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Betty Chewning, PhD

Professor
Apple Distinguished Chair

 

 

 


Dr. Chewning's research, teaching and publications address patient perspectives and comparative effectiveness outcomes. She seeks to improve patient and health care provider communication and patient/ public health outcomes. She has long  engaged diverse stakeholders (patients, inner city adolescents, tribal communities) in her randomized controlled trials of interventions to enhance patient and public health outcomes. As study principal investigator she has received over $5.4 million for her studies and as a co-investigator collaborated on other studies awarded over $4.5 million. She also studies expanded pharmacist roles with respect to patient education and public health agendas.

Dr. Chewning conducts multi-site longitudinal, descriptive and intervention studies to identify how to improve patients' management of their conditions/health. Her most recent NIH randomized controlled trial studied the impact of a pre-visit computerized assessment of patient visit agendas on encounters and the health outcome of reduced pain six months later. In a recent demonstration project, she tested a two module workshop to increase older adults' self-efficacy and skills to discuss medication questions with health care providers. She is currently studying the potential of a computerized assessment of adolescents' agendas to establish pediatric visit agendas.

Sonderegger Research Center

As Director of the Sonderegger Research Center (SRC), Dr. Chewning works to increase the infrastructure for research in health services research in pharmacy.  With support of the NIH ICTR-CAP, Dr. Chewning and others in the Sonderegger Research Center established the Pharmacy Practice Enhancement and Action Research Link (PEARL Rx), an ongoing collaborative partnership with over 130 pharmacists in Wisconsin.

With her graduate students, Dr. Chewning has worked with pharmacists to implement and evaluate pharmacy based interventions. She and her students have also studied a range of issues related to disparities in care, transitions in care and medication reconciliation.

Awards

She and her graduate students have received numerous awards for their research.  Chewning's doctoral students Joanne Peters and Karishma Desai received the 2015 International Conference on Communication in Health Care award for best research abstract. In 2015, along with co-authors and former graduate students Pallavi Patwardhand, PhD and Mohamad Amin, PhD, she received the Best Paper Award of 2014 published in the journal Research in Social and Administrative Pharmacy. In 2011, along with former student Beth Martin she received the Wiederholt Award for best research paper published in JAPhA (coauthored with Beth Martin, PhD and Ruth Bruskewitz, PhD). Her students have received annual awards for best APhA ESAS post-graduate papers in 2010, 2005, and 2003. 

Dr. Chewning is Director of the Sonderegger Research Center as well as being the Apple Distinguished Professor in the School of Pharmacy Division of Social and Adminsitrative Sciences.  In addition to her teaching roles, she is the member of several university and School of Pharmacy committees.  She is a founding member of the NIH funded ICTR Community Academic Partnership steering committee. She is a member of the School of Pharmacy Curriculum Committee, Research Committee, Interprofessional Education Committee and of several junior faculty mentoring committees.

Background:

Dr. Chewning (Professor) is Director of the Sonderegger Research Center and is the William S. Apple Distinguished Chair in Social/Administrative Sciences. She completed her PhD in Educational Psychology and a post-doctoral program in Industrial Engineering at the University of Wisconsin. She is a fellow in the APhA APRS and has served on several NIH and CDC study section review committees. She has served on Institute of Medicine committees evaluating Title X and family planning needs in the country. She is past chair of the American Association of Colleges of Pharmacy Social Administrative Sciences Division. Dr. Chewning also serves on the steering committee for the NIH funded ICTR-CAP.

Dr. Chewning's research, teaching and publications address the patient perspective and comparative effectiveness to improve patient and health care provider communication and impact on patient  outcomes. She has long  engaged diverse stakeholders (patients, inner city adolescents, tribal communities) in her randomized controlled trials of interventions to enhance patient and public health outcomes. She has received over $5.4 million for her studies as a principal investigator and collaborated as a co-investigator on other studies awarded over $4.5 million. She also studies expanded pharmacist roles with respect to public health agendas and other community based interventions.

