Behavioral and Field Science Core

Behavioral and Field Science Core

Mission of the Core

The Behavioral and Field Research Core (BFRC) is designed to facilitate the integration of communication and behavioral research across Karmanos Cancer Institute's Scientific Programs and Karmanos Network Sites. The BFRC provides services essential to the successful implementation of communication and behavioral studies. The BFRC’s staff offers expertise in behavioral research methodologies and design and evaluation of evidence-based social and behavioral interventions with a particular emphasis on health disparities.

The Behavioral and Field Research Core is supported, in part, by NIH Center grant P30 CA022453 to the Karmanos Cancer Institute at Wayne State University.

Core Services Available 

The BFRC offers a wide range of reseach services and expertise in behavioral research methodologies and comprehensive services spanning the continuum of research beginning with early stage planning and development through dissemination. The BFRC implementation services in quantitative and qualitative data collection methods and techniques, such as survey development, focus group moderation, participant interviewing, in-person and internet-based data collection and survey maintenance via online survey resources (e.g., Qualtrics, SurveyMonkey, RedCap). Additional services include:

  • Expertise in behavioral research study design and evaluation of evidence-based social and behavioral interventions and facilitate referral to appropriate Karmanos faculty as needed.
  • Expertise and service in regulatory preparation and submission for behavioral research studies.
  • Expertise and service in behavioral research study implementation including recruitment, consent, data collection, and retention of study participants.
  • Expertise and maintenance state-of-the-art advanced equipment needed to support and expand the Medical Interaction Research Archive (MIRA). MIRA is a secure data archive consisting of video-recorded clinical interactions, physician, patient, and companion self-report data, and observational data (e.g., coding of patient-centered communication, patient and companion activation).
  • Collaboration and consultation for publications and preparation of grant proposals.


The BFRC continues to maintain and operate uniquely designed video-recording systems (both fixed and mobile cameras) and audio systems essential to collect real-time video/audio capture of patient-physician interactions in the Karmanos Wertz Clinic, Walt Clinic, Radiation Oncology Clinic, Weisberg Clinic, and at sites throughout the Karmanos Network. The BFRC’s editing studio uses a full range of professional video-editing functions for capturing and importing source clips, cropping and synchronizing video, adding transitions, mixing audio, applying effects, and exporting edited videos for coding and analysis. The secure dedicated Mac server provides the ability to access the Medical Interaction Research Archive (MIRA) only on approved systems.

    Behavioral and Field Science Core Selected Publications

    Jayaseker, J., Vadaparampil., S.T., Eggly, S., Street, R.L., Foster Moore, T., Isaacs, C., Han, H.S., Augusto, B., Garcia, J., Lopez, K., & O’Neill, S. A question prompt list to support patient-provider communication in the use of the 21-gene recurrence test: Feasibility, acceptability, and outcomes. Under review, Journal of Oncology Practice.

    Hamel, L.M., Dougherty, D.W., Albrecht, T.L., Wojda, M., Jordon, A., Moore, T.F., Senft, N., Carducci, M., Heath, E.I., Lansey, D., Manning, M.A., Penner, L.A., and Eggly, S. Unpacking clinical trial offers: A qualitative analysis of interactions with physicians and patients potentially eligible for a prostate cancer therapeutic trial. In Press, J Oncol Pract.

    Hamel, L. M., Thompson, H. S., Albrecht, T. L., Penner, L. A., & Harper, F. W. K. (2019). Designing and Testing Apps to Support Patients with Cancer: Look to Behavioral Science to Lead the Way. In press, Journal of Medical Internet Research-Cancer.

    Barton, E., Foster Moore, T., Hamel, L.M., Penner, L.A., Albrecht, T.L., & Eggly, S. (2019) The influence of a Question Prompt List on patient-oncologist information exchange. Patient Educ Couns, doi: 10.1016/j.pec.2019.09.020.

