• CEnR Community Engaged Research

      Frazier, Stacy; Florida International University (University of Arizona (Tucson, AZ), 2021)
    • Is Cancer Diagnosis Really A "Teachable Moment" for Smoking Cessation?

      Burriss, Jessica L.; University of Kentucky (University of Arizona (Tucson, AZ), 2020-01-31)
      Most people assume cancer diagnosis functions as a “teachable moment,” that is, a major life event that triggers a significant increase in people’s motivation to adopt healthy behaviors (e.g., regular exercise, diet high in fresh fruits/veggies) and cease unhealthy behaviors (e.g., heavy alcohol use, medication noncompliance). Conceivably, the power of cancer diagnosis to serve as a “teachable moment” should extend to smoking behavior wherein cancer patients would be expected to quit smoking immediately upon diagnosis and remain abstinent for the balance of their lives. In reality, however, cancer survivors are estimated to smoke at a rate that is equal to or greater than the general population, with subgroups of cancer survivors smoking at much higher rates (40-50%). In my work, I aim to determine if, how, and for whom cancer diagnosis does indeed function as a “teachable moment” for smoking, with a central goal of more fully understanding the naturalistic process by which smoking cessation occurs after a new cancer diagnosis. In this talk, I will examine the interplay between cancer diagnosis and smoking behavior through several different, but complementary research methods, including intensive longitudinal data collection, concurrent mixed methods, randomized clinical trials, and implementation science. Ultimately, this line of research has the goal of promoting smoking cessation among the most vulnerable cancer survivors, including those who report little to no intention to quit and those who are faced with high levels of unmet social support needs.
    • Shame in the Therapy Hour: Recognizing, Managing, and Transforming Our Darkest Emotion

      Tangney, June; George Mason University (University of Arizona (Tucson, AZ), 2016-03-26)
      Although clinicians often use the terms “shame” and “guilt” interchangeably, ample research indicates that these are distinct emotions with very different implications for motivation and behavior (Tangney, et al., 2007). This workshop summarizes research on the phenomenology of shame and guilt (Wicker, et al., 1983; Tangney, et al., 1996), as well as clinically relevant empirical work demonstrating a link between shame and denial, defensiveness, and aggression (e.g., Stuewig, et al., 2010). Although ubiquitous in clinical settings, shame is a silent emotion. Clients rarely announce that they feel shame. Participants will become familiar with empirically validated verbal and non-verbal markers of shame (Keltner, 1995). Strategies for responding to, managing, and transforming or resolving client shame will be discussed, drawing on a handful of explicitly shame-focused therapies with empirical support (Gilbert, 2014; Rizvi & Linehan, 2005), augmented by observations of “master clinicians” presented in a recent edited volume on Shame in the Therapy Hour (Dearing & Tangney, 2011). The workshop will close with a consideration of therapists’ shame, as well as shame in supervisor-supervisee relationships.
    • Social Determinants of Latina/o Sleep Health: Insights and Implications for Behavioral Interventions

      Alcántara, Carmela; Columbia University (University of Arizona (Tucson, AZ), 2019-01-25)
      Sleep is increasingly recognized as an important behavioral and public health issue for all in the United States (US). Yet, Latina/o sleep health is understudied despite the fact that Latina/os compose 16.3% of the US population, and that sleep problems are prevalent among Latina/os. Additionally, racial/ethnic and language-based disparities in access to safe and effective behavioral health interventions for prevalent sleep-wake disorders persist. In this talk, I will draw from frameworks in psychology, public health, social work, and medicine to discuss recent evidence from my program of research on the relative association of sociocultural stressors and general psychosocial stress with various dimensions of subjectively- and objectively-measured sleep among Latina/os, and discuss implications for behavioral sleep intervention science. Second, I will describe formative work behind an ongoing mixed-methods Hybrid effectiveness-implementation randomized controlled trial that tests a culturally adapted self-guided digital version of cognitive behavioral therapy for insomnia versus usual care in Spanish-speaking Latina/o primary care patients. Finally, I will conclude by discussing future mechanistic and ecological research on the bi-directional relationships between sleep, stress, and self-regulatory processes among Latina/os.