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Elizabeth A. Shenkman, PhD

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Elizabeth A. Shenkman, PhD

Office  (352) 265-7220

Education And Training
  • PhD, University of Florida, 1987 - Educational Psychology
  • MSN, University of Florida, 1982 - Psychiatric Nursing
  • BSN, University of Florida, 1979


My research is focused on examining risk behaviors and health outcomes among children, adolescents, and young adults with special health care needs. Recently our research team conducted studies examining parent and child reported outcomes and health care expenditures associated with integrated curative and palliative care programs for children with life-limiting conditions, including those with cancer. Several papers developed from this work are in press in the Journal of Palliative Medicine and the Journal of Palliative Care. As part of our health outcomes research, our team is focused on the development of health related quality of life measures for young adult survivors of childhood and adolescent cancer. We are collaborating with investigators involved in the NIH Patient Reported Outcomes Measurement Information System (PROMIS) initiative on this portion of our work. We also are collaborating with the UF Cancer Survivors Program (CSP) to examine health care outcomes among young adult survivors. In a prior U01 from the Agency for Health Care Research and Quality, our team examined health risk behaviors among low-income adolescents and their self-reported experiences with anticipatory guidance provided by their primary care physicians. As part of our research, we found that risky behaviors were particularly high among adolescents with special health care needs, including those with cancer, when compared to healthy adolescents. Moreover, those with special needs were less likely to report receiving recommended anticipatory guidance about risk behaviors during health care visits than those who were healthy. Our ultimate goal, through this research, is to develop better screening and prevention programs to promote healthy behaviors for all adolescents but especially for those with special health care needs. Our research in this area is being applied to the young adult survivor group to examine their risky behaviors (e.g., smoking, unprotected sex, substance use, failure to seek health care) and to develop health promotion programs for them.

