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AHRQ--Agency for Healthcare Research and Quality: Advancing Excellence in Health Care

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Donald J. Cegala, Ph.D., is an emeritus professor in the School of Communication and in the Department of Family and Community Medicine at The Ohio State University (OSU), Columbus, OH. Dr. Cegala was a member of the faculty at Ohio State University (OSU) faculty for more than 35 years. He is the former Chair of the Health Communication Division of the National Communication Association (NCA) and is a member of the OSU Institute for Primary Care Research and the OSU Comprehensive Cancer Center. He has served as a consultant and grant reviewer for the National Cancer Institute and was the recipient of the 2006 Outstanding Health Communication Scholar Award presented jointly by the NCA and the International Communication Association. He has published more than 60 scholarly book chapters and articles in academic journals and is known nationally and internationally for his research on physician-patient communication, particularly with respect to interventions designed to improve patient communication skills. His Patient Assessment, Care, and Education (PACE) framework has been used in many clinical settings, including primary care, oncology, cardiology, respiratory care (adult asthma), diabetes, pediatrics, and women's health (menopause).

Eric S. Holmboe, M.D., is a board-certified internist and serves as the Chief Medical Office and Senior Vice President of the American Board of Internal Medicine (ABIM) and the ABIM Foundation. He also is an adjunct professor at Yale University and at the Uniformed Services University of the Health Sciences. Before joining the ABIM in 2004, he was the Associate Program Director of the Yale Primary Care Internal Medicine Residency Program and the Director of Student Clinical Assessment at the Yale School of Medicine. Before joining Yale in 2000, he served as the Division Chief of General Internal Medicine at the National Naval Medical Center.

Dr. Holmboe’s research interests include interventions to improve the quality of health care and methods to evaluate clinical competence. Dr. Holmboe currently is a member of the board of the National Board of Medical Examiners and the American Board of Family Medicine and chairs the Committee on Research and Evaluation of Programs at the American Board of Medical Specialties. His a member of the Society of General Internal Medicine and the Association of Medical Education in Europe, a fellow of the American College of Physicians, and an honorary fellow of the Royal College of Physicians in London.

Dr. Holmboe is a graduate of Franklin and Marshall College and the University of Rochester School of Medicine. He completed his residency and chief residency at Yale–New Haven Hospital and was a Robert Wood Johnson Clinical Scholar at Yale University.

Ellen M. Peters, Ph.D., is a professor in the Department of Psychology at The Ohio State University (OSU). She graduated from the University of Pennsylvania in 1989 with bachelor’s degrees in engineering and marketing and earned her doctorate in psychology from the University of Oregon in 1998. She joined Decision Research in 1998 and was promoted to Senior Research Scientist in 2006. In 2010, she became an associate professor at OSU and was promoted to professor in 2012. Dr. Peters is a recognized leader in risk perception/communication and the psychology of health decisionmaking, publishing papers on the effects of affect, numeracy, number processing, and aging. With more than 80 peer-reviewed publications, her research focuses on how affective, intuitive, and deliberative processes help people to make decisions in an increasingly complex world. She is a fellow of the American Psychological Society and has worked extensively with federal agencies (e.g., the National Cancer Institute, the U.S. Food and Drug Administration [FDA]) to advance the science of human decisionmaking as it applies to health decisions and communication. She was a founding member of the FDA’s Risk Communication Advisory Committee and has chaired that committee. She has also been a consultant to the FDA’s Tobacco Products Scientific Advisory Committee and has worked extensively with the design of decision aids to maximize their comprehension and use across diverse populations.

Valerie F. Reyna, Ph.D., serves as the Director of the Human Neuroscience Institute and as the Codirector of the Cornell University Magnetic Resonance Imaging Facility and of the Center for Behavioral Economics and Decision Research at Cornell University. She is a professor and a member of the faculty in the Human Development, Psychology, Cognitive Science, and Neuroscience (IMAGINE) Program and at Weill Cornell Medical College. Dr. Reyna holds a Ph.D. in experimental psychology from Rockefeller University. She is a developer of fuzzy-trace theory, a model of the relationship between memory and decisionmaking that has been widely applied in the fields of law, medicine, and public health. Her recent work has focused on meaning and mental representation; aging, neurocognitive impairment, and genetic risk factors (e.g., in Alzheimer’s disease); rationality and risky decisionmaking, particularly risk taking in adolescence; and neuroimaging models of framing and decisionmaking. She has also extended fuzzy-trace theory to risk perception, numeracy, and dual processes in medical decisionmaking by both physicians and patients. A past president of the Society for Judgment and Decision Making, she is a fellow of numerous scientific societies and has served on scientific panels of the National Academy of Sciences, the National Science Foundation, the National Institutes of Health, the U.S. Food and Drug Administration, and the MacArthur Foundation.

