CURRICULUM VITAE. Rebecca H. Lehto, PhD, RN

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1 1.0 CONTACT INFORMATION Michigan State University College of Nursing 1355 Bogue Street C-344 Bott Building East Lansing, MI Phone: (517) EDUCATION CURRICULUM VITAE Rebecca H. Lehto, PhD, RN Post Doctoral Fellowship, Center for Enhancement and Restoration of Cognitive Function. University of Michigan, Ann Arbor, MI PhD, Nursing (neuro-behavior concentration). Dissertation Title: Worry and cognitive representations of illness in cancer, University of Michigan, School of Nursing, Ann Arbor, MI MS, Medical-Surgical Nursing (oncology concentration). Thesis Title: Anxiety and directed attention in women awaiting breast cancer surgery, University of Michigan, School of Nursing, Ann Arbor, MI Post-Bachelor s coursework: General Science and Liberal Arts Curriculum, Portland State University, Portland, OR BSN, Oregon Health Sciences University, Portland, OR 2.1 LICENSE & CERTIFICATION State of Michigan Registered Nurse Oncology Certified Nurse (OCN) through ONCC Basic Life Support Certification, American Red Cross 3.0 PROFESSIONAL EMPLOYMENT msucon/lehto/cv/2017 1

2 2015-present Associate Professor (with tenure), Michigan State University College of Nursing, East Lansing, MI Assistant Professor-Tenure System, Michigan State University College of Nursing, East Lansing, MI Assistant Professor - Fixed Term-clinical faculty, Michigan State University College of Nursing, East Lansing, MI Lecturer I / Assistant Research Scientist, University of Michigan School of Nursing, Ann Arbor, MI Post-Doctoral Research assistant. Identity impairment: The cognitive foundation of risk behaviors in Hispanic women. Stein, K. Principal Investigator. NINR funded RO1 study Relief Nursing Supervisor (intermittent); Ann Arbor VA Health Care System, Ann Arbor, MI Research Assistant. Nursing Therapy: Attentional Fatigue in Cancer Patients, University of Michigan Comprehensive Cancer Center. Cimprich, B. Principal Investigator. NINR funded study Staff Nurse, Charge Nurse, Oncology General Medicine, Ann Arbor VA Health Care System, Ann Arbor, MI 1991 Charge Nurse, Skilled Nursing Unit, Geriatric Care Woodmont of Ann Arbor, Ann Arbor, MI Staff Nurse, Charge Nurse, Hematology-Oncology, Oregon Health Sciences University, Portland, OR 4.0 RESEARCH FUNDING National Cancer Institute. 1RO1CA A1. Using SMART design to improve symptom management strategies among cancer patients. Principal investigators (PI): Wyatt, G., Sikorskii. Role: Co-Investigator (Co-I), 10% effort. $2,179, Sparrow/MSU Center for Innovation. A cybermeditation toolkit for hospice and palliative caregivers. PI: Carrie Heeter, professor, Communication Arts & Sciences. Role: Co-I. $44, msucon/lehto/cv/2017 2

3 2015 Pilot study. Chronic conditions: Feasibility/acceptability of measuring multiple physiological & psychosocial variables in individuals with two or more comorbid conditions; pilot testing an exercise intervention. PI: Dr. Barbara Smith. Role: Co-I. MSU College of Nursing funds Pilot study. Using heart rate variability to test dose effects during meditation practice. Role: PI. MSU College of Nursing, $1, Midwest Nursing Research Society Foundation seed grant. Telehealth mindfulness therapy: A lung cancer pilot study. Role: PI. $10, Michigan State University (MSU) Clinical Translational Science Institute Grant Mindfulness therapy for individuals with lung cancer". Role: PI. GAO $22, Blue Cross Blue Shield of Michigan Foundation Research Grant. $10, Focus group pilot study. Mindfulness therapy and lung cancer. Role: PI. MSU College of Nursing, $5, Junior Faculty Research Fellowship. Mary Margaret Walther Program for Cancer Care Research. Initial: $29, Renewed 7/01/2010 for 6 months; $44, total award American Nurses Foundation. Project Title: Cognitive maps in lung cancer. Role: PI. $3, MESA (Michigan En San Antonio) Center for Health Disparities Research. Health-illness worry structures in African-American men: Relationships to prostate cancer screening behaviors. Role: PI. $9, Institutional National Research Service Award (NRSA), Postdoctoral Fellowship, T32 NR0704; University of Michigan Individual NRSA, Pre-doctoral Fellowship, F31 NR007695; Project Title: Worry and illness representations in cancer patients, University of Michigan Institutional NRSA, Neuroscience/Neuro-behavior Training Grant, 5 T32 NR , University of Michigan. msucon/lehto/cv/2017 3

