- Cervical Cancer and HPV Research
- Vaccine Coverage and Hesitancy
- Smoking Behavior and Cessation
- Hepatitis B Virus Studies
- Behavioral Health and Interventions
- Global Cancer Incidence and Screening
- Genital Health and Disease
- Media Influence and Health
- Ethics and Legal Issues in Pediatric Healthcare
- Risk Perception and Management
- BRCA gene mutations in cancer
- Colorectal Cancer Screening and Detection
- Consumer Attitudes and Food Labeling
- COVID-19 epidemiological studies
- SARS-CoV-2 and COVID-19 Research
- Climate Change Communication and Perception
- Influenza Virus Research Studies
- Patient-Provider Communication in Healthcare
- Adolescent Sexual and Reproductive Health
- Obesity, Physical Activity, Diet
- Safety Warnings and Signage
- Health Systems, Economic Evaluations, Quality of Life
- Viral gastroenteritis research and epidemiology
- Decision-Making and Behavioral Economics
- Healthcare cost, quality, practices
UNC Lineberger Comprehensive Cancer Center
2016-2025
RTI International
2019-2025
University of North Carolina at Chapel Hill
2015-2024
University of the Witwatersrand
2023
Segeberger Kliniken
2013-2022
Center for Surveillance, Epidemiology, and Laboratory Services
2021
AID Atlanta
2021
Research Triangle Park Foundation
2019
Education Trust
2019
Duke University
2019
Vaccination is one of the great achievements 20th century, yet persistent public-health problems include inadequate, delayed, and unstable vaccination uptake. Psychology offers three general propositions for understanding intervening to increase uptake where vaccines are available affordable. The first proposition that thoughts feelings can motivate getting vaccinated. Hundreds studies have shown risk beliefs anticipated regret about infectious disease correlate reliably with vaccinated; low...
Background: Because risk perceptions can affect protective behavior and perceptions, the relations between these 2 constructs are complex incorrect tests often lead to invalid conclusions. Purpose: To discuss carry out appropriate of 3 easily confused hypotheses: (a) motivation hypothesis (perceptions personal cause people take action), (b) reappraisal (when actions thought be effective, they lower their perceptions), (c) accuracy (risk accurately reflect behavior). Methods: Longitudinal...
OBJECTIVE: Improving provider recommendations is critical to addressing low human papillomavirus (HPV) vaccination coverage. Thus, we sought determine the effectiveness of training providers improve their using either presumptive “announcements” or participatory “conversations.” METHODS: In 2015, conducted a parallel-group randomized clinical trial with 30 pediatric and family medicine clinics in central North Carolina. We receive no (control), announcement training, conversation training....
<h3>Importance</h3> Pictorial warnings on cigarette packs draw attention and increase quit intentions, but their effect smoking behavior remains uncertain. <h3>Objective</h3> To assess the of adding pictorial to front back packs. <h3>Design, Setting, Participants</h3> This 4-week between-participant randomized clinical trial was carried out in California North Carolina. We recruited a convenience sample adult smokers from general population beginning September 2014 through August 2015. Of...
Human papillomavirus (HPV) vaccine uptake is low among adolescent girls in the United States. We sought to identify longitudinal predictors of HPV initiation populations at elevated risk for cervical cancer.We interviewed a population-based sample parents 10- 18-year-old areas North Carolina with cancer rates. Baseline interviews occurred summer 2007 and follow-up fall 2008. Measures included health belief model constructs.Parents reported that 27% (149/567) their daughters had initiated...
More US adolescents use e-cigarettes than smoke cigarettes. Research suggests flavoured appeal to youth, but little is known about perceptions of and reasons for attraction specific flavours.A national sample (n=1125) ages 13-17 participated in a phone survey from November 2014 June 2015. We randomly assigned respond items 1 5 e-cigarette flavours (tobacco, alcohol, menthol, candy or fruit) used regression analysis examine the impact flavour on interest trying harm beliefs.Adolescents were...
The aim of our study was to explore reasons for starting and then stopping electronic cigarette (e-cigarette) use. Among a national sample 3878 U.S. adults who reported ever trying e-cigarettes, the most common were curiosity (53%); because friend or family member used, gave, offered e-cigarettes (34%); quitting reducing smoking (30%). Nearly two-thirds (65%) people started using later stopped them. Discontinuation more among those whose main reason not goal-oriented (e.g., curiosity) than...
Improving the quality of physicians' recommendations for human papillomavirus (HPV) vaccination is critical to addressing low coverage. Thus, we sought describe HPV vaccine communication practices among primary care physicians.Pediatricians and family physicians (n = 776) completed our national online survey in 2014. We assessed their on strength endorsement (i.e., saying important), timeliness (recommending it by ages 11-12), consistency routinely vs. using a risk-based approach), urgency...
Abstract Background As COVID-19 vaccine distribution efforts continue, public health workers can strategize about promotion in an effort to increase willingness among those who may be hesitant. Methods In April 2020, we surveyed a national probability sample of 2279 U.S. adults using online panel recruited through address-based sampling. Households received computer and internet access if needed participate the panel. Participants were invited via e-mail answered survey questions their get...