Carla L Fisher

Carla L Fisher, PhD

Professor

Department: MD-HOBI-GENERAL
Business Phone: (352) 627-9467
Business Email: carlalfisher@ufl.edu

About Carla L Fisher

Carla L. Fisher, Ph.D. is a Professor in Implementation Science and Health Interventions and affiliate of the UF Health Cancer Center and Center for Arts in Medicine. She is a behavioral scientist and expert in family-centered psychosocial oncology care, qualitative designs in implementation science, and building lifespan/developmentally targeted interventions using narrative-grounded mixed- methods research.

Dr. Fisher’s work aims to contribute to a “psychosocial map” that helps patients, caregivers, family members, and clinicians learn communication skills central to promoting healthier outcomes when coping with acute or chronic illnesses, family caregiving, and disease risk. Her primary focus has been on promoting family-centered psychosocial oncology care from pre-diagnosis through survivorship with much of this focused on improving care in breast cancer and blood cancers. Her work in family- or patient-centered healthcare has also spanned numerous healthcare contexts (e.g., diabetes, acupuncture, mental health, geriatric medicine, genomic medicine, hereditary breast and ovarian cancer risk). She also prioritizes reducing health disparities for women, racial/ethnic minorities, veterans, the aging, adolescents and young adults (AYAs), and individuals living with hereditary disease risk. Collectively, her work brings to the forefront the importance of family communication in healthcare practice and public health interventions.

Dr. Fisher is also an expert in multi-method qualitative designs in implementation science. She is regularly invited to serve as the lead qualitative expert on grant-funded research supported by funders like NIH, PCORI, DOD, and The Leukemia & Lymphoma Society. She’s been an invited qualitative expert for the government including the National United States Agency for International Development (USAID) and Office on Women’s Health (OWH), and for five years, served as the lead qualitative methodologist on multiple funded projects for the Military Primary Care Research Network. She currently directs a team of qualitative scientists who lead the qualitative arms of multiple funded studies and teaches a summer advanced graduate course in qualitative design and thematic analysis.

Her research collaborations have resulted in more than $15 million in federal and private funding and she’s authored >100 publications. This includes the only nationally recognized, evidence-informed book (Coping together, side by side), which addresses the central role of mother-daughter communication to breast cancer coping and caregiving and offers narrative-driven guidance targeting women’s distinct developmental needs. Across her career she has had the privilege of mentoring 66 graduate students and multiple early career MDs and PhDs on their paths to independent investigators.

Related Links:

Teaching Profile

Courses Taught
2021
MMC6486 Family Communication and Health Across the Lifespan
2017-2020
MMC6936 Special Topics in Mass Communication
2017
ADV4930 Special Study in Advertising
2016
ADV3001 Advertising Strategy
2022,2024
GMS5905 Special Topics in Biomedical Sciences
2022
MMC6485 Advanced Qualitative Methods: Narrative Health Methods and Analyses

Research Profile

Open Researcher and Contributor ID (ORCID)

