Research Team: Director—Frances Marcus Lewis, PhD, RN, FAAN

Fran Lewis photo

Dr. Frances Marcus Lewis currently sits as the University of Washington Medical Center Professor of Nursing Leadership, Seattle, Washington, an Affiliate at the Fred Hutchinson Cancer Research Center Division of Public Health Sciences, and Adjunct Professor, University of Pennsylvania. She is a social scientist (Stanford University, The Johns Hopkins University School of Hygiene and Public Health) and an oncology clinical nurse specialist (University of Washington).

Dr. Lewis has contributed over 200 professional papers to the professional literature in 3 areas: the impact of chronic life-threatening illness on the family, especially breast cancer in the mother; the application of multivariate methods to statistically model the mediating processes that explain differential outcomes in family members experiencing life threatening illness; and the development and evaluation of complex multi-site, multi-method interventions for families affected by parental cancers. In addition, Dr. Lewis is a noted evaluation methodologist and an expert in health behavior theory.

Selected recent online webcasts include:

Advancing The Science: Key Distinctions Between The Model of Problem and The Problem of The Intervention (Video Download) 1:13:22 University of Pennsylvania School of Nursing Health Transitions Forum Series - Health Transitions Lecture Series Salon Talk, May 2010

Selected recent publications include:

• Lewis, F.M. & Griffith, K.A. (2011). The Couple’s Breast Cancer Program: Results from a Randomized Clinical Trial. Under review.
• Lewis, F.M. (2011). Parental therapy to support children of cancer patients. IPOS Handbook of Psychotherapies in Cancer Care. Wiley Blackwell.  [In Press.]
• Cochrane, B.B., Lewis, F.M., & Fletcher, K.A. (2011). Exploring a diffusion of benefit: Does a woman benefit from an intervention delivered to her partner?” Oncol Nurs Forum. In press.
• Fletcher, K.A., Lewis, F.M., & Haberman, Mel R. (2010). Cancer-related concerns of spouses of women with breast cancer. Psycho-Oncology, 19(10), 1094-1101. PMCID: PMC2891846 
• Zahlis, E.H. & Lewis, F.M. (2010). Coming to grips with breast cancer: The  spouse’s experience with his wife’s first six months. J Psychosocial Oncology, 28 (1). 79-97. PMCID: PMC2856107.
• Lewis, F.M. (2010). The family’s “stuck points” in adjusting to cancer. In  Psycho-Oncology, 2rd ed. Jimmie Holland, Editor. Oxford University Press. [Invited chapter]
• Lewis, F.M. (2009). Advancing family focused oncology nursing research.  In Advancing Oncology Nursing Science. Pittsburg, PA: Oncology Nursing Society Publishing Division. [Invited chapter]
• Lewis, F.M., Fletcher, K.A., Cochrane, B.B. & Fann, J. (2008). Predictors of depressed mood in spouses of women with breast cancer. Journal of Clinical Oncology, 26(8),1-7. PMID: 18323552.
• Lewis, F.M., Cochrane, B.B., Fletcher, K.A., Zahlis, EH, Shands, ME, Gralow, JR, Wu, SM, & Schmitz, K. (2008). Helping Her Heal:  A pilot study of an educational counseling intervention for spouses of women with breast cancer.  Psycho-Oncology, 17 (2), 131–137. PMID: 17429834.
• Lewis, F.M. (2008). Parental cancer and dependent children: selected issues for future research. Psycho-Oncology 16 (2), 97-98. PMID: 17273988.
• Houldin, A.D. & Lewis, F.M. (2006). Salvaging their normal lives: A qualitative study of patients with recently diagnosed advanced colorectal cancer.  Oncol Nurs Forum, 33(4), 1-7. PMID: 16858452.
• Shands, M.E., Lewis, F.M., Sinsheimer, J. & Cochrane, B.B. (2006). Core concerns of couples living with early stage breast cancer. Psycho-Oncology, 15(12),1055-64. PMID: 16598822.
• Lewis, F.M., Casey, S.M, Brandt, P.A., Shands, M.E., and Zahlis, E.H. (2006). The Enhancing Connections Program: A pilot evaluation of a cognitive-behavioral intervention for mothers and children affected by breast cancer. Psycho-Oncology, 15(6), 486-497. PMID: 16216035.
• Lewis, F.M. (2006). Family issues in cancer nursing research with long-term survivors. American Journal of Nursing, 106(Suppl 3), 20-25. 

