Stephanie A. Hooker

Stephanie A. Hooker
HealthPartners Institute for Education and Research · Research and Evaluation Division

Ph.D., M.P.H.

About

71
Publications
6,943
Reads
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998
Citations
Citations since 2016
49 Research Items
930 Citations
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Introduction
Stephanie Hooker is currently a Research Investigator at the HealthPartners Institute. She is interested in research involving health behaviors (e.g., physical activity, sleep), meaning and purpose in life, wellness, and primary care behavioral health.
Additional affiliations
February 2020 - present
University of Minnesota
Position
  • Professor (Assistant)
June 2019 - present
HealthPartners Institute for Education and Research
Position
  • Research Associate
August 2017 - May 2019
University of Minnesota
Position
  • PostDoc Position
Education
August 2012 - December 2015
University of Colorado
Field of study
  • Applied Biostatistics
August 2011 - August 2017
University of Colorado
Field of study
  • Clinical Health Psychology
August 2009 - July 2011
Syracuse University
Field of study
  • Clinical Psychology

Publications

Publications (71)
Article
Background Opioid-related deaths continue to rise in the U.S. A shared decision-making (SDM) system to help primary care clinicians (PCCs) identify and treat patients with opioid use disorder (OUD) could help address this crisis. Methods In this cluster-randomized trial, primary care clinics in three healthcare systems were randomized to receive o...
Article
Purpose: Both patients and clinicians have described discussions of potential opioid risks as challenging. This study's goal was to understand patient perspectives on discussing opioid risks with primary care clinicians (PCCs). Methods: Patients identified to be at elevated risk for problems with opioids (ie, opioid use disorder [OUD] diagnosis,...
Article
Full-text available
Background Suicide risk prediction models derived from electronic health records (EHR) and insurance claims are a novel innovation in suicide prevention but patient perspectives on their use have been understudied. Methods In this qualitative study, between March and November 2020, 62 patients were interviewed from three health systems: one antici...
Article
Introduction Clinicians and researchers have traditionally relied on treatment retention and opioid abstinence as the primary measures of treatment success for people with opioid use disorder (OUD). However, these measures may not capture the range of clinically important treatment outcomes. The study sought to identify indicators of success in pri...
Article
Loneliness is the subjective feeling people experience when they feel less socially connected to others than they desire. Beyond the impact to mental health and well-being, loneliness is linked to detrimental health outcomes. During the COVID-19 pandemic, social distancing and isolation requirements likely exacerbated the prevalence of loneliness,...
Article
Objective This study assessed the relationship of both depression diagnosis and clinically significant depressive symptoms with individual cardiovascular risk factors and estimated total cardiovascular risk in primary care patients. Methods This study used a cross-sectional and retrospective design. Patients who had a primary care encounter betwee...
Article
The COVID-19 pandemic instigated major changes in care delivery, but our understanding of how the rapid transition from in-person to telehealth encounters affected the care of patients with chronic conditions such as type 2 diabetes remains incomplete. This study examined changes in primary care encounters, A1C testing rates, and the likelihood of...
Article
Background To compare estimated 10‐year and 30‐year cardiovascular risk in primary care patients with and without serious mental illness (SMI; bipolar disorder, schizophrenia, or schizoaffective disorder). Methods and Results All patients aged 18 to 75 years with a primary care visit in January 2016 to September 2018 were included and were grouped...
Article
Importance: Adults with schizophrenia, schizoaffective disorder, or bipolar disorder, collectively termed serious mental illness (SMI), have shortened life spans compared with people without SMI. The leading cause of death is cardiovascular (CV) disease. Objective: To assess whether a clinical decision support (CDS) system aimed at primary care...
Article
Full-text available
Although primary care is an ideal setting in which to address behavioral influences on health, clinicians spend little time discussing preventive care, including lifestyle counseling. There is a dearth of comprehensive training and evidence-based resources to educate clinicians in how to effectively engage with patients about these topics. This stu...
Article
Full-text available
Background: Addressing the opioid epidemic would benefit from primary care clinicians identifying and managing opioid use disorder (OUD) during routine clinical encounters, but current rates are low. Clinical decision support (CDS) systems are a promising way to facilitate such interactions, but will clinicians use them? Methods: We iteratively...
Article
Background Little research has examined the needs of parents with opioid use disorder (OUD) who are receiving medications for OUD (MOUDs), which is striking given growing rates of OUD among parents. Objective: The current study expands the literature by examining psychiatric, psychosocial, and parenting-related functioning, as well as 12-month MOUD...
