Rina S Fox

Rina S Fox , PhD, MPH

Assistant Professor

Assistant Professor, Psychiatry

PO Box 210203

Tucson, Arizona 85721

Interests & Expertise

Cancer, Cancer Survivorship, Chronic Disease, Health Behavior, Health Equity, Interventions, Mental Health, Psychological, Qualitative Methods, Quantitative Methods, Symptoms

Member of:
Health Determinants Science Research Area, Precision Science Research Area, PhD Program, Advanced Nursing Practice and Science Division

Education

Ph.D., Clinical Psychology, San Diego State University / University of California, San Diego Joint Doctoral Program in Clinical Psychology, 2016
MPH, Public Health (Epidemiology), San Diego State University Graduate School of Public Health, 2014
B.A., Psychology; Spanish, Tufts University, 2007

Licensure & Certifications

Licensed Clinical Psychologist, Arizona Board of Psychologist Examiners, 2021

Courses

2022-23 Courses

Independent Study

PSIO 399 (Fall 2022)

Research Impact

I conduct research to identify non-pharmacological interventions that can help individuals with chronic illnesses, particularly cancer, have better quality of life and lower symptom burden. Although I study many different symptoms, I am currently focusing on the role of sleep disturbance in health-related quality of life.

Journals/Publications

Fox, R. S., Oswald, L. B., Fowler, B., Carrera, J. B., Reichek, J., Victorson, D., & Sanford, S. D. (2021). Understanding and Enhancing Support Group Participation Among Adolescent and Young Adult Cancer Survivors: The Impact of Integrating Adolescent and Young Adult Cancer Navigation Services. Journal of adolescent and young adult oncology, 10(4), 488-492.
Fox, R. S., Baik, S. H., McGinty, H., Garcia, S. F., Reid, K. J., Bovbjerg, K., Fajardo, P., Wu, L. M., Shahabi, S., Ong, J. C., Zee, P. C., & Penedo, F. J. (2021). Feasibility and Preliminary Efficacy of a Bright Light Intervention in Ovarian and Endometrial Cancer Survivors. International journal of behavioral medicine, 28(1), 83-95.
Fox, R. S., Manly, J. J., Slotkin, J., Devin Peipert, J., & Gershon, R. C. (2021). Reliability and Validity of the Spanish-Language Version of the NIH Toolbox. Assessment, 28(2), 457-471.
Lee, Y., Fox, R. S., Kwakkenbos, L., Levis, B., Carrier, M., Welling, J., Sauve, M., Mouthon, L., Benedetti, A., Bartlett, S., Varga, J., & Thombs, B. (2021). Pain levels and associated factors in the Scleroderma Patient-centered Intervention Network (SPIN) cohort: a multicentre cross-sectional study. Lancet Rheumatology, 3(12), e844-e854. doi:10.1016/S2665-9913(21)00318-0
Oswald, L. B., Victorson, D. E., & Fox, R. S. (2021). Young adult cancer survivors' preferences for supportive interventions. Psycho-oncology, 30(6), 982-985.
Ong, J. C., Fox, R. S., Brower, R. F., Mazurek, S., & Moore, C. (2021). How Does Narcolepsy Impact Health-Related Quality of Life? A Mixed-Methods Study. Behavioral sleep medicine, 19(2), 145-158.
Odukoya, O., Fox, R. S., Hayman, L. L., & Penedo, F. J. (2021). The International Society for Behavioral Medicine (ISBM) and the Society of Behavioral Medicine (SBM) advocate for the inclusion of behavioral scientists in the implementation of the Global Action Plan for the prevention of non-communicable diseases (NCDs) in low- and middle-income countries. Translational behavioral medicine, 11(6), 1286-1288.
Penedo, F. J., Fox, R. S., Walsh, E. A., Yanez, B., Miller, G. E., Oswald, L. B., Estabrook, R., Chatterton, R. T., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K., Kundu, S. D., & Moreno, P. I. (2021). Effects of web-based cognitive behavioral stress management and health promotion interventions on neuroendocrine and inflammatory markers in men with advanced prostate cancer: A randomized controlled trial. Brain, behavior, and immunity, 95, 168-177.
Fox, R. S., Peipert, J. D., Vera-Llonch, M., Phillips, G., & Cella, D. (2020). PROMIS® and Neuro-QoL measures are valid measures of health-related quality of life among patients with familial chylomicronemia syndrome. Expert review of cardiovascular therapy, 18(4), 231-238.
