Patient Education– In the Department of Medicine

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Kate Lorig, R.N., Dr.P.H.
Professor, Department of Medicine
Director, Patient Education Research Center

Faculty Research Directory Listing

Biography

Updated 3/2007

• 1960 - 1964 Boston University, B.S. Nursing
• 1967 - 1968 University of California, San Francisco, M.S. Nursing
• 1972  University of California, Santa Cruz, Certificate International Maternal and Child Health
• 1977 - 1978 University of California, Berkeley, M.P.H. Health Education
• 1978 - 1980 University of California, Berkeley, Dr.P.H. Health Education
• 2002 - present, Professor; 1995 - 2002, Associate Professor (Research), Stanford University School of Medicine, Division of Immunology and Rheumatology, Department of Medicine
  Director of Stanford Patient Education Research Center
• 1988 - present, Community Organization Consultant, Stanford Center for Research in Disease Prevention
• 1987 - 1995, Senior Research Scientist, Stanford University School of Medicine
• 1985 - present, Clinical Associate Professor, University of California San Francisco, School of Nursing
• 1980 - 1989, Lecturer, San Jose State University, Department of Health Sciences, CA
• 1978 - 1987, Research Associate, Stanford Arthritis Center, School of Medicine
• 1975 - 1977, Clinical Advisor, California Urban Indian Health Council, Berkeley, CA. Training and technical assistance to community health workers in 26 Native American health projects
• 1974 - 1975, Professional Coordinator, International Confederation of Midwives, London, England. Extensive travel in Africa, the Caribbean and Latin America, organizing multi-country family planning conferences for maternal and child health professionals
• 1971 - 1974, Community Development Specialist, University of California Extension, Santa Cruz, CA. Curriculum development in human services, liaison work with community colleges, training of trainers, management training for neighborhood health centers and city clerks
• 1968 - 1970, Training Coordinator, Alviso Family Health Center, Alviso, CA Curriculum and training for community health workers
• Prior to 1968, Peace Corps Volunteer Nurse, Valdivia, Chile
  Charge Nurse, St. Francis Hospital, Colorado Springs, CO

Public and Professional Service

• 1993 - 1994, First Vice President Society for Public Health Education
• 1993 - 1994, Board Member Mountain View Community Health Center
• 1993, Guest editor with Godfrey Hochbaum Health Education Quarterly edition on Theory and Practice
• 1992 - Present, Member research committee Spring Foundation
• 1990 - Present, Member Editorial Board Patient Education and Counseling
• 1989 - 1991, Member Editorial Board Arthritis Care and Research
• 1989 - Present, Board Member Northern California Arthritis Foundation
• 1985 - Present, Consultant to National Arthritis Foundations (Societies) in implementing the Arthritis Self-Management Course, Australia, New Zealand, Canada, South Africa, Denmark, Norway, Sweden, Finland, Iceland and England
• 1983 - 1989, Board Member Mid-Peninsula Health Service; President 1988 - 1989.
• 1983 - 1987, Member of National Arthritis Foundation Research subcommittee for Arthritis Health Professionals. Chair of subcommittee 1986 - 1987
• 1981 - 1985, NIH Multipurpose Arthritis Centers Parent Committee (reviewed all Multipurpose Arthritis Center proposals)
• 2000, Member of the Panel of Reviewers for the journal Nursing and Health Policy Review.

Post-Degree Honors and Awards

• The Milly Mettler Award for Leadership in Health Promotion, 2003
• Best E-Health Research Paper, E-Health Summit, 2002
• Distinguished Fellow, Society for Public Health Education, 2000
• Fellow, Society of Behavioral Medicine, 1997
• Virginia P. Engalitcheff Award for Impact on Quality of Life, National Arthritis Foundation, 1996
• Mayhew Derryberry Award for Excellence in Combining Theory with Practice, Health Education Section, American Public Health Association, 1993
• Hochbaum Lecturer, University of North Carolina, School of Public Health, 1993
• Award for Excellence in Health Education, National Health Management Foundation, 1992
• Nancy Palchick Publication Award, Arthritis Health Professionals Association, 1992
• Healthtrac Foundation Health Education Award for innovative research and development of self-management programs in arthritis and other chronic diseases, 2002
• Program Excellence Award, Society for Public Health Education, 1989
• Recognition for Creative Health Education Programming, Northern California Society for Public Health Education, 1983
• Award in Recognition of Outstanding Scholarly Contribution in Rheumatology in 1980-81, Arthritis Health Professionals Association, 1982
• National Nursing Honorary, Sigma Theta Tau, 1968