Dr. Chewning conducts multi-site longitudinal, descriptive and intervention studies to identify how to improve patients' management of their conditions/health. Her most recent NIH randomized controlled trial studied the impact of a pre-visit computerized assessment of patient visit agendas on encounters and the health outcome of reduced pain six months later. In a recent demonstration project, she tested a two module workshop to increase older adults' self-efficacy and skills to discuss medication questions with health care providers. She is currently studying the potential of a computerized assessment of adolescents' agendas to establish pediatric visit agendas.

As Director of the Sonderegger Research Center (SRC), Dr. Chewning works to increase the infrastructure for research in health services research in pharmacy. She directed the development of a HIPPA/IRB compliant repository which will house shared health encounter tapes for use by researchers nationally.

With support of the NIH ICTR-CAP, Dr. Chewning and others in the Sonderegger Research Center established the Pharmacy Practice Enhancement and Action Research Link (PEARL Rx), an ongoing collaborative partnership with over 115 pharmacists in Wisconsin. With her graduate students, Dr. Chewning has worked with pharmacists to implement and evaluate pharmacy based interventions. She and her students have also studied a range of issues related to disparities in care, transitions in care and medication reconciliation.

Awards

She and her graduate students have received numerous awards for their research.  Chewning's doctoral students Joanne Peters and Karishma Desai received the 2015 International Conference on Communication in Health Care award for best research abstract. In 2015, along with co-authors and former graduate students Pallavi Patwardhand, PhD and Mohamad Amin, PhD, she received the Best Paper Award of 2014 published in the journal Research in Social and Administrative Pharmacy. In 2011, along with former student Beth Martin she received the Wiederholt Award for best research paper published in JAPhA (coauthored with Beth Martin, PhD and Ruth Bruskewitz, PhD). Her students have received annual awards for best APhA ESAS post-graduate papers in 2010, 2005, and 2003.  

Chewning teaches in the required Pharm.D. course, Pharmacist Communication: Educational & Behavioral Interventions, as well as leading a graduate seminar on social and behavioral theory.

Professional Interests: Identifying client needs for health information and support and identifying interventions to promote improved health outcomes.

Education:

