Barbara K Rimer
Dados Biográficos
| ID | 199323 |
|---|---|
| NOME | Barbara K Rimer |
| PRENOMES | Barbara K |
| SOBRENOME | Rimer |
| ASSINATURA | RIMER B K |
| AFILIAÇÕES | Department of Health |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 28 |
| TOTAL DE CITAÇÕES | 61 |
| TOTAL COMO AUTOR | 28 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1980 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2016 |
| ÍNDICE H | 4 |
Preparing Students to Engage in Public Health Research of Consequence
The article discusses the author's views about how to motivate students and faculty members in the U.S. to engage in public health research that is designed to improve health outcomes in America. According to the article, public health research of consequence should focus on health risks and threats that are the greatest sources of morbidity, mortality, and health care costs. The ethical aspects of university-based public health research are asse…
Collaborative patient-provider communication and uptake of adolescent vaccines
It’s the Amount of Thought that Counts
Advancing Tailored Health Communication
Tailored health communication (THC) is any combination of information and behavior change strategies intended to reach one specific person based on information unique to that person, related to the outcome of interest, and derived from an individual assessment. THCs have been studied as a means to facilitate behavior change by influencing some key intermediate steps that precede the behavioral outcome. These include the extent to which people att…
Trust and Sources of Health Information
BACKGROUND: The context in which patients consume health information has changed dramatically with diffusion of the Internet, advances in telemedicine, and changes in media health coverage. The objective of this study was to provide nationally representative estimates for health-related uses of the Internet, level of trust in health information sources, and preferences for cancer information sources. METHODS: Data from the Health Information Nati…
Breast cancer risk perceptions and breast cancer worry
This longitudinal study explored the relationship between perceived breast cancer risk and worry. We measured both absolute and comparative risk perceptions, and also used the Gail algorithm to assess the accuracy of participants' risk perceptions. Three hundred and one women ages 40–75 participated in a two‐part study assessing how format of breast cancer risk presentation affected perceptions of risk. Relative to their Gail scores, women were b…
The Health Information National Trends Survey (HINTS)
Little is known about access, sources, and trust of cancer-related information, or factors that facilitate or hinder communication on a population-wide basis. Through a careful developmental process involving extensive input from many individuals and organizations, the National Cancer Institute (NCI) developed the Health Information National Trends Survey (HINTS) to help fill this gap. This nationally representative telephone survey of 6,369 pers…
Progress in cancer screening practices in the United States
BACKGROUND: Understanding differences in cancer screening among population groups in 2000 and successes or failures in reducing disparities over time among groups is important for planning a public health strategy to reduce or eliminate health disparities, a major goal of Healthy People 2010 national cancer screening objectives. In 2000, the new cancer control module added to the National Health Interview Survey (NHIS) collected more detailed inf…
Patterns of Change in Hostility from College to Midlife in the UNC Alumni Heart Study Predict High-Risk Status
OBJECTIVE: To examine hostility measured in college and patterns of change in hostility from college to midlife as predictors of high health-related risk later in midlife. METHODS: Logistic regression models were used to test hostility/risk associations. RESULTS: College hostility predicted being a current smoker, consuming more than two drinks of alcohol, low social support, achieving less than expected in career and in relationships, risk for d…
Coping styles and personality domains related to menopausal stress
A Tailored Intervention to Aid Decisionmaking About Hormone Replacement Therapy
Decision aids related to hormone replacement therapy (HRT), whether delivered in written form,1,2 along with audiotapes,3 or as part of discussion groups,4 have outperformed generic brochures in increasing knowledge and accuracy of risk assessments. However, these decision aids have provided women with population-based estimates of average risk, not individual risk levels that may have bearing on their decisions about HRT. Decision aids individua…
Depressive Realism and Health Risk Accuracy
We examine the role of level of depression on updating of health-related risk estimates. Participants provided their risk of getting breast cancer before (baseline) and after (follow-up) receiving personalized (experiment 1) or standard (experiment 2) medical risk feedback. Although there were no significant differences in risk estimates at baseline, the follow-up risk estimates indicate that compared to nondepressives, depressives lowered their …
General Performance on a Numeracy Scale among Highly Educated Samples
Background. Numeracy, how facile people are with basic probability and mathematical concepts, is associated with how people perceive health risks. Performance on simple numeracy problems has been poor among populations with little as well as more formal education. Here, we examine how highly educated participants performed on a general and an expanded numeracy scale. The latter was designed within the context of health risks. Method. A total of 4…
Depressive Symptoms, Menopausal Status, and Climacteric Symptoms in Women at Midlife
OBJECTIVE: Previous studies have found increased rates of depression in women aged 45 to 54 years, but the factors that influence these rates are not understood. It was assessed whether higher rates of depressive symptoms were associated with menopausal status, climacteric symptoms, and use of hormone replacement therapy. DESIGN: Cross-sectional survey. SETTING: Community sample. METHODS: Data are from 581 women ages 45 to 54 years who were inter…