Fox, R. S., Ancoli-Israel, S., Roesch, S. C., Merz, E. L., Mills, S. D., Wells, K. J., Sadler, G. R., & Malcarne, V. L. (2020). Sleep disturbance and cancer-related fatigue symptom cluster in breast cancer patients undergoing chemotherapy. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 28(2), 845-855.
Fox, R., Mills, S. D., Gholizadeh, S., Merz, E. L., Roesch, S. C., Clements, P. J., Kafaja, S., Khanna, D., Furst, D. E., & Malcarne, V. L. (2020). Validity and correlates of the Brief Satisfaction with Appearance Scale in systemic sclerosis: Results from the UCLA Scleroderma Quality of Life study. Journal of Scleroderma and Related Disorders, 5(2), 143-151.
Gershon, R. C., Fox, R. S., Manly, J. J., Mungas, D. M., Nowinski, C. J., Roney, E. M., & Slotkin, J. (2020). The NIH Toolbox: Overview of Development for Use with Hispanic Populations. Journal of the International Neuropsychological Society : JINS, 26(6), 567-575.
Mills, S. D., Fox, R. S., Bohan, S., Roesch, S. C., Sadler, G. R., & Malcarne, V. L. (2020). Psychosocial and neighborhood correlates of health-related quality of life: A multi-level study among Hispanic adults. Cultural diversity & ethnic minority psychology, 26(1), 1-10.
Penedo, F. J., Fox, R. S., Oswald, L. B., Moreno, P. I., Boland, C. L., Estabrook, R., McGinty, H. L., Mohr, D. C., Begale, M. J., Dahn, J. R., Flury, S. C., Perry, K. T., Kundu, S. D., & Yanez, B. (2020). Technology-Based Psychosocial Intervention to Improve Quality of Life and Reduce Symptom Burden in Men with Advanced Prostate Cancer: Results from a Randomized Controlled Trial. International journal of behavioral medicine, 27(5), 490-505.
Baik, S. H., Fox, R. S., Mills, S. D., Roesch, S. C., Sadler, G. R., Klonoff, E. A., & Malcarne, V. L. (2019). Reliability and validity of the Perceived Stress Scale-10 in Hispanic Americans with English or Spanish language preference. Journal of health psychology, 24(5), 628-639.
Fox, R. S., Carnethon, M. R., Gallo, L. C., Wiley, J. F., Isasi, C. R., Daviglus, M. L., Cai, J., Davis, S. M., Giachello, A. L., Gonzalez, P., McCurley, J. L., Schneiderman, N., & Penedo, F. J. (2019). Perceived Discrimination and Cardiometabolic Risk Among US Hispanics/Latinos in the HCHS/SOL Sociocultural Ancillary Study. International journal of behavioral medicine, 26(4), 331-342.
Fox, R. S., Moreno, P. I., Yanez, B., Estabrook, R., Thomas, J., Bouchard, L. C., McGinty, H. L., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K. T., Kundu, S. D., & Penedo, F. J. (2019). Integrating PROMIS® computerized adaptive tests into a web-based intervention for prostate cancer. Health psychology : official journal of the Division of Health Psychology, American Psychological Association, 38(5), 403-409.
Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Castillo, L., Fox, R. S., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C., & Penedo, F. J. (2019). Unmet supportive care needs in Hispanic/Latino cancer survivors: prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 27(4), 1383-1394.
Fox, R. S., Mills, S. D., Roesch, S. C., Sotres-Alvarez, D., Gonzalez, P., Bekteshi, V., Cai, J., Lounsbury, D. W., Talavera, G. A., Penedo, F. J., & Malcarne, V. L. (2018). Perceptions of Cancer Risk/Efficacy and Cancer-Related Risk Behaviors: Results From the HCHS/SOL Sociocultural Ancillary Study. Health education & behavior : the official publication of the Society for Public Health Education, 45(5), 790-799.
Fox, R. S., Kwakkenbos, L., Carrier, M. E., Mills, S. D., Gholizadeh, S., Jewett, L. R., Roesch, S. C., Merz, E. L., Assassi, S., Furst, D. E., Gottesman, K., Mayes, M. D., Thombs, B. D., Malcarne, V. L., & , S. I. (2018). Reliability and Validity of Three Versions of the Brief Fear of Negative Evaluation Scale in Patients With Systemic Sclerosis: A Scleroderma Patient-Centered Intervention Network Cohort Study. Arthritis care & research, 70(11), 1646-1652.
