Angela Fagerlin, PhD



Selected Publications:

Helping patients decide: Ten steps to better risk communication
Fagerlin A, Zikmund-Fisher BJ, Ubel P. Journal of the National Cancer Institute 2011;103(19):.

Increased precision in online risk calculators doesn't help and might hurt
Witteman H, Zikmund-Fisher BJ, Waters EA, Gavaruzzi T, Fagerlin A. Journal of Medical Internet Research 2011;13(3):e54.

Risk perception measures' associations with behavior intentions, affect, and cognition following colon cancer screening message
Dillard A, Ferrer RA, Ubel PA, Fagerlin A. Health Psychology 2011.

Primary care perspectives on prostate cancer survivorship: Implications for improving quality of care
Skolarus T, Northouse L, Fagerlin A, Garlinghouse C, Demers R, Rovner D, Darwish-Yassine M, Wei JT 2011.

The distinct role of comparative risk perceptions in a breast cancer prevention program
Dillard A, Ubel PA, Smith DM, Zikmund-Fisher BJ, Nair V, Derry HA, Zhang A, Pitsch R, Hensely AS, McClure JB, Fagerlin A. Annals of Behavioral Medicine 2011;42(2):262-8.

Primary care perspectives on prostate cancer screening
Skolarus T, Holmes-Rovner M, Northouse L, Fagerlin A, Garlinghouse C, Demers R, Rovner D, Darwish-Yassine M, Wei JT 2011;36(6):39-44.

Disparities in patient reports of communications to inform decision making in the DECISIONS study
Zikmund-Fisher BJ, Couper M, Fagerlin A. Patient Education and Counseling 2011.

Patient preferences in breast cancer screening: Lessons to be learned by the US Preventive Health Task Force?
Sadigh G, Kelly AM, Ubel PA, Fagerlin A, Carlos R. Academic Radiology 2011;18(11):1333-6.

Women's interest in taking tamoxifen and raloxifene for breast cancer prevention: Response to a tailored decision aid
Fagerlin A, Dillard A, Smith DM, Zikmund-Fisher BJ, Pitsch R, McClure JB, Greene SM, Alford SH, Nair V, Hayes DF, Wiese C, Ubel PA. Breast Cancer Research and Treatment 2011;127(3):681-8.

What makes a tumor diagnosis a call to action? On the preference for action vs. inaction
Gavaruzzi T, Lotto L, Rumiati R, Fagerlin A. Medical Decision Making 2011;31(2):237-44.

The role of perceived benefits and costs in patients' medical decisions
Singer E, Couper M, Fagerlin A, Fowler F, Levin CA, Ubel P 2011.

A demonstration of "less can be more" in risk graphics
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Medical Decision Making 2010;30(6):661-671.

Risky feelings: Why a 6% risk of cancer doesn't always feel like 6%
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Patient Education and Counseling 2010;81(s):S87-S93.

Use of the internet and ratings of information sources for medical decisions: Results from the DECISIONS survey
Couper M, Singer E, Levin CA, Fowler F, Fagerlin A, Zikmund-Fisher BJ. Medical Decision Making 2010;30:106S-114S.

Deficits and variations in patients' experience with making 9 common medical decisions: The DECISIONS survey
Zikmund-Fisher BJ, Couper M, Singer E, Ubel P, Ziniel S, Fowler F, Levin CA, Fagerlin A. Medical Decision Making 2010;30:85S-95S.

How does feeling informed relate to being informed? The DECISIONS survey
Sepucha KR, Fagerlin A, Couper M, Levin CA, Singer E, Zikmund-Fisher BJ. Medical Decision Making 2010;30:77S-84S.

Patients' knowledge about 9 common health conditions: The DECISIONS survey
Fagerlin A, Sepucha KR, Couper M, Levin CA, Singer E, Zikmund-Fisher BJ. Medical Decision Making 2010;30:35S-52S.

The DECISIONS study: A nationwide survey of United States adults regarding 9 common medical decisions
Zikmund-Fisher BJ, Couper M, Singer E, Levin CA, Fowler F, Ziniel S, Ubel P, Fagerlin A. Medical Decision Making 2010;30:20S-34S.

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Testing whether decision aids introduce cognitive biases: Results of a randomized trial
Ubel PA, Smith DM, Zikmund-Fisher BJ, Derry HA, McClure JB, Stark AT, Wiese C, Greene SM, Jankovic A, Fagerlin A. Patient Education and Counseling 2010;80:158-63.

Presenting research risks and benefits to parents: Does format matter?
Tait AR, Voepel-Lewis T, Zikmund-Fisher BJ, Fagerlin A. Anesthesia and Analgesia 2010;111:718-723.

