Tracy E Crane

Interests

Research

Lifestyle behavior modification, cancer survivors, symptom management, ehealth solutions, diet, physical activity, tobacco cessation, sleep, informal caregivers

Teaching

Health Promotion TheoryeHealth Solutions for ResearchDissemination and Implementation ScienceInterventions for improving Lifestyle Behaviors

Courses

Scholarly Contributions

Chapters

• Crane, T. E., & Thomson, C. A. (2017). Biomarkers of Diet and Nutritional Health. In Biological Measures of Human Experience. Springer.

Journals/Publications

• Arthur, R., Brasky, T. M., Crane, T. E., Felix, A. S., Kaunitz, A., Shadyab, A. H., Qi, L., Wassertheil-Smoller, S., & Rohan, T. E. (2018). A Healthy Lifestyle Index in Relation to Risk of Endometrial and Ovarian Cancer Among Women in the Women's Health Initiative Study. American journal of epidemiology.
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  Lifestyle-related factors influence risk of endometrial and ovarian cancers, but few studies have examined their joint associations with risk of these cancers. Using multivariable Cox regression models, we assessed the association of a healthy lifestyle index ((HLI) - a composite score (range 0-20) involving diet, alcohol consumption, physical activity, body mass index and smoking; higher scores represent healthier behavior) - with risk of endometrial and ovarian cancers among 108,136 postmenopausal women who were recruited in the Women's Health Initiative study between 1993 and 1998. After a median follow-up of 17.9 years, 1,435 endometrial cancer cases and 904 ovarian cancer cases had been ascertained. Women in the highest quintile of the HLI score had a lower risk of overall, Type I, well-differentiated, moderately differentiated, poorly differentiated, and localized endometrial cancer than those in the lowest quintile (HR≥q5 vs q1: 0.61 (95% CI: 0.51,0.72), 0.60 (0.49.0.72), 0.66 (0.46, 0.96), 0.69 (0.52,0.90), 0.49 (0.34,0.72) and 0.61 (0.50,0.74), respectively). The HLI score had a weak positive association with risk of serous ovarian cancer. Our findings underscore the potential importance of a healthy lifestyle in lowering endometrial cancer risk among postmenopausal women.
• Beverly, C. M., Naughton, M. J., Pennell, M. L., Foraker, R. E., Young, G., Hale, L., Feliciano, E. M., Pan, K., Crane, T. E., Danhauer, S. C., & Paskett, E. D. (2018). Change in longitudinal trends in sleep quality and duration following breast cancer diagnosis: results from the Women's Health Initiative. Nature Practice Journal breast cancer, 4, 15.
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  Breast cancer survivors frequently report sleep problems, but little research has studied sleep patterns longitudinally. We examined trends in sleep quality and duration up to 15 years before and 20 years after a diagnosis of breast cancer, over time among postmenopausal women participating in the Women's Health Initiative (WHI). We included 12,098 participants who developed invasive breast cancer after study enrollment. A linear mixed-effects model was used to determine whether the time trend in sleep quality, as measured by the WHI Insomnia Rating Scale (WHIIRS), a measure of perceived insomnia symptoms from the past 4 weeks, changed following a cancer diagnosis. To examine sleep duration, we fit a logistic regression model with random effects for both short (
• Kaplan, D. M., Palitsky, R., Carey, A. L., Crane, T. E., Havens, C. M., Medrano, M. R., Reznik, S. J., Sbarra, D. A., & O'Connor, M. F. (2018). Maladaptive repetitive thought as a transdiagnostic phenomenon and treatment target: An integrative review. Journal of clinical psychology.
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  Maladaptive repetitive thought (RT), the frequent and repetitive revisiting of thoughts or internal experiences, is associated with a range of psychopathological processes and disorders. We present a synthesis of prior research on maladaptive RT and develop a framework for elucidating and distinguishing between five forms of maladaptive RT.
• LoConte, N. K., Gershenwald, J. E., Thomson, C. A., Crane, T. E., Harmon, G. E., & Rechis, R. (2018). Lifestyle Modifications and Policy Implications for Primary and Secondary Cancer Prevention: Diet, Exercise, Sun Safety, and Alcohol Reduction. American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting, 88-100.