  • BA 1968 - University of Chicago
  • PhD 1973 Educational Psychology - University of Wisconsin-Madison
  • Postdoctoral 1974 Industrial Engineering - University of Wisconsin-Madison
Highlighted Publications:
  • Martin B, Chewning B, Margolis A, Renkin J, Wilson D. "Med Wise: A Theory-Based Program to Improve Older Adults' Communication with Pharmacists About Their Medicines" Research in Social and Administrative Pharmacy (Accepted for publication).
  • Amin ME, Chewning B. Pharmacists' counselling on oral contraceptives: A theory informed analysis, Research in Social Administrative Pharmacy 2015 Aug 29 pii:S1551-7411(15)00165-5:doi 10.1016/j.sapharm.2015.08.009 [Epub ahead of print] PMID:26386893.
  • Lor M, Chewning B. Telephone interpreter discrepancies: Videotapes of Hmong medication consultations. International Journal of Pharmacy Practice. 2015 Aug 27. Doi: 10.1111/ijpp. 12206. [Epub ahed of print] PMID:26311231
  • Clayman ML, Bylund C, Chewning B, Makoul G. The impact of patient participation in health decisions within medical encounters: A systematic review. Medical Decision Making (Accepted for publication)
  • Desai K, Chewning B, Mott D.  Health care use amongst online buyers of medications and vitamins.  Research in Social and Administrative Pharmacy.  2015 Jan 9 PMID 25769500 Epub ahead of print.
  • Kennelty KA, Chewning B, Wise M, Kind A, Roberts T, Kreling D.  Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives.  Research in Social and Administrative Pharmacy. 2014 Oct 25.  Pii:S1551-7411(14)00362-3.
  • Amin ME, Chewning B.   Predicting pharmacists' adjustment of medication regimens in Ramadan using the Theory of Planned Behavior.   Research in Social and Administrative Pharmacy.  2015 Jan-Feb; 11(1);e-e15.  doi 10.1016. PMID 249088499.
  • Blalock SJ, Devellis BM, Devellis RF, Chewning B, Jonas BL, Sleath BL.  Medication risk communicatioin during rheumatology office visits.  Arthritis Care.  2015 Feb;67(2); 161-8.  doi: 10.1002/acr22424 PMID 25073718.
  • Deshpande M, Chewning B, Mott D, Thorpe JM, Young HN.  Asthma medication use among U.S. adults 18 and older.  Research in Social and Administrative Pharmacy.  March 1 2014:  In press.
  • Weiss MC, Platt J, Riley R, Chewning B, Taylor G, Horrocks S, Taylor A.  Medication decision making and patient outcomes in GP, nurse and pharmacist prescriber consultations.  Primary Health Care Research and Development.  2014 Dec 8:1-15. [Epub ahead of print] PMID:25482424.
  • Asan O, Young HN, Chewning B, Montague E.  How physician electronic health record screen sharing affects patient and doctor non-verbal communication in primary care.  Patient Education and Counseling.  2015 Mar;98(3):310-6. doi:10.1016/j.pec2014.11.024. Epub2014Dec12 PMID:255534022.
  • Amin ME, Chewning B.  Community pharmacists' knowledge of diabetes management during Ramadan in Egypt.  International Journal of Clinical Pharmacy. 2014 Dec; 36(6):1213-21.  doi:10.1007/s11096-014-0019-6. Epub2014Sep25.  PMID:25253679.
  • Blalock SJ, Slota C, Devellis BM, Devellis RF, Chewning B, Jonas BL, Sleath BL.  Patient-rheumatologist communication regarding prescription medications:  getting to the gist.  Arthritis Care Research. 2014; 66(4)542-50.
  • Thorpe CT, Johnson HM, Dopp AL, Thorpe JM, Ronk K, Everett CM, Palta M, Mott DA, Chewning BA, Schleiden LJ, Smith MA.  Medication oversupply in patients with diabetes. Research in Social and Administrative Pharmacy.  2014 Sep 11. piiPS 1551-7411(14)00319-2.doi:10.1016/j.sapharm.2014.09.002. [Epub ahead of print] PMID:25288448 (in press).
  • Patwardhan P, Amin M, Chewning B. Intervention research to enhance community pharmacists’ cognitive services: A Systematic review. Research in Social and Administrative Pharmacy.  2014 May-June;10(3):475-93. PMID 24071523 Sep 23. pii: S1551-7411(13)00149-6. doi: 10.1016/j.sapharm.2013.07.005.
  • Pu J, Chewning B. Racial difference in diabetes preventive care. Research in Social and Administrative Pharmacy. 2013 Nov-Dec; 9(6) 790-6. doi:pii: S1551-7411(12)00350-6.10.1016/j.sapharm.2012.11.005. [Epub ahead of print] PubMed PMID: 23246362.