Fox, R. S., Lillis, T. A., Gerhart, J., Hoerger, M., & Duberstein, P. (2018). Multiple Group Confirmatory Factor Analysis of the DASS-21 Depression and Anxiety Scales: How Do They Perform in a Cancer Sample?. Psychological reports, 121(3), 548-565.
Gholizadeh, S., Kwakkenbox, L., Carrier, M., Mills, S. D., Fox, R., Jewett, L. R., Gottesman, K., Roesch, S., Thombs, B. D., & Malcarne, V. L. (2018). Validation of the Social Interaction Anxiety Scale in scleroderma: A Scleroderma Patient-centered Intervention Network Cohort study. Journal of Scleroderma and Related Disorders, 3(1), 98-105.
Mills, S. D., Kwakkenbos, L., Carrier, M. E., Gholizadeh, S., Fox, R. S., Jewett, L. R., Gottesman, K., Roesch, S. C., Thombs, B. D., Malcarne, V. L., & , S. P. (2018). Validation of the Social Appearance Anxiety Scale in Patients With Systemic Sclerosis: A Scleroderma Patient-Centered Intervention Network Cohort Study. Arthritis care & research, 70(10), 1557-1562.
Merz, E. L., Kwakkenbos, L., Carrier, M. E., Gholizadeh, S., Mills, S. D., Fox, R. S., Jewett, L. R., Williamson, H., Harcourt, D., Assassi, S., Furst, D. E., Gottesman, K., Mayes, M. D., Moss, T. P., Thombs, B. D., Malcarne, V. L., & , S. I. (2018). Factor structure and convergent validity of the Derriford Appearance Scale-24 using standard scoring versus treating 'not applicable' responses as missing data: a Scleroderma Patient-centered Intervention Network (SPIN) cohort study. BMJ open, 8(3), e018641.
Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Fox, R. S., Castillo, L., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C., & Penedo, F. J. (2018). Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer, 124(8), 1770-1779.
Ong, J. C., Taylor, H. L., Park, M., Burgess, H. J., Fox, R. S., Snyder, S., Rains, J. C., Espie, C. A., & Wyatt, J. K. (2018). Can Circadian Dysregulation Exacerbate Migraines?. Headache, 58(7), 1040-1051.
Gholizadeh, S., Mills, S. D., Fox, R. S., Merz, E. L., Roesch, S. C., Clements, P. J., Kafaja, S., Furst, D. E., Khanna, D., & Malcarne, V. L. (2017). Structural Validity of the Rheumatology Attitudes Index in Systemic Sclerosis: Analysis from the UCLA Scleroderma Quality of Life Study. The Journal of rheumatology, 44(6), 795-798.
Jewett, L. R., Kwakkenbos, L., Carrier, M. E., Malcarne, V. L., Harcourt, D., Rumsey, N., Mayes, M. D., Assassi, S., Körner, A., Fox, R. S., Gholizadeh, S., Mills, S. D., Fortune, C., Portales, A., Thombs, B. D., & , S. I. (2017). Validation of the Body Concealment Scale for Scleroderma (BCSS): Replication in the Scleroderma Patient-centered Intervention Network (SPIN) Cohort. Body image, 20, 99-106.
Mills, S. D., Fox, R., Gholizadeh, S., Klonoff, E. A., & Malcarne, V. L. (2017). Acculturation and health behaviors among African Americans: A systematic review. Journal of Cross-Cultural Psychology, 48(7), 1073-1097.
Pan, T. M., Mills, S. D., Fox, R. S., Baik, S. H., Harry, K. M., Roesch, S. C., Sadler, G. R., & Malcarne, V. L. (2017). The Psychometric Properties of English and Spanish Versions of the Life Orientation Test-Revised in Hispanic Americans. Journal of psychopathology and behavioral assessment, 39(4), 657-668.
Champagne, B. R., Fox, R. S., Mills, S. D., Sadler, G. R., & Malcarne, V. L. (2016). Multidimensional profiles of health locus of control in Hispanic Americans. Journal of health psychology, 21(10), 2376-85.
Jewett, L. R., Kwakkenbos, L., Carrier, M. E., Malcarne, V. L., Bartlett, S. J., Furst, D. E., Gottesman, K., Mayes, M. D., Assassi, S., Harcourt, D., Williamson, H., Johnson, S. R., Körner, A., Steen, V., Fox, R. S., Gholizadeh, S., Mills, S. D., Molnar, J. C., Rice, D. B., & Thombs, B. D. (2016). Examination of the association of sex and race/ethnicity with appearance concerns: a Scleroderma Patient-centered Intervention Network (SPIN) Cohort study. Clinical and experimental rheumatology, 34 Suppl 100(5), 92-99.
