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Effective Health Care Program

Addressing Tensions When Social/Family Support and Evidence-Based Care Collide (Session III)

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This conference took place on September 13, 2012, in Rockville, Maryland. Presenters and discussants examined, using examples from their professional experiences, where evidence and conventional wisdom collide and what has been learned that can inform communication strategies for the translation, dissemination and integration of evidence in support of clinical decisionmaking.

This third session addresses tensions when social/family support and evidence-based care collide.


Making Decisions When You Disagree With the Doctor: The Social/Family Context

Laura A. Siminoff, Ph.D., B.A., M.A., Presenter
Virginia Commonwealth University School of Medicine, Richmond, Virginia

Evidential Preferences and Who We Trust: Health Education and Decision Making

Vetta L. Sanders Thompson, Ph.D., Presenter
Washington University in St. Louis, St. Louis, Missouri

Addressing Tensions When Social/Family Support and Evidence- Based Care Collide

Annette Bar-Cohen, M.A., M.P.H., Discussant
National Breast Cancer Coalition, Washington, DC

*These presentations are available in a streaming video format. An open captions viewing option is also available. For help viewing these proceedings, please visit the Viewers, Players, and Plug-ins page.


Annette Bar-Cohen, M.A., M.P.H., has worked in the fields of public health and women’s health for nearly 30 years. She joined the National Breast Cancer Coalition (NBCC) in September 2002 and currently oversees operations of the Center for NBCC Advocacy Training. The Center includes the Online Center for Advocacy Training and Project LEAD®, NBCC’s premier science and quality care training program that offers introductory-level to advanced-level courses throughout the United States and around the world. Project LEAD® also includes the Annual Advocate Summit, the Emerging LEADers Program, and other leadership training seminars. Ms. Bar-Cohen has also overseen the development of the NBCC’s global network of advocates as part of the NBCC’s Breast Cancer Deadline 2020 initiative.

Before moving to Washington, DC, Ms. Bar-Cohen was the Education Director of the Cancer Control Section of the Minnesota Department of Health in St. Paul for 11 years. There she helped develop and manage the Minnesota Breast and Cervical Cancer Control Program, a free State-wide screening program for uninsured and underinsured women sponsored by the Centers for Disease Control and Prevention. Ms. Bar-Cohen worked for many years on a primary care and community health program in Israel that was sponsored by the World Health Organization and focused on a range of women’s health issues, coalition building, outreach to diverse ethnic communities, and media development. She also worked as a psychotherapist at the Beer Sheva Psychiatric Hospital and taught at the Ben-Gurion University of the Negev Medical School for International Health.

Ms. Bar-Cohen holds an M.A. degree in psychology from Goddard College and an M.P.H. in maternal and child health from the University of Minnesota.

Laura A. Siminoff, Ph.D., B.A., M.A.,is a professor and the founding Chair of the Department of Social and Behavioral Health and the Theresa A. Thomas Memorial Foundation Chair in Cancer Prevention and Control at the Virginia Commonwealth University School of Medicine in Richmond. She is also the Associate Director of Cancer Prevention and Control Program at the Massey Cancer Center.

As a public health social scientist, Dr. Siminoff’s research focuses on cancer treatment decisionmaking, informed consent, health communication, health disparities, and issues of organ and tissue donation. She is a leader in multimethod research, applying empirical social science methods to bioethics-related issues. Dr. Siminoff’s research has been continuously funded by the National Institutes of Health for more than 20 years. She is the author of more than 150 articles and is the coauthor of a textbook on the use of empirical methods in bioethics.

Vetta L. Sanders Thompson, Ph.D., is an associate professor at the George Warren Brown School of Social Work and is a member of the Institute of Public Health at Washington University in St. Louis. She is a licensed psychologist and health service provider in the State of Missouri with more than 20 years of experience in research, recruitment, and data collection among African Americans. She is a leading researcher in the areas of racial identity, the psychosocial implications of race and ethnicity in health communications, social determinants of health, and disparities in utilization of mental health services. She has built a unique record of research that combines a sophisticated social science understanding of culture, rigorous measurement, and community-based participatory research that has included survey, interview, oral history, and focus group methods and randomized controlled trials.