Publications

Selected Peer Reviewed Publications:

1. Lorig K: Consumer controlled nursing service. Nurs Outlook 1970;7(9):50-52.
2. Lorig K: Training new careerists in a service setting. Nurs Admin 1972;2(1):59-61.
3. Lorig K: An overview of needs assessment tools for continuing education. Nurse Educ 1977;2:12-16.
4. Lorig K, Walters E: Cuidaremos: the HECO approach to breast self-examination. Int Q Community Health Educ 1980-81;1(2):125-134.
5. Lorig K: Anatomy of a patient education program: arthritis self-management. Rehabilitation Nurs 1982;7(4):16-20.
6. Lorig K, Cox T, Cuevas Y, Kraines RG, Britton M: Converging and diverging beliefs about arthritis: Caucasian patients, Spanish-speaking patients, and physicians. J Rheumatol 1984;11(1):76-79.
7. Lenker S, Lorig K, Gallagher D: Reasons for the lack of association between changes in health behavior and improved health status: an exploratory study. Patient Educ Counseling 1984;6:69-72.
8. Lorig K, Laurin J, Holman HR: Arthritis self-management: a study of the effectiveness of patient education for the elderly. Gerontologist 1984;24:455-457.
9. Lorig K, Laurin J, Gines GE: Arthritis self-management: a five year history of a patient education program. Nurs Clin North Am 1984;19(4):637-645.
10. Lorig K, Lubeck D, Kraines RG, Seleznick M, Holman HR: Outcomes of self-help education for patients with arthritis. Arthritis Rheum 1985;28(6):680-685.
11. Lorig K, Kraines RG, Brown BW Jr, Richardson N: A workplace health education program which reduces outpatient visits. Med Care 1985;23(9):1044-1054.
12. Lorig K, Laurin J: Some notions about the assumptions underlying health education. Health Educ Q 1985; 12(3):231-243.
13. Lorig K: Development and dissemination of an arthritis patient education course. Fam Community Health 1986;9(1):23-32.
14. Lorig K. Feigenbaum P, Regan C, Ung E, Holman HR: A comparison of lay-taught and professional-taught arthritis self-management courses. J Rheumatol 1986;13(4):763-767.
15. Berman KM, Mendoza S, Lorig K: A multidisciplinary patient education workshop to integrate staff training with program development. Patient Educ Counseling 1986;8:291-298.
16. Holman H, Lorig K: Patient education in the rheumatic diseases. Bull Rheum Dis 1987;37(5):1-8.
17. Lorig K, Konkol L, González V: Arthritis patient education: a review of the literature. Patient Educ Counseling 1987;10:207-252.
18. Mullen PD, Laville E, Biddle AK, Lorig K: Efficacy of psycho-educational interventions on pain, depression, and disability with arthritic adults: a meta-analysis. Journal Rheumatol 1987;14(15):33-39.
19. Goeppinger J, Thomas-Doyle MA, McPherson S, Lorig K: A nursing perspective on the assessment of function in persons with arthritis. Res Nurs Health 1988;11:321-331.
20. O'Leary A, Shoor S, Lorig K, Holman HR: A cognitive-behavioral treatment for rheumatoid arthritis. Health Psychol 1988;7(6):527-544.
21. Regan C, Lorig K, Thoresen C: Coping with osteoarthritis: instrument development and preliminary findings. Arthritis Care Res 1988;1(3):139-150.
22. Lorig K, Lubeck D, Seleznick M, Brown BW Jr, Ung E, Holman HR: The beneficial outcomes of the arthritis self-management course are inadequately explained by behavior change. Arthritis Rheum 1989;31(1):91-95.
23. Lorig K, Brown BW Jr, Ung E, Chastain R, Shoor S, Holman HR: Development and evaluation of a scale to measure the perceived self-efficacy of people with arthritis. Arthritis Rheum 1989;32(1):37-44.
24. Lorig K, Holman HR: Long-term outcomes of an arthritis study: effects of reinforcement efforts. Soc Sci Med 1989; 20(2):221-224.
25. Konkol L, Lineberry J, Gottlieb J, Shelby P, Miller J, Lorig K: Impact of JA on child, parents and siblings: a view from the families' perspective. Arthritis Care Res 1989;2(2):40-48.
26. Lorig K: Does patient education require a prescription? Arthritis Care Res 1989;2(4): 105-107.
27. Holman H, Lorig K, Mazonson P: Health education for self-management has significant early and sustained benefits in chronic arthritis. Trans Assoc Am Physicians 1989;102:204-208.
28. González V, Lorig K, Goeppinger J: Four psychosocial theories and their application to patient education and clinical practice. Arthritis Care Res 1990;3(3):132-143, 1990.