Rimer Responds
Rimer Responds Barbara K. Rimer Virginia L. Ernster CopyRight https://doi.org/10.2105/AJPH.89.2.254-a Published Online: October 07, 2011
A randomized trial of breast cancer risk counseling
OBJECTIVES: We evaluated the impact of individualized breast cancer risk counseling on mammography use among women at risk for breast cancer. METHODS: Participants (n = 508) were randomized to the breast cancer risk counseling intervention or a general health education control intervention, and 85% completed follow-up. RESULTS: In multivariate modeling, a significant group-by-education interaction demonstrated that among less-educated participant…
Correlation is not causation
Correlation is not causation. B K Rimer Virginia L. Ernster CopyRight https://doi.org/10.2105/AJPH.88.5.832 Published Online: October 07, 2011
Stages of Adopting Regular Screening Mammography
This study examined whether distinct subgroups of women could be identified within stages of adoption for screening mammography. These subgroups may represent differential readiness to move to the next stage of the adoption continuum. Data were from a baseline survey of 1323 women between the ages of 50 and 74 years who were recruited through a staff- model HMO for an intervention study to increase rates of mammography. Multiple regression models…
Impact of National Cancer Institute revised mammography screening guidelines on women 40–49
Black‐white differences in factors influencing mammography use among employed female health maintenance organization members
These findings have implications for clinical prevention and for patient and community health education in minority populations
Mammography Interventions for 65- to 74-Year-Old HMO Women
This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated th…
Promoting mammography use through progressive interventions
This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared …
Deliberations on the Dissemination of Port Products
This report outlines the activities undertaken by the Inter-PORT Dissemination work group during its first 2 years of operation. The work group's initial purpose was to assist the individual PORTs in developing their plans for both disseminating research findings and evaluating the effectiveness of these strategies. However, it became quickly apparent that in a discipline little more than a decade old, a commonly understood vocabulary had yet to …
Mammography-Related Beliefs of Older Women
Although breast cancer risk increases with age, most studies show that mammography use decreases. A 15-minute telephone survey of 548 women health maintenance organization (HMO) members aged 65 to 74 who had not obtained a mammogram within the past year was undertaken to identify sociodemographic factors as well as knowledge, belief, and attitudinal characteristics associated with mammography history. Women who had never had a mammogram were less…
Why aren't older women getting mammograms and clinical breast exams
How valid are mammography self-reports
We compared mammography reports in medical records to self-reports obtained during a 1989 telephone interview survey for a sample of 100 women members of a health maintenance organization (HMO) who indicated they had mammograms within the past year and 100 who said they had not had mammograms within the past year. Of the women reporting they had not had mammograms within the past year, none had mammogram reports in the HMO data center. Of the 100…
Depressive Realism and Health Risk Accuracy
We examine the role of level of depression on updating of health-related risk estimates. Participants provided their risk of getting breast cancer before (baseline) and after (follow-up) receiving personalized (experiment 1) or standard (experiment 2) medical risk feedback. Although there were no significant differences in risk estimates at baseline, the follow-up risk estimates indicate that compared to nondepressives, depressives lowered their …
Promoting mammography use through progressive interventions
This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared …
Correlation is not causation
Correlation is not causation. B K Rimer Virginia L. Ernster CopyRight https://doi.org/10.2105/AJPH.88.5.832 Published Online: October 07, 2011
Breast cancer risk perceptions and breast cancer worry
This longitudinal study explored the relationship between perceived breast cancer risk and worry. We measured both absolute and comparative risk perceptions, and also used the Gail algorithm to assess the accuracy of participants' risk perceptions. Three hundred and one women ages 40–75 participated in a two‐part study assessing how format of breast cancer risk presentation affected perceptions of risk. Relative to their Gail scores, women were b…
The impact of mailing psychoeducational materials to women with abnormal mammograms
A randomized trial was conducted to evaluate the impact of mailed psychoeducational materials on adherence to subsequent annual mammography among women with prior abnormal mammograms. The results showed a 13% increment in adherence among women who received this intervention. This effect was independent of all sociodemographic and medical variables examined. We conclude that mailed psychoeducational materials may be an effective mechanism to impro…
Stages of Adopting Regular Screening Mammography
This study examined whether distinct subgroups of women could be identified within stages of adoption for screening mammography. These subgroups may represent differential readiness to move to the next stage of the adoption continuum. Data were from a baseline survey of 1323 women between the ages of 50 and 74 years who were recruited through a staff- model HMO for an intervention study to increase rates of mammography. Multiple regression models…
Collaborative patient-provider communication and uptake of adolescent vaccines