  • Kennelty KA, Thorpe JM, Chewning B, Mott DA. Use of pharmacists or pharmacies as Medicare Part D information sources. J Am Pharm Assoc (2003). 2012 Nov 1;52(6):e205-9. doi: 10.1331/ JAPhA.2012.11199. PubMed PMID: 23229982.
  • Tarn DM, Paterniti DA, Wenger NS, Williams BR, Chewning BA. Older patient, physician and pharmacist perspectives about community pharmacists' roles.  Int J Pharm  Pract. 2012 Oct;20(5):285-93. doi: 10.1111/j.2042-7174.2012.00202.x. Epub 2012 Apr 11. PubMed PMID: 22953767; PubMed Central PMCID: PMC3442941.
  • Pu J, Chewning B, St Clair ID, Kokotailo PK, Lacourt J, Wilson D. Protective Factors in American Indian Communities and Adolescent Violence. Matern Child Health J. 2012 Aug 28. [Epub ahead of print] PubMed PMID: 22926269.
  • Patwardhan PD, Chewning BA. Effectiveness of intervention to implement tobacco cessation counseling in community chain pharmacies. J Am Pharm Assoc  (2003). 2012 Jul-Aug;52(4):507-14. doi: 10.1331/JAPhA.2012.10117. PubMed PMID: 22825231.
  • Young HN, Havican SN, Griesbach S, Thorpe JM, Chewning BA, Sorkness CA. Patient and phaRmacist telephonic encounters (PARTE) in an underserved rural patient population with asthma: results of a pilot study. Telemed J E Health. 2012 Jul-Aug;18(6):427-33. doi: 10.1089/tmj.2011.0194. Epub 2012 Jun 1. PubMed PMID: 22656403; PubMed Central PMCID: PMC3399112.
  • Thorpe JM, Thorpe CT, Kennelty KA, Chewning BA. Depressive symptoms and reduced preventive care use in older adults: the mediating role of perceived access. Med Care. 2012 Apr;50(4):302-10. doi: 10.1097/MLR.0b013e31821a933f. PubMed PMID: 21577167; PubMed Central PMCID: PMC3240709.
  • Chewning B, Bylund CL, Shah B, Arora NK, Gueguen JA, Makoul G. Patient preferences for shared decisions: a systematic review. Patient Educ Couns. 2012 Jan;86(1):9-18. doi: 10.1016/j.pec.2011.02.004. Epub 2011 Apr 6. Review. PubMed PMID: 21474265.
  • Martin BA, Chewning B. Evaluating pharmacists’ ability to counsel on tobacco cessation using two standardized patient scenarios. Patient Education and Counseling. 2011;19-24.
  • Shah B, Chewning B. Concordance between observer reports and patient survey reports of pharmacist communication behaviors. Research in Social and Administrative Pharmacy. 2011;7:272-80.
  • Amin M, Chewning B, Wahdan A. Sources of drug information for patients with chronic conditions in Alexandria, Egypt.  International Journal of Pharmacy Practice. 2011;19:13-20.
  • Thorpe JM, Thorpe CT, Kennelty K, Chewning BA. Depressive symptoms and reduced preventive care use in older adults: The mediating role of perceived access. Medical Care. 2011;May 13 (Epub ahead of print).
  • Montague E, Xu J, Asan O, Chen P, Chewning B, Barrett B. An illustration of modeling eye gaze patterns in doctor-patient interaction with lag sequential analysis. Human Factors. 2011; 53:502-16.
  • Rakel D, Barrett B, Zhang A, Hoeft T, Chewning B, Marchand L, Scheder J. Perception of empathy in the therapeutic encounter: Effects on the common cold. Patient Education and Counseling. 2011;390-7.
  • Young HN, Havican SN, Chewning BA, Sorkness CA, Ruppel X, Griesbach S. Patient And phaRmacist Telephonic Encounters (PARTE) in an underserved rural population with asthma: methods and rationale. INNOVATIONS in pharmacy. 2011; 2(3):1-10.
  • Martin BA, Bruskiewitz RH, Chewning BA.  The effect of a tobacco cessation continuing professional education program on pharmacists’ confidence, skills, and practice behaviors.  Journal of American Pharmacists Association. 2010; 50 (1):9-16.
  • Patwardhan P, Chewning B. Tobacco users’ perceptions of a brief tobacco-cessation intervention in community pharmacies. Journal of American Pharmacists Association. 2010;50 (5):568-74.
  • Beard A, Sleath B, Blalock SJ, Roth M, Weinberger M, Tuder G, Chewning B.  Predictors of rheumatoid arthritis patient-physician communication about medication costs during visits to rheumatologists. Arthritis Care and Research.  2010;62(5):632-9.
  • Bylund CL, D’Agostino TA, Ho E, Chewning B. Improving clinical communication and promoting health through concordance-based patient education. Communication Education. 2010;59 (3):294-311.