Additional Publications

• Dougherty C.M., Thompson E.A., Lewis F.M. (2005). Long term outcomes of a nursing intervention after an ICD. Pacing and Cardiac Electrophysiology.  28(11), 1157-1167. PMID: 16359281.
• Cochrane, B.B. & Lewis, F.M. (2005). The partner’s adjustment to breast cancer: A critical analysis of intervention studies. Health Psychology, 24(3), 327-332. PMID: 15898870.
• Dougherty C.M., Lewis F.M., Thompson ET, Baer, JD, Kim W. (2004). Short-term efficacy of a telephone intervention by expert nurses after an implantable cardioverter defibrillator. Pacing and Cardiac Electrophysiology 27(12), 1594-1602. PMID: 15613121.
• Lewis, F.M. (2004). Family-focused oncology nursing research: A healing paradigm for future studies. Oncology Nursing Forum. 31(2), 288-292.
• Kirsch, S.E.D. & Lewis, F.M. (2004). Using the World Wide Web in health-related intervention research:  A review of controlled trials. Computers, Informatics, & Nursing, 22(1), 8-18. PMID: 15069844.
• Lewis, F.M. & Darby, E. (2004). Adolescent adjustment & maternal breast cancer: A test of the “faucet hypothesis.” Journal of Psychosocial Oncology. 21 (4), 81-104.
• Glanz, K., Rimer, B. & Lewis, F.M. (Eds). (2002). Health Behavior and Health Education, Theory, Research and Practice. Third Edition. Jossey-Bass.
• Dougherty, C.M., Johnson-Crowley, N.R., Lewis, F.M. & Thompson, E.A. (2001). Theoretical development of nursing interventions for sudden cardiac arrest survivors using social cognitive theory. Adv in Nsg Science 24, 1-8. PMID: 11554535.
• Shands, M.E., Lewis, F.M., & Zahlis, E.H. (2000). Mother and child interactions about the mother’s breast cancer: An interview study. Oncology Nursing Forum, 27(1), 77-85. PMID: 10660925.
• Zahlis, E.H., & Lewis, F.M. (1999). The mother’s story of the school age child’s experience with the mother’s breast cancer. Journal of Psychosocial Oncology, 16(2), 25-43.
• Lewis, F.M. (1999). The relational model of functioning with cancer: A family-focused framework for nursing practice. In C. Miaskowski , & P. Buchsel, (Eds.), Cancer across health care sites (pp. 319-331). Mosby.
• Lewis, F.M. (1999). Family issues in cancer care. In C. Miaskowski , & P. Buchsel, (Eds.), Oncology Nursing: Assessment and Critical Care (pp. 319-331). St. Louis: Mosby Year Book.  [This chapter describes the Relational Model of Family Adjustment to Serious Medical Illness.]
• Bennett, E., Cummings, P., Quan, L., & Lewis, F.M. (1999). Evaluation of a drowning prevention campaign in King County, Washington. Injury Prevention, 5(2), 109-113. PMCID: PMC1730495.
• Zahlis, E.H., & Lewis, F.M. (1998). Mother’s story of the school age child’s experience with the mother’s breast cancer. Journal of Psychosocial Oncology, 16(2), 25-43.
• Lewis, F.M. (1998). Family-level services in oncology nursing: Facts, fallacies, and realities revisited. Oncology Nursing Forum, 25(8), 1377-1388. PMID: 9766291.  
• Lewis, F.M. (1997). Behavioral research to enhance psychosocial adjustment and quality of life after cancer diagnosis. Preventive Medicine, 26(5), S19-S29.
• Lewis, F.M. & Zahlis, E.H. (1997). The nurse as coach: A conceptual framework for clinical practice. Oncology Nursing Forum, 24(10), 1695-1702.   PMID: 9399268.
• Lewis, F.M. (1997). Perspectives on models of interpersonal health behavior. In K. Glanz, F.M. Lewis, & B.K. Rimer (Eds.), Health behavior and health education: Theory, research and practice (2nd edition, pp. 227-235). San Francisco: Jossey Bass.
• Glanz, K., Lewis, F.M., & Rimer, B., (Eds.). (1997). Health behavior and health education: Theory, research and practice (2nd edition). San Francisco: Jossey Bass.
• Motzer, S.A., Moseley, J.R., & Lewis, F.M. (1997). Recruitment and retention of families in clinical trials with longitudinal designs. Western Journal of Nursing Research, 19(3), 314-333. PMID: 9170990.
