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Constance M. Johnson, PhD, MS, RN, FAAN

Associate Professor
Phone: 
(919)684-9332
Office: 
3009 Pearson Building

Constance Johnson is an Associate Professor and a health informatician with interdisciplinary training in nursing and health informatics at the Duke University School of Nursing. She has a secondary appointment in the Department of Community and Family Medicine in the Duke University School of Medicine. She earned her BSN from the University of Connecticut and her MS and PhD from the School of Biomedical Informatics at the University of Texas Health Science Center at Houston. She has over 25 years of experience in research and informatics in the area of health promotion and disease prevention.

Dr. Johnson’s current research interests in health informatics include human-computer interaction, and how the representation and visualization of information impacts health care decisions in the area of disease prevention and health promotion. As a Primary Investigator, she has received research funding from the National Cancer Institute, National Library of Medicine, National Heart, Lung and Blood Institute, AHRQ, and RENCI. She is also a Co-Investigator and Co-PI on various on various other grants in the area of Health Informatics. Dr. Johnson has numerous publications and has presented her work both nationally and internationally. Dr. Johnson mentors Master’s, DNP, and PhD students.

Academic Program Affiliations

  • PhD in Nursing Program
  • Doctor of Nursing Practice Program
  • Master of Science in Nursing Program

Education

  • PhD - The University of Texas School of Biomedical Informatics at Houston
  • MS - The University of Texas School of Biomedical Informatics at Houston
  • BSN - University of Connecticut

Research Interests

Dr. Johnson's research interests include human-computer interaction and how presentation of information impacts health-related decisions in the areas of cancer prevention and diabetes. For example, her R03 study (1 R03 CA132562-01), “Strategies to help inform colorectal cancer risk magnitudes” focused on developing an intervention that addressed different dimensions of risk and assessed how people’s reactions and understanding on various dimensions of risk were related to intentions to screen for colorectal cancer. Her R21 study (R21LM010727-01), “Second Life Impacts Diabetes Education & Self-Management (SLIDES)” assessed the feasibility and acceptability of using a virtual environment to provide self-management interventions to people with type 2 diabetes on the Internet. Her AHRQ grant, “EHR Information Design and Usability Toolkit” developed a model for a toolkit to assess how well the usability and information design of health IT systems supports primary care clinicians in delivering care. Dr. Johnson was also the Co-I on another AHRQ grant, “Development of a Model Electronic Health Record Format for Children” where her primary role was to conduct usability studies. She is also currently a Co-PI on a grant titled, “Visualization of Multidimensional Data Obtained from a Virtual Environment Intervention” awarded by RENCI@Duke Faculty Engagement Program in Applied Scientific and Information Visualization to work on models to visualize the multidimensional data collected during her R21 study. Her current R01 study (1R01-HL118189-01), “Diabetes Self–Management & Support LIVE (Learning in Virtual Environments)” is evaluating the efficacy of a technologically based bio–behavioral diabetes self–management training and support (DSMT/S) intervention in a virtual gaming environment.

Awards and Honors

  • 2014 || Outstanding Author Contribution in the 2014 Emerald Literati Network Awards for Excellence, Emerald Group Publishing, Ltd
  • 2012 || Harriet H. Werley Award, AMIA 2012 Annual Symposium
  • 2011 || Nurse Leader, Sigma Theta Tau International Honor Society of Nursing
  • 2010 || Marlene Kramer Outstanding Alumni Award for Research in Nursing, University of Connecticut School of Nursing
  • 2007 || Best Poster Award, 60th Annual Symposium on Cancer Research (University of Texas M. D. Anderson Cancer Center, Houston, TX, Oct. 11-13, 2007)
  • 2004 || Patent awarded, 11/3/2004: U.S. Patent No. 6,821,784 B1 and Canadian Patent No. 2,373,598
  • 2000 || Merit Scholarship Recipient, Association for Women in Science Gulf Coast Chapter, Houston, Texas
  • 1999 || Scholarship recipient, Committee on the Status of Women, The University of Texas Health Science Center at Houston

Areas of Expertise

  • Chronic Illness
  • Health Disparities
  • Informatics
  • Psychiatric / Behavioral Health
  • Research Methods

Areas of Interest

Health Informatics
Human-computer interaction
Colorectal cancer prevention
Diabetes prevention
Qualitative analysis
Visualization methods of analysis
Research methods

