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 at The Warren Alpert Medical School of Brown University and the Centers for Behavioral and Preventive Medicine at The Miriam Hospital. She is a clinical psychologist specializing in motivating behavior change, and has over 60 peer-reviewed publications and book chapters. She has had numerous NIH grants (R01s) focusing on motivating smoking cessation among medical populations and on changes in risk perception during teachable moments. She is co-investigator on numerous grants on motivating behavior change across diverse areas (substance abuse, cancer screening, medication adherence, sleep apnea, diabetes, physical activity, obesity and oral health) and populations (e.g., older adults, urban adolescents, Latinos, Native-Americans). Borrelli has received several awards for her research and has given over 60 invited lectures at national and international meetings and events. Borrelli is the Associate Editor of the most cited journal in psychology (Journal of Consulting and Clinical Psychology), Incoming Associate Editor of Health Psychology, Assistant Editor of Addiction and has served as a member of a scientific grant review committee at the National Institutes of Health. She served as co-chair of an NIH committee that was chartered to develop guidelines for treatment fidelity for health behavior change trials, which are viewed as supplementary to CONSORT and are published in major journals. Borrelli is a MINT trainer and has trained hundreds of physicians, nurses, medical residents, medical students, and psychology interns in motivational interviewing techniques for health behavior change, both nationally and internationally.

• 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.

   

Motivating Adherence to CPAP in Obstructive Sleep Apnea
To test the effectiveness of a motivational interviewing intervention combined with feedback vs. education on increasing adherence to CPAP in patients with obstructive sleep apnea.
Principal Investigators: Belinda Borrelli, PhD (Subcontract) and Mark Aloia, PhD (Project PI)
Funding Agency: National Heart, Lung, and Blood Institute
Dates: 2007 - 2012

Motivating Improved Self-Management among Older Teens and Adults with Cystic Fibrosis
The aim of this grant is to assess the relative efficacy of a motivational interviewing adherence intervention (MI) vs. a CF education intervention (CFE) on adherence to the CF regimen and on morbidity among individuals with CF who are 16 years old or older.
Principal Investigator: Belinda Borrelli, PhD (Subcontract) and Kristin Riekert, PhD (Project PI)
Funding Agency: National Institutes of Health, National Heart, Lung, and Blood Institute
Dates: 2007 - 2012

School-based asthma therapy: Stage 2 Effectiveness Study-Revised
The aim of this study is to increase asthma medication adherence and reduce environmental tobacco smoke exposure in the home.
Principal Investigators: Belinda Borrelli, PhD (Subcontract) and Jill Halterman, MD (Project PI)
Funding Agency: National Institutes of Health, National Heart, Lung, and Blood Institute
Dates: 2006 - 2010

Sustaining Cessation in Parents of Kids with Asthma
A renewal of our prior NHLBI grant, "Motivating the Parents of Kids with Asthma to Quit Smoking,” this study compared two nurse-delivered home-based smoking cessation interventions for low-income caregivers of children receiving asthma treatment: one that focused on augmenting risk perception through the provision of biomarker feedback (PAM), and one that focused on building self-efficacy using the Agency for Healthcare Research and Quality guidelines (BAM). PAM achieved significantly greater quit rates than BAM at a 2 month follow-up, but both groups had high relapse rates by 6-months. The first aim of the current study utilized our previously demonstrated smoking cessation intervention (PAM) to examine the cognitive, affective, and behavioral processes hypothesized to underlie the teachable moment in smokers with kids who had a recent asthma exacerbation vs. smokers with healthy kids. The second aim attempts to sustain the excellent short-term quit rates we found in our first study by testing whether supplementing PAM with a telephone-based intervention improves and sustains quitting more than PAM plus contact control in the parents of kids with asthma. The telephone counseling is theory-based, targeting the constructs associated with quitting in our first study (perceived risk, precaution effectiveness, and self-efficacy). Our primary outcomes of interest are: point prevalence abstinence, Environmental Tobacco Smoke (ETS) reduction, asthma morbidity, and health care utilization. We will also examine mediators and moderators.

Principal Investigator: Belinda Borrelli, PhD
Co-Investigators:Elizabeth McQuaid, PhD; Bruce Becker, MD; S. Katherine Hammond, PhD; Scott Novak, PhD
Funding Agency: National Heart, Lung, and Blood Institute
Dates: 2005 - 2010

Sustaining Cessation in Pregnant Smokers
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.
Principal Investigators: Belinda Borrelli, PhD (Subcontract) and Tom Lasater, PhD (Project PI)
Co-Investigators: Scott Novak, PhD
Funding Agency: National Heart, Lung, and Blood Institute
Dates: 2005 - 2010

Motivating Smokers With Mobility Impairments to Quit Smoking
The aim of this project is to use community based participatory research to develop and produce a theory-based DVD for smoking cessation that is tailored for smokers with mobility impairments, and test the efficacy in a randomized clinical trial.
Principal Investigator: Belinda Borrelli, PhD
Co-Investigators: Beth Bock, PhD, Rosemary Hughes, PhD and Tom Lasater, PhD
Funding Agency: National Cancer Institute
Dates: 2009 - 2014

Prevention of Dental Caries among Children in Low-Income Housing in Boston
To test the effectiveness of a Motivational Interviewing intervention to increase dental health and dental health behaviors in low income public housing residents.
Principal Investigator: Belinda Borrelli, PhD (PI of Subcontract) and M. Henshaw, PhD (PI of Project)
Funding Agency: National Institute of Dental and Craniofacial Research
Dates: 2008 - 2015

Motivating Smoking Cessation in a Low-Income Housing Population
Principal Investigator: Belinda Borrelli, PhD (PI of Subcontract) and D. Brooks, PhD (PI of Project)
Funding Agency: National Cancer Institute
Dates: 2009-2012

Motivating Asthma Medication Adherence in Urban Pre and Early Teens
Principal Investigator: Belinda Borrelli, PhD (PI of Subcontract) and C. Rand, PhD (PI of Project)
Funding Agency: National Heart, Lung and Blood Institute
Dates: 2005-2010

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

**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., 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

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

Borrelli, B. & Novak, S. (2007). Nurses' knowledge about the risk of light cigarettes and other tobacco ‘harm reduction' strategies. Nicotine and Tobacco Research, Vol 9(6), 653-662

Borrelli, B., Riekert, K.A., Weinstein, A. & Cardella, L. (2007). Clinical Strategies for Motivating Asthma Medication Adherence: Motivational Interviewing. Journal of Allergy and Clinical Immunology, Vol 120 (5), 1023-1030

Borrelli, B., Lee, C., & Novak, S. (2008). Are Provider Training Effects Sustainable? Cognitive and Behavioral Predictors of Smoking Cessation Counseling by Home Health Care Nurses. Preventive Medicine, 46, 358-363

Borrelli, B., McQuaid, E., Novak, S., Hammond, K., & Becker, B. (2010). Motivating Latino Parents of Children with Asthma to Quit Smoking: A Randomized Trial. Journal of Consulting and Clinical Psychology, 78(1) 33-43.

Borrelli, B. (2010). Smoking cessation: Next steps for future research and innovative treatments. Journal of Consulting and Clinical Psychology, 78(1), 1-12.

Borrelli, B., Hayes, R., Dunsinger, S. & Fava, J. (In press). Risk Perception and Smoking Behavior in Medically Ill Smokers: A Prospective Study. Addiction.