0000-0003-3903-4278

Publications

2024
“A little bit different now”: Impacts of caregiving for parent with cancer on psychosocial development in emerging and young adulthood.
Death studies. 1-12 [DOI] 10.1080/07481187.2024.2309488. [PMID] 38293809.
2024
Applications of turning point analysis in behavioral medicine research: A systematic scoping review.
Social science & medicine (1982). 351 [DOI] 10.1016/j.socscimed.2024.116987. [PMID] 38824697.
2024
Caring for an Individual with Chronic Lymphocytic Leukemia (CLL): Understanding Family Caregivers’ Perceptions of Social Support, Caregiver Burden, and Unmet Support Needs.
Journal of cancer education : the official journal of the American Association for Cancer Education. 39(2):180-185 [DOI] 10.1007/s13187-023-02392-8. [PMID] 38049567.
2024
Promoting Rural-Residing Parents’ Receptivity to HPV Vaccination: Targeting Messages and Mobile Clinic Implementation
Vaccines. 12(7) [DOI] 10.3390/vaccines12070712.
2024
Triadic Communication in Medical Encounters Including Individuals With Dementia: A Scoping Review.
Alzheimer disease and associated disorders. 38(2):213-225 [DOI] 10.1097/WAD.0000000000000626. [PMID] 38812448.
2024
Understanding the role of parents’ information sharing and withholding on emerging and young adults’ caregiving and coping during their parents’ advanced cancer.
Journal of psychosocial oncology. 42(3):412-426 [DOI] 10.1080/07347332.2023.2276940. [PMID] 37929571.
2023
A Mixed-Method Examination of Emerging and Young Adult Cancer Caregivers’ Experiences during the COVID-19 Pandemic
International Journal of Environmental Research and Public Health. 20(8) [DOI] 10.3390/ijerph20085537. [PMID] 37107819.
2023
A systematic scoping review of patient and caregiver self-report measures of satisfaction with clinicians’ communication.
Patient education and counseling. 117 [DOI] 10.1016/j.pec.2023.107976. [PMID] 37738791.
2023
Adult sibling-related experiences while caring for a parent diagnosed with a blood cancer.
Families, systems & health : the journal of collaborative family healthcare. 41(2):140-148 [DOI] 10.1037/fsh0000748. [PMID] 36222643.
2023
Adult-Child Caregivers’ Family Communication Experiences after an Older Parent’s Blood Cancer Diagnosis: A Survey Exploring Their Openness, Avoidance, and Social Support
Cancers. 15(12) [DOI] 10.3390/cancers15123177. [PMID] 37370787.
2023
Clinician Communication With Patients About Cancer Misinformation: A Qualitative Study
JCO Oncology Practice. 19(3):e389-e396 [DOI] 10.1200/op.22.00526.
2023
Living with a blood cancer in later life: The complex challenges and related support needs of adults aged 75 and older.
Palliative & supportive care. 1-7 [DOI] 10.1017/S1478951523001219. [PMID] 37606295.
2023
Partner presence in clinical conversations about sexual health: Breast cancer survivors’, partners’, and providers’ perspectives of triadic interactions
Journal of Psychosocial Oncology. 41(2):166-181 [DOI] 10.1080/07347332.2022.2068397.
2023
Survivorship transitions in blood cancer: Identifying experiences and supportive care needs for caregivers.
Journal of cancer survivorship : research and practice. [DOI] 10.1007/s11764-023-01422-0. [PMID] 37420150.
2023
Understanding parents uncertainty sources and management strategies while caring for a child diagnosed with a hematologic cancer.
PEC innovation. 3 [DOI] 10.1016/j.pecinn.2023.100198. [PMID] 37662692.
2023
Understanding the Impact of COVID-19 on Chronic Lymphocytic Leukemia (CLL) Caregiving and Related Resource Needs
Journal of Clinical Medicine. 12(4) [DOI] 10.3390/jcm12041648. [PMID] 36836183.
2023
Young Adult Caregiving Daughters and Diagnosed Mothers Navigating Breast Cancer Together: Open and Avoidant Communication and Psychosocial Outcomes
Cancers. 15(15) [DOI] 10.3390/cancers15153864. [PMID] 37568680.
2022
A lifespan approach to understanding family caregiver experiences of a blood cancer diagnosis.
Palliative & supportive care. 20(1):22-29 [DOI] 10.1017/S1478951521000389. [PMID] 33890563.
2022
Breaking through barriers: the need for effective research to promote language-concordant communication as a facilitator of equitable emergency care.
Journal of the American College of Emergency Physicians open. 3(1) [DOI] 10.1002/emp2.12639. [PMID] 35072163.
2022
