Rebecca Lobb, ScD, MPH

Assistant Professor
Division of Public Health Sciences
Department of Surgery
lobbr@wudosis.wustl.edu
(314) 747-3925

Research overview:
Dr. Lobb received a master of public health degree from Boston University School of Public Health, a doctor of science degree from Harvard University School of Public Health, and completed a two-year post-doctoral fellowship in health equity intervention research at the Centre for Research on Inner City Health, St. Michael’s Hospital, Toronto, ON. She specializes in implementation research that studies the adoption, use and effectiveness of health policies and evidence-based interventions to reduce inequities in cancer prevention and control for medically underserved populations. Her research program also explores modifying conditions and mediating mechanisms of evidence-based intervention strategies, and the organizational and community factors that influence the adoption and sustainability of interventions to improve population health and reduce health inequities. Her other interests include the development of more rigorous approaches to implementation science and translating advances to broader application through collaborative activities with faculty at Washington University School of Medicine and at the George Warren Brown School of Social Work at Washington University. Dr. Lobb has led evaluations of the Center for Disease Control and Prevention Breast and Cervical Cancer Early Detection Program, and the Ontario Breast Screening Program. Currently, she is leading a multi-phase study to adapt evidence-based interventions to increase use of breast, cervical, and colorectal cancer screening among South Asians in the region of Peel, Ontario.

Ongoing Grants:
Title:
 Concept Mapping: Community Planning to Reduce Inequities in Cancer Screening
Description: This community participatory research is Phase I of a multi-phase study to adapt evidence-based interventions to increase cancer screening among South Asians in Peel, Ontario. The goal of this project is to use concept mapping to engage the community (e.g., residents, primary care providers, representatives from community, public health and health service organizations) to generate a list of barriers to use of mammograms, pap tests and fecal occult blood tests for South Asians residing in Peel, Ontario, identify the relative importance of barriers and feasibility to address each barrier within the next 2-3 years.
Funding agency: Canadian Institutes of Health Research
Role: Principal Investigator

Title: Building Capacity for Community Action to Reduce Cancer Screening Inequities Among South Asians in Peel, Ontario
Description: The overarching goals of this two-year project are to implement Phase II of a multi-phase study to adapt evidence-based interventions to increase cancer screening among South Asians in Peel, Ontario. We will establish and partner with a community advisory group and network of organizations to conduct formative research to select, adapt and tailor evidence-based intervention strategies to increase use of cancer screening, and then examine the reach, feasibility and acceptability of the interventions strategies. Read the community report.
Funding agency: Canadian Institutes of Health Research
Role: Co-Investigator, Project Lead

Selected Publications:
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. Journal of Public Health Management and Practice. Accepted August. In press.

Manafo E, Petermann L, Lobb R, Keen D, Kerner J. Research, practice and policy partnerships in Pan-Canadian Coalitions for cancer and chronic disease prevention. Journal of Public Health Management and Practice. Accepted December, 2010. In press.

Lobb R, Opdyke KM, McDonnell CJ, Pagaduan MG, Hurlbert M, Gates-Ferris, K, Chi B, Allen JD. 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.

Lobb R, Ayanian JZ, Allen JD, Emmons KM. Stage of Breast Cancer at Diagnosis Among Low-Income Women with Access to Mammography. Cancer. 2010;116(23):5487-5496.

Lobb R, Allen JD, Emmons KM, Ayanian JZ. 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.

Emmons KM, Lobb R, Puleo E, Bennett G, Stoffel E, and Syngal S. Colorectal Cancer Screening: Prevalence Among Low-Income Groups With Health Insurance. Health Affairs. 2008;28(1):169-177.

Fletcher RH, Lobb R, Bauer MR, Kemp JA, Palmer RC, Kleinman KP, Miroshnik I, Emmons KM. Screening patients with a family history of colorectal cancer. J Gen Intern Med. 2007;22(4):508-513.

Kaphingst KA, Lobb R, Fay ME, Hunt MK, Suarez EG, Fletcher RH, Emmons KM. Impact of intervention dose on cancer-related health behaviors among working-class, multiethnic, community health center patients. Am J Health Promot. 2007;21(4):262-266.

Emmons KM, Stoddard AM, Fletcher R, Gutheil C, Gonzalez Suarez E, Lobb R, Weeks J, Bigby JA. 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.

Lobb R, Gonzalez Suarez E, Fay ME, Gutheil CM, Hunt MK, Fletcher R, Emmons KM. Implementation of a Cancer Prevention Program for Working Class, Multiethnic Populations. Preventive Medicine. 2004;38:766-776.

Emmons KM, Stoddard AM, Gutheil C, Gonzalez Suarez E, Lobb R, Fletcher R. Cancer Prevention for Working Class, Multiethnic Populations Through Health Centers: The Healthy Directions Study. Cancer Causes and Control 2003;14(8):727-737.