Article
Full-text available
Background The COVID-19 pandemic has resulted in unprecedented disruptions, restrictions, and concerns about physical and mental health. Emerging adulthood, including the first year of college, is associated with declines in healthy eating and physical activity, as well as possible heightened distress. The impact of COVID-19 may exacerbate these co...
Article
Full-text available
Opioid use disorder (OUD) continues to be a significant problem in the United States, contributing to overdose and death. Recent efforts to expand access to treatment of OUD in primary care have increased the availability of medications for OUD (MOUDs). However, OUD is often accompanied by poor mental health and well-being, and it is not known if t...
Article
Psychologists housed in two family medicine residency clinics located in underserved communities quickly transitioned their mode of psychotherapy from in-person to completely virtual at the beginning of the COVID-19 pandemic. We share numerous successes and advantages of a telehealth model in serving our community and describe challenges we have en...
Article
Full-text available
Chronic pain is prevalent and can be complex to manage in primary care. Encouraging patients with chronic pain to engage in valued activities has been associated with reduced disability and distress. This single-arm, mixed methods pilot study examined whether adding a values-based behavioral activation intervention to a chronic pain protocol is fea...
Article
Introduction College may be a time when emerging adults establish eating patterns that influence future weight trajectories. Self-determination theory (SDT) suggests that satisfaction of basic psychological needs (autonomy, competence, relatedness) supports autonomous regulation of behavior, which is associated with healthier behaviors. When needs...
Article
Religion and spirituality (R/S) continue to be important aspects of life for individuals worldwide that carry the possibility of being associated with or influencing health outcomes. Research evidence suggests a modest beneficial relationship for R/S with health. Plausible mechanisms linking R/S and health include social support, engagement in heal...
Article
Purpose: Opioid use disorder is a prevalent and chronic condition that can lead to adverse outcomes if untreated. Medication-assisted treatment (MAT) with buprenorphine in a primary care setting has the potential to increase availability of treatment and reduce harm; however, retention in MAT is key for patient success. This study's purpose was to...
Article
Background: Mounting evidence suggests that loneliness increases the risk of poor health outcomes, including cardiovascular disease and premature mortality.Objective: This study examined the prevalence of loneliness in an urban, underserved family medicine residency clinic and the association of loneliness with health care utilization. Methods:...
Article
Full-text available
Wellness is a construct that is commonly employed in the social and health science lexicon and has gained increased popular acceptance through the advent of wellness centers and programs. Though it is agreed that wellness is multidimensional, previous conceptualizations and assessments of wellness vary in both number and type of dimensions as well...
Article
Full-text available
Purpose: Primary care is an ideal setting to deliver efficacious treatments for opioid use disorder (OUD). Primary care providers need to be aware of other concerns patients with OUD might have in order to provide comprehensive care. This study describes the prevalence of mental health, comorbid substance use, and psychosocial concerns of patients...
Article
Self-Determination Theory (SDT) suggests that individuals with greater basic psychological needs satisfaction and autonomous motivation are more likely to adopt physical activity (PA). However, few longitudinal studies have examined these processes in exercise initiates outside the context of a formalized intervention. Further, an implicit yet rela...
Article
Background: Approximately 40% of deaths in the USA are attributable to modifiable health behaviours. Despite clear recommendations and practice guidelines, primary care physicians (PCPs) generally do not dedicate much time to addressing health behaviours, thereby missing opportunities to improve patient well-being. Objective(s): To examine what...
Article
Background: Little is known about how daily fluctuations in health behaviors relate to chronic disease risk. The goal of this study was to examine whether variability in physical activity, caloric intake, and sleep is related to body composition (body mass index and body fat percentage). Methods: Healthy adults (N = 103; 64% female) were monitor...
Article
Background and objectives: Burnout is considered a public health crisis among physicians and is related to poor quality of life, increased medical errors, and lower patient satisfaction. A recent literature review and conceptual model suggest that awareness of life meaning, or meaning salience, is related to improved stress and coping, and may als...
Article
Study objectives: Over one-third of the United States population sleeps less than the recommended 7 hours a night, which increases risk for chronic diseases. The aim of this study was to evaluate the acceptability of sleep extension interventions and preferences in sleep extension interventions among adults with short sleep duration. Methods: Pa...