The effect of format on parents' understanding of the risks and benefits of clinical research: A comparison between text, tables, and graphics
Tait AR, Voepel-Lewis T, Zikmund-Fisher BJ, Fagerlin A. Journal of Health Communication 2010;15:487-501.

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Women's decisions regarding tamoxifen for breast cancer prevention: Responses to a tailored decision aid
Fagerlin A, Zikmund-Fisher BJ, Hayes DF, Zweig SC, Smith DM, Nair V, Derry HA, McClure JB, Greene SM, Stark AT, Alford SH, Lantz PM. Breast Cancer Research and Treatment 2010;119:613-620.

The case for frugal default options in patient-physician communication
Fagerlin A. Journal of Evaluation in Clinical Practice 2010;16:382-3.

Patients' decisions regarding tamoxifen for breast cancer prevention: Responses to a tailored decision aid
Fagerlin A, Zikmund-Fisher BJ, Hayes DF, Wiese C, Smith DM, Nair V, Derry HA, McClure JB, Greene SM, Stark AT, Hensely AS, Lantz PM, Zweig SC, Pitsch R, Jankovic A, Ubel P. Breast Cancer Research and Treatment 2010;119:613-20.

Narratives that address affective forecasting errors reduce perceived barriers to colorectal cancer screening
Dillard A, Fagerlin A, DalCin S, Zikmund-Fisher BJ, Ubel PA. Social Science and Medicine 2010;71:45-52.

The effect of various risk/benefit trade-offs on parents' understanding of a pediatric research study
Tait AR, Zikmund-Fisher BJ, Fagerlin A, Voepel-Lewis T. Pediatrics 2010;125:1475-1482.

Getting down to details in the design and use of decision aids
Fagerlin A. Medical Decision Making 2009;29(4):409-411.

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Improving understanding of adjuvant therapy options by using simpler risk graphics
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Cancer 2008;113(12):3382-3390.

Are they really that happy? Exploring scale recalibration in estimates of well-being
Lacey HP, Fagerlin A, Loewenstein G, Smith DM, Riis J, Ubel PA. Health Psychology 2008;27(6):669-675.

The impact of the format of graphical presentation on health-related knowledge and treatment choices
Hawley ST, Zikmund-Fisher BJ, Ubel PA, Jankovic A, Lucas T, Fagerlin A. Patient Education and Counseling 2008;73(3):448-455.

Communicating side effect risks in a tamoxifen prophylaxis decision aid: The debiasing influence of pictographs
Zikmund-Fisher BJ, Ubel PA, Smith DM, Derry HA, McClure JB, Stark AT, Pitsch R, Fagerlin A. Patient Education and Counseling 2008;73(2):209-214.

Screening experiments and fractional factorial designs in behavioral intervention research
Nair V, Strecher V, Fagerlin A, Ubel PA, Resnicow K, Murphy S, Little R, Chakraborty B, Zhang A. American Journal of Public Health 2008;98(8):1354-1359.

The accuracy of predicting parity as a prerequisite for cesarean delivery on maternal request
Keeton K, Zikmund-Fisher BJ, Ubel PA, Fenner DE, Fagerlin A. Obstetrics and Gynecology 2008;112:285-289.

The potential impact of decision role and patient age on end-of-life treatment decision making.
Zikmund-Fisher BJ, Lacey HP, Fagerlin A. Journal of Medical Ethics 2008;34(5):327-31.

Alternate methods of framing information about medication side effects: Incremental risk versus total risk of occurrence.
Zikmund-Fisher BJ, Fagerlin A, Roberts TR, Derry HA, Ubel PA. Journal of Health Communication 2008;13(2):107-124.

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"If I'm better than average, then I'm ok?": Comparative information influences beliefs about risk and benefits.
Fagerlin A, Zikmund-Fisher BJ, Ubel PA. Patient Education and Counseling 2007;69:140-144.

Does labeling prenatal screening test results as negative or positive affect a woman's responses?
Zikmund-Fisher BJ, Fagerlin A, Keeton K, Ubel PA. American Journal of Obstetrics and Gynecology 2007;197(5):528.e1-528.e6.

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Validation of the subjective numeracy scale (SNS): Effects of low numeracy on comprehension of risk communications and utility elicitations.
Zikmund-Fisher BJ, Smith DM, Ubel PA, Fagerlin A. Medical Decision Making 2007;27(5):663-671.

Measuring numeracy without a math test: development of the subjective numeracy scale (SNS).
Fagerlin A, Zikmund-Fisher BJ, Ubel PA, Jankovic A, Derry HA, Smith DM. Medical Decision Making 2007;27(5):672-680.