  • Kadivar H, Thompson L, Wegman M, Chisholm T, Khan M, Eddleton K, Muszynski M, Shenkman E. Adolescent Views on Comprehensive Health Risk Assessment and Counseling: Assessing Gender Differences. J Adolesc Health. 2014 Mar. Pubmedid: 24613096.
  • Bynum SA, Staras SA, Malo TL, Giuliano AR, Shenkman E, Vadaparampil ST. Factors Associated With Medicaid Providers' Recommendation of the HPV Vaccine to Low-Income Adolescent Girls. J Adolesc Health. 2014 Feb;54(2):190-196. Pubmedid: 24064282.
  • Hinojosa MS, Kadivar H, Fernandez-Baca D, Chisholm T, Thompson LA, Stanford J, Shenkman E. Recruiting Low Income and Racially/Ethnically Diverse Adolescents for Focus Groups. Matern Child Health J. 2014 Jan. Pubmedid: 24469359.
  • Malo TL, Staras SA, Bynum SA, Giuliano AR, Shenkman EA, Vadaparampil ST. Human papillomavirus vaccine administration among medicaid providers who consistently recommended vaccination. Sex Transm Dis. 2014 Jan;41(1):24-28. Pubmedid: 24335743.
  • Huang IC, Brinkman TM, Kenzik K, Gurney JG, Ness KK, Lanctot J, Shenkman E, Robison LL, Hudson MM, Krull KR. Association between the prevalence of symptoms and health-related quality of life in adult survivors of childhood cancer: a report from the St Jude Lifetime Cohort study. J Clin Oncol. 2013 Nov;31(33):4242-4251. Pubmedid: 24127449. Pmcid: PMC3821013.
  • Malo TL, Hassani D, Staras SA, Shenkman EA, Giuliano AR, Vadaparampil ST. Do Florida Medicaid Providers' Barriers to HPV Vaccination Vary Based on VFC Program Participation?. Matern Child Health J. 2013 May;17(4):609-615. Pubmedid: 22569945.
  • Li Z, Huang IC, Thompson L, Tuli S, Huang SW, Dewalt D, Revicki D, Shenkman E. The relationships between asthma control, daytime sleepiness, and quality of life among children with asthma: a path analysis. Sleep Med. 2013 May;14(7):641-647. Pubmedid: 23684939.
  • Huang IC, Anderson M, Gandhi P, Tuli S, Krull K, Lai JS, Nackashi J, Shenkman E. The relationships between fatigue, quality of life, and family impact among children with special health care needs. J Pediatr Psychol. 2013 Apr;38(7):722-731. Pubmedid: 23584707. Pmcid: PMC3721186.
  • Vadaparampil ST, Staras SA, Malo TL, Eddleton KZ, Christie J, Rodriguez M, Giuliano AR, Shenkman EA. Provider factors associated with disparities in human papillomavirus vaccination among low-income 9- to 17-year-old girls. Cancer. 2013 Feb;119(3):621-628. Pubmedid: 23341308. Pmcid: PMC3800018.
  • Huang IC, Quinn GP, Wen PS, Shenkman EA, Revicki DA, Krull K, Li Z, Shearer PD. Using three legacy measures to develop a health-related quality of life tool for young adult survivors of childhood cancer. Qual Life Res. 2012 Oct;21(8):1437-1450. Pubmedid: 22101901. Pmcid: PMC3328688.
  • Huang IC, Quinn GP, Krull K, Eddleton KZ, Murphy DC, Shenkman EA, Shearer PD. Head-to-head comparisons of quality of life instruments for young adult survivors of childhood cancer. Support Care Cancer. 2012 Sep;20(9):2061-2071. Pubmedid: 22105163. Pmcid: PMC3320678.
  • Nightingale CL, Quinn GP, Shenkman EA, Curbow BA, Zebrack BJ, Krull KR, Huang IC. Health-Related Quality of Life of Young Adult Survivors of Childhood Cancer: A Review of Qualitative Studies. J Adolesc Young Adult Oncol. 2011 Sep;1(3):124-132. Pubmedid: 23610733.
  • Knapp C, Madden V, Marcu M, Sloyer P, Shenkman E. Parents' experiences in choosing a health plan for their children with special health care needs. Matern Child Health J. 2011 Feb;15(2):217-224. Pubmedid: 20213491.
  • Nightingale CL, Quinn GP, Shenkman EA, Curbow BA, Zebrack BJ, Krull KR, Huang IC. Health-related quality of life of young adult survivors of childhood cancer: a review of qualitative studies. J Adolesc Young Adult Oncol. 2011;1(3):124-132.
  • Staras SA, Vadaparampil ST, Haderxhanaj LT, Shenkman EA. Disparities in human papillomavirus vaccine series initiation among adolescent girls enrolled in Florida Medicaid programs, 2006-2008. J Adolesc Health. 2010 Oct;47(4):381-388. Pubmedid: 20864008. Pmcid: PMC3791862.
  • Knapp CA, Madden VL, Curtis C, Sloyer PJ, Shenkman EA. Assessing non-response bias in pediatric palliative care research. Palliat Med. 2010 Apr;24(3):340-347. Pubmedid: 20123943.
  • Knapp CA, Madden VL, Curtis CM, Sloyer P, Shenkman EA. Family support in pediatric palliative care: how are families impacted by their children's illnesses?. J Palliat Med. 2010 Apr;13(4):421-426. Pubmedid: 20144024.
  • Huang IC, Shenkman EA, Madden VL, Vadaparampil S, Quinn G, Knapp CA. Measuring quality of life in pediatric palliative care: challenges and potential solutions. Palliat Med. 2010 Mar;24(2):175-182. Pubmedid: 20007819. Pmcid: PMC3810279.
  • Thompson LA, Knapp CA, Feeg V, Madden VL, Shenkman EA. Pediatricians' management practices for chronic pain. J Palliat Med. 2010 Feb;13(2):171-178. Pubmedid: 20109004.
  • Thompson LA, Knapp CA, Saliba H, Giunta N, Shenkman EA, Nackashi J. The impact of insurance on satisfaction and family-centered care for CSHCN. Pediatrics. 2009 Dec;124 Suppl 4:S420-S427. Pubmedid: 19948608.
