Belinda Borrelli, PhD

    Associate Professor, 
    Dept. of Psychiatry & Human Behavior
    Brown Medical School 

    Clinical Psychologist, 
    The Miriam Hospital

Centers for Behavioral and Preventive Medicine
Coro Building, Suite 500
One Hoppin Street
Providence, Rhode Island 02903
Phone: (401) 793-8040
Email: Belinda_Borrelli@Brown.edu
Fax: (401) 793-8078

Belinda Borrelli, PhD is an Associate Professor (Research) in the Department of Psychiatry and Human Behavior, Brown Medical School  and the Centers for Behavioral and Preventive Medicine at The Miriam Hospital.  She is a clinical psychologist and has conducted research and clinic work in the area of health behavior change since 1988.  She has over 40 peer-reviewed publications and book chapters. She has had several National Institutes of Health (NIH) grants (R01s) focusing on motivating smoking cessation among medical populations (older adults; the parents of children with asthma). Her current RO1 focuses on investigating changes in risk perception during teachable moments. She is also co-investigator on a number of grants focusing on motivating behavior change across diverse areas (colon cancer screening, medication adherence, CPAP adherence, depression, diabetes) and diverse populations (Native Americans, Latinos, inner city). Borrelli is co-chair of an NIH committee that was chartered to develop guidelines for treatment fidelity for health behavior change trials. These guidelines are published in Health Psychology and the Journal of Consulting and Clinical Psychology. She has received several awards for her research, including Investigator Awards from Lifespan Academic Medical Center and Brown Medical School. Borrelli is the Associate Editor of the most cited journal in psychology (Journal of Consulting and Clinical Psychology) and is a continuing member of a scientific grant review committee at the NIH. Borrelli has trained hundreds of physicians, nurses, medical residents, medical students, and psychology interns in motivational interviewing techniques for health behavior change, including smoking cessation, medication adherence, asthma, adherence to diabetic regimens, and physical activity.

• Motivating Health Behavior Change in Stroke Patients. Key Note Address: 3rd Annual Utah Stroke Symposium, Salt Lake City, Utah,  March, 2006.
• Editorial Board, Journal of Behavioral Medicine.
• Associate Editor, Journal of Consulting and Clinical Psychology.
• Chair, Dissemination and Deliverables committee, Global Initiatives in Tobacco Control, 2002.
• Co-Chair, Evaluation Committee, Brown University Psychology Internship and Post-Doctoral Fellowship, 2002 to present.
• Medical Faculty Executive Committee (elected), Brown Medical School, 2001 - 2004.
• Member, NIH study section RPHB-2, 2001 to present.
• Young Investigator Award, Brown Medical School.
• Master of Arts (Ad Eundem, Brown University).
• Selected Invited Presentations:
  • Motivational Interviewing as a Method to Enhance Adherence Among Chronically Ill Patients. Heideheuvel Hospital, Hilversum, Netherlands, April 2006.
  • The Role of Motivational Interviewing to Help Guide Favorable Asthma Management Actions. American Academy of Allergy, Asthma, & Immunology, 62st Annual Meeting, Miami Beach, Florida, March, 2006.
  • Strategies for motivating health behavior change:  Clinical and research applications. Grand Rounds, Boston Medical Center. December, 2005.
  • Motivating your allergy patients to follow your recommendations. Pennsylvania Allergy and Asthma Association, 57th Annual Meeting, Hershey, PA. June, 2005.
  • Best Practices for Motivating and Treating Smoking Cessation, American College of Physicians.  Regional Conference, Warwick, RI. May, 2005
  • The role of motivational interviewing to help guide favorable asthma management actions. American Academy of Allergy, Asthma, & Immunology, 61^st Annual Meeting, San Antonio, Texas. March, 2005.
  • Motivating Health Behavior Change with Theory Based Interventions, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA, February 2005.
  • State of the Art Approaches to Smoking Cessation, Rhode Island Quality Council. Providence, RI.  January, 2005.

  • Developing Clinical Skills to Promote Adherence and Maximize Asthma Outcomes. Nemours Children's Hospital, Delaware. November, 2004.

  • The Role of Motivational Interviewing for Asthma Medication Adherence, Pennsylvania Medical Society and the Pennsylvania Allergy and Asthma Association. Philadelphia, November, 2004.