  • Patwardhan P, Chewning BA. Ask, Advise and Refer: Hypotheses generation to promote a brief tobacco cessation intervention in community pharmacies. International Journal of Pharmacy Practice. 2009;17 (4): 221-229.
  • Guirguis LM, Chewning BA, Kieser MA. Predictors of Pharmacy Students' Intentions to Monitor Diabetes.  Journal of Pharmacy & Pharmaceutical Sciences.  2009; 12(1):33-45.
  • Guirguis LM, Chewning BA, Kieser MA. A randomized controlled trial to evaluate the impact of structured patient interactions on pharmacy students’ counseling behaviors and attitudes. International Journal of Pharmacy Practice. 2009;17:53-60.
  • Rakel DP, Hoeft TJ, Barrett BP, Chewning BA, Craig BM, Niu M. Practitioner empathy and the duration of the common cold. Family Medicine. 2009;41(7):494-501.
  • Sleath B, Chewning B, Devellis B, Weinberger M, Devellis R, Tudor G, Beard A. Communication about depression during rheumatoid arthritis patient visits. Arthritis Care and Research. 2008;59(2):186-191.
  • Guirguis LM, Chewning BA. Development of a measure to assess pharmacy students’ beliefs about monitoring chronic diseases. Research in Social and Administrative Pharmacy. 2008;4(4): 402-416.
  • Craig B, Kraus CK, Chewning B, Davis J. Quality of care for older adults with chronic obstructive pulmonary disease and asthma based on comparisons to practice guidelines and smoking status. BMC Health Services Research. 2008; 8:144.
  • Guirguis LM, Kieser MA, Chewning BA, Kanous NL. Recall of A1C, blood pressure, and cholesterol levels among community pharmacy patients with diabetes.  Journal of American Pharmacists Association.  2007;47(1):29-34.
  • Lee YS, Douglas J, Chewning B. Techniques for developing health quality of life scales for point of service use. Social Indicators Research. 2007;83(2):331-350.
  • Barrett B, Rakel D, Chewning B, Marchand L, Gern JE, Phyto K, Thomas G, Barlow S. Rational and methods for a trial assessing Echinacea and doctor patient interaction in common cold. Explore: The Journal of Science and Healing. 2007;(3) 561-572.
  • Guirguis LM, Chewning BA, Kieser MA, Kanous NL. Predictors of student pharmacist likelihood to perform a “Diabetes Check” after using role rehearsal with “Real Patients.” American Journal of Pharmaceutical Education. 70: 2006;Article 56.
  • Shah B, Chewning B. Conceptualizing and measuring pharmacist-patient communication: A review of published studies. Research in Social and Administrative Pharmacy. 2006;(2):153-185.
  • Schommer JC, Pedersen CA, Worley MM, Brown LM, Hadsall RS, Ranelli PL, Stratton TP, Uden DL, Chewning BA.  Provision of risk management and risk assessment information: The role of the pharmacist. Research in Social and Administrative Pharmacy. 2006;(2):458-478.
  • Guirguis L, Chewning B. Role theory: Literature review and implications for patient-pharmacist interactions. Research in Social and Administrative Pharmacy. 2005;(1):483-507.
  • Lacourt J, St.Clair D, Kokotailo P, Wilson D, Chewning B. “Know Your Roots”: Development and evaluation of an oral history curriculum for Native American middle school students. American Indian Culture and Research Journal. 2005;(29):59-74.
  • Curtin R., Sitter D., Schatell D., Chewning B. Self-management, knowledge, and functioning and well-being of patients on hemodialysis Nephrology Nursing Journal, 2004; 31:378-386.
  • Hermansen-Kobulnicky, C., Wiederholt, J., Chewning, B. "Side Effect Monitoring: Opportunity for Patient Care and Pharmacy Practice". Journal of American Pharmacists Association, 2004; 44:75-88.
  • Chewning, B. and Wiederholt, J. "Concordance in Consumer Provider Communication Regarding Cancer". Patient Education and Counseling, 2003 May; 50(1):75-78.
  • Chewning, B., Douglas, J., Kokotailo P., Lacourt, J., St. Clair, D., Wilson, D. "Protective Factors Associated with Indian Adolescents' Safer Sexual Patterns". Journal of Maternal and Child Health, 2001; 5:273-280.
  • Chewning, B., Wiederholt, J., Bell, C., Boh D., Boh, L., Douglas, J., Kreling, D., Van Koningsveld, R., Wilson, D. ΑDoes the concordance framework serve medicine management?@ The International Journal of Pharmacy Practice. 9; 2001: 71-79.