29. Palchik N, Laing T, Connell K, Daltroy L, Lorig K, et al: Research priorities for arthritis professional education. Arthritis Rheum 1991;34(2):234-240.
30. Clark N, Becker M, Janz N, Lorig K, Rakowski W, Anderson L: Self-management of chronic disease by older adults: a review and questions for research. J Aging Health 1991;3(1):3-27.
31. Altman D, Endres J, Linzer J, Lorig K, Howard-Pitney B, Rogers T: Identifying obstacles and achieving goals: a multi-community assessment. J Community Health 1991;16:299-314.
32. Lorig K, González V: The integration of theory with practice: a twelve year case study. Health Educ Q 1992;19(3):355-368.
33. Hochbaum G, Sorenson J, Lorig K: Theory in health education practice. Health Educ Q 1992;19(3):295-313.
34. Lorig K, Holman HR: Arthritis self-management studies: a twelve year review. Health Educ Q 1993; 20(1):17-28.
35. Lorig K, Mazonson P, Holman HR: Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs. Arthritis Rheum 1993;36(4):439-446.
36. Kemper D, Lorig K, Mettler M: The effectiveness of medical self-care interventions: a focus on self-initiated response to symptoms. Patient Educ Counseling 1993;21:29-39.
37. Parker J, Bradley L, DeVellis R, Gerber L, et al. Biopsychosocial contributions to the management of arthritis disability: blueprints from an NIDRR-sponsored conference. Arthritis Rheum 1993;36(7):885-889.
38. Redelmeier D, Lorig K: Assessing the clinical importance of symptomatic improvements. An illustration in rheumatology. Arch Intern Med 1993;153(11):1337-42.
39. Lorig K: Self-management of chronic illness: a model for the future. Generations 1993;17(3):11-14.
40. Hirano P, Lorig K, Laurent D: Arthritis patient education studies, 1987-1991: a review of the literature. Patient Educ Counseling 1994;24:9-54.
41. Lorig K, Visser A: Arthritis patient education standards: a model for the future. Patient Educ Counseling 1994;24:3-7.
42. Green L, Glanz K, Hochbaum G, Kok G, Kreuter M, Lewis M, Lorig K, et al: Can we build on, or must we replace, the theories and models in health education? Health Edu Res 1994;9(3):397-404.
43. Campbell BF, Sengupta S, Santos C, Lorig K: Balanced incomplete block design: description, case study, and implications for practice. Health Educ Q 1995;22:201-210.
44. Marín G, Lorig K: A research agenda for health education among underserved populations. Health Educ Q 1995;22: 346-363.
45. González V, Stewart A, Ritter P, Lorig K: Translation and validation of arthritis outcome measures into Spanish. Arthritis Rheum 1995;38(10)1429-1446.
46. Lorig, K: Patient education: treatment or nice extra. Br J Rheumatol 1995;34:703-706.
47. Lorig, K: Chronic disease self-management: a model for tertiary prevention. Am Behav Sci 1996;39(6):676-683.
48. Superio-Cabuslay E, Ward M, Lorig K: Patient education interventions in osteoarthritis and rheumatoid arthritis: a meta-analytic comparison with non-steroidal anti-inflammatory drug treatment. Arthritis Care Res 1996;9(4): 292-301.
49. Lorig, K. The relevance of consecutive patient databases for mind-body medicine. Advances 1997;13(2):54-57.
50. Lorig K, V González, P Ritter, V Nacif de Brey: Comparison of three methods of data collection in an urban spanish-speaking population. Nurs Res 1997;46(4):230-234.
51. Holman HR, Lorig K. Patient education: essential to good health care for patients with chronic arthritis. Arthritis Rheum 1997;40(8):1371-1373.
52. Holman HR, Lorig KR. Overcoming barriers to successful aging: self-management of osteoarthritis. In: Successful Aging. West J Med 1997;167:265-268.
53. González-Calvo J, González V, Lorig K. Cultural diversity issues in the development of valid and reliable measures of health status. Arthritis Care Res 1997;10(6):448-456.
54. Lorig K, Holman H. Arthritis self-efficacy scales measure self-efficacy: a response to brady. Arthritis Care Res 1998;11(3):155-157.
55. Altman DG, Robinson TN, Haydel KF, Strausberg L, Lorig K, Killen JD. Psycosocial factors associated with youth involvement in community activities promoting heart health. Health Educ Q, 1998; 25(4):489-500.
