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
Talking 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 PMID: 40901765, DOI: 10.3322/caac.70030.Peer-Reviewed Original ResearchHealth 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 Original ResearchConceptsGood 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 readinessEvaluating survivorship-related communication gaps to develop a community health worker-led intervention for Hispanic/Latino young adult childhood cancer survivors and their families.
Smith S, Martin-Villa B, Pu K, Lewinsohn R, Smith M, Boynton H, Schapira L. Evaluating survivorship-related communication gaps to develop a community health worker-led intervention for Hispanic/Latino young adult childhood cancer survivors and their families. Journal Of Clinical Oncology 2025, 43: 10072-10072. DOI: 10.1200/jco.2025.43.16_suppl.10072.Peer-Reviewed Original ResearchYoung adult childhood cancer survivorsAdult childhood cancer survivorsCommunity-based organizationsFamily-centered communicationChildhood cancer survivorsCancer survivorsCommunity health worker-led interventionCommunity-based organization staffCommunication barriersCommunity-clinical partnershipsSurvivorship clinic visitCancer survivorship careCommunity health workersSurvivorship care needsIntervention design processPediatric oncology clinicYears post-diagnosisSurvivorship careCare needsDedoose softwareHealth workersCancer historyEmotional burdenClinical encountersOncology clinicCommunication in AYA survivorship clinical settings: Best practices and challenges.
Smith S, Martin-Villa B, Kochenderfer M, Schapira L. Communication in AYA survivorship clinical settings: Best practices and challenges. Journal Of Clinical Oncology 2025, 43 DOI: 10.1200/jco.2025.43.16_suppl.e22020.Peer-Reviewed Original ResearchAdolescent/young adultCancer survivorsSemi-structured individual interviewsBarriers to effective communicationAdolescent/young adult survivorsClinician communication strategiesImprove health outcomesEffective communicationLack of timeDiverse practice settingsCommunication best practicesInformation survivorsBest practicesSurvivorship careSurvivorship settingTranscribed verbatimNurse practitionersPrimary careDedoose softwareEvaluate best practicesPerceived BarriersHealth outcomesIndividual interviewsFuture healthPsychosocial effectsRisk 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 Original ResearchConceptsSystematic 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
Building a community-academic partnership to expand services for childhood cancer survivors in a rural, low-income region in California.
Smith S, Boynton H, Smith M, Schapira L. Building a community-academic partnership to expand services for childhood cancer survivors in a rural, low-income region in California. Journal Of Clinical Oncology 2024, 20: 360-360. DOI: 10.1200/op.2024.20.10_suppl.360.Peer-Reviewed Original ResearchChildhood cancer survivorsCommunity-academic partnershipCancer survivorsCommunity-engaged researchLow-income regionsHealth disparitiesHealth outcomesYoung adult childhood cancer survivorsGoal of improving health outcomesCommunity-based participatory researchAdult childhood cancer survivorsCancer support servicesChildhood cancer survivorshipReduce health disparitiesCommunity advisory boardQualitative needs assessmentCommunity-engaged studyPublic health domainResearch portfolioCancer survivorshipCollaborative program developmentHealth domainsPractice changeNeeds assessmentParticipatory research