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  Improved cancer treatments and cancer detection methods are not likely to completely eradicate the burden of cancer. Primary prevention of cancer is a logical strategy to use to control cancer while also seeking novel treatments and earlier detection. Lifestyle modification strategies to improve primary prevention and risk reduction for the development of cancer include choosing a healthy diet with an emphasis on plant sources, maintaining a healthy weight throughout life, being physically active, regularly using sunscreen and wearing protective clothing, limiting sun exposure during the hours of 10 AM to 2 PM, avoiding indoor tanning, and reducing or eliminating alcohol use. In addition to continued use of ongoing education of the public, health care providers, and cancer support communities, other policy and public health efforts should be pursued as well. Examples of supported and successful policy approaches are included in this article, including efforts to limit indoor tanning and improve community-wide interventions to reduce ultraviolet radiation exposure as well as to formally support various alcohol policy strategies including increasing alcohol taxes, reducing alcohol outlet density, improving clinical screening for alcohol use disorders, and limiting youth exposure to alcohol marketing and advertising. These prevention strategies are expected to have the largest impact on the development of melanoma as well as breast, colorectal, head and neck, liver, and esophageal cancers. The impact of these strategies as secondary prevention is less well understood. Areas of additional needed research and implementation are also highlighted. Future areas of needed research are the effects of these modifications after the diagnosis of cancer (as secondary prevention).
• Sikorskii, A., Wyatt, G. K., Victorson, D. E., O'Connor, P., Hankin, V., Safikhani, A., Crane, T. E., & Badger, T. A. (2017). Performance of PROMIS and legacy measures among advanced breast cancer patients and their cargivers. Medical Care.
• Sun, V., Crane, T. E., Slack, S. D., Yung, A., Wright, S., Sentovich, S., Melstrom, K., Fakih, M., Krouse, R. S., & Thomson, C. A. (2018). Rationale, development, and design of the Altering Intake, Managing Symptoms (AIMS) dietary intervention for bowel dysfunction in rectal cancer survivors. Contemporary clinical trials, 68, 61-66.
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  Bowel dysfunction is a common, persistent long-term effect of treatment for rectal cancer survivors. Survivors often use dietary modifications to maintain bowel control. There are few evidence-based interventions to guide survivors on appropriate diet modifications for bowel symptom management. The purpose of this paper is to describe the development and design of the Altering Intake, Managing Symptoms (AIMS) intervention to support bowel dysfunction management in rectal cancer survivors.
• Segrin, C., Badger, T. A., Sikorskii, A., Crane, T. E., & Pace, T. W. (2017). A dyadic analysis of stress processes in Latinas with breast cancer and their family caregivers. Psycho-oncology.
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  Breast cancer diagnosis and treatment negatively affect quality of life for survivors and their family caregivers. The stress process model has been useful for describing the cascade of social and psychological experiences that culminate in degraded quality of life for both survivors and their family caregivers. This study is designed to test theoretically specified predictors of negative psychosocial outcomes in a dyadic context.
• Thomson, C. A., Crane, T. E., Garcia, D. O., Wertheim, B. C., Hingle, M., Snetselaar, L., Datta, M., Rohan, T., LeBlanc, E., Chlebowski, R. T., & Qi, L. (2017). Association between Dietary Energy Density and Obesity-Associated Cancer: Results from the Women's Health Initiative. Journal of the Academy of Nutrition and Dietetics.
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  Dietary energy density (DED) is the ratio of energy (kilocalories or kilojoules) intake to food weight (grams) and is a measure of diet quality. Consumption of foods high in DED has been associated with weight gain in adults.
• Crane, T. E., & Thomson, C. A. (2016). Commentary on Trends in Obesity Prevalence in Adults With a History of Cancer: Results From the US National Health Interview Survey, 1997 to 2014. HemOnc Today.