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Making numbers matter: Present and future research in risk communication.
Fagerlin A, Ubel PA, Smith DM, Zikmund-Fisher BJ. American Journal of Health Behavior 2007;31(Suppl. 1):S47-S56.

Rethinking the objectives of decision aids: A call for conceptual clarity.
Nelson WL, Han PK, Fagerlin A, Stefanek M, Ubel PA. Medical Decision Making 2007;27:609-618.

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Mortality versus survival graphs: Improving temporal consistency in perceptions of treatment effectiveness.
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Patient Education and Counseling 2007;66(1):100-107.

The influence of race, ethnicity and individual socioeconomic factors on breast cancer stage at diagnosis.
Lantz PM, Mujahid M, Schwartz K, Janz NK, Fagerlin A, Salem B, Liu L, Deapen D, Katz SJ. American Journal of Public Health 2006;96:2173-2178.

It must be awful for them: Healthy people overlook disease variability in quality of life judgments.
Lacey HP, Fagerlin A, Loewenstein G, Smith DM, Riis J, Ubel PA. Judgment and Decision Making 2006;1(2):146-152.

Can avoidance of complications lead to biased healthcare decisions?
Amsterlaw J, Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Judgment and Decision Making 2006;1(1):64-75.

Correlates of between-surgeon variation in breast cancer treatments.
Hawley ST, Hofer TP, Janz NK, Fagerlin A, Schwartz K, Liu L, Deapen D, Morrow M, Katz SJ. Medical Care 2006;44:609-616.

Context changes choices: A prospective study of the effects of hospitalization on life-sustaining treatment preferences
Ditto PH, Danks JH, Smucker WD, Jacobson JA, Fagerlin A. Medical Decision Making 2006;26:313-322.

An informed decision? Breast cancer patients and their knowledge about treatment.
Fagerlin A, Lakhani I, Lantz PM, Janz NK, Morrow M, Schwartz K, Deapen D, Salem B, Liu L, Katz SJ. Patient Education and Counseling 2006;64:303-312.

A matter of perspective: choosing for others differs from choosing for yourself in making treatment decisions.
Zikmund-Fisher BJ, Sarr B, Fagerlin A, Ubel PA. Journal of General Internal Medicine 2006;21:618-622.

Breast cancer treatment experiences of latinas in Los Angeles County.
Fagerlin A, Deapen D, Janz NK, Katz SJ, Lantz PM, Liu L, Paredes Y. Cancer 2005;95:2225-2230.

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Cure me even if it kills me: Preferences for invasive cancer treatment.
Fagerlin A, Zikmund-Fisher BJ, Ubel PA. Medical Decision Making 2005;25(6):614-619.

Correlates of breast reconstruction: Results from a population-based study.
Morrow M, Mujahid M, Lantz PM, Janz NK, Fagerlin A, Schwartz K, Liu L, Deapen D, Salem B, Lakhani I, Katz SJ. Cancer 2005;104:2340-2346.

What is perfect health to an 85 year-old? Evidence for scale recalibration in subjective health ratings.
Ubel PA, Jankovic A, Smith DM, Langa K, Fagerlin A. Medical Care 2005;43(10):1054-1057.

Surgeon perspectives on local therapy for breast carcinoma.
Katz SJ, Lantz PM, Janz NK, Fagerlin A, Schwartz K, Liu L, Deapen D, Salem B, Morrow M, Lakhani I. Cancer 2005;104:1854-1861.

Patient involvement in surgery treatment decisions for breast cancer.
Fagerlin A, Janz NK, Katz SJ, Lakhani I, Lantz PM, Liu L, Morrow M, Salem B, Schwartz K. Journal of Clinical Oncology 2005;23:5526-5533.

Population-based study of the relationship of treatment and sociodemographics on quality of life for early stage breast cancer.
Fagerlin A, Katz SJ, Lantz PM, Mujahid M, Salem B, Janz NK. Quality of Life Research 2005;14:1467-1479.

Reducing the influence of anecdotal reasoning on people's health care decisions: Is a picture worth a thousand statistics?
Fagerlin A, Wang C, Ubel PA. Medical Decision Making 2005;25(4):398-405.

Evidence-based patient choice: A prostate cancer decision aid in plain language.
Fagerlin A, Holmes-Rovner M, Kelly-Blake K, Ohene-Frempong J, Rovner D, Stableford S, Wei JT. BMC Medical Informatics and Decision Making 2005;5:16.

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What's time got to do with it? Inattention to duration in interpretation of survival graphs.
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Risk Analysis 2005;25(3):589-595.

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How making a risk estimate can change the feel of that risk: Shifting attitudes toward breast cancer risk in a general public survey.
Fagerlin A, Zikmund-Fisher BJ, Ubel PA. Patient Education and Counseling 2005;57(3):294-299.

