This collection showcases the journal articles and other publications authored by researchers in the Division of Preventive and Behavioral Medicine at the University of Massachusetts Medical School. The Division's faculty and staff study the role of health behaviors in the prevention and management of disease, develop interventions that promote health behavior change, and seek to broadly promote the implementation and dissemination of their work. The Division was founded in 1983 in the Department of Medicine by Judith K. Ockene, PhD., MEd., MA, and joined the Department of Quantitative Health Sciences in 2018.

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Publications from 2003

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Developing and testing new smoking measures for the Health Plan Employer Data and Information Set, Lori Pbert, Nancy Vuckovic, Judith K. Ockene, Jack F. Hollis, and Karen Riedlinger

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A framework for improving the quality of cancer care: the case of breast and cervical cancer screening, Jane G. Zapka, Stephen H. Taplin, Leif I. Solberg, and M. Michele Manos

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Trends in comprehensive service availability in outpatient drug abuse treatment, Peter D. Friendmann, Stephenie C. Lemon, Elizabeth M. Durkin, and Thomas A. D'Aunno

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Tumor basal area and metastatic death after proton beam irradiation for choroidal melanoma, Wenjun Li, Evangelos S Gragoudas, and Kathleen M Egan

Publications from 2002

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Treating nicotine dependence during pregnancy and postpartum: understanding clinician knowledge and performance, Debra Bonollo, Jane G. Zapka, Anne M. Stoddard, Yunsheng Ma, Lori Pbert, and Judith K. Ockene

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Evidence-based estimates of outcome in patients irradiated for intraocular melanoma, Evangelos S. Gragoudas, Wenjun Li, Michael Goitein, Anne Marie Lane, John E. Munzenrider, and Kathleen M. Egan

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Atherosclerotic risk factor reduction in peripheral arterial diseasea: results of a national physician survey, Mary McGrae McDermott, Elizabeth A. Hahn, Philip Greenland, David Cella, Judith K. Ockene, Donna Brogan, William H. Pearce, Alan T. Hirsch, Kendra Hanley, Linda Odom, Shaheen Khan, Michael H. Criqui, Martin S. Lipsky, and Stacie Hudgens

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Long-term risk of local failure after proton therapy for choroidal/ciliary body melanoma, Evangelos S. Gragoudas, Anne Marie Lane, John E. Munzenrider, Kathleen M. Egan, and Wenjun Li

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Assessing menstrual cycles with urinary hormone assays, N. Santoro, Sybil L. Crawford, Jenifer E. Allsworth, Ellen B. Gold, Gail A. Greendale, Stan Korenman, William L. Lasley, D. McConnell, P. McGaffigan, R. Midgely, M. Schocken, M. Sowers, and G. Weiss

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Systematic errors in middle-aged women's estimates of energy intake: comparing three self-report measures to total energy expenditure from doubly labeled water, James R. Hebert, Cara B. Ebbeling, Charles E. Matthews, Thomas G. Hurley, Yunsheng Ma, Susan Druker, and Lynn Clemow

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Compliance with National Cholesterol Education Program dietary and lifestyle guidelines among older women with self-reported hypercholesterolemia. The Women's Health Initiative, Judith Hsia, Rebecca Rodabough, Milagros C. Rosal, Barbara B. Cochrane, Barbara V. Howard, Linda G. Snetselaar, William H. Frishman, and Marcia L. Stefanick

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Blood lead level and dental caries in school-age children, Allison Gemmel, Mary Tavares, Susan Alperin, Jennifer Soncini, David Daniel, Julie Dunn, Sybil L. Crawford, Norman Braveman, Thomas W. Clarkson, Sonja McKinlay, and David C. Bellinger

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Spontaneous cessation of smoking and alcohol use among low-income pregnant women, Judith K. Ockene, Yunsheng Ma, Jane G. Zapka, Lori Pbert, Karin V. Goins, and Anne M. Stoddard

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Assessment of digit preference in self-reported year at menopause: choice of an appropriate reference distribution, Sybil L. Crawford, Catherine B. Johannes, and Rebecca K Stellato