    Harper, F. W. K, Albrecht, T. L., Trentacosta, C. J., Taub, J. W., Phipps, S., & Penner, L. A. (2019). Understanding Differences in the Long-Term Psychosocial Adjustment of Pediatric Cancer Patients and their Parents: An Individual Differences Resources Model. Transl Behav Med, doi: 10.1093/tbm/ibz025.

    Morreale, M.K., Moore, T.F., Kim, S., Uphold, H.S., Mabunda, L.M., and Harper, F.W.K. (2019). Preferences for Notification of Imaging Results in Patients with Metastatic Cancer. Patient Educ, Couns doi: 10.1016/j.pec.2019.08.032.

    Nicole Senft, Judith Abrams, Anne Katz, Charity Barnes, Deborah H. Charbonneau, Jennifer L. Beebe-Dimmer, Ke Zhang, Tara Eaton, Elisabeth Heath & Hayley S. Thompson (2019) eHealth Activity among African American and White Cancer Survivors: A New Application of Theory, Health Communication, doi: 10.1080/10410236.2018.1563031.

    Bai, J., Swanson, K., Harper, F., Penner, L., & Santacroce, S. (2018). Parent Caring Response Scoring System (P-CaReSS): Development and Psychometric Evaluation in the Context of Childhood Cancer-Related Port Starts. Scandinavian Journal of Caring Sciences, doi: 10.1111/scs.12504.

    Hamel LM, Moulder R, Albrecht TL, (2018) Nonverbal synchrony as a behavioural marker of patient and physician race-related attitudes and a predictor of outcomes in oncology interactions: protocol for a secondary analysis of video-recorded cancer treatment discussions BMJ Open. doi: 10.1136/bmjopen-2018-023648.

    Manning M, Albrecht TL, Penner L, Purrington K. Between-Race Differences in Processes Predicting Physician Communication for African American and European American Recipients of Breast Density Notifications. Ann Behav Med. 2018 Oct 3. doi: 10.1093/abm/kay079. [Epub ahead of print]

    Senft N, Hamel LM, Penner LA, Harper FWK, Albrecht TL, Foster T, Eggly S. The influence of affective behavior on impression formation in interactions between black cancer patients and their oncologists. Soc Sci Med, 2018 Aug;211:243-250. doi: 10.1016/j.socscimed.2018.06.022. Epub 2018 Jun 21.

    Chou, W.S., Hamel, L.M., Thai, C.L. Debono, D., Chapman, R., Albrecht, T.L., Penner, L.A., Eggly, S. (2017) Discussing prognosis and treatment related goals with patients with advanced cancer: A qualitative analysis of oncologists’ language. Health Expect. 20:1073-1080. PMCID: PMC5600249.

    Eggly S, Hamel LM, Heath E, Manning MA, Albrecht TL, Barton E, Wojda M, Foster T, Carducci M, Lansey D, Wang T, Abdallah R, Abrahamian N, Kim S, Senft N, Penner LA. Partnering around cancer clinical trials (PACCT): study protocol for a randomized trial of a patient and physician communication intervention to increase minority accrual to prostate cancer clinical trials. BMC Cancer 2017 Dec 2;17(1):807. doi: 10.1186/s12885-017-3804-5. PMID: 29197371

    Hagiwara, N., Slatcher, R., Eggly, S., Penner, L.A. (2017) Physician racial bias and word use during racially discordant medical interactions. Health Communication, 32(4);401-408. PMID: 27309596

    Hamel L, Penner LA, Eggly SS, Klamerus J, Simon M, Stanton S, Chapman R, Albrecht TL. Do patients and oncologists discuss the cost of cancer treatment? An observational study of clinical interactions between African American patients and their oncologists. J Oncol Pract 2017 13(3) e249-e258 PMID: 2796006

    Henry, S., Penner, L.A., Eggly, S. Associations between thin slice ratings and patient-centeredness in primary care: Comparison of audio and video recordings. (2017) Patient Educ Couns 100(6):1128-1135. PMID: 28087212.

