Dr. Lobb conducts translational research to improve adoption and implementation of evidence-based interventions by clinical sites and in community settings to improve the quality of health care services for vulnerable populations and to reduce inequities in population health. Her research has primarily focus on cancer prevention and control. Dr. Lobb is committed to using participatory methods that engage stakeholders throughout the research process.
National Cancer Institute R21CA181684-01A1 (Lobb PI)
Implementation of Patient Navigation in Rural Geographic Areas – Patient Perspectives
This study will use qualitative methods to investigate patients’ perspectives on services they received from health care organizations in rural southeast Missouri to assist them with completion of follow-up care after an abnormal mammogram. The study population includes women with abnormal mammograms who attended a Federally Qualified Health Center or Rural Health Clinic that participated in another study led by Dr. Lobb.
National Cancer Institute R21CA184282-02 (Lobb PI)
Understanding Variability in Success of Quality Improvement for Colonoscopy
This pragmatic implementation-effectiveness study called Strategies to Improve Colonoscopy (STIC), compares the effect of two implementation strategies, physician education alone versus physician education plus staff training and an implementation toolkit to adopt evidence-based practices for bowel preparation before outpatient colonoscopy (i.e. split-dose bowel preparation, low-literacy education, teach-back). Outcomes measured in this study include adoption of the evidence-based practices by colonoscopy staff, patient experience with education for bowel preparation, adequacy of bowel preparation and adenoma detection.
American Cancer Society, MRSG-13-153-01-CPPB (Lobb PI)
Developing Strategies to Implement Patient Navigation in Rural Areas – Organizational Perspectives
This mixed methods study will survey Federally Qualified Health Centers and Rural Health Clinics in southeast Missouri to estimate adoption of patient navigation to improve early detection of breast cancer and the organizational characteristics that predict adoption. In-depth case studies will be conducted on a sample of organizations that responded to the survey in order to add depth and meaning to survey findings and learn how we can potentially modify organizational factors to increase adoption of patient navigation in rural health care organizations.
Robert Wood Johnson Foundation, Public Health Services and Systems Research
(Stamatakis PI, Lobb Co-I)
Evaluation of a Strategy to Strengthen Cross-sector Collaboration Between Local Public Health and Health Care in Evidence-informed Obesity Prevention
The purpose of this project was to evaluate a “goal integration” strategy to improve collaboration among public health and health care stakeholders in obesity and chronic disease prevention, with a focus on the opportunity posed by mandatory community health assessment requirements for health care organizations.
Canadian Institutes of Health Research, Planning Grant (Lobb PI)
Concept Mapping: Community Planning to Reduce Inequities in Cancer Screening
This was a one-year, community-engaged project that was Phase I of a multi-phase study to adapt evidence-based interventions to increase cancer screening among South Asians in Peel, Ontario (see link to community report on current webage). We used concept mapping to learn about barriers to use of mammograms, Pap tests, and fecal occult blood test for South Asians from the perspective of the community (e.g. residents, and representative representatives from health service and community service organizations) and identified the relative importance and feasibility to address each barrier within the next 2-3 years.
Delichatsios H.K., Hunt M.K., Lobb R., Emmons K., & Gillman M.W. EatSmart: efficacy of a multifaceted preventive nutrition intervention in clinical practice. Preventive Medicine 2001;33:91-98. Journal 5-year impact factor = 3.97.
Lobb R., Gonzalez Suarez E., Fay M.E., Gutheil C.M., Hunt M.K., Fletcher R., & Emmons K.M. Implementation of a Cancer Prevention Program for Working Class, Multiethnic Populations. Preventive Medicine 2004;38:766-776. Journal 5-year impact factor = 3.97.
Emmons K.M., Stoddard A.M., Fletcher R., Gutheil C., Gonzalez Suarez E., Lobb R., & Weeks J, Bigby J.A. Cancer prevention among working class, multi-ethnic adults: Results of the Healthy Directions Health Center Study. Am J Pub Health 2005;95(7):1-7. Journal 5-year impact factor = 4.83.
Fletcher R.H., Lobb R., Bauer M.R., Kemp J.A., Palmer R.C., Kleinman K.P., Miroshnik I., & Emmons K.M. Screening patients with a family history of colorectal cancer. J Gen Intern Med. 2007;22(4):508-513. Journal 5-year impact factor = 3.60.
Emmons K.M., Lobb R., Puleo E., Bennett G., Stoffel E., & Syngal S. Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance. Health Affairs. 2008; 28(1): 169-177. Journal 5-year impact factor = 4.26.
Lobb R., Allen J.D., Emmons K.M., & Ayanian J.Z. Timely Care After an Abnormal Mammogram Among Low-Income Women in a Public Breast Cancer Screening Program. Arch Intern Med. 2010; 170(6):521-528. Journal 5-year impact factor = 11.00.
Lobb R., Ayanian J.Z., Allen J.D., & Emmons K.M. Stage of Breast Cancer at Diagnosis Among Low-Income Women with Access to Mammography. Cancer. 2010; 116(23): 5487-5496. Journal current impact factor = 4.901.
Lobb R., Opdyke K.M., McDonnell C.J., Pagaduan M.G., Hurlbert M., Gates-Ferris K., Chi B., & Allen J.D. Use of Evidence-Based Strategies Among Avon-Funded Organizations to Promote Timely Mammography Rescreening Among Medically Underserved Women. Am J Prev Med. 2011;40(5):561-565. Journal 5-year impact factor = 5.09.
Lobb R., Petermann L., Manafo E., Keen D., & Kerner J. Networking and Knowledge Exchange to Promote the Formation of Trans-disciplinary Coalitions and Levels of Agreement among Trans-disciplinary Peer Reviewers. J Public Health Manag Pract. 2013; 19(1):E9-E20. Journal 5-year impact factor = 1.13.
Lobb R. & Colditz GA. Implementation Science and its Application to Population Health. Annu Rev Public Health. 2013. 18;34:235-51. Journal 5-year impact factor = 8.90.
Lobb R., Pinto A.D., & Lofters A. Using Concept Mapping in the Knowledge-to-Action Process to Compare Stakeholder Opinions on Barriers to Use of Cancer Screening among South Asians. Implementation Science. 2013. 23;8(1):37. Epub ahead of print. Journal 5-year impact factor = 3.07.
Lofters A.K., Gozdyra P., & Lobb R. Using Geographic Methods to Inform Cancer Screening Interventions for South Asians in Ontario, Canada. BMC Public Health. 2013;13:395. Journal 5-year impact factor = 2.62.
Lobb R., Carothers B.J., & Lofters A.K. Using Organizational Network Analysis to Plan Cancer Screening Programs for Vulnerable Populations. Am J Public Health. 2014 Feb;104(2):358-64. Journal 5-year impact factor = 4.83.
Lofters A.K., Ryan N., & Lobb R. Primary Care Physician Characteristics Associated with Cancer Screening: A Retrospective Cohort Study in Ontario, Canada. Cancer Medicine. 2015 Feb; 4(2):212-23. Journal 5-year impact factor = not indexed.
Ramsey A., Maki J., Prusaczyk B., Yan Y., Wang J., & Lobb R. Using Segmented Regression Analysis of Interrupted Time Series Data to Assess Colonoscopy Quality Outcomes of a Web-enhanced Implementation Toolkit to Support Evidence-based Practices for Bowel Preparation: At Study Protocol. Implementation Science. 2015;10(1):85.
Health Education Research, 2011
Journal of Immigrant and Minority Health, 2011
Social Science and Medicine, 2010
Archives of Internal Medicine, 2010
American Journal Preventive Medicine, 2004