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A pilot study of group exercise training (GET) for women with primary breast cancer: feasibility and health benefits, Gregory G. Kolden, Timothy J. Strauman, Ann Ward, Jackie Kuta, Teresa E. Woods, Kristin L. Schneider, Erin Heerey, Lisa Sanborn, Cathy Burt, Lisa Millbrandt, Ned H. Kalin, James A. Stewart, and Beth Mullen

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Assessing third-year medical students' breast cancer screening skills, Susan V. Barrett, Jane G. Zapka, Kathleen M. Mazor, and Roger S. Luckmann

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Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence, Stephenie C. Lemon, Wendy Verhoek-Oftedahl, and Edward F. Donnelly

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Development of symptoms of tobacco dependence in youths: 30 month follow up data from the DANDY study, Joseph R. DiFranza, Judith A. Savageau, Nancy A. Rigotti, Kenneth E. Fletcher, Judith K. Ockene, Ann D. McNeill, Mardia A. Coleman, and Constance Wood

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Moderate to vigorous physical activity and risk of upper-respiratory tract infection, Charles E. Matthews, Ira S. Ockene, Patty S. Freedson, Milagros C. Rosal, Philip A. Merriam, and James R. Hebert

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The relationship of circulating dehydroepiandrosterone, testosterone, and estradiol to stages of the menopausal transition and ethnicity, William L. Lasley, Nanette Santoro, John F Randolf, Ellen B. Gold, Sybil L. Crawford, Gerson Weiss, Daniel S McConnell, and Mary Fran Sowers

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Multicenter trial of fluoxetine as an adjunct to behavioral smoking cessation treatment, Raymond Niaura, Bonnie Spring, Belinda Borrelli, Donald Hedeker, Michael G. Goldstein, Nancy J. Keuthen, Judy DePue, Jean L. Kristeller, Judith K. Ockene, Allan Prochazka, John A. Chiles, and David B. Abrams

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Early intervention in planning end-of-life care with ambulatory geriatric patients: results of a pilot trial, Carolyn E. Schwartz, H. Brownell Wheeler, Bernard Hammes, Noreen Basque, Jean Edmunds, George W. Reed, Yunsheng Ma, Lynn Li, Patricia Tabloski, and Julianne Yanko

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Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial, Jacques E. Rossouw, Garnet L. Anderson, Ross L. Prentice, Andrea Z. LaCroix, Charles L. Kooperberg, Marcia L. Stefanick, Rebecca D. Jackson, Shirley A. A. Beresford, Barbara V. Howard, Karen C. Johnson, Jane Morley Kotchen, and Judith K. Ockene

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Healthcare system factors and colorectal cancer screening, Jane G. Zapka, Elaine Puleo, Maureen Vickers-Lahti, and Roger S. Luckmann

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Evaluation of a cancer prevention and detection curriculum for medical students, Alan C. Geller, Marianne N. Prout, Donald R. Miller, Benjamin Siegel, Ting Sun, Judith K. Ockene, and Howard K. Koh

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Prescription drug coverage and seniors: how well are states closing the gap, Dana Gelb Safran, Patricia Neuman, Cathy Schoen, Jana E. Montgomery, Wenjun Li, Ira B. Wilson, Michelle S. Kitchman, Andrea E. Bowen, and William H. Rogers

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Surveying physicians: do components of the "Total Design Approach" to optimizing survey response rates apply to physicians?, Terry S. Field, Cynthia A. Cadoret, Martin L. Brown, Marvella Ford, Sarah M. Greene, Deanna Hill, Mark C. Hornbrook, Richard T. Meenan, Mary Jo White, and Jane G. Zapka

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Caffeine, cajoling, and other strategies to maximize clinician survey response rates, Elaine Puleo, Jane G. Zapka, Mary Jo White, Judy Mouchawar, Carol Somkin, and Stephen H. Taplin

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HIV prevention services in correctional drug treatment programs: do they change risk behaviors, Rebecca A. Ballard Lubelczyk, Peter D. Friendmann, Stephenie C. Lemon, Michael D. Stein, and Dean R. Gerstein

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Influences on older women's adherence to a low-fat diet in the Women's Health Initiative, Margaret H. Kearney, Milagros C. Rosal, Judith K. Ockene, and Linda C. Churchill

