Beth Bock, PhD

Beth Bock, PhD, is a professor in the department of psychiatry and human behavior at The Warren Alpert Medical School of Brown University and is a staff psychologist at the Centers for Behavioral and Preventive Medicine at The Miriam Hospital. She is an associate editor for the journal Health Psychology, and has served on the board of directors of the American Association of Cardiovascular and Pulmonary Rehabilitation and as an associate editor the Journal of Cardiopulmonary Rehabilitation. She is currently a member of The Miriam Hospital's Institutional Review Board for the protection of human subjects in research and serves on a study section for the Center for Scientific Review at the National Institutes of Health.

Bock's primary research focus is the interaction between environment, technology and health behavior change, with a particular emphasis on tobacco interventions and physical activity promotion. In tobacco research, she has served as principal investigator on numerous NIH-funded research projects including two studies examining the process of smoking cessation among emergency medical patients (R01 HL60986 and R01 HL65595).  She was also principal investigator on a National Institute on Drug Abuse-funded study using text messaging to promote tobacco cessation (R21 DA027142). She has been a co-investigator on several studies  (R01 CA104836; R43 CA99881; R41 DA021455; R44 DA097903; R43 CA099211) examining the use of computer tailored interventions on smoking cessation using pharmacies and the Internet. 

Bock's studies in physical activity promotion include serving as principal investigator and co-investigator on studies using exercise, including aerobic exercise and yoga, as an adjunctive treatment with smoking cessation behavioral therapy (R21 AT003669; DA021729; R01CA077249; 1R29CA059660), and studies that examine the use to computer tailored programs and internet-based interventions to promote physical activity (R01 HL075561; 1R01 HL64342 & 2R01 HL064342; R01 HL69866; R21 NR009864; R01 NR011295). She has also worked with small businesses on an NIH-funded Small Business Innovation Research project involving pharmacies, decision-making software and weight control interventions in low-income and underserved populations. Bock's work in internet and mobile health applications has included collaborations with technology companies that develop expert systems and disease management programs for smoking cessation, diabetes management and weight reduction. 

Bock is currently principal investigator of a National Cancer Institute-funded study (R01 CA156699) that incorporates the standard-of-care for tobacco treatment into the electronic patient record used for routine care in the emergency department, and a study examining decision making regarding stopping drug use among incarcerated individuals (R21 DA032739). She is also principal investigator on an National Center for Complementary and Alternative Medicine-funded study of the efficacy of yoga as a complementary therapy for smoking cessation (R01 AT006948), and a National Heart, Lung, and Blood Institute-funded study of the effectiveness of exercise videogames for promoting physical activity participation and cardiovascular risk reduction (R01 HL109116). 

Brown Faculty Page

Current Active Grants

Efficacy of Exercise Videogames for Physical Activity Adoption and Maintenance

For the proposed study we will conduct a 3-group randomized, controlled trial among healthy, sedentary adults (age =18), to test the efficacy of EVGs compared to a standard exercise program (Standard) and contact-control (Control) to increase time spent in PA and changes in physical fitness and cardiovascular health. We will also examine maintenance of PA and fitness changes during a 6-month home based EVG and Standard interventions (Months 4-9). This study will also examine changes in theoretically-based constructs that will shed light on the cognitive and behavioral mechanisms underlying observed between-group differences in adherence to PA.

Principal Investigators: Beth Bock, PhD

Co-Investigator: Eva Serber, PhD, Joseph Ciccolo, PhD, Bess Marcus, PhD, Shira Dunsiger, PhD

Funding Agency: National Heart, Lung and Blood Institute

Dates: 2011-2016

System-based Tracking and Treatment for Emergency Patients who Smoke: STTEPS

This study will institute tobacco treatment following the US PHS guidelines into existing electronic medical tracking software that is widely used across the United States. We will adapt an existing Emergency Department Information System (EDIS) to facilitate the identification of smokers, prompt physician intervention, enhance the provision of smoking cessation intervention materials as discharge instructions, facilitate quit-smoking medication prescription and advice, and connect the patient to follow up care through their primary care provider and a pro-active telephone quit line. After full implementation of the EDIS system we will recruit a second patient cohort to examine the impact/efficacy and cost/efficacy of the system. Contemporaneous with the Step 1 and Step 2 cohorts, we will recruit two cohorts of smoking patients at a second (no intervention) ED site to control for historical trends.

Principal Investigators:  Beth Bock, PhD

Co-Investigator: Edwin Boudreaux, PhD, Ernestine Jennings, PhD, Bruce Becker, MD, MPH

Funding Agency: National Cancer Institute

Dates: 2011-2016

Methods for Understanding Sentinel Events

This study will better delineate the cognitive and affective mechanisms of action that mediate between a sentinel event (incarceration or "a teachable moment") and behavior change milestones, including making a decision to stop using drugs, entering drug treatment, initiating a quit attempt, lapsing, and relapsing. In this R21 we will create and validate measures of the model's constructs and examine the feasibility of different methods for obtaining ecological momentary assessment (EMA) in jail and in the community (necessary for full testing of the model).