Coping with breast cancer together: Challenging topics for mothers and their adolescent-young adult (AYA) daughters
Journal of Psychosocial Oncology. 40(6):756-769 [DOI] 10.1080/07347332.2021.2005734. [PMID] 34898401.
2022
Disparities and implicit bias in the management of low-risk febrile infants: a mixed methods study protocol.
BMJ open. 12(9) [DOI] 10.1136/bmjopen-2022-063611. [PMID] 36127098.
2022
Helping Diagnosed Mothers and Their Adolescent-Young Adult Daughters Navigate Challenging Breast Cancer Conversations.
Cancer care research online. 2(3) [DOI] 10.1097/cr9.0000000000000025. [PMID] 38239410.
2022
Impact of the family communication environment on burden and clinical communication in blood cancer caregiving.
Psycho-oncology. 31(7):1212-1220 [DOI] 10.1002/pon.5910. [PMID] 35218278.
2022
Improving Clinical and Family Communication for Adult Child Caregivers of a Parent With a Blood Cancer: Single-Arm Pre-Post Pilot Intervention
JMIR Cancer. 8(3) [DOI] 10.2196/38722. [PMID] 35788019.
2022
Messaging preferences among Florida caregivers participating in focus groups who had not yet accepted the HPV vaccine for their 11- to 12-year-old child.
BMC public health. 22(1) [DOI] 10.1186/s12889-022-14852-9. [PMID] 36550434.
2022
Motivating cascade testing for familial hypercholesterolemia: applying the extended parallel process model for clinician communication
Translational Behavioral Medicine. 12(7):800-809 [DOI] 10.1093/tbm/ibac018. [PMID] 35429393.
2022
Parents Caring for Children Diagnosed with a Blood Cancer from Infancy to Emerging Adulthood: A Life span Perspective.
Journal of adolescent and young adult oncology. 11(1):61-67 [DOI] 10.1089/jayao.2021.0070. [PMID] 34647791.
2022
Patients’ Perspectives of Factors That Influence Pharmacogenetic Testing Uptake: Enhancing Patient Counseling and Results Dissemination
Journal of Personalized Medicine. 12(12) [DOI] 10.3390/jpm12122046. [PMID] 36556266.
2022
Practicing Mindfulness through mHealth Applications: Emerging Adults’ Health-Enhancing and Inhibiting Experiences
International Journal of Environmental Research and Public Health. 19(5) [DOI] 10.3390/ijerph19052619. [PMID] 35270309.
2022
Validation of the transactional eHealth literacy instrument with cancer caregivers.
PEC innovation. 1 [DOI] 10.1016/j.pecinn.2022.100075. [PMID] 37213773.
2021
A Content Analysis of Social Support Messages about Environmental Breast Cancer Risk within Blogs for Mothers.
Health communication. 36(13):1796-1804 [DOI] 10.1080/10410236.2020.1800241. [PMID] 32744079.
2021
A qualitative analysis of clinicians’ communication strategies with family members of patients experiencing hospital-acquired delirium.
Geriatric nursing (New York, N.Y.). 42(3):694-699 [DOI] 10.1016/j.gerinurse.2021.02.009. [PMID] 33831716.
2021
Blood cancer caregiving during COVID-19: understanding caregivers’ needs
Translational Behavioral Medicine. 11(5):1187-1197 [DOI] 10.1093/tbm/ibab021. [PMID] 34042962.
2021
Culturally Appropriate Breast Cancer and Environmental Risk Messages: Targeting Racially and Ethnically Diverse Mothers
Journal of Cancer Education. 36(2):284-293 [DOI] 10.1007/s13187-019-01626-y.
2021
Learning the language of science: A pilot study exploring citizen scientists’ identity and communication with researchers.
Journal of clinical and translational science. 5(1) [DOI] 10.1017/cts.2021.847. [PMID] 35047219.
2021
Transitioning from active duty to military retirement: Challenges impacting diabetes self-management
Health Education Journal. 80(4):438-450 [DOI] 10.1177/0017896920978675.
2021
“Home wasn’t really home anymore”: Understanding caregivers’ perspectives of the impact of blood cancer caregiving on the family system
Supportive Care in Cancer. 29(6):3069-3076 [DOI] 10.1007/s00520-020-05811-4.
2020
Family communication central to mothers’ type 2 diabetes self-management.
Families, Systems, & Health. 38(4):396-405 [DOI] 10.1037/fsh0000550.
2020
Helping Mothers and Daughters Talk about Environmental Breast Cancer Risk and Risk-Reducing Lifestyle Behaviors
International Journal of Environmental Research and Public Health. 17(13) [DOI] 10.3390/ijerph17134757. [PMID] 32630657.
2020
How patients make sense of a diabetes diagnosis: An application of Weick’s model of organizing.
Diabetes research and clinical practice. 162 [DOI] 10.1016/j.diabres.2020.108117. [PMID] 32179127.
