Dr. Krieger has published more than 80 peer-reviewed journal articles related to her research expertise in designing, implementing, and evaluating translational communication interventions. She serves as a PI and co-I on several large grants funded by the National Institutes of Health. Her research has garnered more than $10 million in grant funding.
Industry Expertise (3)
Medical Equipment / Supplies / Distribution
Areas of Expertise (12)
Colorectal Cancer Screening
Perspectives of pregnant and breastfeeding women on longitudinal clinical studies that require non-invasive biospecimen collection – a qualitative studyBMC Pregnancy and Childbirth
Dominick J Lemas, Lauren Wright, Elizabeth Flood-Grady, Magda Francois, Lynn Chen, Austen Hentschel, Xinsong Du, Chu J Hsiao, Huan Chen, Josef Neu, Ryan P Theis, Elizabeth Shenkman, Janice Krieger
2021 Background Investigation of the microbiome during early life has stimulated an increasing number of cohort studies in pregnant and breastfeeding women that require non-invasive biospecimen collection. The objective of this study was to explore pregnant and breastfeeding women’s perspectives on longitudinal clinical studies that require non-invasive biospecimen collection and how they relate to study logistics and research participation. Methods We completed in-depth semi-structured interviews with 40 women who were either pregnant (n = 20) or breastfeeding (n = 20) to identify their understanding of longitudinal clinical research, the motivations and barriers to their participation in such research, and their preferences for providing non-invasive biospecimen samples. [...]
A feasibility trial of parent HPV vaccine reminders and phone-based motivational interviewingBMC Public Health
Stephanie AS Staras, Eric Richardson, Lisa J Merlo, Jiang Bian, Lindsay A Thompson, Janice L Krieger, Matthew J Gurka, Ashley H Sanders, Elizabeth A Shenkman
2021 Background We assessed the feasibility and acceptability of a sequential approach of parent-targeted HPV vaccine reminders and phone-based Motivation Interviewing (MI). Methods In 2016, we selected all 11- to 12-year-old boys and girls seen in one clinic whose vaccine records did not include the HPV vaccine (n=286). By gender, we individually randomized parents of adolescents to an interactive text message (74 girls and 45 boys), postcard reminder (46 boys and no girls because of previously demonstrated efficacy), or standard care group (75 girls and 46 boys). Reminders were sent with medical director permission and a HIPAA waiver. Two months after reminders, among the adolescents whose vaccine records still did not include the HPV vaccine, we selected a gender-stratified random sample of 20 parents for phone-based MI. We assessed the percentage of deliverable messages, the percentage of parents’ responding to the interactive text message, parent acceptability of receiving a text message, and MI parent responsiveness and interviewer competence (MI Treatment Integrity Coding system). [...]
Internet-based tailored virtual human health intervention to promote colorectal cancer screening: design guidelines from two user studiesJournal on Multimodal User Interfaces
Mohan Zalake, Fatemeh Tavassoli, Kyle Duke, Thomas George, Francois Modave, Jordan Neil, Janice Krieger, Benjamin Lok
2021 To influence user behaviors, Internet-based virtual humans (VH) have been used to deliver health interventions. When developing Internet-based VH health interventions, the developers have to make several design decisions on VH’s appearance, role, language, or medium. The design decisions can affect the outcomes of the Internet-based VH health intervention. To help make design decisions, the current paper presents design guidelines drawn from two studies. The two studies used Internet-based VH health intervention to promote colorectal cancer (CRC) screening. The two studies examined the influence of visual design and the influence of the information medium on user intentions to pursue more health information. In the first study, the qualitative analysis of the focus group (n = 73 users in 13 focus groups) transcripts shows that the VH’s visual realism, the VH’s healthcare role, and the presence of a local healthcare provider’s logo influenced the user perceptions of the intervention. The findings from the focus groups were used to iterate the intervention and derive design guidelines. In the second study (n = 1400), the analysis of online surveys from users after the VH-based intervention showed that to positively influence the user intentions to pursue the health topic further, the results recommend the use of an animated VH to deliver health information compared to other mediums of information delivery, such as text. The analysis also shows that very few user comments were related to the VH’s appearance after visual design iterations in the second study. The design guidelines from the two studies can be used by developers when using VH-based interventions to positively influence users’ intention to change behaviors.
Measuring health information seeking challenges in chronic disease: A psychometric analysis of a brief scaleChronic illness
Samantha R Paige, Elizabeth Flood-Grady, Janice L Krieger, Michael Stellefson, M David Miller
2021 Information seeking is a cornerstone of patient activation in chronic disease self-management. To date, there are few brief and literacy-sensitive tools to measure intrinsic barriers of health information seeking. The Health Information National Trends Survey includes four items from the Information Seeking Experiences scale to measure frustration, effort, concern, and comprehension of information sought during a recent medical/health information search. Limited evidence exists for its construct validity and use in primary data collection in chronic disease. This measurement study examines the psychometric properties of the scale. Qualtrics Panelists with at least one chronic disease (N = 684) participated in an online survey. The average score was M = 12.85 (SD = 3.97), indicating a moderate degree of health information seeking challenges. Confirmatory factor analysis of data collected using this scale supported unidimensionality (RMSEA = .03; CFI/TLI = .99/.99). There was adequate scale (ω = .83) and item (value = .98) reliabilities. Rasch analyses showed optimal measurement error and response predictability with item-fit (values = .80–1.20). Response option “agree” was less likely to be selected than any other response option, although not posing a threat to scale reliability. Results demonstrate that this brief scale has sufficient measurement properties for its use as a measure of intrinsic health information seeking barriers among patients with chronic disease.
Chemotherapy education: current practices of oncology nurses counseling patientsSupportive Care in Cancer
Brittany Rogers, Barbra Pesata, Ji-Hyun Lee, Jing Zhao, Janice Krieger, Karen Daily
2021 Purpose Chemotherapy education provided by nurses to patients is a fundamental component of high-quality cancer care. The Quality Oncology Practice Initiative (QOPI ®) provides guidance on treatment-related aspects of chemotherapy education (diagnosis, goals, regimen, schedule, adverse events, follow-up), but recommendations on practical lifestyle issues lack evidence and standardization. Methods An anonymous, voluntary, uncompensated survey was distributed in October 2019 to 12,995 oncology certified nurses who report working in adult outpatient clinic/infusion room settings. An electronic survey was designed to determine current practice in nurse-patient counseling related to lifestyle and behavior during chemotherapy treatment. [...]