. Long-term physical activity outcomes of home-based lifestyle interventions among breast and prostate cancer survivors. Support Care Cancer. January, 2012;

• 2011 -- Pubmed # 22055988 O'Neill, S. C., Lipkus, I. M., Gierisch, J. M., Rimer, B. K., Bowling, J. M. It's the Amount of Thought that Counts: When Ambivalence Contributes to Mammography Screening Delay. Womens Health Issues. November, 2011; 75(1); 23-31.e2

• 2011 -- Pubmed # 21860660 Docherty, S. L., McBride, C. M., Sanderson, S. C., O'Neill, S. C., Shepperd, J. A., Lipkus, I. M. Young smokers' views of genetic susceptibility testing for lung cancer risk: minding unintended consequences. J Community Genet. September, 2011; 2(3); 165-172

• 2011 -- Pubmed # 20407217 Lea, D. H., Kaphingst, K. A., Bowen, D., Lipkus, I., Hadley, D. W. Communicating genetic and genomic information: health literacy and numeracy considerations. Public Health Genomics. July, 2011; 14(4-5); 279-89 PMCID: PMC2909377

• 2011 -- Pubmed # 21471304 Lipkus, I. M., Eissenberg, T., Schwartz-Bloom, R. D., Prokhorov, A. V., Levy, J. Affecting perceptions of harm and addiction among college waterpipe tobacco smokers. Nicotine Tob Res. July, 2011; 13(7); 599-610 PMCID: PMC3129239

• 2011 -- Pubmed # 21688183 Lipkus, I. M., Vadaparampil, S. T., Jacobsen, P. B., Miree, C. A. Knowledge about genomic recurrence risk testing among breast cancer survivors. J Cancer Educ. June, 2011;

• 2011 -- Pubmed # 21502235 Tercyak, K. P., Hensley Alford, S., Emmons, K. M., Lipkus, I. M., Wilfond, B. S., McBride, C. M. Parents' attitudes toward pediatric genetic testing for common disease risk. Pediatrics. May, 2011; 127(5); e1288-95 PMCID: PMC3081191

• 2010 -- Pubmed # 20204982 Klein, W. M., Lipkus, I. M., Scholl, S. M., McQueen, A., Cerully, J. L., Harris, P. R. Self-affirmation moderates effects of unrealistic optimism and pessimism on reactions to tailored risk feedback. Psychol Health. December, 2010; 25(10); 1195-1208 PMCID: PMC2888925

• 2010 -- Pubmed # 20213682 Tzeng, J. P., Mayer, D., Richman, A. R., Lipkus, I., Han, P. K., Valle, C. G., Carey, L. A., Brewer, N. T. Women's experiences with genomic testing for breast cancer recurrence risk. Cancer. April 15, 2010; 116(8); 1992-2000

• 2010 -- Lipkus, I. M. Conveying genetic risk to teenagers. In Handbook of genomics and the family: Psychosocial context for children and adolescents (Issues in Clinical Child Psychology, Vol. 191), edited by Tercyak, K. P. June, 2010; pp. 191-217. New York: Springer Publishing Co..

• 2010 -- Pubmed # 20160070 Lipkus, I. M., Peters, E., Kimmick, G., Liotcheva, V., Marcom, P. Breast cancer patients' treatment expectations after exposure to the decision aid program adjuvant online: the influence of numeracy. Med Decis Making. February, 2010; 30(4); 464-73

• 2009 -- Pubmed # 20351884 Lobach, D. F., Waters, A., Silvey, G. M., Clark, S. J., Kalyanaraman, S., Kawamoto, K., Lipkus, I. Facilitating consumer clinical information seeking by maintaining referential context: evaluation of a prototypic approach. AMIA Annu Symp Proc. December, 2009; 2009 380-4 PMCID: PMC2815459

• 2009 -- Pubmed # 19834054 Lipkus, I. M., Peters, E. Understanding the role of numeracy in health: proposed theoretical framework and practical insights. Health Educ Behav. December, 2009; 36(6); 1065-81 PMCID: PMC2783983

• 2009 -- Pubmed # 19900944 Kiviniemi, M. T., Hay, J. L., James, A. S., Lipkus, I. M., Meissner, H. I., Stefanek, M., Studts, J. L., Bridges, J. F., Close, D. R., Erwin, D. O., Jones, R. M., Kaiser, K., Kash, K. M., Kelly, K. M., Craddock Lee, S. J., Purnell, J. Q., Siminoff, L. A., Vadaparampil, S. T., Wang, C. Decision making about cancer screening: an assessment of the state of the science and a suggested research agenda from the ASPO Behavioral Oncology and Cancer Communication Special Interest Group. Cancer Epidemiol Biomarkers Prev. November, 2009; 18(11); 3133-7 PMCID: PMC2810193

• 2009 -- Pubmed # 19567511 Sanderson, S. C., O'Neill, S. C., White, D. B., Bepler, G., Bastian, L., Lipkus, I. M., McBride, C. M. Responses to online GSTM1 genetic test results among smokers related to patients with lung cancer: a pilot study. Cancer Epidemiol Biomarkers Prev. July, 2009; 18(7); 1953-61