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Measuring the loss of autonomy over nicotine use in adolescents: the DANDY (Development and Assessment of Nicotine Dependence in Youths) study, Joseph R. DiFranza, Judith A. Savageau, Kenneth E. Fletcher, Judith K. Ockene, Nancy A. Rigotti, Ann D. McNeill, Mardia A. Coleman, and Constance Wood

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Prevention of experimental choroidal neovascularization with intravitreal anti-vascular endothelial growth factor antibody fragment, Magdalena G. Krzystolik, Mehran A. Afshari, Anthony P. Adamis, Jacques Gaudreault, Evangelos S. Gragoudas, Norman A. Michaud, Wenjun Li, Edward Connolly, Charles A. O'Neill, and Joan W. Miller

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Pediatric violence-related injuries in Boston: results of a city-wide emergency department surveillance program, Robert D. Sege, Sigmund Kharasch, Cathy Perron, Stacey Supran, Patricia O'Malley, Wenjun Li, and David Stone

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Commentary on "Menopause and Gynaecological Disorders", Sybil L. Crawford and Catherine B. Johannes

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Menopause, Nancy E. Avis, Sybil L. Crawford, and Catherine B. Johannes

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Primary care-based smoking interventions, Judith K. Ockene

Publications from 2001

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Behavioral risk factors among members of a health maintenance organization, Milagros C. Rosal, Judith K. Ockene, Yunsheng Ma, James R. Hebert, Philip A. Merriam, Charles E. Matthews, and Ira S. Ockene

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The Chinese version of the Parenting Stress Index: a psychometric study, Chao-Hsing Yeh, M. L. Chen, Wenjun Li, and H. L. Chuang

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The Effects of Treatments for Depression on Perceived Failure in Self-Regulation, Timothy J. Strauman, Gregory G. Kolden, Valerie Stromquist, Nancy Davis, Lori Kwapil, Erin Heerey, and Kristin L. Schneider

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Transportation and retention in outpatient drug abuse treatment programs, Peter D. Friedmann, Stephenie C. Lemon, and Michael D. Stein

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Colorectal cancer screening participation: comparisons with mammography and prostate-specific antigen screening, Stephenie C. Lemon, Jane G. Zapka, Elaine Puleo, Roger S. Luckmann, and Lisa Chasan-Taber

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Body mass index in mid-life women: relative influence of menopause, hormone use, and ethnicity, Karen A. Matthews, B Abrams, Sybil L. Crawford, T Miles, R Neer, L H Powell, and D Wesley

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Risk and reluctance: understanding impediments to colorectal cancer screening, Elissa R. Weitzman, Jane G. Zapka, Barbara B. Estabrook, and Karin V. Goins

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Promoting adherence and retention to clinical trials in special populations: a women's health initiative workshop, Sara Wilcox, Sally A. Shumaker, Deborah J. Bowen, Michelle J. Naughton, Milagros C. Rosal, Shari E. Ludlam, Elizabeth Dugan, Julie R. Hunt, and Stephanie Stevens

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Sources of variance in daily physical activity levels in the seasonal variation of blood cholesterol study, Charles E. Matthews, James R. Hebert, Patty S. Freedson, Edward J. Stanek, Philip A. Merriam, Cara B. Ebbeling, and Ira S. Ockene

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Is there a menopausal syndrome? Menopausal status and symptoms across racial/ethnic groups, Nancy E. Avis, R Stellato, Sybil L. Crawford, J Bromberger, P Ganz, V Cain, and M Kagawa-Singer

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Factors associated with age at natural menopause in a multiethnic sample of midlife women, Ellen B. Gold, J Bromberger, Sybil L. Crawford, S Samuels, Gail A. Greendale, Sioban D. Harlow, and J Skurnick

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Change in women's diet and body mass following intensive intervention for early-stage breast cancer, James R. Hebert, Cara B. Ebbeling, Barbara C. Olendzki, Thomas G. Hurley, Yunsheng Ma, Nancy Saal, Judith K. Ockene, and Lynn Clemow

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Linkage to medical services in the Drug Abuse Treatment Outcome Study, Peter D. Friedmann, Stephenie C. Lemon, Michael D. Stein, Rose M. Etheridge, and Thomas A. D'Aunno

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Facilitating dietary change: the patient-centered counseling model, Milagros C. Rosal, Cara B. Ebbeling, Ingrid Liff, Judith K. Ockene, Ira S. Ockene, and James R. Hebert