• Phipps, A. I., Bhatti, P., Neuhouser, M. L., Chen, C., Crane, T. E., Kroenke, C. H., Ochs-Balcom, H., Rissling, M., Snively, B. M., Stefanick, M. L., Treggiari, M. M., & Watson, N. F. (2016). Pre-diagnostic Sleep Duration and Sleep Quality in Relation to Subsequent Cancer Survival. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 12(4), 495-503.
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  Poor sleep quality and short sleep duration have been associated with elevated risk for several cancer types; however, the relationship between sleep and cancer outcomes has not been well characterized. We assessed the association between pre-diagnostic sleep attributes and subsequent cancer survival within the Women's Health Initiative (WHI).
• Reeves, K. W., Tehranifar, P., Crane, T. E., Ko, L. K., Cameron, C., Hamilton, J. G., Lavigne, J. A., Reiter, P. L., & Thomson, C. A. (2016). Job Talks and Interviews: How to Stand Out and Fit In: A Report from the American Society of Preventive Oncology Junior Members Interest Group. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 25(1), 224-5.
• Thomson, C. A., Crane, T. E., Miller, A., Garcia, D. O., Basen-Engquist, K., & Alberts, D. S. (2016). A randomized trial of diet and physical activity in women treated for stage II-IV ovarian cancer: Rationale and design of the Lifestyle Intervention for Ovarian Cancer Enhanced Survival (LIVES): An NRG Oncology/Gynecologic Oncology Group (GOG-225) Study. Contemporary clinical trials, 49, 181-9.
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  Ovarian cancer is the most common cause of gynecological cancer death in United States women. Efforts to improve progression free survival (PFS) and quality of life (QoL) after treatment for ovarian cancer are necessary. Observational studies suggest that lifestyle behaviors, including diet and physical activity, are associated with lower mortality in this population. The Lifestyle Intervention for Ovarian Cancer Enhanced Survival (LIVES) NRG 0225 study is a randomized, controlled trial designed to test the hypothesis that a 24month lifestyle intervention will significantly increase PFS after oncological therapy for stage II-IV ovarian cancer. Women are randomized 1:1 to a high vegetable and fiber, low-fat diet with daily physical activity goals or an attention control group. Secondary outcomes to be evaluated include QoL and gastrointestinal health. Moreover an a priori lifestyle adherence score will be used to evaluate relationships between adoption of the diet and activity goals and PFS. Blood specimens are collected at baseline, 6, 12 and 24months for analysis of dietary adherence (carotenoids) in addition to mechanistic biomarkers (lipids, insulin, telomere length). Women are enrolled at NRG clinic sites nationally and the telephone based lifestyle intervention is delivered from The University of Arizona call center by trained health coaches. A study specific multi-modal telephone, email, and SMS behavior change software platform is utilized for information delivery, coaching and data capture. When completed, LIVES will be the largest behavior-based lifestyle intervention trial conducted among ovarian cancer survivors.
• George, S. M., Ballard, R., Shikany, J. M., Crane, T. E., & Neuhouser, M. L. (2015). A prospective analysis of diet quality and endometrial cancer among 84,415 postmenopausal women in the Women's Health Initiative. Annals of epidemiology, 25(10), 788-93.
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  Endometrial cancer is the most commonly diagnosed gynecologic cancer, but no convincing dietary risk factors for this cancer have been identified. Among postmenopausal women, we examined how four key a priori diet quality indices--the Healthy Eating Index-2010, Alternative Healthy Eating Index-2010, alternate Mediterranean Diet, and Dietary Approaches to Stop Hypertension are related to the risk of endometrial cancer in the Women's Health Initiative Clinical Trials and Observational Study.
• Crane, T. E., Khulpateea, B. R., Alberts, D. S., Basen-Engquist, K., & Thomson, C. A. (2014). Dietary intake and ovarian cancer risk: a systematic review. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 23(2), 255-73.
