Philadelphia University + Thomas Jefferson University

Patient Centered Risk Assessment & Communication

To study patterns of patient-provider communication occurring in the clinical visit setting. To study research methodologies for research that is conducted in a patient-centered manner.

We seek to develop interventions and strategies in which patients understand and can respond to information in a way that promotes their health, both from a research and a clinical perspective.

We seek to help patients translate concepts of health risk into metrics (which are important and understandable to them) and help in identification of their risk factors using a shared decision making process with their primary care providers


  • To add to the scientific literature in the areas of patient-centered communication and patient-centered outcomes research.
  • To acknowledge that any intervention for health risk reduction must take into account the patient’s perceptions and beliefs about health.
  • To increase patient participation in their health care by making it easier for them to express their priorities regarding behavioral risk reduction.

Recent Publications

Practicing safety: A quality improvement intervention to test tools to enhance pediatric psychosocial care for children 0-3 years

Exploring patient-centeredness: The relationship between self-reported empathy and patient-centered communication in medical trainees

The effect of diabetes self-management education on HbA1c and quality of life in African-Americans: A systematic review and meta-analysis

Evaluation of an ongoing diabetes group medical visit in a family medicine practice

Overcoming Obesity: A Mixed Methods Study of the Impact of Primary Care Physician Counseling on Low-Income African American Women Who Successfully Lost Weight

Race as a Predictor of Palliative Care Referral Time, Hospice Utilization, and Hospital Length of Stay: A Retrospective Noncomparative Analysis

Development and preliminary validation of a scale to measure patient uncertainty: The “Uncertainty Scale”

Validation study of patient-version of the Jefferson Teamwork Observation Guide (JTOG)

Use of Group Concept Mapping to Identify Patient Domains of Uncertainty That Contribute to Emergency Department Use

Frequent emergency department visitors are frequent primary care visitors and report unmet primary care needs

Reducing Stress Among Mothers in Drug Treatment: A Description of a Mindfulness Based Parenting Intervention

How Multidimensional Health Locus of Control predicts utilization of emergency and inpatient hospital services

The Core of Care Management: The Role of Authentic Relationships in Caring for Patients with Frequent Hospitalizations

Concept mapping as a method to engage patients in clinical quality improvement

Using concept mapping to explore barriers and facilitators to breast cancer screening in formerly homeless women with serious mental illness

Confirmatory factor analysis and invariance testing between Blacks and Whites of the Multidimensional Health Locus of Control scale

Catching up with the HPV vaccine: Challenges and opportunities in primary care

Exploration and confirmation of the latent variable structure of the Jefferson scale of empathy

Impact of a patient-centered medical home clerkship curriculum

Reducing refugee mental health disparities: A community-based intervention to address postmigration stressors with African adults


  • Concept Mapping as a Scalable Method for Identifying Patient-Important Outcomes (funder: PCORI)
  • Effect and Underlying Mechanisms of Melatonin on Blood Pressure, Insulin Resistance, and Endothelial Function (Funder: National Heart, Lung, and Blood Institute)
  • Implementation of a Novel Hypertension Clinical Practice Guideline in a Large Primary Care Practice:  Process Evaluation, Uptake and Impact on Clinical Outcomes (Funder: AAFP Foundation)
  • Impact of Adipokines and Insulin Resistance on Progression of Prehypertension (Funder: National Heart, Lung, and Blood Institute)
  • Patient Centered Cardiac Risk Assessment and Communication – Patient and Physician  Perspectives
  • Target Organ Damage Outcomes for Prehypertension and Obesity in Black Adolescents–(Funder: National Heart, Lung, and Blood Institute)
  • TECOS: A Randomized, Placebo Controlled Clinical Trial to Evaluate Cardiovascular Outcomes after Treatment with Sitagliptin in Patients with Type 2 Diabetes Mellitus and Inadequate Glycemic Control (Funder: Merck)
  • Validation of the Jefferson Scale of Empathy (JSE) (Funder: Gold Foundation)


Cheng C, Daskalakis C. Association of adipokines with insulin resistance, microvascular dysfunction, and endothelial dysfunction in healthy young adults. Mediators Inflamm. 2015;2015:594039. Epub 2015 Oct 13.

Cheng C, Lee CW, Daskalakis C. A reproducible computerized method for quantitation of capillary density using nailfold capillaroscopy. J Vis Exp. 2015 Oct 27;(105). doi: 10.3791/53088.

Chambers CV, Axell-House DB, Mills G, Bittner-Fagan H, Rosenthal MP, Johnson M, and Stello B. Primary Care Physicians’ Experience and Confidence with Genetic Testing and Perceived Barriers to Genomic Medicine. J Fam Med 2015; 2(2): 1-7.

Grinberg C, Hawthorne M, LaNoue M, Brenner J, Mautner D. The core of care management: The role of authentic relationships in caring for patients with frequent hospitalizations. Popul Health Manag. 2015 Nov 13. [Epub ahead of print].

LaNoue MD, Harvey AS, Mautner D, Scott KS, Ku B. Confirmatory factor analysis and invariance testing between blacks and whites of the Multidimensional Health Locus of Control scale. Health Psychology Open. 2015; 2(2): doi: 10.1177/2055102915615045.


LaNoue M, Cunningham A, Mills G, Sharbaugh A. Concept Mapping as a Tool for Engaging Patients and Providers in Clinical Quality Improvement. North American Primary Care Research Group Annual Meeting, Cancun, Mexico, October 2015.

Mills G, LaNoue M, Cheng C, Payton C, Valko G. Implementation of a Hypertension Clinical Practice Guideline in a Large Academic Primary Care Practice. North American Primary Care Research Group Annual Meeting, New York, NY, November 2014.