4 Research Training (additional) 2016 Participant. Precision health: From Omics to Data Science Boot Camp. NIH National Institute of Nursing Research. Bethesda, MD. July 25-29, Participant. MGH Workshop on Methods in Supportive Oncology Research Sponsored by NCI R25 CA Boston MA. February 22-26, PROGRAM FUNDING 6.0 PUBLICATIONS IN REFEREED JOURNALS *(DATA-BASED); +(SENIOR-AUTHORED) *Heeter, C., Lehto, R.H., Allbritton, M., Day, T., & Wiseman, M. (in press, 2017). Effects of cybermeditation on healthcare providers' interoceptive awareness, compassion fatigue, and burnout. Journal of Hospice & Palliative Nursing. *Frambes, D., Lehto, R.H., Sikorskii, A., Tesnjak, I., Given, B., & Wyatt, G. (in press, 2017). Fidelity scorecard: evaluation of a caregiver-delivered symptom management intervention. Journal of Advanced Nursing. Frambes, D., Given, B., Lehto, R., Wyatt, G., & Sikorskii, A. (in press, 2017). Informal caregivers of cancer patients: review of interventions, care activities and outcomes. Western Journal of Nursing Research. Olsen, D., Chan, R.R., & Lehto, R.H. (in press). Ethical care when a patient seeks death. American Journal of Nursing. Frambes, D., Sikorskii, A., Tesnjak, I., Wyatt, G., Lehto, R., & Given, B. (in press). Caregiver reported health outcomes: the impact of providing reflexology for symptom management to women with advanced breast cancer. Oncology Nursing Forum. *Soleimani, M.A., Lehto, R.H., Negarandeh, R., Bahrami, N., & Chan, Y.H. (2017). Death anxiety and quality of life in Iranian caregivers of patients with cancer. Cancer Nursing: An International Journal for Cancer Care, 40 (1), E1-E10. DOI: /NCC Lehto, R.H. (2016). Symptom burden in lung cancer: Management updates. Lung Cancer Management, 5(2), DOI: /lmt Lehto, R.H., Olsen, D., & Chan, R.R. (2016). When a patient discusses assisted dying: nursing considerations. Journal of Hospice and Palliative Nursing 18, 3, DOI: /NJH msucon/lehto/cv/2017 4

5 *Olsen, D., Lehto, R.H., & Chan, R.R. (2016). Ethical case study of researcher-participant relationship in end-of life research. Western Journal of Nursing Research, 38 (9), DOI: / *Chan, R.R., & Lehto, R.H. (2016). The experience of learning meditation and mind/body practices in the COPD population. Explore: The Journal of Science and Healing, 12, DOI: / *Soleimani, M.A., Lehto, R.H., Negarandeh, R., Bahrami, N., & Nia, H.S. (2016). Relationships between death anxiety and quality of life in Iranian patients with cancer. Asia-Pacific Journal of Oncology Nursing, 3, DOI: / Nia, H.S., Lehto, R.H., Ebadi, A., & Peyravi, H., (2016). Death anxiety among nurses and health care professionals: A review article. International Journal of Community-based Nursing and Midwifery, 4, *Lehto, R.H. Wyatt, G., Sikorskii, A., Tesnjak, I., & Kaufman, V.H. (2015). Home-based Mindfulness Therapy for Lung Cancer Symptom Management: A Randomized Feasibility Trial. Psycho-oncology, 24, DOI: /pon *+Tacia, L., & Biskupski, K., Pheley, A., & Lehto, R.H. (2015). Identifying barriers to evidence-based practice implementation: A focus group study. Clinical Nursing Studies, 3, 2, DOI: /cns.3n2p90. *Nia, H.S., Ebadi, A., Lehto, R.H., & Peyravi, H., (2015). The experience of death anxiety in Iranian war veterans: A phenomenology study. Death Studies, 39, 5, DOI: / *Lehto, R.H. (2014). Patient views on smoking, lung cancer, and stigma: A focus group perspective. European Journal of Oncology Nursing, 18, DOI: /ejon Lehto, R.H. (2014). Lung cancer screening guidelines: The nurse s role in patient education and advocacy. Clinical Journal of Oncology Nursing. 18 (3), DOI: /14.CJON Lehto, R.H. (2014). A bio-behavioral conceptual framework of worry for nursing application. Research and Theory for Nursing Practice: An International Journal, 28, DOI: / Lehto, R.H. (2014). Pleural Mesothelioma: Management updates and nursing initiatives to improve patient care. Invited (peer-reviewed). Nursing: Research and Reviews 4; DOI: /NRR.S msucon/lehto/cv/2017 5