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The silent consumer: women's reports and ratings of abortion services, Jane G. Zapka, Stephenie C. Lemon, Laura E. Peterson, Heather Palmer, and Marlene B. Goldman

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Seasonal variation in household, occupational, and leisure time physical activity: longitudinal analyses from the seasonal variation of blood cholesterol study, Charles E. Matthews, Patty S. Freedson, James R. Hebert, Edward J. Stanek, Philip A. Merriam, Milagros C. Rosal, Cara B. Ebbeling, and Ira S. Ockene

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Colorectal cancer screening in Massachusetts: measuring compliance with current guidelines, Stephen Erban, Jane G. Zapka, Elaine Puleo, and Maureen Vickers-Lahti

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Sequence and seasonal effects of salivary cortisol, Jean A. King, Milagros C. Rosal, Yunsheng Ma, George W. Reed, Terri-Ann Kelly, Edward J. Stanek III, and Ira S. Ockene

Publications from 2000

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Development of a state wide tobacco treatment specialist training and certification programme for Massachusetts, Lori Pbert, Judith K. Ockene, Beth M. Ewy, Ellen Sachs Leicher, and Donna D. Warner

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Is insurance a more important determinant of healthcare access than perceived health? Evidence from the Women's Health Initiative, Judith Hsia, Elizabeth Kemper, Shoshanna Sofaer, Deborah Bowen, Catarina I. Kiefe, Jane G. Zapka, Ellen Mason, Linda Lillington, and Marian C. Limacher

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Dietary adherence: characteristics and interventions, Aurora M. Sherman, Deborah J. Bowen, Mara Z. Vitolins, Michael G. Perri, Milagros C. Rosal, Mary Ann Sevick, and Judith K. Ockene

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Predictors of adherence to behavior change interventions in the elderly, S. Nicole Culos-Reed, W. Jack Rejeski, Edward McAuley, Judith K. Ockene, and Debra L. Roter

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Is there an association between menopause status and sexual functioning, Nancy E. Avis, R Stellato, Sybil L. Crawford, Catherine B. Johannes, and C Longcope

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The Therapeutic Realizations Scale-Revised (TRS-R): psychometric characteristics and relationship to treatment process and outcome, Gregory G. Kolden, Timothy J. Strauman, Marci Gittleman, Jerry L. Halverson, Erin Heerey, and Kristin L. Schneider

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Factors that influence personal perceptions of the risk of an acute myocardial infarction, Hendrika Meischke, Deborah E. Sellers, Mark L. Robbins, David C. Goff Jr., Mohamud Daya, Angela Meshack, Judy Taylor, Jane G. Zapka, and Mary McDonald Hand

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Initial symptoms of nicotine dependence in adolescents, Joseph R. DiFranza, Nancy A. Rigotti, Ann D. McNeill, Judith K. Ockene, Judith A. Savageau, Dorothy M. St. Cyr, and Mardia A. Coleman

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Patient delay in seeking care for heart attack symptoms: findings from focus groups conducted in five U.S. regions, John R. Finnegan, Hendrika Meischke, Jane G. Zapka, Laura Leviton, Angela Meshack, Ruby Benjamin-Garner, Barbara Estabrook, Nancy Johnson Hall, Sheri Schaeffer, Cassandra Smith, Elissa R. Weitzman, James M. Raczynski, and Elaine Stone

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The importance of health insurance as a determinant of cancer screening: evidence from the Women's Health Initiative, Judith Hsia, Elizabeth Kemper, Catarina I. Kiefe, Jane G. Zapka, Shoshanna Sofaer, Mary Pettinger, Deborah Bowen, Marian C. Limacher, Linda Lillington, and Ellen Mason

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Brassica vegetable consumption shifts estrogen metabolism in healthy postmenopausal women, Jay H. Fowke, Christopher Longcope, and James R. Hebert

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Seasonal variation of depression and other moods: a longitudinal approach, Morton G. Harmatz, Arnold D. Well, Christopher E. Overtree, Kathleen Y. Kawamura, Milagros C. Rosal, and Ira S. Ockene

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Metastatic melanoma death rates by anatomic site after proton beam irradiation for uveal melanoma, Wenjun Li, Evangelos S. Gragoudas, and Kathleen M. Egan

