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    Stephenie C Lemon PhD

    TitleAssociate Professor
    InstitutionUniversity of Massachusetts Medical School
    DepartmentMedicine
    AddressUniversity of Massachusetts Medical School
    55 Lake Avenue North
    Worcester MA 01655
    Phone508-856-4098
      Other Positions
      InstitutionUMMS - Graduate School of Biomedical Sciences
      DepartmentClinical Population Health Research

        Overview 
        Narrative

        Biography

        Dr. Lemon is an epidemiologist whose program of research focuses on public health approaches to understanding and reducing the obesity epidemic. Current funders of her work include the Centers for Disease Control and Prevention, the National Cancer Institute and the National Heart, Lung and Blood Institute. Previous funders include the Agency for Health Care Research and Quality and the American Cancer Institute. Dr. Lemon is the Director of the Worcester County Prevention Research Center, which establishes local capacity to conduct community-based participatory research addressing obesity and associated chronic conditions. Dr. Lemon is an active member of the Massachusetts Comprehensive Cancer Coalition Advisory Committee and its Survivorship Working Group and the Common Pathways Coalition. She is a core faculty member in the Ph.D. Program in Clinical and Population Health Research. Dr. Lemon serves as first year student advisor, director the Student Research Seminar and director of the Proposal Development Seminar in this program. She additionally serves on the admissions and academic policy committees. Within the Division of Preventive and Behavioral Medicine, she serves on the Division Chief’s Senior Advisory Group.

        Research Overview

        Dr. Lemon is an epidemiologist whose program of research focuses on public health approaches to understanding and reducing the obesity epidemic using a social ecology framework. Her research addresses:

        • Translation of evidence-based programs and policies in real world settings
        • Community-based participatory research
        • Health promotion in under-served populations
        • Worksite health promotion
        • Physical activity policy research
        • Influence of social norms and social networks on health behaviors

        Current Funded Research


        The Fresh Start Trial: A Weight Loss Intervention for Low-Income Postpartum Women
        NIH, NIMHD P60 MD006912-01(Role: MPI; PI: Allison) 2012-2017
        This study, under the UMass Center for Health Equity Intervention Research (CHEIR) Community Engagement Core, collaborates with the Women, Infants and Children (WIC) program to create opportunities for weight loss among participants in Worcester, MA.

        GIS Mapping of Unsupervised Indoor Tanning and User Characteristics
        CDC U48DP001933 SIP 12-054 (Role: Co-I with Sherry Pagoto, Ph.D.) 2012-2014
        This study will use social networking tools to map unsupervised indoor tanning locations and analyze user characteristics.

        Barriers and Facilitators of Mental Health Services Utilization among Latinos
        NIMH R01MH085653 (Role: MPI with Milagros Rosal, Ph.D.) 2011-2015
        This prospective cohort study will use an ecological framework to examine the impact of culturally specific sources of stress and resources on mental health services utilization among Latinos in Lawrence, MA.

        Psychosocial Factors and Rehospitalization after AMI
        NHLBI (Role: Co-Investigator; PI, Jane Saczynski, Ph.D.) 2011-2013
        This is an ancillary study to the ongoing (25+ years) Worcester Heart Attack study, which will examine the influence of a range of psychosocial factors in the likelihood of rehospitalization of acute myocardial infarction.

        Community-Based Social Networking Intervention to Increase Walking in Dog Owners
        UMMS CCTS (Role: Co-Investigator; PI, Kristin Schneider, Ph.D.) 2011-2013
        This pilot study will determine the feasibility and initial effectiveness of a multi-component intervention that uses social networking strategies to promote walking among dog owners in Worcester and Lowell, MA.

        University of Massachusetts Clinical and Translational Science Award: Community Engagement and Research
        NIH (Role: Co-Director, Community Engagement; PI, Katherine Luzuriaga, MD) 2010-2015
        This award is intended to enhance the capacity of the University of Massachusetts Medical School in the conduct of clinical and translational research, with a focus on infrastructure development. The Community Engagement and Research component of this award specifically aims to enhance academic and community capacity to address urgent health priorities among communities in Massachusetts using community-based participatory research approaches.