• 2009 -- Pubmed # 19383655 Lipkus, I., Shepperd, J. College smokers' estimates of their probabilities of remaining a smoker in the near future. J Health Psychol. May, 2009; 14(4); 547-55 PMCID: PMC2739614

• 2008 -- Pubmed # 18987083 Mosher, C. E., Lipkus, I. M., Sloane, R., Kraus, W. E., Snyder, D. C., Peterson, B., Jones, L. W., Demark-Wahnefried, W. Cancer survivors' health worries and associations with lifestyle practices. J Health Psychol. November, 2008; 13(8); 1105-12

• 2008 -- Pubmed # 18657041 O'Neill, S. C., Bowling, J. M., Brewer, N. T., Lipkus, I. M., Skinner, C. S., Strigo, T. S., Rimer, B. K. Intentions to maintain adherence to mammography. J Womens Health (Larchmt). September, 2008; 17(7); 1133-41 PMCID: PMC2575244

• 2008 -- Pubmed # 18677452 Nelson, W., Reyna, V. F., Fagerlin, A., Lipkus, I., Peters, E. Clinical implications of numeracy: theory and practice. Ann Behav Med. June, 2008; 35(3); 261-74

• 2008 -- Pubmed # 18483353 Snyder, D. C., Sloane, R., Lobach, D., Lipkus, I. M., Peterson, B., Kraus, W., Demark-Wahnefried, W. Differences in baseline characteristics and outcomes at 1- and 2-year follow-up of cancer survivors accrued via self-referral versus cancer registry in the FRESH START Diet and exercise trial. Cancer Epidemiol Biomarkers Prev. May, 2008; 17(5); 1288-94

• 2008 -- Pubmed # 18281920 O'Neill, S. C., White, D. B., Sanderson, S. C., Lipkus, I. M., Bepler, G., Bastian, L. A., McBride, C. M. The feasibility of online genetic testing for lung cancer susceptibility: uptake of a web-based protocol and decision outcomes. Genet Med. February, 2008; 10(2); 121-30

• 2007 -- Pubmed # 17888856 Pollak, K. I., Oncken, C. A., Lipkus, I. M., Lyna, P., Swamy, G. K., Pletsch, P. K., Peterson, B. L., Heine, R. P., Brouwer, R. J., Fish, L., Myers, E. R. Nicotine replacement and behavioral therapy for smoking cessation in pregnancy. Am J Prev Med. October, 2007; 33(4); 297-305

• 2007 -- Pubmed # 17873259 Lipkus, I. M. Numeric, verbal, and visual formats of conveying health risks: suggested best practices and future recommendations. Med Decis Making. September, 2007; 27(5); 696-713

• 2007 -- Pubmed # 16569981 Petty, T. L., Dempsey, E. C., Collins, T., Pluss, W., Lipkus, I., Cutter, G. R., Chalmers, R., Mitchell, A., Weil, K. C. Impact of customized videotape education on quality of life in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil. September, 2007; 26(2); 112-7

• 2007 -- Pubmed # 17602076 Demark-Wahnefried, W., Clipp, E. C., Lipkus, I. M., Lobach, D., Snyder, D. C., Sloane, R., Peterson, B., Macri, J. M., Rock, C. L., McBride, C. M., Kraus, W. E. Main outcomes of the FRESH START trial: a sequentially tailored, diet and exercise mailed print intervention among breast and prostate cancer survivors. J Clin Oncol. July, 2007; 25(19); 2709-18

• 2007 -- Pubmed # 17507634 Goldenberg, V. K., Seewaldt, V. L., Scott, V., Bean, G. R., Broadwater, G., Fabian, C., Kimler, B., Zalles, C., Lipkus, I. M. Atypia in random periareolar fine-needle aspiration affects the decision of women at high risk to take tamoxifen for breast cancer chemoprevention. Cancer Epidemiol Biomarkers Prev. May, 2007; 16(5); 1032-4

• 2007 -- Pubmed # 16824688 Lipkus, I. M., Prokhorov, A. V. The effects of providing lung age and respiratory symptoms feedback on community college smokers' perceived smoking-related health risks, worries and desire to quit. Addict Behav. March, 2007; 32(3); 516-32

• 2006 -- Pubmed # 16920652 Pollak, K. I., Oncken, C. A., Lipkus, I. M., Peterson, B. L., Swamy, G. K., Pletsch, P. K., Lyna, P., Namenek Brouwer, R. J., Fish, L. J., Myers, E. R. Challenges and solutions for recruiting pregnant smokers into a nicotine replacement therapy trial. Nicotine Tob Res. August, 2006; 8(4); 547-54

• 2006 -- Peters, E., Lipkus, I., Diefenbach, M. A. The functions of affect in health communications and in the construction of health preferences. Journal of Communication. August, 2006; 56(Suppl 1); S140-S162.