  • Knapp CA, Madden VL, Wang H, Kassing K, Curtis CM, Sloyer PJ, Shenkman EA. Effect of a pediatric palliative care program on nurses' referral preferences. J Palliat Med. 2009 Dec;12(12):1131-1136. Pubmedid: 19698028.
  • Knapp C, Madden V, Wang H, Curtis C, Sloyer P, Shenkman E. Music therapy in an integrated pediatric palliative care program. Am J Hosp Palliat Care. 2009 Dec-Jan;26(6):449-455. Pubmedid: 19666889.
  • Knapp CA, Madden V, Wang H, Kassing K, Curtis C, Sloyer P, Shenkman EA. Paediatric nurses' knowledge of palliative care in Florida: a quantitative study. Int J Palliat Nurs. 2009 Sep;15(9):432-439. Pubmedid: 19957453.
  • Knapp C, Thompson L, Madden V, Shenkman E. Paediatricians' perceptions on referrals to paediatric palliative care. Palliat Med. 2009 Jul;23(5):418-424. Pubmedid: 19251829.
  • Herndon JB, Vogel WB, Bucciarelli RL, Shenkman EA. The effect of renewal policy changes on SCHIP disenrollment. Health Serv Res. 2009 Feb;43(6):2086-2105. Pubmedid: 18522669. Pmcid: PMC2613999.
  • Knapp CA, Shenkman EA, Marcu MI, Madden VL, Terza JV. Pediatric Palliative Care: Describing Hospice Users and Identifying Factors that Affect Hospice Expenditures. J Palliat Med. 2009 Feb;. Pubmedid: 19216701.
  • Knapp CA, Thompson LA, Vogel WB, Madden VL, Shenkman EA. Developing a pediatric palliative care program: addressing the lack of baseline expenditure information. Am J Hosp Palliat Care. 2009 Feb;26(1):40-46. Pubmedid: 19047489.
  • Knapp C, Madden V, Marston J, Midson R, Murphy A, Shenkman E. Innovative pediatric palliative care programs in four countries. J Palliat Care. 2009;25(2):132-136. Pubmedid: 19678466.
  • Herndon JB, Vogel WB, Bucciarelli RL, Shenkman EA. The effect of premium changes on SCHIP enrollment duration. Health Serv Res. 2008 Apr;43(2):458-477. Pubmedid: 18370963. Pmcid: PMC2442374.
  • Reed A, Herndon JB, Ersoz N, Fujikawa T, Schain D, Lipori P, Hemming A, Li Q, Shenkman E, Vogel B. Effect of prophylaxis on fungal infection and costs for high-risk liver transplant recipients. Liver Transpl. 2007 Dec;13(12):1743-1750. Pubmedid: 18044769.
  • Shenkman E, Knapp C, Sappington D, Vogel B, Schatz D. Persistence of high health care expenditures among children in Medicaid. Med Care Res Rev. 2007 Jun;64(3):304-330. Pubmedid: 17507460.
  • Sappington DE, Aydede SK, Dick A, Vogel B, Shenkman E. The effects of reinsurance in financing children's health care. Inquiry. 2006;43(1):23-33. Pubmedid: 16838816.
  • Shenkman E, Tian L, Nackashi J, Schatz D. Managed care organization characteristics and outpatient specialty care use among children with chronic illness. Pediatrics. 2005 Jun;115(6):1547-1554. Pubmedid: 15930215.
  • Szilagyi PG, Shenkman E, Brach C, LaClair BJ, Swigonski N, Dick A, Shone LP, Schaffer VA, Col JF, Eckert G, Klein JD, Lewit EM. Children with special health care needs enrolled in the State Children's Health Insurance Program (SCHIP): patient characteristics and health care needs. Pediatrics. 2003 Dec;112(6 Pt 2):e508-. Pubmedid: 14654673.
  • Shenkman E, Wu SS, Nackashi J, Sherman J. Managed care organizational characteristics and health care use among children with special health care needs. Health Serv Res. 2003 Dec;38(6 Pt 1):1599-1624. Pubmedid: 14727790. Pmcid: PMC1360966.
  • Youngblade LM, Shenkman EA. Congruence between parents' and adolescents' reports of special health care needs in a Title XXI program. J Pediatr Psychol. 2003 Sep;28(6):393-401. Pubmedid: 12904451.
  • Shenkman EA, Vogel B, Boyett JM, Naff R. Disenrollment and re-enrollment patterns in a SCHIP. Health Care Financ Rev. 2002;23(3):47-63. Pubmedid: 12500349.
  • Dick AW, Allison RA, Haber SG, Brach C, Shenkman E. Consequences of states' policies for SCHIP disenrollment. Health Care Financ Rev. 2002;23(3):65-88. Pubmedid: 12500350.
  • Shenkman E, Bucciarelli R, Wegener DH, Naff R, Freedman S. Crowd out: evidence from the Florida Healthy Kids Program. Pediatrics. 1999 Sep;104(3 Pt 1):507-513. Pubmedid: 10469777.
  • Shenkman E, Pendergast J, Wegener DH, Hartzel T, Naff R, Freedman S, Bucciarelli R. Children's health care use in the Healthy Kids Program. Pediatrics. 1997 Dec;100(6):947-953. Pubmedid: 9374562.
  • Shenkman E, Pendergast J, Reiss J, Walther E, Bucciarelli R, Freedman S. The School Enrollment-Based Health Insurance program: socioeconomic factors in enrollees' use of health services. Am J Public Health. 1996 Dec;86(12):1791-1793. Pubmedid: 9003139. Pmcid: PMC1380735.
  • Reiss J, Cameon R, Matthews D, Shenkman E. Enhancing the role public health nurses play in serving children with special health needs: an interactive videoconference on Public Law 99-457 Part H. Public Health Nurs. 1996 Oct;13(5):345-352. Pubmedid: 8918175.
  • Nackashi JA, Shenkman EA, Reiss JG, Siderits PJ. The continuum of care program. Clin Pediatr (Phila). 1993 Oct;32(10):601-604. Pubmedid: 8261723.
  • Dick AW, Brach C, Allison RA, Shenkman E, Shone LP, Szilagyi PG, Klein JD, Lewit EM. SCHIP's impact in three states: how do the most vulnerable children fare?. Health Aff (Millwood). 2004 Sept;23(5):63-75. Pubmedid: 15371371.
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