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Prevalence and co-occurrence of health risk behaviors among high-risk drinkers in a primary care population, Milagros C. Rosal, Judith K. Ockene, Thomas G. Hurley, and Sarah Reiff

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Provider education to promote implementation of clinical practice guidelines, Judith K. Ockene and Jane G. Zapka

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Nicotine replacement prescription practices of obstetric and pediatric clinicians, Cheryl A. Oncken, Lori Pbert, Judith K. Ockene, Jane G. Zapka, and Anne M. Stoddard

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Patterns of tumor initiation in choroidal melanoma, Wenjun Li, Heidi Judge, Evangelos S. Gragoudas, Johanna M. Seddon, and Kathleen M. Egan

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Cancer control knowledge, attitudes, and perceived skills among medical students, Jane G. Zapka, Roger S. Luckmann, Sandra I. Sulsky, Karin V. Goins, Carol Bigelow, Kathleen M. Mazor, and Mark E. Quirk

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A randomized controlled trial of varying radiation doses in the treatment of choroidal melanoma, Evangelos S. Gragoudas, Anne Marie Lane, Susan Regan, Wenjun Li, Heidi E. Judge, John E. Munzenrider, Johanna M. Seddon, and Kathleen M. Egan

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An electronic menstrual cycle calendar: comparison of data quality with a paper version, Catherine B. Johannes, Sybil L. Crawford, Judith Woods, Robert B. Goldstein, Dinh Tran, Sandhya Mehrotra, Kevin B. Johnson, and Nanette Santoro

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The emergency department experience of chest pain patients and their intention to delay care seeking for acute myocardial infarction, Hendrika Meischke, Paul Mitchell, Jane G. Zapka, David C. Goff Jr., Kevin Smith, Daniel Henwood, Clay Mann, Kathleen Lovell, Elaine J. Stone, and Judy Taylor

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Comparing physical activity assessment methods in the Seasonal Variation of Blood Cholesterol Study, Charles E. Matthews, Patty S. Freedson, James R. Hebert, Edward J. Stanek, Philip A. Merriam, and Ira S. Ockene

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A longitudinal study of weight and the menopause transition: results from the Massachusetts Women's Health Study, Sybil L. Crawford, V A Casey, Nancy E. Avis, and S M McKinlay

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Adaptational process of parents of pediatric oncology patients, Chao-Hsing Yeh, Ting-Ting Lee, Mei-Ling Chen, and Wenjun Li

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Use of alternative therapy among pediatric oncology patients in Taiwan, Chao-Hsing Yeh, Jia-Ling Tsai, Wenjun Li, Hui-Me Chen, Shu-Chu Lee, Chiou-Fen Lin, and Chao-Ping Yang

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Commentary: On Finding Common Ground – Health Promotion in Clinical Practice, Jane G. Zapka

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Relapse and maintenance issues for smoking cessation, Judith K. Ockene, Karen M. Emmons, Robin J. Mermelstein, Kenneth A. Perkins, Debra Bonollo, Carolyn C. Voorhees, and Jack F. Hollis

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Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers, Jane G. Zapka, Lori Pbert, Anne M. Stoddard, Judith K. Ockene, Karin V. Goins, and Debra Bonollo

Publications from 1999

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Comparing food intake using the Dietary Risk Assessment with multiple 24-hour dietary recalls and the 7-Day Dietary Recall, Barbara C. Olendzki, Thomas G. Hurley, James R. Hebert, Sarah Ellis, Philip A. Merriam, Rose S. Luippold, Linda Rider, and Ira S. Ockene

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Formative research methods to understand patient and provider responses to heart attack symptoms, Laura Leviton, John R. Finnegan Jr., Jane G. Zapka, Hendrika Meischke, Barbara B. Estabrook, Janice Gilliland, Adriana C. Linares, Elissa R. Weitzman, James M. Raczynski, and Elaine J. Stone

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Health care providers' perspectives on patient delay for seeking care for symptoms of acute myocardial infarction, Jane G. Zapka, Barbara Estabrook, Janice Gilliland, Laura Leviton, Hendrika Meischke, Sharon Melville, Judy Taylor, Mohamud Daya, Brian Laing, Angela Meshack, Roy Reyna, Mark Robbins, Mary M. Hand, and John R. Finnegan Jr.