Nuyen, B. A., Fox, R. S., Malcarne, V. L., Wachsman, S. I., & Sadler, G. R. (2016). Excessive Daytime Sleepiness as an Indicator of Depression in Hispanic Americans. Hispanic health care international : the official journal of the National Association of Hispanic Nurses, 14(3), 116-123.
Kwakkenbos, L., Delisle, V. C., Fox, R. S., Gholizadeh, S., Jewett, L. R., Levis, B., Milette, K., Mills, S. D., Malcarne, V. L., & Thombs, B. D. (2015). Psychosocial Aspects of Scleroderma. Rheumatic diseases clinics of North America, 41(3), 519-28.
Mills, S. D., Fox, R. S., Merz, E. L., Clements, P. J., Kafaja, S., Malcarne, V. L., Furst, D. E., & Khanna, D. (2015). Evaluation of the Satisfaction with Appearance Scale and Its Short Form in Systemic Sclerosis: Analysis from the UCLA Scleroderma Quality of Life Study. The Journal of rheumatology, 42(9), 1624-30.
Mills, S. D., Fox, R. S., & Malcarne, V. L. (2015). Body Image in Children with Morphea: A Systematic Review. Pediatric dermatology, 32(4), e188-90.
Mills, S. D., Fox, R. S., Pan, T. M., Malcarne, V. L., Roesch, S. C., & Sadler, G. R. (2015). Psychometric Evaluation of the Patient Health Questionnaire-4 in Hispanic Americans. Hispanic journal of behavioral sciences, 37(4), 560-571.
Fox, R. S., Malcarne, V. L., Roesch, S. C., & Sadler, G. R. (2014). The Cultural Health Attributions Questionnaire (CHAQ): reliability, validity, and refinement. Cultural diversity & ethnic minority psychology, 20(2), 283-92.
Mills, S. D., Fox, R. S., Malcarne, V. L., Roesch, S. C., Champagne, B. R., & Sadler, G. R. (2014). The psychometric properties of the generalized anxiety disorder-7 scale in Hispanic Americans with English or Spanish language preference. Cultural diversity & ethnic minority psychology, 20(3), 463-468.
Merz, E. L., Fox, R. S., & Malcarne, V. L. (2014). Expressive writing interventions in cancer patients: a systematic review. Health psychology review, 8(3), 339-61.
Mills, S. D., Malcarne, V. L., Fox, R. S., & Sadler, G. R. (2014). Psychometric Evaluation of the Brief Acculturation Scale for Hispanics. Hispanic journal of behavioral sciences, 36(2), 164-174.
Fox, R. S., Merz, E. L., Solórzano, M. T., & Roesch, S. C. (2013). Further Examining Berry's Model: The Applicability of Latent Profile Analysis to Acculturation. Measurement and evaluation in counseling and development : the official publication of the Association for Measurement and Evaluation in Counseling and Development, 46(4), 270-288.
Kwakkenbos, L., Jewett, L. R., Baron, M., Bartlett, S. J., Furst, D., Gottesman, K., Khanna, D., Malcarne, V. L., Mayes, M. D., Mouthon, L., Poiraudeau, S., Sauve, M., Nielson, W. R., Poole, J. L., Assassi, S., Boutron, I., Ells, C., van den Ende, C. H., Hudson, M., , Impens, A., et al. (2013). The Scleroderma Patient-centered Intervention Network (SPIN) Cohort: protocol for a cohort multiple randomised controlled trial (cmRCT) design to support trials of psychosocial and rehabilitation interventions in a rare disease context. BMJ open, 3(8).
Malcarne, V. L., Fox, R. S., Mills, S. D., & Gholizadeh, S. (2013). Psychosocial aspects of systemic sclerosis. Current opinion in rheumatology, 25(6), 707-13.
Sobel-Fox, R. M., McSorley, A. M., Roesch, S. C., Malcarne, V. L., Hawes, S. M., & Sadler, G. R. (2013). Assessment of daily and weekly fatigue among African American cancer survivors. Journal of Psychosocial Oncology, 31(4), 413-429.
You, W. B., Wolf, M., Bailey, S. C., Pandit, A. U., Waite, K. R., Sobel, R. M., & Grobman, W. (2012). Factors associated with patient understanding of preeclampsia. Hypertension in pregnancy, 31(3), 341-9.
Sobel, R. M., Paasche-Orlow, M. K., Waite, K. R., Rittner, S. S., Wilson, E. A., & Wolf, M. S. (2009). Asthma 1-2-3: a low literacy multimedia tool to educate African American adults about asthma. Journal of community health, 34(4), 321-7.

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