• 2006 -- Pubmed # 16720537 Lipkus, I. M., Klein, W. M. Effects of communicating social comparison information on risk perceptions for colorectal cancer. J Health Commun. June, 2006; 11(4); 391-407

• 2006 -- Demark-Wahnefried, W., Clipp, E. C., Lipkus, I., Kraus, W. E., Sloane, R., Snyder, D. C., Lobach, D. F. The teachable moment following cancer diagnosis: the FRESH START trial. American Journal of Oncology Review. January, 2006; 5(1); 52-57

• 2006 -- Bloom, P. N., McBride, C. M., Pollak, K. I., Schwartz-Bloom, R. D., Lipkus, I. M. Recruiting teen smokers in shopping malls to a smoking-cessation program using the foot-in-the-door technique. Journal of Applied Social Psychology. May, 2006; 36(5); 1129-1144

• 2005 -- Pubmed # 16365020 McBride, C. M., Lipkus, I. M., Jolly, D., Lyna, P. Interest in testing for genetic susceptibility to lung cancer among Black college students "at risk" of becoming cigarette smokers. Cancer Epidemiol Biomarkers Prev. December, 2005; 14(12); 2978-81

• 2005 -- Pubmed # 16377601 Heimendinger, J., O'Neill, C., Marcus, A. C., Wolfe, P., Julesburg, K., Morra, M., Allen, A., Davis, S., Mowad, L., Perocchia, R. S., Ward, J. D., Strecher, V., Warnecke, R., Nowak, M., Graf, I., Fairclough, D., Bryant, L., Lipkus, I. Multiple tailored messages are effective in increasing fruit and vegetable consumption among callers to the Cancer Information Service. J Health Commun. December, 2005; 10 Suppl 1(2); 65-82

• 2005 -- Pubmed # 16377602 Marcus, A. C., Mason, M., Wolfe, P., Rimer, B. K., Lipkus, I., Strecher, V., Warneke, R., Morra, M. E., Allen, A. R., Davis, S. W., Gaier, A., Graves, C., Julesberg, K., Nguyen, L., Perocchia, R., Speyer, J. B., Wagner, D., Thomsen, C., Bright, M. A. The efficacy of tailored print materials in promoting colorectal cancer screening: results from a randomized trial involving callers to the National Cancer Institute's Cancer Information Service. J Health Commun. December, 2005; 10 Suppl 1(2); 83-104

• 2005 -- Pubmed # 16153771 Porter, L. S., Keefe, F. J., Lipkus, I., Hurwitz, H. Ambivalence over emotional expression in patients with gastrointestinal cancer and their caregivers: associations with patient pain and quality of life. Pain. October, 2005; 117(3); 340-8

• 2005 -- Lipkus, I. M., Klein, W. M. P., Skinner, C. S. S., Rimer, B. K. Breast cancer risk perceptions and breast cancer worry: What predicts what? Journal of Risk Research. July, 2005; 8(5); 439-452

• 2005 -- Lipkus, I. M., Pollak, K. I., McBride, C. M., Schwartz-Bloom, R., Lyna, P., Bloom, P. N. Assessing attitudinal ambivalence towards smoking and its association with desire to quit among teen smokers. Psychology & Health. June, 2005; 20(3); 373-387

• 2005 -- Pubmed # 15749130 Lipkus, I. M., Skinner, C. S., Dement, J., Pompeii, L., Moser, B., Samsa, G. P., Ransohoff, D. Increasing colorectal cancer screening among individuals in the carpentry trade: test of risk communication interventions. Prev Med. May, 2005; 40(5); 489-501

• 2004 -- Pubmed # 15389420 Snyder, D. C., Sloane, R., Lobach, D., Lipkus, I., Clipp, E., Kraus, W. E., Demark-Wahnefried, W., Fresh Start study, Agreement between a brief mailed screener and an in-depth telephone survey: observations from the Fresh Start study. J Am Diet Assoc. October, 2004; 104(10); 1593-6

• 2004 -- Pubmed # 15313499 Tilson, E. C., McBride, C. M., Lipkus, I. M., Catalano, R. F. Testing the interaction between parent-child relationship factors and parent smoking to predict youth smoking. J Adolesc Health. September, 2004; 35(3); 182-9

• 2004 -- Pubmed # 15264976 Lipkus, I. M., McBride, C. M., Pollak, K. I., Schwartz-Bloom, R. D., Tilson, E., Bloom, P. N. A randomized trial comparing the effects of self-help materials and proactive telephone counseling on teen smoking cessation. Health Psychol. July, 2004; 23(4); 397-406

• 2004 -- Pubmed # 15066920 Lipkus, I. M., Skinner, C. S., Green, L. S., Dement, J., Samsa, G. P., Ransohoff, D. Modifying attributions of colorectal cancer risk. Cancer Epidemiol Biomarkers Prev. April, 2004; 13(4); 560-6

• 2004 -- Pubmed # 15008663 Lipkus, I. M., McBride, C. M., Pollak, K. I., Lyna, P., Bepler, G. Interpretation of genetic risk feedback among African American smokers with low socioeconomic status. Health Psychol. March, 2004; 23(2); 178-88