• Lewis, F.M., & Hammond, M.A. (1996). The father’s, mother’s and adolescent’s functioning with breast cancer. Family Relations, 45(4), 456-465.
• Lewis, F.M. (1996). Whom and from what paradigm should health promotion serve?  Health Education Quarterly, 23(4), 448-452. PMID: 8910023.
• Lewis, F.M., Zahlis, E.H., Shands, M.E., Sinsheimer, J.A., Hammond, M.A.(1996). The functioning of single women with breast cancer and their school-aged children. Cancer Practice, 4(1), 15-24. PMID: 8788766.
• Lewis, F.M. (1996). The impact of breast cancer on the family: Lessons learned from the children and adolescents. In L. Baider, C.L. Cooper, & A. Kaplan De-Nour, (Eds.),  Cancer and the family (pp. 265-281). New York: John Wiley & Sons, Ltd.
• Lewis, F.M. (1995). The impact of breast cancer on the family:  Lessons learned from the children and adolescents. In L. Baider & C.L. Cooper (Eds.), Cancer and the Family (pp. 265-281). NY: John Wiley.
• Lewis, F.M., & Deal, L.W. (1995). Balancing our lives: A study of the married couple's experience with breast cancer recurrence. Oncology Nursing Forum, 22(6), 943-953. PMID: 7567612.
• Woods, N.F., & Lewis, F.M. (1995). Women with chronic illness: Their views of their families' adaptation. Health Care for Women International, 16(2), 135-148. PMID: 7759345.
• Yates, B.C., Bensley, L.S., Lalonde, B., Lewis, F.M., & Woods, N.F. (1995). The impact of marital status and quality on family functioning in maternal chronic illness. Health Care for Women International, 16(5), 437-449. PMID: 8576015.
• Armsden, G.C., & Lewis, F.M. (1994). The child's adaptation to parental medical illness:  Theory and clinical implications. Patient Education and Counseling, 22(3), 153-165. PMID: 8153037.
• Lewis, F.M. (1994). Promoting nursing research: Networking researchers. Journal of the Japanese Academy of Nursing Science, 14(4), 118.
• Armsden, G.C., & Lewis, F.M. (1994). Behavioral adjustment and self-esteem among school-age children of mothers with breast cancer. Oncology Nursing Forum, 21(1), 39-45.
• Stetz, K.M., Lewis, F.M., & Houck, G.M. (1994). Family goals as indicants of adaptation during chronic illness. Public Health Nursing, 11(6), 385-391.
• Green, L.W., Glanz, K., Hochbaum, G.M., Kok, G., Krueter, M.W., Lewis, F.M., Lorig, K., Morisky, D., Rimer, B.K., & Rosenstock, I.M. (1994). Can we build on, or must we replace, the theories and models in health education? Health Education Research, 9(3), 397-404.
• Lewis, F.M., Hammond, M.A., & Woods, N.F. (1993). The family's functioning with newly diagnosed breast cancer in the mother: The development of an explanatory model. Journal of Behavioral Medicine, 16(4), 351-370.
• Lewis, F.M. (1993). Psychosocial transitions and the family's work in adjusting to cancer. Seminars in Oncology Nursing, 9(2), 127-129.
• Thompson, B., Kinne, S., Lewis, F.M., & Wooldridge, J.A. (1993). Randomized telephone smoking-intervention trial initially directed at blue-collar smokers. Journal of the National Cancer Institute, (14):105-112.
• Coward, D.D., & Lewis, F.M. (1993). The lived experience of self-transcendence in gay men with AIDS. Oncology Nursing Forum, 20(9), 1363-1368.
• Linn, J.G., Lewis, F.M., Cain, V.A., & Kimbrough, G.A. (1993). HIV-illness, social support, sense of coherence, and psychosocial well-being in a sample of help-seeking adults. AIDS Education and Prevention, 5(3), 254-262.
• Lewis, F.M., & Hammond, M.A. (1992). Psychosocial adjustment of the family to breast cancer: A longitudinal analysis. Journal of the American Medical Women's Association, 47(5), 194-200.