George W. Saba Ph.D., is a professor of Clinical Family and Community Medicine at the University of California, San Francisco (UCSF) and holds the Vitamin Settlement Endowed Chair in Community Medicine. He is the Associate Director of the Family and Community Medicine Residency at San Francisco General Hospital and its Director of Behavioral Sciences. After receiving his doctorate in psychology from Temple University, Dr. Saba worked in the family therapy field in Chicago specializing in eating disorders and abuse, training family therapists and supervisors, and conducting clinical research in bulimia and substance abuse. In 1983, he joined the behavioral science faculty of the Department of Family and Community Medicine at San Francisco General Hospital, training family physicians in relationship-centered care with underserved communities. He continues in that position today, teaching both residents and medical students in outpatient and inpatient settings.

Dr. Saba’s research has focused on both medical education and various aspects of clinical care—physician-patient/family communication, cultural competence, chronic illness in a family context, and team-based care. Over the last decade, he has particularly explored the intersection of shared decisionmaking and collaborative relationships in vulnerable populations. He has had the opportunity to be a visiting scholar throughout northern Italy over the past 15 years, holding a faculty appointment at the Institute for Systemic and Relational Therapy in Modena and collaborating in both training and research with the Department of Psychology at the Università Cattolica di Sacra Cuore in Milan.

Karen R. Sepucha, Ph.D., is the Director of the Health Decision Sciences Center in the General Medicine Division at the Massachusetts General Hospital and an assistant professor in the Department of Medicine at Harvard Medical School. Her research and clinical interests involve developing and implementing tools and methods to improve the quality of significant medical decisions made by patients and clinicians. Dr. Sepucha was the medical editor for a series of five decision aids for patients with breast cancer that were developed by the not-for-profit Informed Medical Decisions Foundation. The patient decision aids have won seven media awards, and Dr. Sepucha has led the dissemination of these programs to more than 80 academic and community cancer centers across the country. She is also responsible for efforts to promote shared decisionmaking in primary and specialty care at the Massachusetts General Hospital through patient decision aids and clinician skills training. Her recent research has focused on developing survey instruments to measure the quality of decisions. These instruments have been used in national surveys of medical decisions, and a subset of the items have been adapted for use in the Consumer Assessment of Healthcare Providers and Systems survey of patient experience with the primary care medical home. Dr. Sepucha has been active in local, national, and international efforts to improve decision quality, including the International Patient Decision Aids Standards collaboration. She received her Ph.D. in engineering-economic systems and operations research at Stanford University with a focus in decision sciences.

Victoria A. Shaffer, Ph.D., received her Ph.D. in quantitative psychology, with an emphasis on decision theory and behavioral economics, from The Ohio State University in 2005. She is currently an assistant professor at the University of Missouri. She holds a joint appointment in the Department of Health Sciences in the School of Health Professions and in the Department of Psychological Sciences in the College of Arts and Science. Her research focuses on identifying and testing methods to improve the quality of health care decisions. Her previous research has focused on the impact of patient narratives in decision aids and attitudes towards the use of clinical decision-support systems in medicine.

Dawn Stacey, R.N., Ph.D., CON(C), holds the University Research Chair in Knowledge Translation to Patients and is an associate professor in the School of Nursing at the University of Ottawa. She is a scientist at the Ottawa Hospital Research Institute where she is the Director of the Patient Decision Aids Research Group. She is the principal investigator for the Cochrane Review of Patient Decision Aids, cochair of the Steering Committee for the International Patient Decision Aid Standards Collaboration, and a coinvestigator for the Cochrane Review of Interventions to Improve the Adoption of Shared Decision Making. Dr. Stacey’s research includes knowledge translation to patients; patient decision aid development, evaluation and appraisal; decision coaching; implementation of decision aids and decision coaching into practice; telephone-based care, and interprofessional approaches to shared decision making. She is collaborating with the Ministry of Health in Saskatchewan to implement shared decisionmaking and patient decision aids across the province. She has over 100 publications and 80 invited national and international presentations. Her research program Web site is available at Exit Disclaimer