Article
Engagement in personally meaningful activities is associated with greater well-being. However, most studies use cross-sectional or recall methods, and the researchers pre-determine which activities are ‘meaningful.’ This study examined an idiographic measure of meaningful activity participation in relation to well-being. Participants (N = 160; M ag...
Article
Meaning and purpose in life are related to a reduced risk of mortality and cardiovascular events, and meaning has been established as a correlate of physical activity. However, it is not clear what mechanisms account for the relationship between meaning and physical activity. A cross-sectional analysis (N = 94) indicated that self-efficacy in impro...
Article
Over five million children in the United States have a parent living with a serious mental illness. These offspring are at higher risk for developing mental health problems themselves due to a complex interplay of biological, psychological, and psychosocial factors. Life with a parent with psychiatric symptoms can be scary, confusing, overwhelming,...
Article
Background There has been a notable disconnect between theories of behavior change and behavior change interventions. Because few interventions are both explicitly and adequately theory-based, investigators cannot assess the impact of theory on intervention effectiveness. Theory-based interventions, designed to deliberately engage the theory’s prop...
Poster
Introduction It is estimated 34.8% of the U.S population report sleeping less than 7 hours a night, which increases risk for cardiovascular diseases. The aim of this study was to determine the potential for interest in sleep extension interventions among adults with and without chronic illnesses who have short sleep duration. Methods Participants...
Article
Accurate postpartum depression screening measures are needed to identify mothers with depressive symptoms both in the postpartum period and beyond. Because it had not been tested beyond the immediate postpartum period, the reliability and validity of the Postpartum Depression Screening Scale (PDSS) and its sensitivity, specificity, and predictive v...
Article
Using these brief interventions, you can help your patients make healthy behavior changes.
Article
Full-text available
The inability to produce sustainable lifestyle modifications (e.g., physical activity, healthy diet) remains a major barrier to reducing morbidity and mortality from prevalent, preventable conditions. The objective of this paper is to present a model that builds on and extends foundational theory and research to suggest novel approaches that may he...
Article
Objective: Individuals living with more experienced meaning, or meaning salience, may be more likely to engage in health behaviors including physical activity. This study examined daily meaning salience and physical activity in previously inactive exercise initiates. Method: Inactive adults (N = 80, 78% female, Mage = 43 years, SD = 11 years) in...
Article
Full-text available
Purpose of Review Cognitive behavioral therapy for insomnia (CBT-I) is a brief and effective non-pharmacologic treatment for insomnia that is recommended as the first-line treatment for chronic insomnia. Despite the benefits for many patients, 25–40% of patients do not have remission of their insomnia disorder. In this article, we discuss predictor...
Article
Background: Heart failure is a progressive condition characterized by frequent hospitalizations for exacerbated symptoms. Informal family caregivers may help patients improve self-care, which may in turn reduce hospitalizations. However, little is known about how mutuality, defined as the quality of the patient-caregiver relationship, and caregive...
Article
Full-text available
Many of the 23 million individuals with heart failure (HF) worldwide receive daily, unpaid support from a family member or friend. Although HF and palliative care practice guidelines stipulate that support be provided to family caregivers, the evidence base to guide care for this population has not been comprehensively assessed. In order to apprais...
Article
Accumulating evidence suggests that a global sense of meaning in life is related to physical health, including increased longevity and reduced morbidity. However, the mechanisms responsible for these relationships remain largely unknown and uninvestigated. Moreover, there is no unifying conceptual framework linking meaning in life to physical healt...
Article
Purpose: To examine the effects of an employer-based monetary incentive program on membership termination and usage at a fitness center. Design: Retrospective nested case-control study examining the relationship between participation in an incentive program, visits to the fitness center, and membership termination at 1 year. Setting: Universit...
Article
Full-text available
The vast majority of Americans do not engage in adequate regular physical activity despite its well-known health benefits. Even when individuals attempt to become more active by joining a fitness center, estimates suggest that nearly half terminate their membership within the first 6months. A better understanding of who is at risk for early members...
Article