        UMMS Prevention Research Center for Obesity and Related Conditions
        CDC U48DP001933 (Role: PI/Director) 2009-2014
        This center grant is developing community-based participatory research infrastructure among organizations in Worcester, MA to develop public health workforce capacity and community-responsive interventions and programs.

        Diabetes Self-Management for Disengaged Low-Income Latinos
        CDC U48DP001933 (Role: Co-PI; PI, Milagros Rosal, Ph.D.) 2009-2014
        This RCT will test the effectiveness of disseminating of an evidence-based self-management intervention among low-income Latinos with diabetes who are disengaged from safety net institutions using community health workers.

        School Worksite Weight Gain Prevention Study
        NCI R01CA132941 (Role: MPI with Lori Pbert, Ph.D.) 2009-2013
        The goal of this cluster RCT will test the effectiveness of a school-nurse coordinated ecological obesity prevention intervention among high school workers in central Massachusetts.

        UMass Worcester Physical Activity Policy Research Collaborating Center
        CDC U48DP001933 SIP 09-010 (Role: PI) 2009-2014
        This grant establishes the UMMS Prevention Research Center as a collaborator in a network of academic institutions dedicated to developing and evaluating methods for successfully implementing local and state policies that promote physical activity.

        Educational Background

        2002: Ph.D. Epidemiology, Brown University
        1999: M.S. Epidemiology, University of Massachusetts School of Public Health
        1995: B.S. Psychology, University of Massachusetts

        Worcester County Prevention Research Center


        Dr. Lemon is the Director of the Worcester County Prevention Research Center, one of 35 prevention research centers funded by the Centers for Disease Control and Prevention in U.S. schools of public health and medicine. The Worcester County Preventon Research Center focuses on conducting intervention and policy research addressing overweight, obesity and associated chronic conditions among adults living in central Massachusetts. Community partners include:

        • Great Brook Valley Health Center
        • Worcester Division of Public Health
        • Massachusetts Department of Public Health
        • Central Massachusetts Area Heatlh Education Center
        • Common Pathways
        • UMass Memorial Health Care System Commnity Benefits Program


        Primary activities include: 1) Building community capacity to engage in scientific research-addressing obesity; 2) Training to improve the capabilities of academic researchers, community clinicians and public health professionals to conduct community-based participatory research on obesiy and related conditions; 3) Training to ensure that public health, clinical and academic research workforces are effective in implementing evidence-based health promotion programs to reduce obesity; 4) Research to develop, implement and test interventions that utilize principles of CBPR to address obesity; 5) Dissemination efforts that effectively communicate research findings and make available evidence-based obesity reduction/prevention programs



        Post Docs

        Current Fellow

        Monica L. Wang, ScD., M.S.


        Dr. Wang received her Sc.D. (2012) and her M.S. (2009) from the Department of Social and Behavioral Sciences at the Harvard School of Public Health (HSPH). She joined the Division of Preventive and Behavioral Medicine (DBPM) at the University of Massachusetts Medical School in 2012 and is a current research fellow under the Worcester County Prevention Research Center (WC-PRC). She continues to be an instructor for the Foundations in Public Health course (ID 538) at HSPH, focusing on the social and behavioral determinants of health.

        Dr. Wang’s major research interests include obesity and chronic disease prevention, promotion of healthy dietary and physical activity behaviors among youth, and addressing racial/ethnic health disparities through interventions targeting the school, community, physical environment, and policy settings. Her current projects through the newly funded UMass Center for Health Equity Intervention Research (CHEIR) (Dr. Jeroan Allison, PI; Dr. Milagros Rosal, Co-PI) include the Fresh Start Trial, a randomized controlled trial targeting post-partum weight loss among low-income mothers in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) using culturally tailored tools, and increasing community engagement in research and enhancing the research literacy of community residents through culturally responsive video stories. Additional projects through the DPBM and the WC-PRC include evaluation of the Edward M. Kennedy Community Health Center Patient Navigator Project and Be the Change for Health, a school-health-center-based diet and physical activity intervention targeting elementary school-age children.