Representative Publications

  • 2015 -- PubMed # : 26436297 Jenko, M. and Adams, J. A. and Johnson, C. M. and Thompson, J. A. and Bailey Jr, D. E. Facilitating Palliative Care Referrals in the Intensive Care Unit: A Pilot Project. Dimens Crit Care Nurs. Nov-Dec, 2015 34(6); 329-39
  • 2015 -- PubMed # : 26505161 Vorderstrasse, A. A. and Melkus, G. D. and Pan, W. and Lewinski, A. A. and Johnson, C. M. Diabetes Learning in Virtual Environments: Testing the Efficacy of Self-Management Training and Support in Virtual Environments (Randomized Controlled Trial Protocol). Nurs Res. November-December, 2015 64(6); 485-93
  • 2015 -- PubMed # : 26484762 Zozus, M. N. and Pieper, C. and Johnson, C. M. and Johnson, T. R. and Franklin, A. and Smith, J. and Zhang, J. Factors Affecting Accuracy of Data Abstracted from Medical Records. PLoS One. October, 2015 10(10); e0138649
  • 2015 -- Shaw, R. J. and Horvath, M. M. and Leonard, D. and Ferranti, J;. M. and Johnson, C. M. Developing a user-friendly interface for a self-service healthcare research portal: cost-effective usability testing Health Systems. July, 2015 40 151-158
  • 2015 -- PubMed # : 25993463 Rose, M. A. and Hanna, L. A. and Nur, S. A. and Johnson, C. M. Utilization of electronic modified early warning score to engage rapid response team early in clinical deterioration. J Nurses Prof Dev. May-June, 2015 31(3); E1-7
  • 2015 -- PubMed # : 25238257 Pereira, K. and Phillips, B. and Johnson, C. and Vorderstrasse, A. Internet delivered diabetes self-management education: a review. Diabetes Technol Ther. January, 2015 17(1); 55-63
  • 2014 -- PubMed # : 24451083 Vorderstrasse, A. and Shaw, R. J. and Blascovich, J. and Johnson, C. M. A theoretical framework for a virtual diabetes self-management community intervention. West J Nurs Res. October, 2014 36(9); 1222-37 PMC4296559
  • 2014 -- PubMed # : 25010237 Nagler, A. and Schlueter, J. and Johnson, C. and Griffith, B. and Prewitt, J. and Sloane, R. and Adams, M. Calling for collaboration: piloting smartphones to discover differences between users and devices. Teach Learn Med. July, 2014 26(3); 258-65
  • 2014 -- PubMed # : 24853065 Shaw, R. J. and Steinberg, D. M. and Zullig, L. L. and Bosworth, H. B. and Johnson, C. M. and Davis, L. L. mHealth interventions for weight loss: a guide for achieving treatment fidelity. J Am Med Inform Assoc. May, 2014 2014 1-5
  • 2014 -- PubMed # : 24713420 Johnson, C. and Feinglos, M. and Pereira, K. and Hassell, N. and Blascovich, J. and Nicollerat, J. and Beresford, H. F. and Levy, J. and Vorderstrasse, A. Feasibility and preliminary effects of a virtual environment for adults with type 2 diabetes: pilot study. JMIR Res Protoc. April, 2014 3(2); e23

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Grant Funding (Selected)

  • Diabetes Self-Management & Support LIVE (Learning in Virtual Environments)

    National Institutes of Health
    1R01-HL118189-01
    06/2013 to 05/2018
    Role: $513,269

    Project Goal: Evaluate the efficacy of a technologically based bio-behavioral diabetes self-management training and support (DSMT/S) intervention in a virtual environment.

  • RENCI Visualization of Multidemensional Data Obtained from a Virtual Environment Intervention

    Renaissance Computing Institute
    07/2012 to 06/2013
    Role: Co-PI

    PIs have developed a virtual environment (VE) designed to help patients with Type 2 diabetes understand and control their disease, and have gathered pilot data on a group of adults with Type 2 diabetes, tracking their interactions, how they used resources and educational materials, and the connections made with other users. Preliminary results show VEs have potential to help patients manage their diabetes. RENCI will the PIs to create visualizations across space and time that track oral and text conversations and the movement of avatars as they explore the environment, make choices, and form groups and social networks. By visualizing this data, the researchers hope to understand the social structures that developed in the VE and their impact on patients’ abilities to manage their disease.

  • Visualization of Multidimensional Data Obtained From a Virtual Environment Intervention

    RENCI@Duke Faculty Engagement Program in Applied Scientific and Information Visualization
    06/2012 to 05/2013
    Role: co-PI

    PIs have developed a virtual environment (VE) designed to help patients with Type 2 diabetes understand and control their disease, and have gathered pilot data on a group of adults with Type 2 diabetes, tracking their interactions, how they used resources and educational materials, and the connections made with other users. Preliminary results show VEs have potential to help patients manage their diabetes. RENCI will the PIs to create visualizations across space and time that track oral and text conversations and the movement of avatars as they explore the environment, make choices, and form groups and social networks. By visualizing this data, the researchers hope to understand the social structures that developed in the VE and their impact on patients’ abilities to manage their disease.

  • A Three-Month RCT to Sustain Weight-Loss among Obese Persons through Tailored SMS

    National Institutes of Health
    1F31-NR012599-01
    12/2010 to 11/2013
    Role: Sponsor of PI Ryan Shaw

    Project goal: To explore the effects of tailored regulatory focus messages sent via mobile telephone on sustaining weight loss among people with obesity.