Background: Increased spiritual well-being is related to quality of life (QOL) in patients with heart failure (HF). However, consistent and deliberate integration of spirituality into HF patient care has received limited attention. Objective: The aim of this study was to evaluate the feasibility, acceptability, and preliminary evidence regarding...
Article
Full-text available
The Veterans Health Administration’s MOVE! Program is the largest health care-delivered weight loss intervention in the United States. As a referring clinician’s perceptions and knowledge of health programs may impact implementation, examining perceptions of MOVE! may inform improvements to this and other programs. This study investigated primary c...
Article
Relationships can have positive and negative impacts on health and well-being. Dyadic relationships between heart failure (HF) patients and their informal family caregivers may affect both patient and caregiver outcomes. The aim of this study is to synthesize the literature to date on the associations between HF patient-caregiver relationship quali...
Chapter
Background: Spiritual and existential issues become increasingly salient for individuals facing life-threatening illnesses, including those with advanced cardiovascular diseases. Patients with high levels of existential anxiety and low spiritual well-being tend to experience lower quality of life and more depressive symptoms. Thus, identifying pati...
Article
Previous research has shown that purpose in life, the belief that one's life is meaningful and goal-directed, is associated with greater engagement in self-reported physical activity. The purpose of this study was to examine the relationship between purpose in life and accelerometer-measured physical activity. Community volunteers (N = 104) complet...
Article
Research has demonstrated a positive relation between particular religious/spiritual variables and health behaviors and outcomes. However, recent conceptualizations of religiousness/spirituality (R/S) and health acknowledge the multidimensionality of both constructs. Consequently, it is important to study these constructs in ways that allow for sim...
Article
Full-text available
Overweight and obesity are growing problems for primary care. Although effective weight management programs exist, these programs experience significant attrition, which limits effectiveness. This study examined provider and staff perceptions of attrition from the Veterans Health Administration MOVE!® Weight Management Program as an initial step to...
Article
Background: People with chronic heart failure (HF) suffer from numerous symptoms that worsen quality of life. The CASA (Collaborative Care to Alleviate Symptoms and Adjust to Illness) intervention was designed to improve symptoms and quality of life by integrating palliative and psychosocial care into chronic care. Objective: Our aim was to dete...
Article
What is already known about this subject: Depressive symptoms and obesity are highly prevalent in primary care settings. Depressive symptoms and obesity are positively related; as body weight increases, individuals are more likely to display depressive symptoms. What this study adds: This study examines the moderating roles of health behaviours...
Article
The interpersonal tradition (Horowitz & Strack, 2011) provides a rich conceptual and methodological framework for theory-driven research on mechanisms linking religiousness and spirituality (R/S) with health and well-being. In three studies we illustrate this approach to R/S. In Studies 1 and 2 undergraduates completed various self-report measures...
Article
Objective: Recently, behavioral scientists have developed greater interest in understanding the relations between religiousness and spirituality (R/S) and health. Our objectives were to (a) provide an overview of the R/S and health literature specific to cardiovascular disease (CVD) and cancer, (b) discuss the importance of religious culture consi...
Article
This study examined the effects of stress on taste perception. Participants (N = 38; 21 women) completed two laboratory sessions: one stress (public speaking, math, and cold pressor) and one control rest session. The taste perception test was conducted at the end of each session and included rating the intensity and pleasantness of sweet, salty, so...
Conference Paper
Background: Consumption of unhealthy food may lead to obesity and chronic conditions that result in higher health care costs, reduced productivity, and possibly shorter life spans. Thus it may be efficient to tax unhealthy food to deter consumption and subsidize the purchase of healthy food to encourage consumption that may reduce the likelihood of...
Article
The adipocyte hormone leptin regulates satiety and energy expenditure. Recent evidence suggests that leptin is associated with increased craving for alcohol and with shorter length of abstinence during alcohol treatment. This study examined leptin's associations with craving for cigarettes and smoking relapse among smokers interested in cessation....
Article
Full-text available
Previous reports have suggested an inverse relationship between body mass index (BMI) and negative mood in women. However, little is known about the potential association of these variables under stressful conditions, such as those experienced during smoking cessation. The current investigation examined the relationship of BMI and various indices o...

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