• 2003 -- Pubmed # 14572436 Lipkus, I. M., Samsa, G. P., Dement, J., Skinner, C. S., Green, L. S., Pompeii, L., Ransohoff, D. F. Accuracy of self-reports of fecal occult blood tests and test results among individuals in the carpentry trade. Prev Med. November, 2003; 37(5); 513-9

• 2003 -- Pubmed # 14580632 Rakowski, W., Lipkus, I. M., Clark, M. A., Rimer, B. K., Ehrich, B., Lyna, P. R., Kornguth, P. J. Reminder letter, tailored stepped-care, and self-choice comparison for repeat mammography. Am J Prev Med. November, 2003; 25(4); 308-14

• 2003 -- Pubmed # 14534447 Dement, J., Pompeii, L., Lipkus, I. M., Samsa, G. P. Cancer incidence among union carpenters in New Jersey. J Occup Environ Med. October, 2003; 45(10); 1059-67

• 2003 -- Pubmed # 12857652 Lipkus, I. M., Green, L. G., Marcus, A. Manipulating perceptions of colorectal cancer threat: implications for screening intentions and behaviors. J Health Commun. August, 2003; 8(3); 213-28

• 2003 -- Pubmed # 12749969 Keefe, F. J., Lipkus, I., Lefebvre, J. C., Hurwitz, H., Clipp, E., Smith, J., Porter, L. The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses. Pain. May, 2003; 103(1-2); 151-6

• 2003 -- Pubmed # 12729175 McBride, C. M., Emmons, K. M., Lipkus, I. M. Understanding the potential of teachable moments: the case of smoking cessation. Health Educ Res. April, 2003; 18(2); 156-70

• 2003 -- Pubmed # 12618570 Demark-Wahnefried, W., Clipp, E. C., McBride, C., Lobach, D. F., Lipkus, I., Peterson, B., Clutter Snyder, D., Sloane, R., Arbanas, J., Kraus, W. E. Design of FRESH START: a randomized trial of exercise and diet among cancer survivors. Med Sci Sports Exerc. March, 2003; 35(3); 415-24

• 2003 -- Keller, P. A., Lipkus, I. M., Rimer, B. Affect, framing, and persuasion. Journal of Marketing Research. February, 2003; 40(1); 54-64

• 2003 -- Lipkus, I. M., Nelson, D. E. Visual communication. In Communicating public health information effectively: A guide for practitioners, edited by Nelson D. E. and Brownson, R. C. and Remington, P. L. and Parvanta, C. 2003; Washington, DC: American Public Health Association.

• 2002 -- Pubmed # 12477613 Bastian, L. A., McBride, C. M., Fish, L., Lyna, P., Farrell, D., Lipkus, I. M., Rimer, B. K., Siegler, I. C. Evaluating participants' use of a hormone replacement therapy decision-making intervention. Patient Educ Couns. December, 2002; 48(3); 283-91

• 2002 -- Pubmed # 12458781 Pollak, K. I., Taiwo, B., Lyna, P., Baldwin, M., Lipkus, I. M., Bepler, G., McBride, C. M. Reported cessation advice given to African Americans by health care providers in a community health clinic. J Community Health. December, 2002; 27(6); 381-93

• 2002 -- Pubmed # 12149307 Chlebowski, R. T., Col, N., Winer, E. P., Collyar, D. E., Cummings, S. R., Vogel 3rd, V. G., Burstein, H. J., Eisen, A., Lipkus, I., Pfister, D. G., American Society of Clinical Oncology Breast Cancer Technology Assessment Working Group, American Society of Clinical Oncology technology assessment of pharmacologic interventions for breast cancer risk reduction including tamoxifen, raloxifene, and aromatase inhibition. J Clin Oncol. August, 2002; 20(15); 3328-43

• 2002 -- Pubmed # 12084693 McBride, C. M., Bastian, L. A., Halabi, S., Fish, L., Lipkus, I. M., Bosworth, H. B., Rimer, B. K., Siegler, I. C. A tailored intervention to aid decision-making about hormone replacement therapy. Am J Public Health. July, 2002; 92(7); 1112-4 PMCID: PMC1447199

• 2002 -- Keller, P. A., Lipkus, I. M., Rimer, B. K. Depressive realism and health risk accuracy: The negative consequences of positive mood. Journal of Consumer Research. June, 2002; 29(1); 57-69

• 2002 -- Pubmed # 12050092 McBride, C. M., Bepler, G., Lipkus, I. M., Lyna, P., Samsa, G., Albright, J., Datta, S., Rimer, B. K. Incorporating genetic susceptibility feedback into a smoking cessation program for African-American smokers with low income. Cancer Epidemiol Biomarkers Prev. June, 2002; 11(6); 521-8

• 2002 -- Pubmed # 11988381 Rimer, B. K., Halabi, S., Sugg Skinner, C., Lipkus, I. M., Strigo, T. S., Kaplan, E. B., Samsa, G. P. Effects of a mammography decision-making intervention at 12 and 24 months. Am J Prev Med. May, 2002; 22(4); 247-57