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  Ovarian cancer is a leading cause of gynecological cancer death. There is a need to identify modifiable dietary risk factors for this disease. To evaluate the role of diet in ovarian cancer risk, we performed a PRISMA-directed systematic review that included prospective cohort studies with >200 cases (n = 24). Higher risk for ovarian cancer was shown for total, animal, and dairy fat (five of nine studies), as well as total nitrate and possibly total vitamin C. No associations were demonstrated for red meat, fiber, vitamin A, vitamin E, β-carotene, or folate. Vegetables were associated with lower risk in one of three studies; fruit showed no association, although risk estimates were all greater than 1.0. Isoflavones and flavonoids were associated with modestly lower risk in two studies and tea intake was associated with lower risk in one of two studies. This review suggests that no specific dietary factors are consistently associated with ovarian cancer risk. Data by tumor subtypes are limited, but suggest that differential associations by tumor subtype may exist and should be evaluated. Studies of ample sample size, varied exposure, which can better control for dietary measurement error, are needed to fully define dietary recommendations for ovarian cancer prevention.
• Butalla, A. C., Crane, T. E., Patil, B., Wertheim, B. C., Thompson, P., & Thomson, C. A. (2012). Effects of a carrot juice intervention on plasma carotenoids, oxidative stress, and inflammation in overweight breast cancer survivors. Nutrition and cancer, 64(2), 331-41.
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  Evidence suggests that higher plasma carotenoid concentrations are protective in relation to breast cancer recurrence. This simple randomized carrot juice intervention study was designed to test the hypothesis that daily intake of 8 ounces of fresh BetaSweet (anthocyanin-rich) or Balero orange carrot juice would increase plasma total carotenoid concentrations to levels previously shown to be associated with reduced breast cancer recurrence. It was hypothesized that regular carrot juice intake would be associated with reductions in oxidative stress (8-iso-PGF2α) and inflammation (thromboxane B2, prostaglandin E2 metabolites, and hsC-reactive protein). Sixty-nine overweight breast cancer survivors consumed fresh carrot juice made from study-provided carrots for 3 wk. Total plasma carotenoids increased by 1.65 and 1.38 umol/L for the BetaSweet and Balero carrot juice, respectively. Rise in total plasma carotenoids for the overall sample was inversely associated with 8-iso-PGFα (OR: 0.13; 95% CI: 0.20 to 0.75; no differences were shown by carrot variety. These results suggest daily intake of fresh carrot juice is a simple and effective approach to increasing plasma total carotenoids and in turn reducing oxidative stress, but not inflammatory markers, in women previously treated for breast cancer.
• Crane, T. E., Kubota, C., West, J. L., Kroggel, M. A., Wertheim, B. C., & Thomson, C. A. (2011). Increasing the vegetable intake dose is associated with a rise in plasma carotenoids without modifying oxidative stress or inflammation in overweight or obese postmenopausal women. The Journal of nutrition, 141(10), 1827-33.
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  The optimal amount of vegetable consumption required to reduce chronic disease risk is widely debated. Intervention trials evaluating biological activity of vegetables at various doses are limited. We conducted a 3-dose, crossover feeding trial to test the hypothesis that vegetable intake is associated in a dose-dependent manner with increased plasma carotenoids and subsequently reduced oxidative stress and inflammation in 49 overweight, postmenopausal women. Participants were assigned in random order to 2 (130 g), 5 (287 g), and 10 (614 g) daily servings of fresh, greenhouse-grown vegetables for 3-wk intervals with a 4-wk washout period between treatments. Plasma total carotenoids significantly increased from 1.63 to 2.07 μmol/L with a dose of 2 vegetable servings, from 1.49 to 2.84 μmol/L with a dose of 5 vegetable servings, and from 1.40 to 4.42 μmol/L with a dose of 10 vegetable servings (pre-post paired ttests, all P < 0.001). The change during each feeding period increased with each dose level (P < 0.001). Urine concentrations of 8-isoprostane F2α, hexanoyl lysine, and serum high sensitivity C-reactive protein were not affected by any administered vegetable dose. In this variable-dose vegetable study, a dose-response for plasma carotenoids was demonstrated without significant change in oxidative stress and inflammation in overweight, postmenopausal women.