  • eHealth: Second Life Impacts Diabetes Education & Self-Management (SLIDES)

    National Institutes of Health
    1R21-LM010727-01
    05/2010 to 05/2012
    Role: Principal Investigator

    Project goal: Develop an immersive diabetes community (SLIDES) in Second Life and assess its feasibility and acceptability.

  • Curriculum Development Centers Program

    Office of the National Coordinator for Health Information Technology (ONC)
    07/2010 to 06/2012
    Role: Participating Faculty

    Project Goal: Awarded to five domestic institutions of higher education (Duke University, Oregon Health and Science Univ., Univ. Alabama - Birmingham, Johns Hopkins Univ., Columbia Univ.) to develop curriculum and instructional materials to enhance workforce training programs primarily at the community college level. Duke will work with Durham
    Technical Community College, Pitt Community College, and Rowan-Cabarrus Community College to develop four curriculum components: Health Management Information Systems; Installation and Maintenance of Health IT Systems; Networking and Health Information Exchange; Fundamentals of Health Workflow Process Analysis and Redesign.

  • Immersive Learning Environment At Duke (ILE@D)

    The Duke Endowment, for the Nanaline Duke Trust
    07/2009 to 06/2014
    Role: Co-Investigator

    Project Goal: To develop the ILE@D platform with a focus on evaluating and applying technology toward improving the reach, scope, and efficacy of learning in medical and nursing education at Duke and beyond.

  • NRC D2 HER Information Design and Usability Toolkit

    Westat, Inc.
    8704.07-S-002
    08/2010 to 10/2011
  • Doctor of Nursing Practice

    Health Resources and Service Administration (HRSA)
    1D09-HP14827
    07/2009 to 06/2012
    Role: Participating Faculty

    Project Goal: The proposal focuses on transitioning the current MSN Family Nurse Practitioner (FNP) and Adult Nurse Practitioner (ANP) programs to the Doctor of Nursing Practice Program. The goal is to develop, implement, and operate the new DNP program, the first in North Carolina.

  • Development of a Model Electronic Health Record Format for Children

    Westat/AHRQ
    8704.03-S-004
    07/2010 to 06/2012
    Role: Co-investigator

    Project Goal: Assess existing Pediatric EHR against Model EHR format and develop prototype.

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Friday, September 16, 2016

The Center for Nursing Research recently released a white paper entitled "Research Areas of Excellence" prepared by Marilyn Hockenberry, Constance Johnson, Isaac Lipkus, Wei Pan, and Allison Vorderstrasse.

In the 14 page document, the team covers everything from guiding principles, research areas of excellence, clinical innovation, population health and chronic illness, methods and analytics and more.

Click here to learn more.

Friday, April 29, 2016

Allison Vorderstrasse and Constance Johnson recently presented on "An Immersive Technology for Self-Management of Type 2 Diabetes" at the Duke University Health System Endocrine Grand Rounds.

Thursday, March 3, 2016

Constance Johnson was recently named a Dean's Scholar by the University of Texas School of Biomedical Informatics. Johnson earned her MS and PhD degrees from the School.

Monday, February 8, 2016

On September 1, 2015, Bessie Baker Professor of Nursing at Duke University School of Nursing (DUSON) Marilyn Hockenberry, PhD, RN, PNP-BC, FAAN, was appointed associate dean for Research for the Office of Research Affairs at DUSON.

Friday, October 9, 2015

Constance Johnson recently presented at the Duke Center for Health Informatics Research Seminar. Her presentation was entitled "Consumer Health Informatics: An Innovative Technology for Self-Management of Chronic Disease."

Thursday, May 7, 2015

Constance Johnson was invited by the president of the Texas Medical Center to speak at the Medical World Americas Conference in Houston, Texas. Her presentation was on eHealth intervention for diabetes self-management and support.

Thursday, October 16, 2014

Five Duke University School of Nursing faculty members are being inducted as Fellows of the American Academy of Nursing at their national conference October 16-18 in Washington, D.C. Constance Johnson, Robin Knobel, Katherine Pereira, Karin Reuter-Rice and Charles Vacchiano join a Duke family of 25 other FAANs in advancing the profession of nursing.

Tuesday, October 7, 2014

The Diabetes News Journal and Latinos Health featured an article coauthored by Kathy Pereira, Beth Phillips, Constance Johnson and Allison Vorderstrasse entitled "Internet delivered diabetes self-management education: A review" that was published in Diabetes Technology & Therapeutics.

Monday, September 22, 2014

Katherine Pereira was the lead author on "Internet delivered diabetes self-management education: A review" published in Diabetes Technology and Therapeutics. Co-authors on the paper were Beth Phillips, Constance Johnson and Allison Vorderstrasse.

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