• 2002 -- Pubmed # 12069216 Pollak, K. I., Yarnall, K. S., Rimer, B. K., Lipkus, I., Lyna, P. R. Factors associated with patient-recalled smoking cessation advice in a low-income clinic. J Natl Med Assoc. May, 2002; 94(5); 354-63 PMCID: PMC2594330

• 2002 -- Pubmed # 11749101 Stoddard, A. M., Fox, S. A., Costanza, M. E., Lane, D. S., Andersen, M. R., Urban, N., Lipkus, I., Rimer, B. K., NCI Breast Screening Consortium, Effectiveness of telephone counseling for mammography: results from five randomized trials. Prev Med. January, 2002; 34(1); 90-9

• 2002 -- Pubmed # 12477145 Pollak, K. I., Arredondo, E. M., Yarnall, K. S., Lipkus, I., Myers, E., McNeilly, M., Costanzo, P. Influence of stereotyping in smoking cessation counseling by primary care residents. Ethn Dis. 2002; 12(4); 578-85

• 2001 -- Pubmed # 11570833 Pollak, K. I., Arredondo, E. M., Yarnall, K. S., Lipkus, I., Myers, E., McNeilly, M., Costanzo, P. How do residents prioritize smoking cessation for young "high-risk" women? Factors associated with addressing smoking cessation. Prev Med. October, 2001; 33(4); 292-9

• 2001 -- Pubmed # 11570647 McBride, C. M., Pollak, K. I., Bepler, G., Lyna, P., Lipkus, I. M., Samsa, G. P. Reasons for quitting smoking among low-income African American smokers. Health Psychol. September, 2001; 20(5); 334-40

• 2001 -- Pubmed # 11489757 Lipkus, I. M., Klein, W. M., Rimer, B. K. Communicating breast cancer risks to women using different formats. Cancer Epidemiol Biomarkers Prev. August, 2001; 10(8); 895-8

• 2001 -- Pubmed # 11434796 Bastian, L. A., Lipkus, I. M., Kuchibhatla, M. N., Weng, H. H., Halabi, S., Ryan, P. D., Skinner, C. S., Rimer, B. K. Women's interest in chemoprevention for breast cancer. Arch Intern Med. July, 2001; 161(13); 1639-44

• 2001 -- Pubmed # 11384825 Rimer, B. K., Halabi, S., Sugg Skinner, C., Kaplan, E. B., Crawford, Y., Samsa, G. P., Strigo, T. S., Lipkus, I. M. The short-term impact of tailored mammography decision-making interventions. Patient Educ Couns. June, 2001; 43(3); 269-85

• 2001 -- Pubmed # 11206945 Lipkus, I. M., Samsa, G., Rimer, B. K. General performance on a numeracy scale among highly educated samples. Med Decis Making. May, 2001; 21(1); 37-44

• 2001 -- Dalbert, C., Lipkus, I. M., Sallay, H., Goch, I. A just and an unjust world: Structure and validity of different world beliefs. Personality and Individual Differences. March, 2001; 30(4); 561-577

• 2001 -- Lipkus, I. M., Green, J. D., Feaganes, J. R., Sedikides, C. The relationship between attitudinal ambivalence and desire to quit smoking among college smokers. Journal of Applied Social Psychology. January, 2001; 31(1); 113-133

• 2001 -- Pubmed # 11451105 Lipkus, I. M., Biradavolu, M., Fenn, K., Keller, P., Rimer, B. K. Informing women about their breast cancer risks: truth and consequences. Health Commun. 2001; 13(2); 205-26

• 2000 -- Pubmed # 11185023 McBride, C. M., Halabi, S., Bepler, G., Lyna, P., McIntyre, L., Lipkus, I., Albright, J., O'Briant, K. Maximizing the motivational impact of feedback of lung cancer susceptibility on smokers' desire to quit. J Health Commun. December, 2000; 5(3); 229-41

• 2000 -- Pubmed # 11038480 McBride, C. M., Clipp, E., Peterson, B. L., Lipkus, I. M., Demark-Wahnefried, W. Psychological impact of diagnosis and risk reduction among cancer survivors. Psychooncology. November, 2000; 9(5); 418-27

• 2000 -- Pubmed # 11038478 Lipkus, I. M., Halabi, S., Strigo, T. S., Rimer, B. K. The impact of abnormal mammograms on psychosocial outcomes and subsequent screening. Psychooncology. November, 2000; 9(5); 402-10

• 2000 -- Pubmed # 11105730 Lipkus, I. M., Lyna, P. R., Rimer, B. K. Colorectal cancer risk perceptions and screening intentions in a minority population. J Natl Med Assoc. October, 2000; 92(10); 492-500 PMCID: PMC2608546

• 2000 -- Pubmed # 11008917 Lipkus, I. M., Kuchibhatla, M., McBride, C. M., Bosworth, H. B., Pollak, K. I., Siegler, I. C., Rimer, B. K. Relationships among breast cancer perceived absolute risk, comparative risk, and worries. Cancer Epidemiol Biomarkers Prev. September, 2000; 9(9); 973-5