2020
Turning Points as Opportunities to Partner with Patients Living with type 2 Diabetes or Prediabetes.
Journal of the American Board of Family Medicine : JABFM. 33(2):211-219 [DOI] 10.3122/jabfm.2020.02.190136. [PMID] 32179604.
2019
Exploring patient perspectives of prediabetes and diabetes severity: a qualitative study.
Psychology & health. 34(11):1314-1327 [DOI] 10.1080/08870446.2019.1604955. [PMID] 31012328.
2019
Metadata Correction: Partnering With Mommy Bloggers to Disseminate Breast Cancer Risk Information: Social Media Intervention
Journal of Medical Internet Research. 21(6) [DOI] 10.2196/14158. [PMID] 31210137.
2019
Partnering With Mommy Bloggers to Disseminate Breast Cancer Risk Information: Social Media Intervention
Journal of Medical Internet Research. 21(3) [DOI] 10.2196/12441. [PMID] 30843866.
2019
Perpetuating the cycle of silence: the intersection of uncertainty and sexual health communication among couples after breast cancer treatment.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 27(2):659-668 [DOI] 10.1007/s00520-018-4369-9. [PMID] 30054721.
2019
Talking about sexual health during survivorship: understanding what shapes breast cancer survivors’ willingness to communicate with providers.
Journal of cancer survivorship : research and practice. 13(6):932-942 [DOI] 10.1007/s11764-019-00809-2. [PMID] 31741248.
2019
Teach-Back Experience and Hospitalization Risk Among Patients with Ambulatory Care Sensitive Conditions: a Matched Cohort Study.
Journal of general internal medicine. 34(10):2176-2184 [DOI] 10.1007/s11606-019-05135-y. [PMID] 31385206.
2018
A Qualitative Study of the Communication Process for Medical Acupuncture in Family Medicine.
Family medicine. 50(5):353-358 [DOI] 10.22454/FamMed.2018.662450. [PMID] 29762793.
2018
Clinician barriers to initiating sexual health conversations with breast cancer survivors: The influence of assumptions and situational constraints.
Families, systems & health : the journal of collaborative family healthcare. 36(1):20-28 [DOI] 10.1037/fsh0000307. [PMID] 29608082.
2018
Critical Factors to Practicing Medical Acupuncture in Family Medicine: Patient and Physician Perspectives.
Journal of the American Board of Family Medicine : JABFM. 31(2):236-242 [DOI] 10.3122/jabfm.2018.02.170381. [PMID] 29535240.
2018
Patient preference and timing for exercise in breast cancer care.
Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer. 26(2):507-514 [DOI] 10.1007/s00520-017-3856-8. [PMID] 28840334.
2018
Physician Communication to Enhance Patient Acupuncture Engagement in Family Medicine.
Journal of health communication. 23(5):422-429 [DOI] 10.1080/10810730.2018.1458924. [PMID] 29630471.
2017
“I Don’t Want to Be an Ostrich”: Managing Mothers’ Uncertainty during BRCA1/2 Genetic Counseling.
Journal of genetic counseling. 26(3):455-468 [DOI] 10.1007/s10897-016-9998-x. [PMID] 27473644.
2017
Experiences of “openness” between mothers and daughters during breast cancer: implications for coping and healthy outcomes.
Psycho-oncology. 26(11):1872-1880 [DOI] 10.1002/pon.4253. [PMID] 27530810.
2016
Communication about sexual health with breast cancer survivors: Variation among patient and provider perspectives.
Patient education and counseling. 99(11):1814-1820 [DOI] 10.1016/j.pec.2016.06.019. [PMID] 27387120.
2015
Maximizing Wellness in Successful Aging and Cancer Coping: The Importance of Family Communication from a Socioemotional Selectivity Theoretical Perspective.
Journal of family communication. 15(1):3-19 [PMID] 26997920.
2014
Older adults’ evaluations of middle-aged children’s attempts to initiate discussion of care needs.
Health communication. 29(7):717-27 [DOI] 10.1080/10410236.2013.786278. [PMID] 24156501.
2014
Talking about familial breast cancer risk: topics and strategies to enhance mother-daughter interactions.
Qualitative health research. 24(4):517-35 [DOI] 10.1177/1049732314524638. [PMID] 24633365.
2012
Sources of uncertainty about daughters’ breast cancer risk that emerge during genetic counseling consultations.
Journal of genetic counseling. 21(2):292-304 [DOI] 10.1007/s10897-011-9400-y. [PMID] 21833819.
2009
Attitudes toward decision making and aging, and preparation for future care needs.
Health communication. 24(7):619-30 [DOI] 10.1080/10410230903242226. [PMID] 20183370.