Principal Investigators:  Beth Bock, PhD and Jennifer Clarke, MD (multiple PI project) 

Co-Investigator: Joseph Fava, PhD 

Funding Agency: National Institute on Drug Abuse

Dates: 2012-2014

Efficacy of Yoga as an Alternative Therapy for Smoking Cessation

This study will test the efficacy of Yoga as a complementary therapy for smoking cessation in a randomized, controlled 2-group study design. Adult smokers will be provided with smoking cessation counseling (SCC) and randomly assigned to either; 1) Yoga, or 2) a Control group (CTL) given a Health & Wellness program to control for contact time.  Smoking abstinence will be measured at the end of treatment and at 3, 6 and 12 months follow-up. We hypothesize that abstinence will be significantly higher in the SCC+Yoga compared to SCC+CTL. We will also test theoretically posited mediators of intervention efficacy (e.g., perceived stress, cognitive/perceptual changes), and explore the relationship between maintenance of yoga practice during the post-treatment period and smoking status. This study builds on our programmatic line of research developing innovative, theory driven smoking cessation therapies.

Principal Investigators:  Beth Bock, PhD

Co-Investigator: Bruce Becker, MD, MPH; Ronnesia Gaskins, PhD, Bess Marcus, PhD, Ernestine Jennings, PhD, Shira Dunsiger PhD, Joseph Fava, PhD, James Carmody PhD

Funding Agency: National Center for Complementary and Alternative Medicine

Dates: 2012-2017

Text Messaging as a Novel Alcohol Intervention for Community College Students

This project will develop an intervention to reduce alcohol consumption and high risk drinking among adults who are enrolled as students in community colleges.

Principal Investigators:  Beth Bock, PhD and Nancy Barnett, PhD (multiple PI project)

Co-Investigator: Rochelle Rosen, PhD, Christopher Deutsch

Funding Agency: National Institute on Alcohol Abuse and Alcoholism

Dates: 2012-2014

The Sentinel Events Model: A Dynamic Model of Substance Use Cessation

This project develops and validates the Sentinel Events Model, a new dynamic model which is predicated on the observation that an attempt to quit using an addictive substance is often preceded by the experience of a negative consequence of use, such as a health problem.  We seek to better delineate the cognitive and affective mechanisms of action that mediate between a sentinel health event and behavior change milestones.  Smokers experiencing medical symptoms prompting a cardiac evaluation will be enrolled and followed for six months.  For the first three months, subjects will complete cellular telephone-based ecological momentary assessments (EMA) to provide detailed data about antecedents to lapse and relapse.

Principal Investigators:  Beth Bock, PhD (subcontract) and Edwin Boudreaux PhD (project PI)

Co-Investigator: Bruce Becker, MD, MPH

Funding Agency: National Institute on Drug Abuse

Dates: 2008-2013

Selected Publications

Bock, BC., Niaura, R., Fontes, A., & Bock, FR. (1999). Acceptability of computer assessments in minority and underserved smokers. American Journal of Health Promotion, 13, 299-304.

Bock, BC, Becker, B, Niaura, R. & Partridge, R. (2000). Smoking among emergency chest pain patients: Motivation to quit, risk perception and physician intervention. Nicotine & Tobacco Research,2, 93-96.

Marcus BH, Napolitano MA, King AC, Lewis BA, Whiteley JA, Albrecht AE, Parisi AF, Bock BC, Pinto BM, Sciamanna C, Jakicic JM & Papandonatos GD. (2007). Telephone versus print delivery of an individualized motivationally-tailored physical activity intervention: Project STRIDE. Health Psychology, 26(4), 401-417.

Marcus BH, Lewis BA, Williams DM, Whiteley JA, Albrecht AE, Jakicic JM, Parisi AF, Hogan JW, Napolitano MA & Bock BC. (2007) Step into Motion: A randomized trial examining the relative efficacy of Internet vs. print-based physical activity interventions. Contemporary Clinical Trials, 28(6), 737-747.

Bock BC, Becker BM & Borrelli BC. (2008). Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit. Nicotine & Tobacco Research, 10(1), 47-54.

Bock BC, Becker BM, Niaura RS, Partridge R, Fava JL & Trask P. (2008). Smoking cessation among patients in an emergency chest pain observation unit: Outcomes of the Chest Pain Smoking Study (CPSS). Nicotine & Tobacco Research, 10(10), 1523-32.

Bock BC, Graham AL, Whiteley JA & Stoddard JL. (2008). A review of web-assisted tobacco interventions (WATI). Journal of Medical Internet Research, 10(5), e39.

Bock BC, Hudmon K, Christian J & Bock F. (2010). A tailored intervention to support pharmacy-based counseling for smoking cessation. Nicotine & Tobacco Research 12(3):217-225.

Bock BC, Morrow KM, Becker BM, Williams DM, Tremont G, Gaskins R, Jennings E, Fava J & Marcus BH (2010). Yoga as a complementary treatment for smoking cessation. Rationale, study design and participant characteristics of the Quitting-in-Balance study. BMC Complementary and Alternative Medicine. Apr 29: 10-14.

Bock BC, Jennings E, Becker BM & Niaura, RS (2011). Characteristics and predictors of readiness to quit among emergency medical patients presenting with respiratory symptoms. International Journal of Emergency Medicine. 4:24