Kimberly A Kaphingst
Biographic Data
| ID | 216671 |
|---|---|
| NAME | Kimberly A Kaphingst |
| GIVEN NAMES | Kimberly A |
| FAMILY NAME | Kaphingst |
| SIGNATURE | KAPHINGST K A |
| AFFILIATIONS | University of Utah |
| ORCID | 0000-0003-2668-9080 |
| VERIFIED | Yes |
| TOTAL WORKS | 28 |
| TOTAL CITATIONS | 42 |
| WORKS AS AUTHOR | 28 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 4 |
Clinical and Family Conversations Regarding Genetic Testing
This study compares content in clinical and family interactions in the context of cancer-related genetic testing (CGT) of a patient with ovarian cancer. The sample was taken as an extreme instance from a larger study, representing participants in a situation with substantial uncertainty. Participants include a genetic counselor, a patient diagnosed with ovarian cancer who received a variant of uncertain significance (VUS) result, and her adult fa…
“Es Lindo, Pero Estamos Perdidos”—Characterizing Facilitators and Barriers to Clinical Genetic Testing for Latino Populations
As genetic testing in clinical settings has been increasingly implemented, Latino populations are not benefiting at the same rates. Although many Latino individuals express a strong interest to use genetic testing, significant disparities exist with uptake. This study used semi-structured qualitative elicitation interviews to identify relevant referents (network of family/friends), socio-environmental facilitators, and barriers to genetic testing…
Exploring the Role of Communication Asset Mapping (CAM) as a Strategy to Promote Hereditary Cancer Risk Assessment Information Within African American Communities
Objective : African Americans (AAs) carry the largest burden for almost every type of cancer in the US and are also more likely to die from cancer. Approximately 10% of cancers can be explained by a hereditary factor and detected earlier. Many AAs, however, have inequitable access to hereditary cancer risk assessment (HCRA) tools and information, further exacerbating disparities in cancer rates. Innovative communication strategies to promote comm…
Recruitment Techniques Used for Clinical Trials and the Potential Impact of Nudges
While clinical trials are essential to improving public health, little research has examined the range of recruitment techniques used or whether they involve behavioral nudges. Behavioral nudges have been defined as "any aspect of the choice architecture [the manner in which options are presented] that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives"; these may influ…
Overconfidence in ability to discern cancer misinformation
This study conducts a conceptual replication and extension of prior research on overconfidence in discerning political misinformation, shifting focus to health. Using data from a national survey of American adults linked to web-browsing records (N=593), we investigated the prevalence and correlates of overconfidence in this domain. Consistent with earlier findings, overconfidence was most pronounced among low-performing individuals, replicating t…
Patient Perspectives on a Patient‐Facing Tool for Lung Cancer Screening
BACKGROUND: Individuals with high risk for lung cancer may benefit from lung cancer screening, but there are associated risks as well as benefits. Shared decision-making (SDM) tools with personalized information may provide key support for patients. Understanding patient perspectives on educational tools to facilitate SDM for lung cancer screening may support tool development. AIM: This study aimed to explore patient perspectives related to a SDM…
Reach and Engagement With Population Health Management Interventions to Address Covid-19 Among Safety-Net Health Care Systems
Interventions designed to address COVID-19 needed to be rapidly scaled up to the population level, and to address health equity by reaching historically marginalized populations most affected by the pandemic (e.g., racial/ethnic minorities and rural and low socioeconomic status populations). From February 2021 to June 2022, SCALE-UP Utah used text messaging interventions to reach 107 846 patients from 28 clinics within seven safety-net health car…
Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities
BACKGROUND: Patients rarely dispose of left-over opioids after surgery. Disposal serves as a primary prevention against misuse, overdose, and diversion. However, current interventions promoting disposal have mixed efficacy. Increasing disposal in rural communities could prevent or reduce the harms caused by prescription opioids. AIMS: Identify barriers and facilitators to disposal in the rural communities of the United States Mountain West region…
“La Piedra Rosetta” Content Analysis of Health-Specific Stories on Genetic Testing From Spanish-Language News Outlets
Genetic testing (GT) for health purposes has grown exponentially in the past decade, with the ability to prescribe precision medicine regiments as well as preventative and preparatory actions. White and English-speaking populations have largely benefited from GT, leaving other groups, like Latinx populations, behind. Explanations for this disparity have cited a lack of awareness and knowledge of GT for health purposes but have generally only been…
Communication About Negative and Uncertain Results
This case study focuses on a video telehealth consult to discuss genetic testing results. Participants include a Genetic Counselor (GC) and a Patient (P) previously diagnosed with ovarian cancer who is currently undergoing chemotherapy treatments. Utilizing conversation analysis (CA), attention is first given to a series of interactional dilemmas as GC delivers and P responds to negative, uncertain, and complex test results. Specific findings add…