56. Lorig K, González VM, Laurent DD, Morgan L, Laris BA. Arthritis Self-Management Program Variations: 3 studies. Arthritis Care Res 1998; 11(6):448-454.
57. Von Korff M, Moore JC, Lorig K, Cherkin DC, Saunders K, González VM, Laurent D, Rutter C, Comite F. A randomized trial of a lay-led self-management group intervention for back pain patients in primary care. Spine 1998; 23:2608-2615.
58. Lorig K, Sobel DS, Stewart AL, Brown BW, Bandura A, Ritter P, González VM, Laurent DD, Holman HR. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 1999; 37(1):5-14.
59. Fischer D, Stewart AL, Bloch, DA, Lorig K, Laurent D, Holman H. Capturing the patient's view of change as a clinical outcome measure. JAMA 1999; 282(12):1157-1162.
60. Lorig K, González VM, Ritter P. Community-based spanish language arthritis education program: a randomized trial. Med Care 1999; 37(9):957-963.
61. Holman H, Lorig K. Patients as partners in managing chronic disease. Br Med J 2000; 7234:526-527.
62. Felson DT, Lawrence RC, Hochberg MC, McAlindon T, Dieppe PA, Minor MA, Blair SN, Berman BM, Fries JF, Weinberger M, Lorig KR, Jacobs JJ, Goldberg V. Osteoarthritis: new insights. Ann Intern Med 2000; 133(9):728-737.
63. Lorig K, González VM. Community-based diabetes self-management education: definition and case study. Diabetes Spectrum 2000;13(4):234-238.
64. Ritter PL, Kaymaz H, Stewart A, Sobel DS, Lorig KR. Self-reports of health care utilization compared to provider records. J Clin Epidemiol 2001;54:136-141.
65. Lorig K, Ritter P, Stewart A, Sobel D, Brown BW, Bandura A, González VM, Laurent DD, Holman H. Chronic disease self-management program. 2-year health status and health care utilization outcomes. Med Care 2001;39(11):1217-1223.
66. Lorig KR, Laurent DD, Deyo RA, Marnell ME, Minor MA, Ritter PL. Can a back pain e-mail discussion group improve health status and lower health care costs? Arch Intern Med 2002;162:792-796.
67. Sobel DS, Lorig KR, Hobbs M. Chronic condition self-management program: from development to dissemination. Permanente Journal 2002;6(2):11-18.
68. 21. Bodenheimer T, Lorig K, Holman H, Grumbach K. Patient self-management of chronic disease in primary care. JAMA 2002;288(19):2469-2475.
69. 22. Fries FF, Lorig K, Holman HR. Patient Self-Management in Arthritis? Yes! J Rheum 2003;30(6):1130-1132.
70. Lorig, K. Self-management education. More than a nice extra. Med Care 2003;41(6):699-701.
71. Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and mechanisms. Ann Behav Med 2003;26(1):1-7.
72. Lorig, KR, Ritter PL, González VM. Hispanic chronic disease self-management. A randomized community-based outcome trial. Nurs Res 2003;52(6):361-369.
73. Lorig KR, Ritter PL, Laurent DL, Fries JF. Long-term randomized controlled trials of tailored-print and small-group arthritis self-management interventions. Med Care 2004;43(4):34446-354.
74. Ritter P, Lorig K, Laurent D, Matthews K. Internet versus mailed questionnaires: A randomized comparison. J Med. Int. Res. 2004, 15; 6(3):e29
75. Lorig K, Ritter P, Jacquez A. Outcomes of border health Spanish/English chronic disease self-management programs. Diabetes Educ., 2005 May-Jun, 31(3):401-9.
76. Bruce B, Lorig K, Laurent D, Ritter P. The impact of a moderated E-mail discussion group on use of complementary and alternative therapies in subjects with recurrent back pain. Patient Education and Counseling 2005, 58:305-311.
77. Marks, R Alegrante, JP, Lorig R. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (Part I). Health Promot Pract 2005;6:37-43.
78. Marks, R Alegrante, JP, Lorig R. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (Part I). Health Promot Pract 2005;6:148-156.
79. Ritter PL, Gonzalez VM, Laurent DD, Lorig K. Measurement of pain using the visual numeric scale. J Rheum 2006; 33:3 574-580.
80. Lorig K, Ritter PL, Laurent DD, Plant K. Internet-based chronic disease self-management: A randomized trial. Medical Care 2006;44(11):964-971.
81. Osborne RH, Wilson T, Lorig KR, McColl GJ. Does self-management lead to sustainable health benefits in people with arthritis? A 2-year transition study of 452 Australians. J Rheumatol 2007;34:1-6.