        Dr. Wang served as an evaluation consultant for the Centers for Disease Control and Prevention, Department of Housing and Urban Development, and the National Coalition to End Childhood Lead Poisoning with regards to the Green and Healthy Homes Initiative. In 2011, she was awarded the Albert Schweitzer Fellowship to support her work with Sociedad Latina to reduce the sugar-sweetened beverage consumption through youth-led advocacy among high school youth in Boston.

        In 2011, Dr. Wang received the Strategic Initiative for the Prevention of Eating Disorders Research Dissertation Award for her doctoral dissertation on behavioral, familial, and environmental risk and protective factors for disordered weight control behaviors (DWCB). Her dissertation research, funded by the Ellen Feldberg Gordon Fund for Eating Disorders Research, examined racial/ethnic disparities in DWCB among youth and identified recommendations for programs and policies that address both DWCB and obesity. 
         



        Bibliographic 
        selected publications
        List All   |   Timeline
        1. Lemon SC, Schneider KL, Wang ML, Liu Q, Magner R, Estabrook B, Druker S, Pbert L. Weight loss motivations: a latent class analysis approach. Am J Health Behav. 2014 Jul; 38(4):605-13.
          View in: PubMed
        2. Waring ME, Schneider KL, Appelhans BM, Busch AM, Whited MC, Rodrigues S, Lemon SC, Pagoto SL. Early-treatment weight loss predicts 6-month weight loss in women with obesity and depression: Implications for stepped care. J Psychosom Res. 2014 May; 76(5):394-9.
          View in: PubMed
        3. Whited MC, Schneider KL, Appelhans BM, Ma Y, Waring ME, Debiasse MA, Busch AM, Oleski JL, Merriam PA, Olendzki BC, Crawford SL, Ockene IS, Lemon SC, Pagoto SL. Severity of Depressive Symptoms and Accuracy of Dietary Reporting among Obese Women with Major Depressive Disorder Seeking Weight Loss Treatment. PLoS One. 2014; 9(2):e90361.
          View in: PubMed
        4. Lemon SC, Wang ML, Wedick NM, Estabrook B, Druker S, Schneider KL, Li W, Pbert L. Weight gain prevention in the school worksite setting: Results of a multi-level cluster randomized trial. Prev Med. 2014 Mar; 60:41-7.
          View in: PubMed
        5. Hajduk AM, Lemon SC, McManus DD, Lessard DM, Gurwitz JH, Spencer FA, Goldberg RJ, Saczynski JS. Cognitive impairment and self-care in heart failure. Clin Epidemiol. 2013; 5:407-16.
          View in: PubMed
        6. Wang ML, Lemon SC, Olendzki B, Rosal MC. Beverage-Consumption Patterns and Associations with Metabolic Risk Factors among Low-Income Latinos with Uncontrolled Type 2 Diabetes. J Acad Nutr Diet. 2013 Dec; 113(12):1695-703.
          View in: PubMed
        7. Pagoto S, Lemon S, Whiteley J. Weight loss in persons with serious mental illness. N Engl J Med. 2013 Aug 1; 369(5):485-6.
          View in: PubMed
        8. Pagoto S, Lemon SC, Pbert L, Van Dornsten B, Whiteley J. Evidence for community-based approaches to weight loss: a case for revising the Centers for Medicaid and Medicare Services reimbursement structures. Am J Prev Med. 2013 Aug; 45(2):e17-8.
          View in: PubMed
        9. Pagoto SL, Lemon SC. Efficacy vs effectiveness. JAMA Intern Med. 2013 Jul 8; 173(13):1262-3.
          View in: PubMed
        10. Cradock AL, Barrett JL, Carnoske C, Chriqui JF, Evenson KR, Gustat J, Healy IB, Heinrich KM, Lemon SC, Tompkins NO, Reed HL, Zieff SG. Roles and strategies of state organizations related to school-based physical education and physical activity policies. J Public Health Manag Pract. 2013 May-Jun; 19(3 Suppl 1):S34-40.
          View in: PubMed