  • Motivational strategies to promote medication adherence. Stop Atherosclerosis in Native Diabetics Study (SANDS), Annual Meeting, Rapid City, South Dakota. September, 2004.

  • Best Practices: Brief and Effective Techniques for Treating Smoking Cessation. Indian Health Service, Rosebud, South Dakota.  May, 2004. 

  • Clinical strategies for assessing and enhancing motivation for patient adherence.  Innovations and Best Practices in Patient Adherence, Washington, DC. April, 2004.

  • Motivational Interviewing in a Medical Setting. Capital Blue Cross and Blue Shield, Pennsylvania. January, 2004

  • Brief and Effective Strategies for Motivating and Treating Smoking Cessation. Chesapeake Health Education Program.  Aberdeen, MD.  December, 2003.

  • Translating evidence-based smoking cessation strategies into community practice.  NIDA Symposium at National Conference on Tobacco or Health. December, 2003.

  • Motivating the parents of kids with asthma to quit smoking.  Cornell Medical Center, NY, NY. November, 2003.

  • New channels for smoking cessation intervention:  Translating clinical theories into public health contexts.  Grand Rounds, Memorial Sloan Kettering Cancer Center, NY, NY. October, 2003.

  • Motivational Interviewing  and Asthma Medication Adherence.  Delaware Medical Society, University of Delaware, Newark, Delaware. September, 2003.

  • Motivating Behavior Change in a Medical Setting:  Motivational Interviewing.  Grand Rounds, VA Medical Center, Providence, RI, January 2003.

  • Motivating Smoking Cessation in Hospitalized Patients, The Miriam Hospital, Nursing Grand Rounds Speaker, March, 2002.

A New Channel for Smoking Cessation - Project CARES  
Belinda Borrelli, PhD (PI)

In this study, 100 home health care nurses are randomly assigned to deliver one of two smoking cessation interventions to their medically ill patients who smoke. One intervention focuses on motivational interviewing and the provision of physiological feedback, while the other focuses on delivery of AHCPR guidelines for smoking cessation. Two primary outcomes are being measured: smoking cessation and change in motivation to quit. The proactive design of the study reaches populations who would not spontaneously seek cessation services, or who may not be motivated to quit.

Motivating the Parents of Kids with Asthma to Quit Smoking - PAQS Project 
Belinda Borrelli, PhD (PI)

This study compares the efficacy of two theoretically-based smoking cessation interventions for low-income parents of children with asthma.  Asthmatic children who have parents that smoke and are receiving asthma treatment by home health care nurses are recruited into the study.  Parents who smoke are randomly assigned to receive AHCPR guidelines using social cognitive theory as the theoretical framework or a motivational interviewing based intervention focusing on enhancement of perception of risk to one-self and one's child using the precaution adoption process model as the theoretical framework. Outcomes include increased smoking cessation and motivation to quit, as well as reduction of environmental tobacco smoke and asthma morbidity. Mediators of change will be compared both within and between models.

Motivating CPAP Adherence in Patients with Moderate to Severe Obstructive Sleep Apnea  
Belinda Borrelli, PhD (PI, subcontract)

In this study, CPAP patients are randomly assigned to receive motivational interviewing (with cognitive and physiological feedback) or standard education in order to improve adherence with a CPAP regimen.

Training Program for Smoking Cessation for TMH Nurses 
Belinda Borrelli, PhD (PI)

This project offers training to the nursing staff at The Miriam Hospital in brief motivational interviewing techniques to help motivate their hospitalized patients to quit smoking. Changes in knowledge, attitudes about smoking and counseling smokers, and actual counseling behaviors are measured pre and post-training, and six months later.

Motivating Latino Parents of Kids with Asthma to Quit Smoking.
Funded by The Robert Wood Johnson Foundation.
PI: Belinda Borrelli, PhD
This project has two aims: 1) to culturally tailor a smoking cessation intervention to Latino smokers who have children with asthma and 2) to test whether this intervention outperforms standard clinical care for smoking cessation. The interventions are theoretically based and mediators of change are to be examined.