    Jacques-Tiura A, Carcone AI, Naar S, Hartlieb KB, Albrecht TL, Barton E. Building motivation in African American caregivers of adolescents with obesity: Application of sequential analysis. J Pediatr Psychol, 2017 42(2):131-141. PMID: 27246865

    Manning M, Albrecht T, Yilmaz-Saab Z, Penner L, Norman, A, Purrington, K. Explaining between-race differences in African American and European American women’s responses to breast density notification. Soc Sci Med 2017 Dec;195:149-158. doi: 10.1016/j.socscimed.2017.10.006.

    Manning M, Wojda M, Hamel LM, Salkowski A, Schwartz AG, & Harper FW. Understanding the role of family dynamics, perceived norms and lung cancer worry in predicting second-hand smoke avoidance among high-risk lung cancer families. J Health Psychol 2017; 22:1493-1509. PMID: 26956703

    Penner LA, Harper FWK, Dovidio JF, Albrecht TL, Hamel LM, Senft N, Eggly S. The impact of Black cancer patients' race-related beliefs and attitudes on racially-discordant oncology interactions: A field study. Soc Sci Med 2017 191: 99-108. doi: 10.1016/j.socscimed.2017.08.034. Epub 2017 Aug 30. PMID 28917141

    Eggly S, Hamel LM, Foster TS, Albrecht TL, Chapman R, Harper, FWK, Thompson H, Griggs JJ, Gonzalez R, Berry Bobovski L, Tkatch R, Simon M, Shields A, Gadgeel S, Loutfi R, Ali H, Wollner I, Penner LA. Randomized trial of a question prompt list to increase patient active participation during interactions with black patients and their oncologists. Patient Educ Counsel 2016 100(5) 818-826. PMCID: PMC5400698

    Hagiwara, N., Dovidio, J. F., Eggly, S., & Penner, L. A. (2016) The effects of racial attitudes on affect and engagement in racially discordant medical interactions between non-Black physicians and Black patients. Group Processes & Intergroup Relations (Special Issue on Health Disparities), 19(4):509-527.

    Hamel LM, Penner LA, Albrecht TL, Heath E, Gwede CK, Eggly S. Barriers to clinical trial enrollment in racial and ethnic minority patients with cancer. Can Control 2016 23(4): 327-337. PMID: 27842322

    Harper FWK, Peterson A, Albrecht T, Taub J, Phipps S, Penner LA. Satisfaction with support versus size of network: Differential effects of social support on psychological distress in parents of pediatric cancer patients. Psychooncol 2016 25(5):551-8. PMID: 27092714.

    Henry, S.G., Penner L.A., Eggly, S.E. (2016). Associations between thin slice ratings of affect and rapport and perceived patient-centeredness in primary care: Comparison of audio and video recordings. Patient Educ Couns. PMCID:5410186

    Manning MA, Albrecht T, Yilmaz-Saab Z, Shultz J, Purrington K. Influences of race and breast density on related cognitive and emotion outcomes before mandated breast density notification. Soc Sci Med. 2016 169:171-179. PMID: 27733299

    Manning M, Purrington K, Penner L, Duric N, Albrecht, T. Between-race differences in the effects of breast density information and information about new imaging technology on breast-health decision making. Pat Educ Couns 2016 99(6):1002-10. PMID 26847421

    Meropol NJ, Wong Y-N, Albrecht TL, Manne S, Miller SM, Flamm AL, Benson AB 3rd, Buzaglo J, Collins M, Egleston BL, Fleisher L, Katz MS, Kinzy TG, Liu TM, Margevicius S, Miller DM, Poole D, Roach N, Ross E, Schluchter MD. Randomized trial of a web-based intervention to address barriers to clinical trials. J Clin Oncol. 2016; 34: 469-78. PMID: 26700120

    Penner LA, Dovidio JF, Gonzalez R, Albrecht TL, Chapman R, Foster T, Harper FW, Hagiwara N, Hamel LM, Shields AF, Gadgeel S, Simon MS, Griggs JJ, Eggly S. The effects of oncologist implicit bias in racially discordant oncology interactions. J Clin Oncol. 2016 34(24):2874-80. PMCID: PMC5012663