        11. Goins KV, Schneider KL, Brownson R, Carnoske C, Evenson KR, Eyler A, Heinrich K, Litt J, Lyn R, Maddock J, Reed H, Tompkins NO, Lemon SC. Municipal officials' perceived barriers to consideration of physical activity in community design decision making. J Public Health Manag Pract. 2013 May-Jun; 19(3 Suppl 1):S65-73.
          View in: PubMed
        12. Lemon SC, Liu Q, Magner R, Schneider KL, Pbert L. Development and validation of worksite weight-related social norms surveys. Am J Health Behav. 2013 Jan; 37(1):122-9.
          View in: PubMed
        13. Wang ML, Lemon SC, Welch G, Rosal MC. Development and validation of the Lifestyle Self-Efficacy Scale for Latinos with Diabetes (LSESLD). Ethn Dis. 2013; 23(4):428-35.
          View in: PubMed
        14. Sadasivam RS, Kinney RL, Lemon SC, Shimada SL, Allison JJ, Houston TK. Internet health information seeking is a team sport: analysis of the Pew Internet Survey. Int J Med Inform. 2013 Mar; 82(3):193-200.
          View in: PubMed
        15. Merport A, Lemon SC, Nyambose J, Prout MN. The use of cancer treatment summaries and care plans among Massachusetts physicians. Support Care Cancer. 2012 Jul; 20(7):1579-83.
          View in: PubMed
        16. Rosal MC, Lemon SC, Nguyen OH, Driscoll NE, Ditaranto L. Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women. Transl Behav Med. 2011 Dec; 1(4):530-8.
          View in: PubMed
        17. Pagoto SL, Schneider KL, Bodenlos JS, Appelhans BM, Whited MC, Ma Y, Lemon SC. Association of post-traumatic stress disorder and obesity in a nationally representative sample. Obesity (Silver Spring). 2012 Jan; 20(1):200-5.
          View in: PubMed
        18. Ockene JK, Schneider KL, Lemon SC, Ockene IS. Can we improve adherence to preventive therapies for cardiovascular health? Circulation. 2011 Sep 13; 124(11):1276-82.
          View in: PubMed
        19. Bodenlos JS, Lemon SC, Schneider KL, August MA, Pagoto SL. Associations of mood and anxiety disorders with obesity: comparisons by ethnicity. J Psychosom Res. 2011 Nov; 71(5):319-24.
          View in: PubMed
        20. Estabrook B, Zapka J, Lemon SC. Evaluating the implementation of a hospital work-site obesity prevention intervention: applying the RE-AIM framework. Health Promot Pract. 2012 Mar; 13(2):190-7.
          View in: PubMed
        21. Lemon SC, Rosal MC, Welch G. Measuring quality of life in low-income, Spanish-speaking Puerto Ricans with type 2 diabetes residing in the mainland U.S. Qual Life Res. 2011 Nov; 20(9):1507-11.
          View in: PubMed
        22. Keller TE, Blakeslee JE, Lemon SC, Courtney ME. Subpopulations of older foster youths with differential risk of diagnosis for alcohol abuse or dependence. J Stud Alcohol Drugs. 2010 Nov; 71(6):819-30.
          View in: PubMed
        23. Potts JA, Gibbons RV, Rothman AL, Srikiatkhachorn A, Thomas SJ, Supradish PO, Lemon SC, Libraty DH, Green S, Kalayanarooj S. Prediction of dengue disease severity among pediatric Thai patients using early clinical laboratory indicators. PLoS Negl Trop Dis. 2010; 4(8):e769.
          View in: PubMed
        24. Houlihan RH, Kennedy MH, Kulesher RR, Lemon SC, Wickerham DL, Hsieh CC, Altieri DC. Identification of accrual barriers onto breast cancer prevention clinical trials: a case-control study. Cancer. 2010 Aug 1; 116(15):3569-76.
          View in: PubMed
        25. Shaw PB, Donovan JL, Tran MT, Lemon SC, Burgwinkle P, Gore J. Accuracy assessment of pharmacogenetically predictive warfarin dosing algorithms in patients of an academic medical center anticoagulation clinic. J Thromb Thrombolysis. 2010 Aug; 30(2):220-5.
          View in: PubMed