Presentations

• Crane, T. E. (2018, Fall). Cancer-related symptoms and lifestyle behavior interventions: a need for integrated approaches. Seminar. Tucson, Az: College of Agriculture, Department of Nutrition Sciences University of Arizona.
• Crane, T. E., & Badger, T. A. (2018, Fall). Symptom Management in Latinas with Breast Cancer and Their Informal Caregivers. Grand Rounds. Tucson, Az: University of Arizona Health Sciences College of Medicine.
• Crane, T. E., & Badger, T. A. (2018, Spring). Cultivating Relationships, Diversifying Funding Streams and Mentoring Junior Investigators. American Psycosocial Oncology Society Annual Meeting. Tucson, AZ: American Psycosocial Oncology Society.
• Crane, T. E., Badger, T. A., Segrin, C. G., Sikorskii, A., & Pace, T. W. (2018, Fall). Personalizing Symptom Management Interventions: Symptom Burden among Latinas with Breast Cancer and Their Informal Caregivers. State of the Science Congress. Washington DC: American Academy of Nursing.
• Crane, T. E., Badger, T. A., Segrin, C. G., Sikorskii, A., & Pace, T. W. (2018, Spring). Body Mass Index and Depression among Latina Breast Cancer Survivors. American Psycosocial Oncology Society Annual Meeting. Tucson, AZ: American Psycosocial Oncology Society.
• Crane, T. E., Badger, T. A., Segrin, C. G., Sikorskii, A., & Pace, T. W. (2018, Spring). Depression and Anxiety is Associated with Body Mass Index, but not Fatigue among Latina Breast Cancer Survivors. Western Institute of Nursing Annual Meeting. Spokane, WA: Western Institute of Nursing.
• Crane, T. E., Badger, T. A., Segrin, C. G., Hsu, C., Sikorskii, A., & Rosenfeld, A. G. (2017, February). Symptom Clusters in Latinas with Breast Cancer. American Psychosocial Oncology Society. Orlando, Florida: APOS.
• Rosenfeld, A. G., Sikorskii, A., Hsu, C., Segrin, C. G., Badger, T. A., & Crane, T. E. (2017, Spring). Symptom clusters in Latinas with breast cancer.. WIN. Denver, CO: Western Institute of Nursing 50th Annual Conference.
• Sikorskii, A., Wyatt, G., Victorson, D., OConnor, P., Hankin, V., Safikhani, A., Crane, T. E., & Badger, T. A. (2017, fall). Performance of PROMIS and legacy measures among advanced breast cancer patients and their caregivers.. HealthMeasures Users Conference. Chicago, IL: Health Measures Users Conference.
• Crane, T. E., Badger, T. A., Segrin, C. G., & Pasvogel, A. (2016, April). Symptom distress, depression and anxiety in Latinas with breast cancer and their supportive partners. Western Institute of Nursing Annual Communicating Research conference. Anaheim, CA: WIN.
• Crane, T. E., Badger, T. A., Segrin, C. G., & Pasvogel, A. (2016, February). Symptom distress, depression and anxiety in Latinas with breast cancer and their supportive partners. Annual American Psychosocial Oncology Society conference. San Diego, CA: American Psychosocial Oncology Society.