• Lewis, F.M. (1992). The evaluation of health education programs for youth: Methods and challenges. Principles and practices of student health (volume 1) (pp. 228-243). Oakland, CA: Third Party Publishing Company.
• Lewis, F.M. (1992). Current issues and future directions for the family: Implications from the Family Impact and Family Functioning Studies. In Proceedings of the Sixth National Conference on Cancer Nursing, American Cancer Society, Continuing Care (pp. 1-7). Seattle, Washington.
• Woods, N.F., & Lewis, F.M. (1992). Design and measurement challenges in family research. Western Journal of Nursing Research, 14(3), 397-403.
• Hough, E.E., Lewis, F.M., & Woods, N.F. (1991). Family response to mother's chronic illness: Case studies of well- and poorly-adjusted families. Western Journal of Nursing Research, 13(5), 568-596.
• Lewis, F.M. (1991). Consultation and collaboration among health care providers. In S. Baird, R. McCorkle, & M. Grant (Eds.), Cancer Nursing: A Comprehensive Textbook (pp. 957-964). Philadelphia: W.B. Saunders.
• Lewis, F.M., & Daltroy, L. (1990). How causal explanations influence health behavior: Attribution theory. In K. Glanz, F.M. Lewis, & B. Rimer (Eds.), Health behavior and health education: Theory, research, and practice (pp. 92-114). San Francisco: Jossey-Bass.
• Haberman, M.R., & Lewis, F.M. (1990). Selection of the research design. Section I: Qualitative paradigms. In M. Grant & G. Padilla (Eds.), Cancer nursing research: A practical approach (pp.75-100). Norwalk, Conn.: Appleton-Century-Crofts.  
• Lewis, F.M. (1990). Selection of the research design. Section II: Experimental and quasi-experimental designs. In M. Grant & G. Padilla (Eds.), Cancer Nursing Research: A Practical Approach (pp. 83-100). Norwalk, Conn.: Appleton-Century-Crofts.
• Lewis, F.M. (1990). Strengthening family supports: Cancer and the family. Cancer, 65(3), 752-759.
• Glanz, K., Lewis, F.M., & Rimer, B., (Eds.). (1990). Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass.
• Issel, L.M., Ersek, M., & Lewis, F.M. (1990). How children cope with mother's breast cancer. Oncology Nursing Forum, 17(Suppl. 3), 5-13.
• Lewis, F.M., Woods, N.F., Hough, E.E., & Bensley, L.S. (1989). The family's functioning with chronic illness in the mother: The spouse's perspective. Social Science and Medicine, 29(11), 1261-1269.
• Lewis, F.M. (1989). Attributions of control, experienced meaning, and psychosocial well-being in patients with advanced cancer. Journal of Psychosocial Oncology, 7(1/2) ,105-119.
• Woods, N.F., Lewis, F.M., & Ellison, E.S. (1989). Living with cancer: Family experiences. Cancer Nursing, 12(1), 28-33.
• Lewis, F.M. (1987). The concept of control: A typology and health-related variables. Advances in Health Education and Promotion, 2, 277-309.
• Green, L.W., & Lewis, F.M. (1987). Data analysis in evaluation of health education: Toward standardization of procedures and terminology. Health Education Research, 2(3), 215-221.
• Green, L.W., & Lewis, F.M. (1986). Measurement and evaluation in health education and health promotion. Palo Alto: Mayfield Publishing.
• Lewis, F.M. (1986). The impact of cancer on the family: A critical analysis of the research literature. Patient Education and Counseling, 8(3), 269-289.
• Lewis, F.M., Haberman, M.R., & Wallhagen, M.I. (1986). How adults with late-stage cancer experience personal control. Journal of Psychosocial Oncology, 4(4), 27-42.
• Stetz, K.M., Lewis, F.M., & Primomo, J. (1986). Family coping strategies and chronic illness in the mother. Family Relations, 35(4), 515-522.
• Lewis, F.M. (1986). Whose responsibility is program evaluation in nursing?  In R. McCorkle & G. Hongladarom (Eds.), Issues and Topics in Cancer (pp. 251-259). Norwalk, Conn.: Appleton-Century-Crofts.