‘I had a bigger cancer risk than I thought…’
BACKGROUND: Diagnoses of both melanoma and nonmelanoma skin cancers are becoming increasingly common among young adults. Interventions in this population are a priority because they do not consistently follow skin cancer prevention recommendations. OBJECTIVES: The goal of the current study was to examine college students' perspectives on and experience with receiving a skin cancer prevention intervention that provided personalized skin cancer ris…
Previvorship Posting
Research on previvors, individuals with a genetic predisposition to develop hereditary breast and ovarian cancer but who have not yet been diagnosed with breast or other cancers, examines online information gathering and community support to alleviate uncertainty. However, research exploring online content published by previvors themselves is limited. We examined content published to Instagram and TikTok to explore how breast cancer previvors dis…
Examining strategies for addressing high levels of ‘I don’t know’ responding to risk perception questions for colorectal cancer and diabetes
Objective Many people say they ‘don’t know’ their risk for common diseases (DK responders). Inadequate health literacy and higher disease information avoidance may suppress risk knowledge and thereby increase DK responding. Study goals were to examine two plausible interventions to address the health education needs of DK responders. Design: Participants were identified in a pre-screener as DK responders for either diabetes or colorectal cancer (…
Being proactive, not reactive”
Comprehension of skin cancer genetic risk feedback in primary care patients
Theory utilization in current communication of cancer genetic testing research
Researcher Knowledge, Attitudes, and Communication Practices for Genomic Data Sharing
This study examines knowledge, attitudes, and communication practices toward genomic data sharing among principal investigators and research coordinators engaged in cancer and non-cancer studies. We conducted 25 individual semi-structured interviews and conducted a qualitative thematic analysis. Most interviewees had basic knowledge of data sharing requirements, but lacked specific details of recent changes to NIH policy. Principal investigators …
Family Health History Tools as Communication Resources
Many tools facilitate gathering family health history (FHH) information. Public health initiatives have focused on improving FHH communication. Research indicates that tools remain largely unused in non-clinical settings and people tend to refrain from engaging in FHH communication. Research also indicates that cultural and family relationship factors influence FHH communication and tool use. This study investigated FHH tools as resources for FHH…
Health Literacy and Use and Trust in Health Information
There is a need to investigate which health information sources are used and trusted by people with limited health literacy to help identify strategies for addressing knowledge gaps that can contribute to preventable illness. We examined whether health literacy was associated with people's use of and trust in a range of potential health information sources. Six hundred participants from a GfK Internet survey panel completed an online survey. We a…
Translation and adaptation of skin cancer genomic risk education materials for implementation in primary care
Differences in preferences for models of consent for biobanks between Black and White women
You don’t have to keep everything on paper”
Judging risk for multiple diseases
Risk perceptions and disease worry of 1,959 healthy adults were measured in a telephone-based survey. In the model for each of eight health conditions, people's perceived risk was related to their worry for that condition ( p < .0001) and their worry for the other seven conditions ( p < .001). There was also an interaction indicating that the less people were worried about a certain condition, the more their worry about the other seven conditions…
Perceived familiarity with and importance of family health history among a medically underserved population
Self-reported segregation experience throughout the life course and its association with adequate health literacy
Issues in the Assessment of “Race” Among Latinos
Measurement of race and ethnicity is integral to assessing and addressing health disparities experienced by minorities. However, the unique experiences of Latinos related to race and the discordance between understandings of race among Latinos and the predominant U.S. conceptualizations of this construct impact how Latinos respond to measurement approaches. As a result, data collection methodologies often yield ambiguous responses that reveal lit…
Promoting Behavior Change Among Working-Class, Multiethnic Workers
Objectives. We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses. Methods. Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity. Results. Employees in the…
Previvorship Posting
Research on previvors, individuals with a genetic predisposition to develop hereditary breast and ovarian cancer but who have not yet been diagnosed with breast or other cancers, examines online information gathering and community support to alleviate uncertainty. However, research exploring online content published by previvors themselves is limited. We examined content published to Instagram and TikTok to explore how breast cancer previvors dis…
