Alicia B. W. Clifton

• Master of Development Practice
• COO/Co-Founder at Wicked Saints Studios

Importance Serious illness conversations (SICs) that elicit patients’ values, goals, and care preferences reduce anxiety and depression and improve quality of life, but occur infrequently for patients with cancer. Behavioral economic implementation strategies (nudges) directed at clinicians and/or patients may increase SIC completion. Objective To...

Purpose: Few cancer centers systematically engage patients with evidence-based tobacco treatment despite its positive effect on quality of life and survival. Implementation strategies directed at patients, clinicians, or both may increase tobacco use treatment (TUT) within oncology. Methods: We conducted a four-arm cluster-randomized pragmatic t...

Measures of the same phenomenon should produce the same results; this principle is fundamental because it allows for replication—the basis of science. Unfortunately, measures of a psychological construct in one language can often measure something a bit different in another language (i.e., low “scale equivalence”). Historically, the problem was tho...

1514 Background: Early serious illness conversations (SICs) elicit patients’ values, goals, and care preferences and have been shown to improve outcomes and reduce end-of-life healthcare utilization for patients with cancer. However, most patients with cancer die without a documented SIC. Given prior evidence that strategies informed by behavioral...

Background Despite success in increasing other health behaviors, financial incentives have shown limited to no effect on colorectal cancer (CRC screening. Little is known about the factors shaping why and for whom incentives improve screening. Objective To explore the perspective of participants enrolled in a larger, four-arm pragmatic trial at urb...

Purpose To understand patient experiences and persistent barriers to colorectal cancer (CRC) screening amid centralized outreach at urban family medicine practices. Approach Following a pragmatic trial assessing mailed fecal immunochemical test (FIT) outreach, we invited a subset of participants to complete a semi-structured qualitative interview...

Background Serious illness conversations (SICs) are an evidence-based approach to eliciting patients’ values, goals, and care preferences that improve patient outcomes. However, most patients with cancer die without a documented SIC. Clinician-directed implementation strategies informed by behavioral economics (“nudges”) that identify high-risk pat...

Background Serious illness conversations (SICs) are an evidence-based approach to eliciting patients’ values, goals, and care preferences that improve patient outcomes. However, most patients with cancer die without a documented SIC. Clinician-directed implementation strategies informed by behavioral economics (“nudges”) that identify high-risk pat...

Background Routine evidence-based tobacco use treatment minimizes cancer-specific and all-cause mortality, reduces treatment-related toxicity, and improves quality of life among patients receiving cancer care. Few cancer centers employ mechanisms to systematically refer patients to evidence-based tobacco cessation services. Implementation strategie...

Despite sophisticated scale-generic guidance for adapting/translating self-report scales and widespread adherence to guidance, low invariance remains a problem in cross-cultural clinical research. This may be due to scale-specific translation challenges, and original scale-creation papers provide little information about item-writing choices. It is...

Beck’s insight—that beliefs about one’s self, future, and environment shape behavior—transformed depression treatment. Yet environment beliefs remain relatively understudied. We introduce a set of environment beliefs— primal world beliefs or primals —that concern the world’s overall character (e.g., the world is interesting, the world is dangerous...

Women and minorities have consistently experienced marginalization and inequality in the United States, with low-income, immigrant and refugee women experiencing the most severe forms. This paper explores how we can restructure one area in which disparities exist, the primary healthcare system, to provide respectful, compassionate, accessible and a...