    Penner LA, Dovidio JF, Hagiwara N, Foster T, Albrecht T, Chapman RA, Eggly S. An analysis of race related attitudes and beliefs in Black cancer patients: Implications for health care disparities. J Healthcare Poor Underserv, 2016 27(3):1503-20. PMID: 27524781

    Penner LA, Guevarra DA, Harper FW, Taub J, Phipps S, Albrecht TL, Kross E. Self-distancing buffers high trait anxious pediatric cancer caregivers against short- and longer-term distress. Clin Psychol Sci 2016 4(4): 629-640. PMID: 27617183

    Trentacosta CJ, Harper FWK, Albrecht TL, Taub JW, Phipps S, Penner LA. Pediatric cancer patients’ treatment-related distress and longer-term anxiety: An individual differences perspective. J Dev Behav Pediatr. 2016 37(9):753-761. PMID: 27802258

    Wong Y-N, Schluchter MD, Albrecht TL, Benson AB 3rd, Buzaglo J, Collins M, Flamm AL, Fleisher L, Katz MS, Kinzy TG, Liu TM, Manne S, Margevicius S, Miller DM, Miller SM, Poole D, Raivitch S, Roach N, Ross E, Meropol NJ. Financial concerns among cancer patients about participation in clinical trials. J Clin Oncol 2016 34:479-87. PMID: 26700120

    Carcone, A., Naar-King, S., Eggly, S., Albrecht, T., Foster, T., Brogan, K. (2015) Using thin slices sampling to code motivational interviewing counseling sessions with African American Adolescents with Obesity. Patient Education and Counseling, 98(2):150-5 PMID: 25441095

    Carcone AI, Naar S, Eggly S, Foster T, Albrecht TL, Brogan KE. Comparing thin slices of verbal communication behavior of varying number and duration. Patient Educ Couns. 2015 98(2):150-5. PMID: 25441095.

    Eggly, S, Barton, E, Winckles, A, Penner, LA, Albrecht, TL. A disparity of words: racial differences in oncologist-patient communication about clinical trials. Health Expect 2015;18:1316-1326. PMID: 23910630

    Eggly, S., Manning, M., Slatcher, R.B., Berg, R.A., Wessel, D.L., Newth, C.J.L., Shanley, T.P., Harrison, R., Dalton, H., Dean, J.M., Doctor, A., Jenkins, T., Meert, K.L. (2015) Language analysis as a window to bereaved parents’ emotions during a parent-physician bereavement meeting. Journal of Language and Social Psychology, 34(2): 181-199.

    Hamel LM, Chapman R, Malloy M, Eggly S, Penner L, Shields AF, Simon M, Klamerus J, Schiffer C, Albrecht TL. (2015) Critical shortage of African American medical oncologists in the United States. J Clin Oncol, 2015;33:3697-3700. PMID: 26700123

    Manne S, Kashy D, Albrecht T, Wong Y-N, Flamm A, Benson A, Miller SM, Fleisher L, Buzaglo J, Roach N, Katz M, Ross E, Collins M, Poole D, Raivitch S, Miller DM, Kinzy T, Liu T, Meropol NJ. Attitudinal barriers to participation in oncology clinical trials: Factor analysis and correlates of barriers. Eur J Can Care. 2015;24(1):28-38. PMID:24467411.

    Meert K.L, Eggly, S., Kavanaugh, K., Berg, R.A., Wessel, D.L., Newth, C.J.L., Shanley, T.P., Harrison, R., Dalton, H., Dean, J.M., Doctor, A., Jenkins, T., Park, C. (2015) Meaning making during parent-physician follow-up meetings after a child’s death. Health Psychology (Special Issue on Qualitative Research), 34(4):453-61. PMID:


    Felicity Harper, Ph.D.
    Scientific Director, Behavior and Field Research Core

    Tanina Foster Moore, Ph.D.
    Director, Behavioral and Field Research Core  

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