Judging risk for multiple diseases
Risk perceptions and disease worry of 1,959 healthy adults were measured in a telephone-based survey. In the model for each of eight health conditions, people's perceived risk was related to their worry for that condition ( p < .0001) and their worry for the other seven conditions ( p < .001). There was also an interaction indicating that the less people were worried about a certain condition, the more their worry about the other seven conditions…
Self-reported segregation experience throughout the life course and its association with adequate health literacy
Family Health History Tools as Communication Resources
Many tools facilitate gathering family health history (FHH) information. Public health initiatives have focused on improving FHH communication. Research indicates that tools remain largely unused in non-clinical settings and people tend to refrain from engaging in FHH communication. Research also indicates that cultural and family relationship factors influence FHH communication and tool use. This study investigated FHH tools as resources for FHH…
Promoting Behavior Change Among Working-Class, Multiethnic Workers
Objectives. We examined the efficacy of a cancer prevention intervention designed to improve health behaviors among working-class, multiethnic populations employed in small manufacturing businesses. Methods. Worksites were randomly assigned to an intervention or minimal-intervention control condition. The intervention targeted fruit and vegetable consumption, red meat consumption, multivitamin use, and physical activity. Results. Employees in the…
Body mass index, physical activity, and dietary behaviors among members of an urban community fitness center
Rates of overweight/obesity and fruit and vegetable consumption suggested that there is a need for a weight control intervention among members of an urban community YMCA. Membership in such a community wellness facility alone might not be sufficient to help members maintain a healthy weight. The data indicate that YMCA members are interested in making changes in their dietary and physical activity behaviors. Targeting newer YMCA members might be …
Issues in the Assessment of “Race” Among Latinos
Measurement of race and ethnicity is integral to assessing and addressing health disparities experienced by minorities. However, the unique experiences of Latinos related to race and the discordance between understandings of race among Latinos and the predominant U.S. conceptualizations of this construct impact how Latinos respond to measurement approaches. As a result, data collection methodologies often yield ambiguous responses that reveal lit…
Perceived familiarity with and importance of family health history among a medically underserved population
Self-reported segregation experience throughout the life course and its association with adequate health literacy
You don’t have to keep everything on paper”
Judging risk for multiple diseases
Risk perceptions and disease worry of 1,959 healthy adults were measured in a telephone-based survey. In the model for each of eight health conditions, people's perceived risk was related to their worry for that condition ( p < .0001) and their worry for the other seven conditions ( p < .001). There was also an interaction indicating that the less people were worried about a certain condition, the more their worry about the other seven conditions…
Differences in preferences for models of consent for biobanks between Black and White women
Translation and adaptation of skin cancer genomic risk education materials for implementation in primary care
Health Literacy and Use and Trust in Health Information
There is a need to investigate which health information sources are used and trusted by people with limited health literacy to help identify strategies for addressing knowledge gaps that can contribute to preventable illness. We examined whether health literacy was associated with people's use of and trust in a range of potential health information sources. Six hundred participants from a GfK Internet survey panel completed an online survey. We a…
Family Health History Tools as Communication Resources
Many tools facilitate gathering family health history (FHH) information. Public health initiatives have focused on improving FHH communication. Research indicates that tools remain largely unused in non-clinical settings and people tend to refrain from engaging in FHH communication. Research also indicates that cultural and family relationship factors influence FHH communication and tool use. This study investigated FHH tools as resources for FHH…
Researcher Knowledge, Attitudes, and Communication Practices for Genomic Data Sharing
This study examines knowledge, attitudes, and communication practices toward genomic data sharing among principal investigators and research coordinators engaged in cancer and non-cancer studies. We conducted 25 individual semi-structured interviews and conducted a qualitative thematic analysis. Most interviewees had basic knowledge of data sharing requirements, but lacked specific details of recent changes to NIH policy. Principal investigators …
Examining strategies for addressing high levels of ‘I don’t know’ responding to risk perception questions for colorectal cancer and diabetes