• 2000 -- Pubmed # 10790787 Lipkus, I. M., Crawford, Y., Fenn, K., Biradavolu, M., Binder, R. A., Marcus, A., Mason, M. Testing different formats for communicating colorectal cancer risk. J Health Commun. April, 2000; 4(4); 311-24

• 2000 -- Pubmed # 10649263 Demark-Wahnefried, W., Peterson, B., McBride, C., Lipkus, I., Clipp, E. Current health behaviors and readiness to pursue life-style changes among men and women diagnosed with early stage prostate and breast carcinomas. Cancer. February, 2000; 88(3); 674-84

• 2000 -- Pubmed # 10808977 Lipkus, I. M., Rimer, B. K., Halabi, S., Strigo, T. S. Can tailored interventions increase mammography use among HMO women? Am J Prev Med. January, 2000; 18(1); 1-10

• 1999 -- Pubmed # 10385144 Lipkus, I. M., Iden, D., Terrenoire, J., Feaganes, J. R. Relationships among breast cancer concern, risk perceptions, and interest in genetic testing for breast cancer susceptibility among African-American women with and without a family history of breast cancer. Cancer Epidemiol Biomarkers Prev. June, 1999; 8(6); 533-9

• 1999 -- Pubmed # 14528540 Rimer, B. K., Conaway, M., Lyna, P., Glassman, B., Yarnall, K. S., Lipkus, I., Barber, L. T. The impact of tailored interventions on a community health center population. Patient Educ Couns. June, 1999; 37(2); 125-40

• 1999 -- Pubmed # 10839706 Rimer, B. K., Halabi, S., Strigo, T. S., Crawford, Y., Lipkus, I. M. Confusion about mammography: prevalence and consequences. J Womens Health Gend Based Med. May, 1999; 8(4); 509-20

• 1999 -- Pubmed # 11072391 Lipkus, I. M., Lyna, P. R., Rimer, B. K. Using tailored interventions to enhance smoking cessation among African-Americans at a community health center. Nicotine Tob Res. March, 1999; 1(1); 77-85

• 1999 -- Pubmed # 10854471 Lipkus, I. M., Hollands, J. G. The visual communication of risk. J Natl Cancer Inst Monogr. 1999; 9(25); 149-63

• 1998 -- Pubmed # 9612839 Stoddard, A. M., Rimer, B. K., Lane, D., Fox, S. A., Lipkus, I., Luckmann, R., Avrunin, J. S., Sprachman, S., Costanza, M., Urban, N. Underusers of mammogram screening: stage of adoption in five U.S. subpopulations. The NCI Breast Cancer Screening Consortium. Prev Med. August, 1998; 27(3); 478-87

• 1996 -- Pubmed # 8912118 Lipkus, I. M., Rimer, B. K., Lyna, P. R., Pradhan, A. A., Conaway, M., Woods-Powell, C. T. Colorectal screening patterns and perceptions of risk among African-American users of a community health center. J Community Health. December, 1996; 21(6); 409-27

• 1998 -- Lipkus, I. M., Bissonnette, V., Montada, L., Lerner, M. J. The belief in a just world and willingness to accommodate among married and dating couples. In Responses to victimizations and belief in a just world, edited by Montada, L. and Lerner, M. J. 1998; pp. 127-140. New York: Plenum Press.

• 1996 -- Pubmed # 8959324 Lipkus, I. M., Rimer, B. K., Strigo, T. S. Relationships among objective and subjective risk for breast cancer and mammography stages of change. Cancer Epidemiol Biomarkers Prev. December, 1996; 5(12); 1005-11

• 1996 -- Lipkus, I. M., Bissonnette, V. L. Relationships among belief in a just world, willingness to accommodate, and marital well-being. Personality and Social Psychology Bulletin. October, 1996; 22(10); 1043-1056

• 1996 -- Lipkus, I. M., Dalbert, C., Siegler, I. C. The importance of distinguishing the belief in a just world for self versus for others: Implications for psychological well-being. Personality and Social Psychology Bulletin. July, 1996; 22(7); 666-677

• 1995 -- Pubmed # 7629242 Malarkey, W. B., Lipkus, I. M., Cacioppo, J. T. The dissociation of catecholamine and hypothalamic-pituitary-adrenal responses to daily stressors using dexamethasone. J Clin Endocrinol Metab. August, 1995; 80(8); 2458-63

• 1995 -- Pubmed # 7662182 Lipkus, I. M., Siegler, I. C. Do comparative self-appraisals during young adulthood predict adult personality? Psychol Aging. June, 1995; 10(2); 229-37

• 1994 -- Pubmed # 8189332 Lipkus, I. M., Barefoot, J. C., Feaganes, J., Williams, R. B., Siegler, I. C. A short MMPI scale to identify people likely to begin smoking. J Pers Assess. April, 1994; 62(2); 213-22

• 1994 -- Pubmed # 8020458 Lipkus, I. M., Barefoot, J. C., Williams, R. B., Siegler, I. C. Personality measures as predictors of smoking initiation and cessation in the UNC Alumni Heart Study. Health Psychol. March, 1994; 13(2); 149-55

• 1994 -- Barefoot, J. C., Lipkus, I. M., Siegman, A. W., Smith, T. W. The assessment of anger and hostility. In Anger, hostility, and the heart, edited by Siegman, A. W. and Smith, T. W 1994; pp. 43-66. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc..