Sustaining Cessation in the Parents of Kids with Asthma (R01/NHLBI), 
Belinda Borrelli, PhD (PI)
This project was funded as a competing continuation of the project above. The aims are to develop and test a relapse prevention intervention (MI based) in the parents of children with asthma, as well as investigate the cognitive, and emotional factors underlying teachable moments (i.e., during medical events).


Sustaining Cessation in Pregnant Smokers, NIH/NHLBI
Thomas Lasater, PhD (PI),  Belinda Borrelli, PhD (Co-I) 

The primary aim of this project is to test whether a Sustained Telephone Counseling (STC) intervention can maintain post-partum abstinence from smoking cigarettes vs. standard care among women who quit at the start of their pregnancy.

Motivating Asthma Adherence in Urban Pre & Early Teens, NIH/NHLBI
Cynthia Rand, PhD (PI),  Belinda Borrelli, PhD (PI, Sub-contract)

This is the first randomized,  clinical trial to use Motivational Interviewing to motivate asthma medication adherence.  Motivational Interviewing will be compared to Standard Educational and Goal setting approaches.  The target population is urban pre-and early teens.

School-based asthma therapy: Stage 2 Effectiveness Study-Revised, NIH/NHLBI
J. Halterman, PI (B. Borrelli, Co-I)

This is an RCT that examines whether or not school based administration of asthma therapy will enhance medication adherence and improve asthma outcomes. In the enhanced condition, caregivers who smoke will be counseled using Motivational Interviewing.
 

Aloia, M. S., Smith, K., Arnedt, J. T., Millman, R., Stanchina, M., Carlisle, C., Hecht, J., Borrelli, B. (in press). Brief behavioral therapies reduce early PAP discontinuation rates in SAS: Preliminary findings. Behavioral Sleep Medicine.

Doran, N., Spring, B., Borrelli, B., McChargue, D., Hitsman, B., & Niaura, R. High positive affect: A mixed blessing for abstinence? Psychology of Addictive Behaviors, 20(1), 35-43.

Borrelli, B., Sepinwall, D., Ernst, D., Bellg, A.J., Czajkowski, S., Breger, R., DeFrancesco, C., Levesque, C., Sharp, D.S., Ogedegbe, G., Resnick, B., Orwig, D. (2005). A New Tool to Assess Treatment Fidelity and Evaluation of Treatment Fidelity Across Ten Years of Health Behavior Research. Journal of Consulting and Clinical Psychology, 73(5), 852-860.

Aloia, M., Arnedt, J.T., Stepnowsky, C., Hecht, J., & Borrelli, B. (2005). Predicting Treatment Adherence in Obstructive Sleep Apnea Using Principles of Behavior Change. Journal of Clinical Sleep Medicine, 1(4), 247-254.

Borrelli, B., Novak., S., Hecht, J., Emmons, K., Papandonatos, G., & Abrams, D. (2005).  Home health care nurses as a new channel for smoking cessation treatment: Outcomes from Project CARES (Community-nurse Assisted Research and Education on Smoking). Preventive Medicine, 41, 815-821.

Hecht, J., Borrelli, B., Breger, R.K., DeFrancesco, C., Ernst, D., & Resnicow, K. (2005). Motivational interviewing in community-based research: Experiences from the field.  Annals of Behavioral Medicine, 29 (supplement), 29-34.

Lando, H.A., Borrelli, B., Klein, L.C., Waverly, L.P., Stillman, F., Kassel, J.D., & Warner, K.E. (2005). The Landscape in Global Tobacco Control Research: A Guide to Gaining a Foothold. American Journal of Public Health, 95(6), 939-945.

Resnick, B., Bellg, A., Borrelli, B., Breger, R.K., Hecht, J., Minicucci, D.S., Levesque, C.S., Orwig, D., Ernst, D., Ogedegbe, G., Czajkowski, S. (2005). Testing treatment fidelity in the Behavior Change Consortium Studies. Annals of Behavioral Medicine, 46-54.

Williams, G., McGregor, H., Borrelli, B., Jordan, T., & Strecher, V.J. (2005). Measuring tobacco dependence treatment outcomes in the Behavior Change Consortium. Annals of Behavioral Medicine, 29 (supplement), 11-19.

