Penn's CECCR II builds on the substantial success of CECCR I which focused on the role of public information in cancer-related decisions. The three major research projects have been fully realized as planned;we have provided pilot funding for 21 projects;published 47 papers;received 11 follow-on grants;'graduated'19 young investigators, post-docs and doctoral students who have gone on to new positions. We have built strong interdisciplinary working relationships between communication, behavioral science and cancer control scholars. Penn's CECCR II expands the CECCR I focus: its major theme is the interaction of public communication and clinical services as they both affect cancer-related outcomes. We propose three major projects: Project One builds on our cohort of 2010 breast, prostate and colon cancer patients, adding Medicare claims information and a follow-up survey to assess the influences on and the health outcomes of patient-clinician communication up to three years post-diagnosis. Project Two will undertake an experiment with 300 chronic smokers studying the effects of advertisements designed to drive smokers to smoking cessation (and to cessation programs). Its major question is whether the all-too-common inclusion of smoking cues in those ads creates smoking urges that work against their success. Project Three focuses on the development of theory-based messages to encourage eligible people to ask their physicians for colorectal screening, and, once scheduled, to follow through and get the scheduled test. Based on the Integrative Model, the project has four phases: an elicitation study, a 2000 person survey, four message experiments with online samples, and a full field experiment with patients in the Penn Health System. A major innovation in CECCR II is the inclusion of a Message Design Core, a rapid and efficient message testing lab which brings cutting edge theory and methods to message development, The Training and Development Cores will be crucial to the Center's success, supporting young investigators, post-docs and doctoral students in substantial numbers as they build careers in cancer communication. A Translation to Practice Core linked to the Abramson Cancer Center magnifies opportunities for results to be adopted.

Public Health Relevance

Penn's CECCR II is committed to building the nations's cancer communication agenda. Each of the major projects is specifically linked to clinical services and is intended to produce actionable recommendations. Translation to practice and to policy are built into the Center and its institutional links. Penn is also proud of the Center's history and promise in developing the next generation of cancer communication researchers.

National Institute of Health (NIH)
National Cancer Institute (NCI)
Exploratory Grants (P20)
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Special Emphasis Panel (ZCA1-SRRB-U (O1))
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Blake, Kelly D
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University of Pennsylvania
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Tan, Andy S L (2015) A Study of the Frequency and Social Determinants of Exposure to Cancer-Related Direct-to-Consumer Advertising Among Breast, Prostate, and Colorectal Cancer Patients. Health Commun 30:1102-11
Tan, Andy S L; Bigman, Cabral A; Sanders-Jackson, Ashley (2015) Sociodemographic correlates of self-reported exposure to e-cigarette communications and its association with public support for smoke-free and vape-free policies: results from a national survey of US adults. Tob Control 24:574-81
Brennan, Emily; Gibson, Laura; Momjian, Ani et al. (2015) Are young people's beliefs about menthol cigarettes associated with smoking-related intentions and behaviors? Nicotine Tob Res 17:81-90
Tan, Andy S L; Gibson, Laura; Zafar, Hanna M et al. (2014) Associations between cancer-related information seeking and receiving PET imaging for routine cancer surveillance--an analysis of longitudinal survey data. Cancer Epidemiol Biomarkers Prev 23:481-9
Vaala, Sarah E (2014) The Nature and Predictive Value of Mothers' Beliefs Regarding Infants' and Toddlers' TV/Video Viewing: Applying the Integrative Model of Behavioral Prediction. Media Psychol 17:282-310
Vaala, Sarah E; Hornik, Robert C (2014) Predicting US Infants' and Toddlers' TV/Video Viewing Rates: Mothers' Cognitions and Structural Life Circumstances. J Child Media 8:163-182
Moldovan-Johnson, Mihaela; Tan, Andy S L; Hornik, Robert C (2014) Navigating the cancer information environment: The reciprocal relationship between patient-clinician information engagement and information seeking from nonmedical sources. Health Commun 29:974-83
Tan, Andy Sl; Hornik, Robert C (2014) Measuring Exposure to Direct-to-Consumer Advertising-A Validation Study in the Context of Cancer-Related Treatment Advertising. Commun Methods Meas 8:52-78
Tan, Andy S L; Bigman, Cabral A (2014) E-cigarette awareness and perceived harmfulness: prevalence and associations with smoking-cessation outcomes. Am J Prev Med 47:141-9
Tan, Andy S L (2014) Potential spillover educational effects of cancer-related direct-to-consumer advertising on cancer patients' increased information seeking behaviors: results from a cohort study. J Cancer Educ 29:258-65

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