A randomized trial of breast cancer risk counseling
OBJECTIVES: We evaluated the impact of individualized breast cancer risk counseling on mammography use among women at risk for breast cancer. METHODS: Participants (n = 508) were randomized to the breast cancer risk counseling intervention or a general health education control intervention, and 85% completed follow-up. RESULTS: In multivariate modeling, a significant group-by-education interaction demonstrated that among less-educated participant…
Black‐white differences in factors influencing mammography use among employed female health maintenance organization members
These findings have implications for clinical prevention and for patient and community health education in minority populations
Mammography Interventions for 65- to 74-Year-Old HMO Women
This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated th…
Mammography-Related Beliefs of Older Women
Although breast cancer risk increases with age, most studies show that mammography use decreases. A 15-minute telephone survey of 548 women health maintenance organization (HMO) members aged 65 to 74 who had not obtained a mammogram within the past year was undertaken to identify sociodemographic factors as well as knowledge, belief, and attitudinal characteristics associated with mammography history. Women who had never had a mammogram were less…
Monitoring Informed Consent Procedures
Probably no aspect of the ethics of human research has received closer review by institutional review boards (IRBs) than that of informed consent. In a recent nationwide survey of IRB practices, modification of consent forms was found to be the most frequent substantive change requested of investigators.1 However, this survey also found that IRBs were largely ineffective in improving the quality of consent procedures. IRB proposals for modificati…
How valid are mammography self-reports
We compared mammography reports in medical records to self-reports obtained during a 1989 telephone interview survey for a sample of 100 women members of a health maintenance organization (HMO) who indicated they had mammograms within the past year and 100 who said they had not had mammograms within the past year. Of the women reporting they had not had mammograms within the past year, none had mammogram reports in the HMO data center. Of the 100…
Why aren't older women getting mammograms and clinical breast exams
The impact of mailing psychoeducational materials to women with abnormal mammograms
A randomized trial was conducted to evaluate the impact of mailed psychoeducational materials on adherence to subsequent annual mammography among women with prior abnormal mammograms. The results showed a 13% increment in adherence among women who received this intervention. This effect was independent of all sociodemographic and medical variables examined. We conclude that mailed psychoeducational materials may be an effective mechanism to impro…
Mammography-Related Beliefs of Older Women
Although breast cancer risk increases with age, most studies show that mammography use decreases. A 15-minute telephone survey of 548 women health maintenance organization (HMO) members aged 65 to 74 who had not obtained a mammogram within the past year was undertaken to identify sociodemographic factors as well as knowledge, belief, and attitudinal characteristics associated with mammography history. Women who had never had a mammogram were less…
Promoting mammography use through progressive interventions
This study evaluated interventions implemented with women in a health maintenance organization who had not utilized their annual free mammogram referral 45 days (step 2) and 95 days (step 3) after its mailing. The step 2 evaluation compared mammography utilization for women randomly assigned to receive a brief reminder letter or no reminder: 42% of the reminder group vs 28% of the control group obtained mammograms. The step 3 evaluation compared …
Deliberations on the Dissemination of Port Products
This report outlines the activities undertaken by the Inter-PORT Dissemination work group during its first 2 years of operation. The work group's initial purpose was to assist the individual PORTs in developing their plans for both disseminating research findings and evaluating the effectiveness of these strategies. However, it became quickly apparent that in a discipline little more than a decade old, a commonly understood vocabulary had yet to …
Mammography Interventions for 65- to 74-Year-Old HMO Women
This study evaluated the impact of two interventions designed to encourage mammography use among HMO women aged 65-74 who had not had a mammogram within the past year and had not used their referral for a free mammogram. Ninety days after the referral mailing, women were randomized to receive (a) a survey, (b) a survey in addition to telephone mammography counseling, or (c) a survey, telephone counseling, and a letter. Follow-up data indicated th…
Impact of National Cancer Institute revised mammography screening guidelines on women 40–49
Black‐white differences in factors influencing mammography use among employed female health maintenance organization members
These findings have implications for clinical prevention and for patient and community health education in minority populations
Correlation is not causation
Correlation is not causation. B K Rimer Virginia L. Ernster CopyRight https://doi.org/10.2105/AJPH.88.5.832 Published Online: October 07, 2011
Stages of Adopting Regular Screening Mammography
This study examined whether distinct subgroups of women could be identified within stages of adoption for screening mammography. These subgroups may represent differential readiness to move to the next stage of the adoption continuum. Data were from a baseline survey of 1323 women between the ages of 50 and 74 years who were recruited through a staff- model HMO for an intervention study to increase rates of mammography. Multiple regression models…
Rimer Responds
Rimer Responds Barbara K. Rimer Virginia L. Ernster CopyRight https://doi.org/10.2105/AJPH.89.2.254-a Published Online: October 07, 2011
