Adjunct Faculty
Adjunct faculty typically have an academic or research appointment at another institution and contribute or collaborate with one or more School of Medicine faculty members or programs.
Adjunct rank detailsStephanie Dunkel Smith, PhD
About
Research
Publications
2025
The Role of Supportive Adults: Are These Relationships Able to Mitigate the Effects of Adverse Childhood Experiences on Adolescent Adjustment?
Wilde Z, Smith S, Murphy M, Underwood J, Walbridge F, Cotter M, Pothoven C, Harris T, Barry C. The Role of Supportive Adults: Are These Relationships Able to Mitigate the Effects of Adverse Childhood Experiences on Adolescent Adjustment? Journal Of Child & Adolescent Trauma 2025, 19: 81-93. PMID: 41868636, PMCID: PMC13004783, DOI: 10.1007/s40653-025-00770-6.Peer-Reviewed Original ResearchAdverse childhood experiencesAdult social supportEmotional symptomsPsychosocial maladjustmentSocial supportPsychosocial adjustmentChildhood experiencesDomains of psychosocial adjustmentImpact of protective factorsMulti-informant approachCriminal justice systemEffects of adverse childhood experiencesVulnerable adolescentsMental health problemsRisk of school dropoutEmotion regulationJustice systemAdolescent adjustmentResidential programsResource-limited householdsRule-breakingSupportive adultsAdults—areMaladjustmentNegative outcomesTalking with adolescent and young adult cancer survivors about health after cancer: A review and communication guide for clinicians
Smith S, Heathcote L, John J, Zimmerman J, Benedict C, Rosenberg A, Schapira L. Talking with adolescent and young adult cancer survivors about health after cancer: A review and communication guide for clinicians. CA A Cancer Journal For Clinicians 2025, 75: 667-681. PMID: 40901765, PMCID: PMC12593305, DOI: 10.3322/caac.70030.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsHealth care transitionCare transitionsAYA survivorsCancer careClinician communicationFear of cancer recurrenceYoung adult cancer survivorsCancer survivors' needsPediatric to adult careAdult cancer survivorsSurvivorship careAYA engagementCancer survivorsSurvivors' needsAYA yearsCommunication guideSelf-ManagementAdult careAYACareVulnerable populationsAdult settingHealthSurvivorsYoung adultsThe Good Behavior Game as a Universal Preventive Intervention: a Systematic Review of its Long-Term Effects
Smith S, Rivera F, DeFouw E, Walbridge F, Harris T, Wilde Z, Cotter M, Reichow B. The Good Behavior Game as a Universal Preventive Intervention: a Systematic Review of its Long-Term Effects. Prevention Science 2025, 26: 968-984. PMID: 40788530, DOI: 10.1007/s11121-025-01833-8.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsGood Behavior GameProsocial behaviorDistal outcomesDevelopmental periodSystematic reviewBehavior GameClassroom management interventionModerate evidenceRisk of tobacco useDisruptive/aggressive behaviorUniversal preventive interventionsLong-term effectsAggressive childrenExternalizing behaviorsSchool-aged childrenBehavior of school-age childrenDisruptive behaviorLate adolescenceLikelihood of college attendanceTobacco usePreventive interventionsReplication studyInclusion criteriaMeta-analysesManagement interventionsA dyad-based analysis of social support dynamics among adolescent/young adult cancer survivors and their parents from a predominately Hispanic/Latino, socioeconomically disadvantaged, and rural population
Lewinsohn R, Benedict C, Smith M, Boynton H, Schapira L, Smith S. A dyad-based analysis of social support dynamics among adolescent/young adult cancer survivors and their parents from a predominately Hispanic/Latino, socioeconomically disadvantaged, and rural population. Supportive Care In Cancer 2025, 33: 646. PMID: 40591011, DOI: 10.1007/s00520-025-09706-0.Peer-Reviewed Original ResearchConceptsSource of emotional supportChildhood cancer survivorsCancer survivorsSocial support dynamicsEmotional supportAYA childhood cancer survivorsInstrumental supportAdult cancer survivorsCancer-related knowledgeMethodsThis qualitative studyYears post-diagnosisCommunity-based organizationsInadequate family supportInformation supportUnmet emotional needsSources of informal supportSurvivorship careCare transitionsSocial supportPost-diagnosisThematic analysisChildhood cancerFamily supportQualitative studyChildren's readinessRisk Factors for Corticosteroid-associated Osteonecrosis in Children: A National Database Study
Smith G, Pham N, Alayleh A, Smith S, Chao K, Goodman S, Shea K. Risk Factors for Corticosteroid-associated Osteonecrosis in Children: A National Database Study. Journal Of The Pediatric Orthopaedic Society Of North America 2025, 12: 100199. PMID: 40756153, PMCID: PMC12317409, DOI: 10.1016/j.jposna.2025.100199.Peer-Reviewed Original ResearchPatients treated with high-dose corticosteroidsChildren treated with corticosteroidsCorticosteroid-associated osteonecrosisHigh-dose corticosteroidsSolid organ transplantationAcute lymphoblastic leukemiaPediatric patientsNational database studyJuvenile idiopathic arthritisCorticosteroid treatmentSevere painCorticosteroid administrationDatabase studyLymphoblastic leukemiaTargeted screeningOrgan transplantationCrohn's diseaseIdiopathic arthritisRisk factorsHigh-risk pediatric populationMultivariate Cox proportional-hazards regression modelTotal daysCox proportional-hazards regression modelRetrospective cohort studySystemic lupus erythematosusRetrospective Analysis and Characterization of Avascular Necrosis By Bone Location in Pediatric Leukemia/Lymphoma Patients