        26. Lemon SC, Zapka J, Li W, Estabrook B, Rosal M, Magner R, Andersen V, Borg A, Hale J. Step ahead a worksite obesity prevention trial among hospital employees. Am J Prev Med. 2010 Jan; 38(1):27-38.
          View in: PubMed
        27. Goetzel RZ, Gibson TB, Short ME, Chu BC, Waddell J, Bowen J, Lemon SC, Fernandez ID, Ozminkowski RJ, Wilson MG, DeJoy DM. A multi-worksite analysis of the relationships among body mass index, medical utilization, and worker productivity. J Occup Environ Med. 2010 Jan; 52 Suppl 1:S52-8.
          View in: PubMed
        28. Lemon SC, Pratt CA. Worksite environmental interventions for obesity control: an overview. J Occup Environ Med. 2010 Jan; 52 Suppl 1:S1-3.
          View in: PubMed
        29. Lemon SC, Prout MN, Barnett JB, Flynn MS. Developing and implementing the Massachusetts Comprehensive Cancer Control Coalition Survivorship Summit. Prev Chronic Dis. 2010 Jan; 7(1):A22.
          View in: PubMed
        30. Rosal MC, White MJ, Restrepo A, Olendzki B, Scavron J, Sinagra E, Ockene IS, Thompson M, Lemon SC, Candib LM, Reed G. Design and methods for a randomized clinical trial of a diabetes self-management intervention for low-income Latinos: Latinos en Control. BMC Med Res Methodol. 2009; 9:81.
          View in: PubMed
        31. Zapka JM, Lemon SC, Magner RP, Hale J. Lifestyle behaviours and weight among hospital-based nurses. J Nurs Manag. 2009 Nov; 17(7):853-60.
          View in: PubMed
        32. Lemon SC, Olendzki B, Magner R, Li W, Culver AL, Ockene I, Goldberg RJ. The dietary quality of persons with heart failure in NHANES 1999-2006. J Gen Intern Med. 2010 Feb; 25(2):135-40.
          View in: PubMed
        33. Lemon SC, Zapka J, Li W, Estabrook B, Magner R, Rosal MC. Perceptions of worksite support and employee obesity, activity, and diet. Am J Health Behav. 2009 May-Jun; 33(3):299-308.
          View in: PubMed
        34. Lemon SC, Rosal MC, Zapka J, Borg A, Andersen V. Contributions of weight perceptions to weight loss attempts: differences by body mass index and gender. Body Image. 2009 Mar; 6(2):90-6.
          View in: PubMed
        35. Li W, Kelsey JL, Zhang Z, Lemon SC, Mezgebu S, Boddie-Willis C, Reed GW. Small-area estimation and prioritizing communities for obesity control in Massachusetts. Am J Public Health. 2009 Mar; 99(3):511-9.
          View in: PubMed
        36. Pagoto SL, Curtin C, Lemon SC, Bandini LG, Schneider KL, Bodenlos JS, Ma Y. Association between adult attention deficit/hyperactivity disorder and obesity in the US population. Obesity (Silver Spring). 2009 Mar; 17(3):539-44.
          View in: PubMed
        37. Zapka J, Lemon SC, Estabrook B, Rosal MC. Factors related to weight loss behavior in a multiracial/ethnic workforce. Ethn Dis. 2009; 19(2):154-60.
          View in: PubMed
        38. Rosal MC, Benjamin EM, Pekow PS, Lemon SC, von Goeler D. Opportunities and challenges for diabetes prevention at two community health centers. Diabetes Care. 2008 Feb; 31(2):247-54.
          View in: PubMed
        39. Zapka J, Lemon SC, Estabrook BB, Jolicoeur DG. Keeping a Step Ahead: formative phase of a workplace intervention trial to prevent obesity. Obesity (Silver Spring). 2007 Nov; 15 Suppl 1:27S-36S.
          View in: PubMed
        40. Pratt CA, Lemon SC, Fernandez ID, Goetzel R, Beresford SA, French SA, Stevens VJ, Vogt TM, Webber LS. Design characteristics of worksite environmental interventions for obesity prevention. Obesity (Silver Spring). 2007 Sep; 15(9):2171-80.
          View in: PubMed
        41. Lemon SC, Zapka JG, Clemow L, Estabrook B, Fletcher K. Mammography screening after breast cancer diagnosis in a first degree female relative: age group differences (United States). Cancer Causes Control. 2006 Oct; 17(8):1053-65.