Poster Presentations

• Bea, J. W., Crane, T. E., Walker, J., Hile, E., Lefkowits, C., & Thomson, C. A. (2018, Fall). Abstract: Design of PrEvention of Falls among OldeR Multiethnic gynecologic cANcEr patients (PErFORM ANEw). UACC Scientific Retreat. Tucson, AZ: UACC.
• Crane, T. E., O'Connor, P. A., Brady, B. R., Yuan, N. P., Vidrine, J. L., Garland, L. L., & Thomson, C. A. (2017, Spring). Abstract: Smoking bans in cancer patients enrolling for quitline cessation services: results from the Arizona Smokers’ Helpline (ASHLine). American Society of Preventive Oncology. Seattle, WA.
• Crane, T. E., Thomson, C. A., Segrin, C., Sikorskii, A., Badger, T. A., Slack, S., & Yatsenko, S. (2018, Fall). Abstract: Neustra Salud Study: An integrated intervention for symptom management and adoption of healthy lifestyle behaviors in Latina breast cancer survivors and their informal caregivers. UACC Scientific Retreat. Tucson, AZ.
• Lavelle, S. A., Rodriguez, I., Younger, A., Yung, A., Crane, T. E., & Thomson, C. A. (2017, Summer). Abstract: Promoting study participant retention in a national, multi-site ovarian cancer survivor lifestyle intervention trial. Arizona Academy of Nutrition & Dietetics. Phoenix, AZ.
• Lavelle, S., Basen-Engquist, K., Thomson, C. A., Crane, T. E., Garcia, D. O., & Skiba, M. (2018, Fall). Abstract: Measurement of physical activity in ovarian cancer survivors using accelerometry. UACC Scientific Retreat. Tucson, AZ.
• Thomson, C. A., Alberts, D. S., Walker, J., Basen-Engquist, K., Lakes, H., Miller, A., Lopez-Pentecost, M., Skiba, M., Garcia, D. O., Kohler, L. N., & Crane, T. E. (2018, Fall). Abstract: Cardiometabolic health of ovarian cancer survivors enrolled in GOG/NRG 0225 randomized controlled trial of diet and physical activity. UACC Scientific Retreat. Tucson, AZ.
• Thomson, C. A., Basen-Engquist, K. M., Walker, J., Miller, A., Yung, A., Kohler, L. N., Skiba, M., Alberts, D. S., Crane, T. E., & Carroll, K. (2018, Fall). Abstract: Presence of chemotherapy incuded peripheral neuropathy in women recently treated for ovarian cancer – preliminary finding from the Lifestyle Intervention for Ovarian Cancer Enhanced Survival (LIVES) Study: GOG/NRG-0025. UACC Scientific Retreat. Tucson, AZ: UACC.
• Thomson, C. A., Kroenke, C. H., Datta, M., Snetselaar, L., Hatsu, I. E., Neuhouser, M. L., Santiago-Torres, M., Shivappa, N., Steck, S., Hebert, J., Wertheim, B. C., Garcia, D. O., Crane, T. E., & Lopez-Pentecost, M. (2018, Fall). Abstract: Association between diet quality and obesity related cancer risk in postmenopausal Hispanic women: results from the WHI. UACC Scientific Retreat. Tucson, AZ.
• Thomson, C. A., Krouse, R., Fakih, M., Melstrom, K., Sentovich, S., Wright, S., Yung, A., Slack, S., Crane, T. E., & Sun, V. (2018, Spring). Abstract: Dietary modifications for bowel dysfunction in in rectal cancer survivors: the altering intake, managing symptoms (AIMS) intervention study. ASCO Cancer Survivorship Symposium. Orlando, FL.
• Thomson, C. A., Nair, U. S., Franks, H., Brady, B. R., Slack, S., O'Connor, P., & Crane, T. E. (2018, Spring). Abstract: Preliminary findings of a tailored tobaccoo cessation services with short messaging in the Arizona Smokers Helpline (ASHLine). ASPO. New York, NY.
• Thomson, C. A., Sikorskii, A., Ayala-Peacock, D., Vidrine, J., Crane, T. E., & Slack, S. (2018, Fall). Abstract: Wellness intervention for smoking cessastion and health (WISH) study in women with cancer undergoing radiation therapy. UACC Scientific Retreat. Tucson, AZ.
• Crane, T. E., Slack, S. D., O'Connor, P. A., Franks, G. H., Klimowski, C., Anderson, A. A., Nair, U., & Thomson, C. A. (2017, April). Tailoring Tobacco Cessation Services with Short Messaging Services (SMS): Preliminary Findings from the Arizona Smokers' Helpline. University of Arizona Cancer Center Annual Meeting. Tucson, AZ.
• Thomson, C. A., Hingle, M., Wertheim, B. C., Crane, T. E., & Neuhouser, M. L. (2017, March). Eating Frequency and Chronic Disease Risk Among Postmenopausal Women: Results from the Women’s Health Initiative. Society of Behavioral Medicine. San Diego, Ca.
• Yung, A., Crane, T. E., Loescher, L. L., Younger, A., Bingham, L., & Thomson, C. A. (2017, March). A Novel Model to Support Lifestyle Interventions in Cancer Survivors: Undergraduate Students and Multimodal Software Platform.. Society of Behavioral Medicine. San Diego, Ca: SBM.
• Bea, J. W., Crane, T. E., Jacobs, E. T., Thompson, P. A., Garcia, D. O., & Thomson, C. A. (2016, November). Abstract: Cruciferous vegetable intake is associated with changes in inflammatory biomarkers among breast cancer survivors in a physical activity program. American Institute for Cancer Research. Washington DC.
• Bea, J. W., Crane, T. E., Jacobs, E. T., Thompson, P., Garcia, D. O., & Thomson, C. A. (2016, Nov). Cruciferous vegetable intake is associated with changes in inflammatory biomarkers among breast cancer survivors in a physical activity program. American Institute for Cancer Research Annual Conference. North Bethesda, MD.