Aloia, M.S., Arnedt, J.T., Riggs, R.L., Hecht, J., & Borrelli, B. (2004). Clinical management of poor adherence to CPAP: Motivational enhancement. Journal of Behavioral Sleep Medicine, 2(4), 205-222.

*Bellg, A., *Borrelli, B., Resnick, B., Ogedegbe, G, Hecht, J., Ernst, D. & Czajkowski, S. (2004). Enhancing treatment fidelity in health behavior change studies: Best practices and recommendations from the Behavioral Change Consortium. Health Psychology, 23(5), 443-451. **First authorship is equally shared between first two authors.

Borrelli, B., Papandonatos, G., Spring, B., Hitsman, B., & Niaura, R. (2004). Experimenter-defined Quit dates for Smoking Cessation: Adherence Improves Outcomes for Women but not for Men. Addiction, 99, (378-385).

Hitsman, B., Spring, B., Borrelli, B., McChargue, D., & Niaura, R. (2004). Response to Covey. Nicotine and Tobacco Research, 6(4), 1-3.

Sepinwall, D. & Borrelli, B (2004). Postcessation weight concern among medically ill smokers.  Addictive Behaviors, 29(9), 1809-1819.

Werth-Cook, J., Spring, B., McChargue, D., Borrelli, B., Hitsman, B., Niaura, R., Keuthen, N., & Kristeller, J. (2004). Influence of Fluoxetine on Positive and Negative Affect in a Clinic Based Smoking Cessation Trial. Psychopharmacology, Apr; 173(1-2) 153-159).

Hitsman, BH., Borrelli, B., McChargue, D.E., Spring, B., & Niaura, R. (2003). History of depression and smoking cessation: A meta-analysis. Journal of Consulting and Clinical Psychology, 71(4), 657-663.

McQuaid, E.L., Walders, N., & Borrelli, B. (2003). Environmental tobacco smoking exposure in pediatric asthma: Overview and recommendations for practice. Clinical Pediatrics, 42, 775-787.

Borrelli, B., Hogan, J., Bock, B., Pinto, B., Roberts, M., & Marcus, B. (2002). Predictors of quitting and dropout among women in a clinic-based smoking cessation program. Psychology of Addictive Behaviors 16(1) 22-27.

Borrelli, B., McQuaid, E.L., Becker, B., Hammond, K., Papandonatos, G., Fritz, G., & Abrams, D. (2002).  Motivating parents of kids with asthma to quit smoking: The PAQS Project.  Health Education Research, 17 (5), 659-669.

Hitsman, B., Abrams, D.B., Shadel, W.G., Niaura, R., Borrelli, B., Emmons, K.M., Brown, R.A., Swift, R.M., Monti, P.M., Rohsenow, D.J., & Colby, S.M. (2002). Depressive symptoms and readiness to quit smoking among cigarette smokers in treatment for alcohol abuse. Psychology of Addictive Behaviors, 16(3), 264-268.

Niaura, R., Spring, B., Borrelli, B., Goldstein, M., Keuthen, N., DePue, J., Kristeller, J., Ockene, J., Prochazka, A., Chiles, J.A., Abrams, D.B., & Hedeker, D. (2002).  Multicenter Trial of Fluoxetine as an Adjunct to Behavioral Treatment for Smoking Cessation. Journal of Consulting and Clinical Psychology, 70 (4), 887-896.

Resnicow, K., DiIorio, C., Soet, J.E., Borrelli, B., Ernst, D., & Hecht, J. (2002). Motivational Interviewing in Health Promotion: It sounds like something is changing. Health Psychology, 21(5), 444-451.

Resnicow, K., DiIorio, C., Soet, J.E., Borrelli, B., Ernst, D., Hecht, J., & Thevos, A. Motivational Interviewing in Medical and Public Health Settings (2002). In W. Miller & S. Rollnick.  Motivational Interviewing. Second Edition. Guilford Press: NY.

Borrelli, B., Hecht, J., Papandonatos, G.D., Emmons, K.M., Tatewosian, B.A., & Abrams, D.B. (2001). Delivery of Smoking Cessation in the Home: Attitudes, Beliefs, and Behaviors of Visiting Nurses.  American Journal of Preventive Medicine, 21(4), 272-277.