Grants

Aug 2024 ACTIVE
Adapting the Healthy Communication Practice Intervention for Spousal Caregivers
Role: Principal Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Jul 2024 ACTIVE
Determining Barriers Leading to Inferior Survival for Black and Hispanic Patients with Hodgkin Lymphoma: A Patient-Centered Study
Role: Co-Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Jun 2024 ACTIVE
Healthy Communication Practice for Caregivers of Individuals with ADRD
Role: Principal Investigator
Funding: FL DEPT OF HLTH ED ETHEL MOORE ALZHEIMER
Aug 2023 ACTIVE
Implicit racial bias in pediatric emergency medicine: A foundational investigation of physician behaviors
Role: Other
Funding: NATL INST OF HLTH NIMHD
Aug 2023 ACTIVE
The potential of kava in enabling tobacco cessation – its holistic effects in managing stress and insomnia associated with abstinence
Role: Co-Investigator
Funding: NATL CTR FOR COMPLEM AND INTEGRATIVE HLT
Jun 2023 ACTIVE
Adapting the Healthy Communication Practice Program for Parent Caregivers of Adolescents and Young Adults (AYAs) Living with a Blood Cancer
Role: Co-Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Sep 2022 ACTIVE
ReMARk: A multi-level strategy to address disparities in rural HPV-related cancer prevention
Role: Project Manager
Funding: NATL INST OF HLTH NCI
May 2022 – Feb 2024
Understanding CLL Caregivers Experiences and Support Needs
Role: Principal Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
May 2022 – Jun 2024
Improving Family and Healthcare Communication for Caregivers of Spouses with Blood Cancer
Role: Co-Project Director/Principal Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Mar 2022 ACTIVE
Patient-Centered Equity Enhancements to Reduce Disproportionate Unmet Mental Health Need of African American Children
Role: Co-Investigator
Funding: PATIENT-CENTERED OUTCOMES RES INST
Sep 2021 ACTIVE
Preemptive pharmacogenetic testing in medically underserved populations
Role: Co-Investigator
Funding: NATL INST OF HLTH NHGRI
Sep 2021 – Aug 2022
Understanding Older Adults Cancer Experiences, Support Needs, and Communication
Role: Principal Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Apr 2021 ACTIVE
Enhancing Access to Cancer Clinical Trials among Underrepresented Patients by Building the Capacity of Primary Care Providers: A Study of a Novel Online Training Intervention
Role: Co-Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Aug 2020 – Jul 2021
Identification Methods, Patient Activation, and Cascade Testing for Familial Hypercholesterolemia (IMPACT-FH)
Role: Principal Investigator
Funding: GEISINGER MEDICAL CENTER via NATL INST OF HLTH NHLBI
Jul 2019 – Jun 2022
Improving Family and Healthcare Communication for Caregivers of Parents with Blood Cancer
Role: Co-Investigator
Funding: LEUKEMIA & LYMPHOMA SOC
Apr 2019 – Aug 2023
A Behavioral Economic Intervention to Reduce Marijuana Use in Truant Youth
Role: Other
Funding: NATL INST OF HLTH NIDA
Nov 2017 – Dec 2019
Diabetes ROADMAP: An Intervention to Address Health Disparities Through Personalized Diagnosis Communication
Role: Principal Investigator
Funding: HENRY M JACKSON FOUNDATION via UNIFORMED SERVICES UNIV OF THE HLTH SCI
May 2017 – Oct 2019
Using Targeted Social Media to Communicate Culturally Sensitive and Interactive Environmental Risk Information about Breast Cancer to Mothers
Role: Principal Investigator
Funding: GEORGE MASON UNIVERSITY via NATL INST OF HLTH NIEHS
Feb 2015 – Oct 2023
UF Health Cancer Center Pilot Project Grants funded through the Florida Consortium of National Cancer Institute Centers Program
Role: Project Manager
Funding: UF HEALTH SHANDS HOSPITAL

Education

PhD
2008 · The Pennsylvania State University
MA
2004 · Arizona State University
BS
1999 · Florida Institute of Technology

Contact Details

Phones:
Business:
(352) 627-9467
Emails:
Addresses:
Business Mailing:
PO Boz 100147
GAINESVILLE FL 32610
Business Street:
1889 MUSEUM RD STE 7019
GAINESVILLE FL 32611