Objective Many people say they ‘don’t know’ their risk for common diseases (DK responders). Inadequate health literacy and higher disease information avoidance may suppress risk knowledge and thereby increase DK responding. Study goals were to examine two plausible interventions to address the health education needs of DK responders. Design: Participants were identified in a pre-screener as DK responders for either diabetes or colorectal cancer (…
Being proactive, not reactive”
Comprehension of skin cancer genetic risk feedback in primary care patients
Theory utilization in current communication of cancer genetic testing research
‘I had a bigger cancer risk than I thought…’
BACKGROUND: Diagnoses of both melanoma and nonmelanoma skin cancers are becoming increasingly common among young adults. Interventions in this population are a priority because they do not consistently follow skin cancer prevention recommendations. OBJECTIVES: The goal of the current study was to examine college students' perspectives on and experience with receiving a skin cancer prevention intervention that provided personalized skin cancer ris…
Previvorship Posting
Research on previvors, individuals with a genetic predisposition to develop hereditary breast and ovarian cancer but who have not yet been diagnosed with breast or other cancers, examines online information gathering and community support to alleviate uncertainty. However, research exploring online content published by previvors themselves is limited. We examined content published to Instagram and TikTok to explore how breast cancer previvors dis…
Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities
BACKGROUND: Patients rarely dispose of left-over opioids after surgery. Disposal serves as a primary prevention against misuse, overdose, and diversion. However, current interventions promoting disposal have mixed efficacy. Increasing disposal in rural communities could prevent or reduce the harms caused by prescription opioids. AIMS: Identify barriers and facilitators to disposal in the rural communities of the United States Mountain West region…
“La Piedra Rosetta” Content Analysis of Health-Specific Stories on Genetic Testing From Spanish-Language News Outlets
Genetic testing (GT) for health purposes has grown exponentially in the past decade, with the ability to prescribe precision medicine regiments as well as preventative and preparatory actions. White and English-speaking populations have largely benefited from GT, leaving other groups, like Latinx populations, behind. Explanations for this disparity have cited a lack of awareness and knowledge of GT for health purposes but have generally only been…
Communication About Negative and Uncertain Results
This case study focuses on a video telehealth consult to discuss genetic testing results. Participants include a Genetic Counselor (GC) and a Patient (P) previously diagnosed with ovarian cancer who is currently undergoing chemotherapy treatments. Utilizing conversation analysis (CA), attention is first given to a series of interactional dilemmas as GC delivers and P responds to negative, uncertain, and complex test results. Specific findings add…
Patient Perspectives on a Patient‐Facing Tool for Lung Cancer Screening
BACKGROUND: Individuals with high risk for lung cancer may benefit from lung cancer screening, but there are associated risks as well as benefits. Shared decision-making (SDM) tools with personalized information may provide key support for patients. Understanding patient perspectives on educational tools to facilitate SDM for lung cancer screening may support tool development. AIM: This study aimed to explore patient perspectives related to a SDM…
Reach and Engagement With Population Health Management Interventions to Address Covid-19 Among Safety-Net Health Care Systems
Interventions designed to address COVID-19 needed to be rapidly scaled up to the population level, and to address health equity by reaching historically marginalized populations most affected by the pandemic (e.g., racial/ethnic minorities and rural and low socioeconomic status populations). From February 2021 to June 2022, SCALE-UP Utah used text messaging interventions to reach 107 846 patients from 28 clinics within seven safety-net health car…
Exploring the Role of Communication Asset Mapping (CAM) as a Strategy to Promote Hereditary Cancer Risk Assessment Information Within African American Communities
Objective : African Americans (AAs) carry the largest burden for almost every type of cancer in the US and are also more likely to die from cancer. Approximately 10% of cancers can be explained by a hereditary factor and detected earlier. Many AAs, however, have inequitable access to hereditary cancer risk assessment (HCRA) tools and information, further exacerbating disparities in cancer rates. Innovative communication strategies to promote comm…
Recruitment Techniques Used for Clinical Trials and the Potential Impact of Nudges
While clinical trials are essential to improving public health, little research has examined the range of recruitment techniques used or whether they involve behavioral nudges. Behavioral nudges have been defined as "any aspect of the choice architecture [the manner in which options are presented] that alters people's behavior in a predictable way without forbidding any options or significantly changing their economic incentives"; these may influ…
Medicine (25 works) · Psychology (19 works) · BRCA gene mutations in cancer (12 works) · Nursing (11 works) · Environmental health (10 works) · Public health (9 works) · Qualitative research (9 works) · Computer Science (8 works) · Gerontology (8 works) · Internal Medicine (7 works)