• 1993 -- Lipkus, I. M., Martz, J. M., Panter, A. T., Drigotas, S. M. Do optimists distort their predictions for future positive and negative events? Personality and Individual Differences. November, 1993; 15(5); 577-589

• 1993 -- Rusbult, C. E., Onizuka, R. K., Lipkus, I. What do we really want? Mental models of ideal romantic involvement explored through multidimensional scaling. Journal of Experimental Social Psychology. November, 1993; 29(6); 493-527

• 1993 -- Pubmed # 8254564 Lipkus, I. M., Siegler, I. C. The belief in a just world and perceptions of discrimination. J Psychol. July, 1993; 127(4); 465-74

• 1993 -- Lipkus, I., Rusbult, C. Reactions to individuals who are consistently positive or negative: The impact of differing interaction goals. Human Relations. April, 1993; 46(4); 481-499

• 1993 -- Pubmed # 8461112 Barefoot, J. C., Beckham, J. C., Haney, T. L., Siegler, I. C., Lipkus, I. M. Age differences in hostility among middle-aged and older adults. Psychol Aging. March, 1993; 8(1); 3-9

• 1992 -- Lipkus, I. M. A heuristic model to explain perceptions of unjust events Social Justice Research. 1992; 5(4); 359-384

• 1991 -- Rusbult, C. E., Verette, J., Whitney, G. A., Slovik, L. F., Lipkus, I. Accommodation processes in close relationships: Theory and preliminary empirical evidence. Journal of Personality and Social Psychology. January, 1991; 60(1); 53-78

• 1991 -- Lipkus, I. The construction and preliminary validation of a global belief in a just world scale and the exploratory analysis of the multidimensional belief in a just world scale. Personality and Individual Differences. 1991; 12(11); 1171-1178

Grant Funding (selected)

• Effects of Message Framing and Risk Feedback on CRC Screening  
  National Institutes of Health
  1R21-CA181256-01
  09/2014-08/2016
  

• IPA Karen Nicely  
  Durham Veterans Affairs Medical Center
  558/152
  04/2012-09/2012
  

• Effects of Message Framing on Cessation among Couples where both Partners Smoke  
  National Institutes of Health
  1R21-CA165194-01A1
  03/2012-02/2014
  Role: Principal Investigator
  Project Goal: This study aims to test whether focusing the positive effects of quitting at the level of the individual or couples or the negative effects of continuing to smoke at the level of the individual or couples, influence processes of communal coping and downstream smoking-related outcomes.

• Motivating Weight Loss in Dual Overweight/Obese Couples  
  Duke Cancer Prevention, Detection, and Control Research Program Cancer Control Pilot Award
  07/2012-06/2013
  Role: Principal Investigator
  Project goal: To motivate weight loss in obese couples using mental contrasting and implementation intentions.

• Preliminary Test of Habit Formation Intervention for Physical Activity in Breast Cancer Survivors  
  Duke University School of Nursing Small Grant Project
  09/2012-08/2013
  Role: Principal Investigator
  

• Patient self-management and gene guided therapy for CHC  
  National Institutes of Health
  1R21-NR013461-01
  04/2012-03/2014
  Role: Co-investigator
  This 2 year exploratory mixed-methods longitudinal case study (n=18) will describe patients’ and providers’ explanations of how and why they engage in technical work (T-WORK) and adaptive work (A-WORK), and adaptive leadership (A-LEAD) and how these strategies promote or pose barriers to patients’ SM in the context of the new genetic marker and treatments.

• Assessing Risk Communication Educational Practices in Genetic Counseling Programs  
  National Institutes of Health
  1R01-HG004322-01A1
  08/2008-05/2011
  Role: PI
  

• Clinical Validity and Utility of Genomic Targeted Chemoprevention of PCa  
  Wake Forest University Health Sciences
  WFUHS-66670
  09/2009-08/2010
  Role: PI
  This pilot study explores interest among smokers to test for their risk of developing lung cancer based on epigenetic changes associated with methylation of the p16 protein.

• The Effects of Providing Breast Cancer Recurrence using Oncotype Risk  
  The Anthony Marchione Foundation
  05/2008-12/2009
  Role: PI
  This study aims to explore 1) patients’ accuracy of stating their recurrence risk based on the oncotype DX, 2) how perceptions of recurrence risk affect weighting of treatment risks and benefits and treatment selection, and 3) how numeracy affects process

• Testing the Feasibility of Using an Epigenetic Marker of Risk for Lung Cancer, Methylation of p16, to Promote Smoking Cessation  
  CALGB
  06/2008-05/2009
  Role: Co-investigator
  This pilot study explores interest among smokers to test for their risk of developing lung cancer based on epigenetic changes associated with methylation of the p16 protein.