• Hongladarom, G., Lewis, F.M., Landenburger, K., & McCorkle, R.A. (1986). A community-based cancer nursing continuing education program. In R. McCorkle & G. Hongladarom (Eds.), Issues and topics in cancer nursing (pp. 77-98). Norwalk, Conn.: Appleton-Century-Crofts.
• Lewis, F.M., Ellison, E.S., & Woods, N.F. (1985). The impact of breast cancer on the family. Seminars in Oncology Nursing, 1(3), 206-213.
• Lewis, F.M. (1983). Family-level services for the cancer patient: Critical distinctions, fallacies, and assessment. Cancer Nursing, 6(3), 193-200.
• Lewis, F.M. (1982). Experienced personal control and quality of life in late-stage cancer patients. Nursing Research, 31(2), 113-119.
• Lewis, F.M., & Foltz, A. (1982). Reviewed research abstracts for the Sixth Congress: The process, a critique, and future directions. Oncology Nursing Forum, 8(3), 75-78.
• Miller, J., & Lewis, F.M. (1982). Closing the gap in quality assurance: A tool for evaluating group leaders. Health Education Quarterly, 9(1), 55-66.
• Lewis, F.M. (1982). Research column: Health Locus of Control. Oncology Nursing Forum, 9(3), 108-109.
• Batey, M.V., & Lewis, F.M. (1982). Clarifying autonomy and accountability in nursing service, Part I. Journal of Nursing Administration, 12(9), 13-18.
• Lewis, F.M., & Batey, M.V. (1982). Clarifying autonomy and accountability in nursing service, Part II. Journal of Nursing Administration, 12(10), 10-15.
• Green, L.W., & Lewis, F.M. (1981). Issues in relating evaluation to theory, policy and practice in health education. Mobius 1(2), 46-58, April.
• Green, L.W., Lewis, F.M., & Levine, D.M. (1980). Balancing statistical data and clinician judgments in the diagnosis of patient educational needs. Journal of Community Health, 6(2), 79-91.
• McCorkle, R., & Lewis, F.M. (1980). Research in cancer nursing. Seminars in Oncology, 7(1), 80-87.
• Lewis, F.M., & Bloom, J.R. (1979). Psychosocial adjustment to breast cancer: A review of selected literature. International Journal of Psychiatry in Medicine, 9(1), 1-17.
• White, C.M., & Lewis, F.M. (1979). [Abstract]. Conceptualizing hypertension from the patient's perspective: The development of a framework. Preventive Medicine, 8(2), 250.
• Lewis, F.M., Firsich, S.C., & Parsell, S. (1979). Clinical tool development for adult chemotherapy patients: Process and content. Cancer Nursing, 2(2), 99-108.
• Lewis, F.M., Morisky, D.M., & Flynn, B.S. (1978). A test of the construct validity of health locus of control: Effects on self-reported compliance for hypertensive patients. Health Education Monographs, 6(2), 138-148.
• Lewis, F.M., Morisky, D.M., & Flynn, B. (1978). [Abstract]. Psychosocial factors related to self-reported pill-taking and blood pressure control with hypertensives. Preventive Medicine, 7(1), 103.
• Bloom, J.R., & Lewis, F.M. (1977). The influence of medical care organizations on patient-provider relationships. In Psychological aspects of breast cancer: A review of the literature (pp. 194-232). West Coast Cancer Foundation Tech. Rep. No. 1.
• Lewis, F.M. (1977). A time to live & a time to die: An instructional drama. Nursing Outlook, 25(12), 762-765.
• Atwood, J.R., Hinshaw, A.S., Carrieri, V., Lewis, F.M., & Minckley, B. (1977). Quality of care instruments for indexing important outcomes: Examples of tool development. Communicating Nursing Research, 11, 45-55.
• Lewis, F.M. (1976). Nurse as lackey: A sociological perspective. Supervisor Nurse, 7(4),24-27.
• Lewis, F.M. (1974). Continuing education: A service agency's response. Journal of Nursing Administration, 4(2), 53-55.
• Lewis, F.M. (1973). Gaining understanding of the terminally ill and how to help. Ostomy Quarterly, 10(2), 34.
• Brokken, B., Lewis, F., & Martin, W.E. (1969). Studies in clinical nursing: L-Dopa: A nursing adventure. Nursing Clinics of North America, 4(4), 733-742