The overall goal of this career development application is to enable Dr. Hudson to become an independent researcher in cancer survivorship and primary care research. The numbers of cancer survivors are rapidly increasing. Breast and prostate cancer survival exceeds 75%. More than half of individuals already diagnosed with cancer are expected to survive for more than 5 years. Primary care providers are seen for one out of three cancer care office visits. Primary care foci of care coordination and continuity are necessary for achieving better survivor care. However, research on primary care providers'impact on survivor outcomes is fairly underdeveloped. Two new studies suggest that survivors who see both oncologists and primary care physicians are more likely to receive recommended follow-up care than patients who see one or the other. However, there is no research that examines how patients think about these options for care, their decision making processes or the impact of these factors on receiving follow-up care. Using a combination of interviewing and survey research methodologies, the proposed studies build on each other to (1) explore early stage breast and prostate cancer survivors'attitudes toward primary care for follow-up cancer screening and (2) develop and validate a survey instrument to be implemented in a study that describes primary care usage and assesses cognitive-affective, patient support and demographic factors that affect how survivors use specialists and primary care physicians for follow-up care. The training plan proposed supports this research by providing necessary advanced mentoring and coursework in health psychology, risk perception, decision making, cancer biology and epidemiology. This will enable the PI to effectively conduct the proposed studies and provide a strong, evidence based foundation for later development of a testable intervention that helps survivors more effectively work with primary care providers around their follow-up cancer care. This program of training and research will be critical to identifying common and important quality of life problems faced by survivors and identifying mechanisms and risk factors underlying these problems. Most importantly, the knowledge gained from these studies is essential for development and testing of theory guided interventions that focus on providing new strategies to more effectively address survivor care in the primary care setting.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Research Scientist Development Award - Research & Training (K01)
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Study Section
Subcommittee G - Education (NCI)
Program Officer
Vallejo-Estrada, Yolanda
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University of Medicine & Dentistry of NJ
Family Medicine
Schools of Medicine
United States
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Coups, Elliot J; Stapleton, Jerod L; Manne, Sharon L et al. (2014) Psychosocial correlates of sun protection behaviors among U.S. Hispanic adults. J Behav Med 37:1082-90
Mohamed, Nihal E; Chaoprang Herrera, Phapichaya; Hudson, Shawna et al. (2014) Muscle invasive bladder cancer: examining survivor burden and unmet needs. J Urol 191:48-53
Evans, Kiameesha R; Hudson, Shawna V (2014) Engaging the community to improve nutrition and physical activity among houses of worship. Prev Chronic Dis 11:E38
Coups, Elliot J; Stapleton, Jerod L; Hudson, Shawna V et al. (2013) Linguistic acculturation and skin cancer-related behaviors among Hispanics in the southern and western United States. JAMA Dermatol 149:679-86
Coups, Elliot J; Stapleton, Jerod L; Hudson, Shawna V et al. (2013) Skin cancer surveillance behaviors among US Hispanic adults. J Am Acad Dermatol 68:576-84
Manne, Sharon; Etz, Rebecca S; Hudson, Shawna V et al. (2012) A qualitative analysis of couples' communication regarding colorectal cancer screening using the Interdependence Model. Patient Educ Couns 87:18-22
Evans, Kiameesha R; Lewis, M Jane; Hudson, Shawna V (2012) The role of health literacy on African American and Hispanic/Latino perspectives on cancer clinical trials. J Cancer Educ 27:299-305
Shaw, Eric K; Howard, Jenna; Etz, Rebecca S et al. (2012) How team-based reflection affects quality improvement implementation: a qualitative study. Qual Manag Health Care 21:104-13
Delnevo, Cristine D; Steinberg, Michael B; Hudson, Shawna V et al. (2011) Epidemiology of Cigarette and Smokeless Tobacco Use among South Asian Immigrants in the Northeastern United States. J Oncol 2011:252675
Hudson, Shawna V; Hahn, Karissa A; Ohman-Strickland, Pamela et al. (2009) Breast, colorectal and prostate cancer screening for cancer survivors and non-cancer patients in community practices. J Gen Intern Med 24 Suppl 2:S487-90

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