• Young Smokers’ Reactions to Genetic Risk for Lung Cancer  
  NIH/NCI
  R01 CA121922
  08/2007-07/2011
  Role: PI
  The goal of this study understand college smokers’ cognitive and emotional responses to genetic susceptibility feedback and their influence on downstream perceptions of lung cancer risks and worry and initial steps towards cessation.

• Increasing Attention to Smoking Risk Messages  
  NIH/NCI
  R01-CA114389
  09/2007-07/2009
  Role: PI
  The purpose of this study is to assess the relationship between smokers’ perceptions of risk and motivations to seek out and process information about risks and cessation.

• Strategies to Help Inform Colorectal Cancer Risk Magnitudes  
  NIH
  R03 CA132562
  09/2007-08/2009
  Role: Co-investigator
  Project Goal: To develop an intervention that addresses different dimensions of risk and assess how people’s reactions/understandings on various dimensions are related to intentions to screen for CRC.

• The Perception of Cancer Risk in Patients with Barrett's Esophagus  
  University of North Carolina - Chapel Hill
  5-34340 yr 2 #1
  07/2007-06/2009
  Role: PI
  The objectives of this application are: 1) to assess the perceived risk of esophageal adenocarcinoma in subjects with non-dysplastic BE in a multi-center study, 2) to assess the relationship between risk perception and the utilization of resources in these subjects, and, 3) to develop a CD-rom based, self-directed teaching module to be administered to subjects with BE in a subsequent study.

• Daughters And MothErS (DAMES) Against Breast Cancer  
  NCI
  R21-CA122143
  06/2007-05/2009
  Role: Co-investigator
  The primary aim of this study is to explore the uptake and acceptability of the interventions to promote physical activity and dietary changes among daughters and mothers who are obese.

• Effects of Combining Decision Aids on Breast Cancer Adjuvant Treatment Expectations and Decisions  
  Foundation for Informed Medical Decision
  10/2006-06/2008
  Role: PI
  

• Effects of Communicating RPFNA Results on Decisions about Tamoxifen Use  
  NIH/NCI
  R21-CA-120342
  04/2007-03/2009
  Role: PI
  The proposed study will be the first to address: 1) how patients factually understand and derive affective (i.e, emotional) meaning from the RPFNA result; 2) and how such understandings affect perceptions of BC risks and worry, and subsequent decision-making processes involving Tam; and 3) how numeracy and health literacy affect understanding, and as a result, perceptions of BC risk, and decision-making processes involving Tam.

• Cancer Information Service  
  NIH/NCI (HHSN261200511)
  N02 C0 51105
  01/2005-01/2010
  Role: PI
  To support the infrastructure, partnerships and research of the nationally recognized Cancer Information Service.

• Guilford County Genomic Medicine Initiative: Developing Models for Medical Practice  
  Department of Defense
  W81XWH-05-1-0383
  04/2005-06/2007
  Role: Co-Investigator
  The purpose of this grant is to explore how to use family history to promote prevention behaviors, cancer screening, and if needed, genetic testing. Among other things, this includes applying broad-based educational programs to the community and health care professionals, and utilizing a clinical approach that addresses the numerous technical, logistical, and operational challenges of such an endeavor.

• Finding the M.I.N.C. for Mammography Maintenance  
  NIH/NCI, UNC Subcontract
  5 31982
  09/2003-06/2009
  Role: Co-Investigator and Subcontract PI
  The goal of this study is the use of a stepped care approach to maintain mammography adherence through the use of reminder systems, barriers counseling and having women think about the benefits of getting mammograms or the losses associated by not getting mammograms.

• Affecting Risk Perceptions and Ambivalence About Smoking  
  NIH/NCI
  CA90716
  03/2003-02/2005
  Role: PI
  This study explores how manipulating perceptions of smoking-related risks and attitudinal ambivalence towards smoking independently and jointly affect college smokers’ intentions to quit.

• Message Framing Effects on Youth’s Smoking Behavior  
  NIH/NCI
  R01-CA89122
  09/2002-09/2006
  Role: PI
  This study explores the extent to which messages framed as gains or losses interact with community college smokers’ stage of change to affect desire and intentions to quit smoking.

• The Effects of Information Displays in Decisions about Tamoxifen Use for Breast Cancer Chemoprevention  
  Department of Defense
  DAMD17-03-1-03820
  05/2003-09/2007
  Role: PI
  The purpose of this study is to examine how providing individualized risk estimates of breast cancer and the risk and benefits of tamoxifen for breast cancer chemoprevention, individually and jointly affect the decision to take tamoxifen among higher risk women.

• Testing Pharmacological Therapies for Pregnant Smokers  
  NIH/NCI
  R01-CA80953
  05/2002-04/2008
  Role: Co-I
  This is a two-arm design project. Aim one is Tailored Cognitive Behavioral Treatment (TCBT) that provides women with customized risk information about smoking and nicotine, the potential harms to the fetus and encouragement of appropriate behavioral skills building. Aim two is TCBT + NRT – the tailored intervention incorporating NRT information plus choice of patch or gum.