          View in: PubMed
        42. Lemon SC, Zapka JG, Estabrook B, Benjamin E. Challenges to research in urban community health centers. Am J Public Health. 2006 Apr; 96(4):626-8.
          View in: PubMed
        43. Lemon SC, Zapka JG, Puleo E. Comprehensive cancer screening in a primary care population: Gender differences in the impact of ambulatory care system factors. J Ambul Care Manage. 2005 Jan-Mar; 28(1):86-97.
          View in: PubMed
        44. Zapka JG, Lemon SC, Puleo E, Estabrook B, Luckmann R, Erban S. Patient education for colon cancer screening: a randomized trial of a video mailed before a physical examination. Ann Intern Med. 2004 Nov 2; 141(9):683-92.
          View in: PubMed
        45. Zapka JG, Lemon SC. Interventions for patients, providers, and health care organizations. Cancer. 2004 Sep 1; 101(5 Suppl):1165-87.
          View in: PubMed
        46. Lemon SC, Zapka JG, Clemow L. Health behavior change among women with recent familial diagnosis of breast cancer. Prev Med. 2004 Aug; 39(2):253-62.
          View in: PubMed
        47. Lemon SC, Rakowski W, Clark MA, Roy J, Friedmann PD. Variations in influenza vaccination among the elderly. Am J Health Behav. 2004 Jul-Aug; 28(4):352-60.
          View in: PubMed
        48. Lemon SC, Roy J, Clark MA, Friedmann PD, Rakowski W. Classification and regression tree analysis in public health: methodological review and comparison with logistic regression. Ann Behav Med. 2003 Dec; 26(3):172-81.
          View in: PubMed
        49. Lemon SC, Friedmann PD, Stein MD. The impact of smoking cessation on drug abuse treatment outcome. Addict Behav. 2003 Sep; 28(7):1323-31.
          View in: PubMed
        50. Friedmann PD, Lemon SC, Stein MD, D'Aunno TA. Accessibility of addiction treatment: results from a national survey of outpatient substance abuse treatment organizations. Health Serv Res. 2003 Jun; 38(3):887-903.
          View in: PubMed
        51. Friedmann PD, Lemon SC, Anderson BJ, Stein MD. Predictors of follow-up health status in the Drug Abuse Treatment Outcome Study (DATOS). Drug Alcohol Depend. 2003 Apr 1; 69(3):243-51.
          View in: PubMed
        52. Lemon SC, Zapka JG, Estabrook B, Erban S, Luckmann R. Screening for colorectal cancer on the front line. Am J Gastroenterol. 2003 Apr; 98(4):915-23.
          View in: PubMed
        53. Friedmann PD, Herman DS, Freedman S, Lemon SC, Ramsey S, Stein MD. Treatment of sleep disturbance in alcohol recovery: a national survey of addiction medicine physicians. J Addict Dis. 2003; 22(2):91-103.
          View in: PubMed
        54. Friedmann PD, Lemon SC, Durkin EM, D'Aunno TA. Trends in comprehensive service availability in outpatient drug abuse treatment. J Subst Abuse Treat. 2003 Jan; 24(1):81-8.
          View in: PubMed
        55. Friedmann PD, Lemon SC, Stein MD, D'Aunno TA. Community referral sources and entry of treatment-naive clients into outpatient addiction treatment. Am J Drug Alcohol Abuse. 2003; 29(1):105-15.
          View in: PubMed
        56. Lemon SC, Verhoek-Oftedahl W, Donnelly EF. Preventive healthcare use, smoking, and alcohol use among Rhode Island women experiencing intimate partner violence. J Womens Health Gend Based Med. 2002 Jul-Aug; 11(6):555-62.
          View in: PubMed
        57. Lubelczyk RA, Friedmann PD, Lemon SC, Stein MD, Gerstein DR. HIV prevention services in correctional drug treatment programs: do they change risk behaviors? AIDS Educ Prev. 2002 Apr; 14(2):117-25.
          View in: PubMed
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