Books and Monographs:

1. Zhen Qing-Yu, Lorig K: Home remedies of rheumatism. Beijing, China: Golden Gate Series, Huam Xia Publisher; 1991.
2. González V, Nacif de Brey V, Lorig K, Fries J. Cómo convivir con su artritis: una guía para una vida activa y saludable [Living well with your arthritis: a guide for a healthy and active life]. Palo Alto, CA: Bull Publishing; 1997.
3. Moore J, Von Korff M, Lorig K, González VM, Laurent. DD. The back pain helpbook. Reading, MA: Perseus Books, 1999.
4. Lorig K: A practical guide for patient education. Melbourne, Australia: Fraser Publications; 1991. Also published as Patient education: a practical approach. 2nd ed. St. Louis, MO: Mosby Year Book, 1992. Sage Publications; 1996; revised 2000.
5. Lorig K, Stewart A, Ritter P, González V, Laurent D and Lynch J. Outcome measures for health education and other health care interventions. Thousand Oaks, CA: Sage Publications; 1996.
6. Lorig K: Training manual for leaders of the arthritis self-help course. Atlanta, GA: Arthritis Foundation; 1982; revised 1992; revised 2000, revised 2002.
7. González V, Hernández-Marin M, Lorig K, Holman H, Sobel D, Laurent D, Minor M. Tomando Control de su Salud. Boulder CO: Bull Publishing; 2002.
8. Gifford A L, Lorig K, Laurent D and González V. Living well with HIV and AIDS. 3rd ed. Boulder CO: Bull Publishing; 2005.
9. Lorig K, Fries J: The arthritis helpbook. 6th ed. Cambridge, MA: De Capo Press; 2006.
10. Lorig K, Holman HR, Sobel D, Laurent D, González V, Minor M: Living a healthy life with chronic conditions. 3rd edition. Boulder CO: Bull Publishing; 2006.

Book Chapters:

1. Garcia H, Walters E, Lorig K: Health and illness perceptions of the Chicana. In: Melville MD, ed. Twice a minority. St. Louis, MO: C.V. Mosby Co., 1980.
2. Lorig, K: Arthritis patient education. In Riggs G, Gall E, eds. Rheumatic diseases: rehabilitation and management. Woburn, MA: Butterworth; 1984; 289-298.

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