Alayleh A, Naz H, Taylor V, Johnson T, Farook S, Hofmann G, Obilo C, Pham N, Harbacheck K, Laureano T, Smith S, Chao K, Goodman S, Shea K. Retrospective Analysis and Characterization of Avascular Necrosis By Bone Location in Pediatric Leukemia/Lymphoma Patients. Journal Of Pediatric Orthopaedics 2025, 45: e641-e647. PMID: 40214168, DOI: 10.1097/bpo.0000000000002963.Peer-Reviewed Original ResearchAcute lymphoblastic leukemiaAvascular necrosisLeukemia/lymphoma patientsProximal tibial metaphysisSteroid therapyDistal femoral metaphysisHigh-dose steroid therapyMultivariate logistic regression analysisHigh-dose steroidsTibial metaphysisAcute myeloid leukemiaDiagnosis of avascular necrosisFemoral metaphysisEarly detectionBone locationEarly joint replacementLogistic regression analysisImprove functional outcomesAVN diagnosisLong bonesJoint collapseSteroid treatmentEarly-onset osteoarthritisMedian ageMyeloid leukemiaIdentifying the Financial Toxicity Experiences of Childhood Cancer Survivors Through Partnership With a Community Organization Serving Rural and Minoritized Families
Benedict C, Bloomer K, Billman E, Smith M, Boynton H, Schapira L, Smith S. Identifying the Financial Toxicity Experiences of Childhood Cancer Survivors Through Partnership With a Community Organization Serving Rural and Minoritized Families. Psycho-Oncology 2025, 34: e70120. PMID: 40097346, DOI: 10.1002/pon.70120.Peer-Reviewed Original ResearchConceptsAYA survivors of childhood cancerSurvivors of childhood cancerChildhood cancerAYA survivorsFinancial toxicityAdolescent/young adultPerspectives of staff membersNon-English language preferenceStaff membersCancer support organizationsThematic analysis approachCommunity-based organizationsRural regionsParental employmentIndirect medical costsNeeds assessment studySemi-structured interviewsMedical visitsVulnerable populationsLanguage preferenceInsurance coverageMedical costsQualitative dataRural areasMinoritized familiesIncidence and Risk Factors for Steroid-associated Osteonecrosis in Children and Adolescents: A Systematic Review of the Literature
Johnson T, Naz H, Taylor V, Farook S, Hofmann G, Harbacheck K, Pham N, Smith S, Chao K, Lee T, Goodman S, Shea K. Incidence and Risk Factors for Steroid-associated Osteonecrosis in Children and Adolescents: A Systematic Review of the Literature. Journal Of Pediatric Orthopaedics 2025, 45: 337-347. PMID: 40078093, DOI: 10.1097/bpo.0000000000002919.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsSystematic reviewClinical decision-makingCohort studyRisk factorsSteroid-associated osteonecrosisControlled TrialsNon-Hispanic raceCochrane Central Registry of Controlled TrialsMeta-analyses guidelinesPediatric orthopaedic surgeonsCentral Registry of Controlled TrialsRegistry of Controlled TrialsProspective cohort studyStandard clinical pathwayBody mass indexComprehensive systematic reviewRandomized Controlled TrialsCochrane Central RegistryRetrospective cohort studyScreened titlesFunctional disabilityGenetic risk factorsSystemic corticosteroid exposureClinical pathwayYears of age
2024
Impact of a Cancer Survivorship Continuing Medical Education Course on Learners’ Attitudes and Intention to Change Practice
Jackson K, Alberto J, Kim J, Smith S, Schapira L. Impact of a Cancer Survivorship Continuing Medical Education Course on Learners’ Attitudes and Intention to Change Practice. Journal Of Cancer Education 2024, 40: 202-209. PMID: 39235548, DOI: 10.1007/s13187-024-02497-8.Peer-Reviewed Original ResearchMedical education coursesContinuing medical education coursesSurvivorship topicsSurvivorship careExperiences of cancer survivorsAnalysis of free-text responsesQualitative analysis of free-text responsesImprove communicationCancer survivorship careLate effects of cancer treatmentImmersion-crystallization methodsAdvanced practice providersInterprofessional collaborative practicePrimary care cliniciansEffects of cancer treatmentFree-text responsesContinuing education creditCare coordinationCancer survivorshipCancer survivorsHealthcare experiencesPractice providersPrimary careCare CollaborativeCare cliniciansLeveraging Technology to Support Teachers’ Fidelity of Universal Classroom Management Interventions: Lessons Learned and Future Applications
Smith S, Walbridge F, Harris T, Cotter M, Kaplan R, Garza B, Wilde Z, Delgadillo A, Mohn R, Dufrene B. Leveraging Technology to Support Teachers’ Fidelity of Universal Classroom Management Interventions: Lessons Learned and Future Applications. School Mental Health 2024, 16: 894-912. DOI: 10.1007/s12310-024-09681-7.Peer-Reviewed Original ResearchGood Behavior GameClassroom management interventionAcademic development of studentsTwenty-four teachersAuthentic classroom settingsDevelopment of studentsBenefits of technologyTeacher fidelityTeacher consultationAcademic developmentClassroom settingEducational partnersTechnology-enhancedSustained fidelityTeachersBehavior GameClassroomSocial-EmotionalLarge-scale testingLeveraging technologyFocus groupsPositive outcomesDesign principlesStudentsEducation