Borrelli, B., Spring, B., Niaura, R., Hitsman, B., & Papandonatos, G (2001). Influences of gender and weight gain on short-term relapse to smoking in a cessation trial. Journal of Consulting and Clinical Psychology, 69(3), 511-515.

Hitsman, B., Spring, B., Borrelli, B., Niaura, R. & Papandonatos, G (2001). Influence of antidepressant pharmacotherapy on behavioral treatment adherence and smoking cessation outcome in a combined treatment involving Fluoxetine. Experimental and Clinical Psychopharmacology, 9(4), 355-362.

Keuthan, N.J., Niaura, R.S., Borrelli, B., Goldstein, M.G., DePue, J., Murphy, C., Gastfriend, D., Reiter, S.R., & Abrams, A. (2000). Comorbidity, Smoking Behavior, and Treatment Outcome. Psychotherapy and Psychosomatics, 69, 244-250.

Bock, B., Marcus, B.H., King, T.K., Borrelli, B., & Roberts, M.R. (1999). Exercise effects on withdrawal and mood among women attempting smoking cessation. Addictive Behaviors, 24(3), 399-410.

Borrelli, B., Marcus, B.H., Clark, M.M., Bock, B.C., King, T.K., & Roberts, M. (1999). History of Major Depression and Subsyndromal Depression in Women Smokers. Addictive Behaviors, 24(6), 781-794 .

Borrelli, B., Spring, B., Niaura, R., Kristeller, J., Ockene, J., & Keuthen, N. (1999). Weight suppression and weight rebound in ex-smokers treated with fluoxetine. Journal of Consulting and Clinical Psychology, 67(1), 124-131.

Niaura, R., Britt, D.M., Borrelli, B., Shadel, W., Abrams, D.B., & Goldstein, M.G. (1999). History of and symptoms of depression among smokers during a self-initiated quit attempt. Nicotine and Tobacco Research , 1 (3), 251-257.

Pinto, B.M., Borrelli, B., King, T.K., Bock, B.C., Clark, M.M., Robert, M., & Marcus, B (1999). Weight control smoking among sedentary women. Addictive Behaviors, 24 (1), 75-86.

Abrams, D.B., Borrelli, B. Shadel, W.G., King, T.K., Bock, B., & Niaura, R.S. Adherence issues in smoking (1998). S.A. Shumaker, E. Schron, J. Ockene & W.L. McBee (Eds.), The Handbook of Health Behavior Change, Second Edition. Springer Publishing.

Borrelli, B. & Mermelstein, R.M. (1998). The role of weight concern and self-efficacy in smoking cessation and weight gain among smokers in a clinic-based cessation program. Addictive Behaviors, 23 (5), 609-622.

Marcus, B.H., King, T.K., Bock, B.C., Borrelli, B., & Clark, M. Adherence to Exercise Recommendations and Interventions (1998). S.A. Shumaker, E. Schron, J. Ockene & W.L. McBee (Eds.), The Handbook of Health Behavior Change, Second Edition. Springer Publishing.

King, T. K., Borrelli, B., Black, C., Pinto, B.M., & Marcus, B.H. (1997) Minority Women and Tobacco: Implications for Interventions. Annals of Behavioral Medicine, 19(3), 301-313.

Borrelli, B., Bock, B., King, T., Pinto, B, & Marcus, B. (1996). The impact of depression on smoking cessation in women. American Journal of Preventive Medicine, 12(5), 378-387.

Borrelli, B., Niaura, R., Keuthan, N., Goldstein, M., DePue, J., Murphy, C., & Abrams, D. (1996). Development of Major Depressive Disorder during smoking cessation treatment. Journal of Clinical Psychiatry, 57(11), 534-538.

Shadel, W., Mermelstein, R., & Borrelli, B. (1996). Self-concept changes over time in cognitive-behavioral treatment for smoking cessation. Addictive Behaviors, 21(5), 659- 663.

Mermelstein, R., & Borrelli, B. (1995). Women and smoking. In A.L. Stanton & S.J. Gallant (Eds.), The Psychology of Women's Health: Progress and challenges in research and application. Washington, D.C.: American Psychological Association. (Peer Reviewed Chapter)

Borrelli, B., & Mermelstein, R. (1994). Goal setting and behavior change in a smoking cessation program. Cognitive Therapy and Research, 18(1), 69-83.