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Brief physician- and nurse practitioner-delivered counseling for high-risk drinkers: does it work, Judith K. Ockene, Abigail Adams, Thomas G. Hurley, Elizabeth V. Wheeler, and James R. Hebert

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Thrombin generation after the abrupt cessation of intravenous unfractionated heparin among patients with acute coronary syndromes: potential mechanisms for heightened prothrombotic potential, Richard C. Becker, Frederick A. Spencer, Youfu Li, Steven P. Ball, Yunsheng Ma, Thomas G. Hurley, and James R. Hebert

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Seasonal variation of blood cholesterol levels: study methodology, Philip A. Merriam, Ira S. Ockene, James R. Hebert, Milagros C. Rosal, and Charles E. Matthews

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Risk factors for radiation maculopathy and papillopathy after intraocular irradiation, Evangelos S. Gragoudas, Wenjun Li, Anne Marie Lane, John Munzenrider, and Kathleen M. Egan

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REACT theory-based intervention to reduce treatment-seeking delay for acute myocardial infarction. Rapid Early Action for Coronary Treatment, James M. Raczynski, John R. Finnegan Jr., Jane G. Zapka, Hendrika Meischke, Angela Meshack, Elaine J. Stone, Neil Bracht, Deborah E. Sellers, Mohamud Daya, Mark Robbins, Alfred McAlister, and Denise G. Simons-Morton

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A dietitian-delivered group nutrition program leads to reductions in dietary fat, serum cholesterol, and body weight: the Worcester Area Trial for Counseling in Hyperlipidemia (WATCH), James R. Hebert, Cara B. Ebbeling, Ira S. Ockene, Yunsheng Ma, Linda Rider, Philip A. Merriam, Judith K. Ockene, and Gordon M. Saperia

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The perceptions and practices of pediatricians: tobacco intervention, Jane G. Zapka, Kenneth E. Fletcher, Lori Pbert, Susan Druker, Judith K. Ockene, and Liping Chen

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Effect of physician-delivered nutrition counseling training and an office-support program on saturated fat intake, weight, and serum lipid measurements in a hyperlipidemic population: Worcester Area Trial for Counseling in Hyperlipidemia (WATCH), Ira S. Ockene, James R. Hebert, Judith K. Ockene, Gordon M. Saperia, Edward J. Stanek III, Robert J. Nicolosi, Philip A. Merriam, and Thomas G. Hurley

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The patient exit interview as an assessment of physician-delivered smoking intervention: a validation study, Lori Pbert, Abigail Adams, Mark E. Quirk, James R. Hebert, Judith K. Ockene, and Rose S. Luippold

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An automated telephone-based smoking cessation education and counseling system, Harley Z. Ramelson, Robert H. Friedman, and Judith K. Ockene

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A randomized, multicenter trial of weight-adjusted intravenous heparin dose titration and point-of-care coagulation monitoring in hospitalized patients with active thromboembolic disease. Antithrombotic Therapy Consortium Investigators, Richard C. Becker, Steven P. Ball, Paul Eisenberg, Steven Borzak, A. Christian Held, Frederick A. Spencer, Stephen J. Voyce, Robert Jesse, Robert C. Hendel, Yunsheng Ma, Thomas G. Hurley, and James R. Hebert

Publications from 1998

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Nutritional and socioeconomic factors in relation to prostate cancer mortality: a cross-national study, James R. Hebert, Thomas G. Hurley, Barbara C. Olendzki, Jane Teas, Yunsheng Ma, and Jeffrey S. Hampl

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The effects of a health promotion-health protection intervention on behavior change: the WellWorks Study, Glorian Sorensen, Anne M. Stoddard, Mary K. Hunt, James R. Hebert, Judith K. Ockene, Jill S. Avrunin, Jay S. Himmelstein, and S. Katharine Hammond

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Alcohol counseling: physicians will do it, Abigail Adams, Judith K. Ockene, Elizabeth V. Wheeler, and Thomas G. Hurley

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Nutrient Intake Report: a coordination of patient dietary assessment between physicians and registered dietitians, Barbara C. Olendzki, James R. Hebert, Jeffrey S. Hampl, Kelly B. Scribner, and Ira S. Ockene