A randomized trial of breast cancer risk counseling
OBJECTIVES: We evaluated the impact of individualized breast cancer risk counseling on mammography use among women at risk for breast cancer. METHODS: Participants (n = 508) were randomized to the breast cancer risk counseling intervention or a general health education control intervention, and 85% completed follow-up. RESULTS: In multivariate modeling, a significant group-by-education interaction demonstrated that among less-educated participant…
General Performance on a Numeracy Scale among Highly Educated Samples
Background. Numeracy, how facile people are with basic probability and mathematical concepts, is associated with how people perceive health risks. Performance on simple numeracy problems has been poor among populations with little as well as more formal education. Here, we examine how highly educated participants performed on a general and an expanded numeracy scale. The latter was designed within the context of health risks. Method. A total of 4…
Depressive Symptoms, Menopausal Status, and Climacteric Symptoms in Women at Midlife
OBJECTIVE: Previous studies have found increased rates of depression in women aged 45 to 54 years, but the factors that influence these rates are not understood. It was assessed whether higher rates of depressive symptoms were associated with menopausal status, climacteric symptoms, and use of hormone replacement therapy. DESIGN: Cross-sectional survey. SETTING: Community sample. METHODS: Data are from 581 women ages 45 to 54 years who were inter…
A Tailored Intervention to Aid Decisionmaking About Hormone Replacement Therapy
Decision aids related to hormone replacement therapy (HRT), whether delivered in written form,1,2 along with audiotapes,3 or as part of discussion groups,4 have outperformed generic brochures in increasing knowledge and accuracy of risk assessments. However, these decision aids have provided women with population-based estimates of average risk, not individual risk levels that may have bearing on their decisions about HRT. Decision aids individua…
Depressive Realism and Health Risk Accuracy
We examine the role of level of depression on updating of health-related risk estimates. Participants provided their risk of getting breast cancer before (baseline) and after (follow-up) receiving personalized (experiment 1) or standard (experiment 2) medical risk feedback. Although there were no significant differences in risk estimates at baseline, the follow-up risk estimates indicate that compared to nondepressives, depressives lowered their …
Progress in cancer screening practices in the United States
BACKGROUND: Understanding differences in cancer screening among population groups in 2000 and successes or failures in reducing disparities over time among groups is important for planning a public health strategy to reduce or eliminate health disparities, a major goal of Healthy People 2010 national cancer screening objectives. In 2000, the new cancer control module added to the National Health Interview Survey (NHIS) collected more detailed inf…
Patterns of Change in Hostility from College to Midlife in the UNC Alumni Heart Study Predict High-Risk Status
OBJECTIVE: To examine hostility measured in college and patterns of change in hostility from college to midlife as predictors of high health-related risk later in midlife. METHODS: Logistic regression models were used to test hostility/risk associations. RESULTS: College hostility predicted being a current smoker, consuming more than two drinks of alcohol, low social support, achieving less than expected in career and in relationships, risk for d…
Coping styles and personality domains related to menopausal stress
The Health Information National Trends Survey (HINTS)
Little is known about access, sources, and trust of cancer-related information, or factors that facilitate or hinder communication on a population-wide basis. Through a careful developmental process involving extensive input from many individuals and organizations, the National Cancer Institute (NCI) developed the Health Information National Trends Survey (HINTS) to help fill this gap. This nationally representative telephone survey of 6,369 pers…
Trust and Sources of Health Information
BACKGROUND: The context in which patients consume health information has changed dramatically with diffusion of the Internet, advances in telemedicine, and changes in media health coverage. The objective of this study was to provide nationally representative estimates for health-related uses of the Internet, level of trust in health information sources, and preferences for cancer information sources. METHODS: Data from the Health Information Nati…
Breast cancer risk perceptions and breast cancer worry
This longitudinal study explored the relationship between perceived breast cancer risk and worry. We measured both absolute and comparative risk perceptions, and also used the Gail algorithm to assess the accuracy of participants' risk perceptions. Three hundred and one women ages 40–75 participated in a two‐part study assessing how format of breast cancer risk presentation affected perceptions of risk. Relative to their Gail scores, women were b…
Advancing Tailored Health Communication
Tailored health communication (THC) is any combination of information and behavior change strategies intended to reach one specific person based on information unique to that person, related to the outcome of interest, and derived from an individual assessment. THCs have been studied as a means to facilitate behavior change by influencing some key intermediate steps that precede the behavioral outcome. These include the extent to which people att…
Medicine (26 obras) · Psychology (15 obras) · Family medicine (14 obras) · Internal Medicine (14 obras) · Breast cancer (13 obras) · Global Cancer Incidence and Screening (12 obras) · Mammography (12 obras) · Cancer (10 obras) · Nursing (9 obras) · Patient-Provider Communication in Healthcare (9 obras)