Patterns and correlates of local therapy for women with ductal carcinoma in situ.
Fagerlin A, Schwartz K, Salem B, Morrow M, Liu L, Lantz PM, Lakhani I, Katz SJ, Janz NK, Deapen D. Journal of Clinical Oncology 2005;23:3001-3007.

Satisfaction with surgery outcomes and the decision process in a population-based sample of women with breast cancer
Fagerlin A, Janz NK, Katz SJ, Lakhani I, Lantz PM, Liu L, Salem B, Schwartz K. Health Services Research 2005;40:745-767.

Ignorance of hedonic adaptation to hemo-dialysis: a study using ecological momentary assessment.
Riis J, Loewenstein G, Baron J, Jepson C, Fagerlin A, Ubel PA. Journal of Experimental Psychology: General 2005;134:3-9.

Lying to insurance companies: The desire to deceive among physicians and the public
Werner RM, Alexander GC, Fagerlin A, Ubel PA. American Journal of Bioethics 2004;4:53-59.

Patient education materials for prostate cancer: a critical review.
Fagerlin A, Holmes-Rovner M, Jentoft C, Rovner D, Stableford S, Wei JT. Annals of Internal Medicine 2004;140:721-728.

Molding the past: Biased assimilation of historical information.
Hulsizer MR, Munro GD, Fagerlin A, Taylor SP. Journal of Applied Social Psychology 2004;34:1048-1074.

Enough: The failure of the living will.
Fagerlin A, Schneider CE. Hastings Center Report 2004;34:30-42.

Reflections from the population: survey methods.
Fagerlin A, McMahon LF. Journal of Clinical Gastroenterology 2004;38:307-308.

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"Is 28% good or bad?": Evaluability and preferences reversals in health care decisions.
Zikmund-Fisher BJ, Fagerlin A, Ubel PA. Medical Decision Making 2004;24(2):142-148.

Racial disparities in the treatment of localized/regional prostate cancer.
Underwood W, DeMonner S, Ubel PA, Fagerlin A, Sanda M, Wei JT. Journal of Urology 2004;171(4):1504-1507.

Stability of older adults' preferences for life-sustaining medical treatment.
Fagerlin A, Coppola KM, Danks JH, Ditto PH, Gready RM, Houts RM, Jacobson JA, Smucker WD. Health Psychology 2003;22:605-615.

Effect of assessment method on the discrepancy between judgments of health disorders people have and do not have: A web study.
Baron J, Asch DA, Fagerlin A, Jepson C, Loewenstein G, Riis J, Stineman MG, Ubel PA. Medical Decision Making 2003;23(5):422-434.

Support for physician deception of insurance companies among a sample of Philadelphia residents.
Alexander GC, Werner RM, Fagerlin A, Ubel PA. Annals of Internal Medicine 2003;138:472-475.

The use of advance directives in end-of-life decision making: problems and possibilities.
Fagerlin A, Ditto PH, Hawkins NA, Schneider CE, Smucker WD. American Behavioral Scientist 2002;46:268-283.

The "hassle factor": What motivates physicians to manipulate reimbursement rules?
Werner RM, Alexander GC, Fagerlin A, Ubel PA. Archives of Internal Medicine 2002;162:1134-1139.

Biased assimilation of political arguments: Evaluating the 1996 Presidential Debate.
Munro GD, Ditto PH, Lockhart LK, Fagerlin A, Gready RM, Peterson EC. Basic & Applied Social Psychology 2002;24(1):15-26.

Older adults' attitudes toward death: Links to perceptions of health and concerns about end-of-life issues.
Lockhart LK, Bookwala J, Fagerlin A, Coppola KM, Ditto PH, Danks JH, Smucker WD. Omega 2001;43:331-347.

Gender differences in preferences for life-sustaining treatments and end-of-life values.
Bookwala J, Coppola KM, Fagerlin A, Ditto PH, Danks JH, Smucker WD. Death Studies 2001;25:127-149.

Advance directives as acts of communication: A randomized, controlled trial.
Ditto PH, Lockhart LK, Houts RM, Gready RM, Fagerlin A, Dresser R, Coppola KM, Bookwala J, Smucker WD, Danks JH, Zyzanski S. Archives of Internal Medicine 2001;161:421-430.

Gaming the system--Public preferences that doctors play?
Alexander GC, Werner RM, Fagerlin A, Ubel PA. Journal of General Internal Medicine 2001;16(Suppl. 1):185.

Disciplinary differences in self-regulated learning in college students.
Vanderstoep SW, Pintrich PR, Fagerlin A. Contemporary Educational Psychology 1996;21:345-362.