6 *+Rowley, B., Kerr, M., Vanpoperin, J., Everett, C., Stommel, M., & Lehto, R.H. (2014). Perioperative warming in surgical patients: A comparison of interventions. Clinical Nursing Research DOI: / *Nia, H.S., Ebadi, A., Lehto, R.H., Mousavi,B., Peyravi, H., & Chan, Y.K. (2014). Reliability and validity testing of the Iranian Templer Death Anxiety Scale-Extended in veterans of Iran-Iraq warfare. Iranian Journal of Psychiatry and Behavioral Sciences, 8 (4), *Lehto, R.H. & Wyatt, G. (2013). Perceptions about using mindfulness therapy: A lung cancer focus group study. Cancer Nursing: An International Journal for Cancer Care, 36, E51-E60. DOI: /NCC.0b013e31826d2f16. *Lehto, R.H. (2013). Pre- and post-operative self-reported cognitive effectiveness and worry in patients undergoing surgery for suspected lung malignancy. Oncology Nursing Forum, 40, E135-E141. DOI: /13.ONF.E135-E141. *Lehto, R.H., & Stein, K.F., (2013). The impact of John-Henryism on self-reported health behaviors in African American men. Journal of Transcultural Nursing, 24, DOI: / Lehto, R.H. (2012). The challenge of existential issues in acute care: Nursing considerations for the patient with a new diagnosis of lung cancer Clinical Journal of Oncology Nursing, 16, 28, E4-E11. DOI: /12.CJON.E1-E8. *Lehto, R.H. (2011). Identifying primary concerns in individuals newly diagnosed with lung cancer. Oncology Nursing Forum, 38, DOI: /11.ONF *Lehto, R.H., & Therrien, B. (2010). Death concerns in individuals newly diagnosed with lung cancer. Death Studies, 34, DOI: / *Lehto, R.H., Song, L., Stein, K.F., & Coleman-Burns, P. (2010). Factors influencing prostate cancer screening behavior in African American men. Western Journal of Nursing Research, 32, DOI: / *Lehto, R.H., & Cimprich, B. (2009). Worry and the formation of cognitive representations of illness in individuals undergoing surgery for suspected lung cancer. Cancer Nursing: An International Journal for Cancer Care, 32, Lehto, R.H., & Stein, K.F. (2009). Death anxiety: an analysis of an evolving concept. Research and Theory for Nursing Practice: An International Journal, 23, DOI: / msucon/lehto/cv/2017 6

7 *Lehto, R.H. (2007). Causal attributions in individuals with suspected lung cancer: Relationships to illness coherence and emotional responses. Journal of the American Psychiatric Nurses Association, 13, DOI: / *Lehto, R.H., & Cimprich, B. (1999). Anxiety and directed attention in women awaiting breast cancer surgery. Oncology Nursing Forum, 26, OTHER PUBLICATIONS Lehto, R.H. (2015). Updates on using mindfulness interventions to manage pain. Directions in Pharmacy. Pharmacy/2015/October2015/Updates-on-Using-Mindfulness-Interventions-to- Manage-Pain Lehto, R.H. (2014). Using mindfulness based therapies for symptom management in cancer. Oncology Nursing News, 6.14, 44. Lehto, R.H. (2013). Tailoring mindfulness-based therapies during lung cancer treatment from the patients viewpoint. Caring Ambassadors Program (CAP). Lung Cancer CAP Medical Writers Circle. Lehto, R.H. (2012). Facing existential issues following a new diagnosis of lung cancer. Caring Ambassadors Program (CAP). Lung Cancer CAP Medical Writers Circle. MEDIA 2017 University of Michigan Daily. Abdullah, R. Panel dispels misconceptions of hospice and highlights importance of advance directives. Published February 7, MSU Health News. Gleason, S. At-home therapies help cancer patients cope. Published January 27, Media Interview. Rapaport, L. Cancer patients may benefit from mindfulness-based therapy. Health. Reuters News. December 1, Research cited in news article. Atwood, D. Some surprising little known facts about lung cancer. November 12, msucon/lehto/cv/2017 7

8 2015 Interview for article. Durning MV. Integrative Medicine: Caring for the Whole Patient. Oncology Nursing News. 2015(9)7: Interview with Oncology Nursing News. oncomplementary-modalities-during-lung- CancerTreatment?utm_source=Informz&utm_medium=OncNurse&utmc ampaign=nurse-enews%3b-unsponsored Orlando, FLA. April 24, Interview with Oncology Nursing News. Symptom burden in lung cancer. -lung cancer Anaheim, CA. May 3, Interview by Debra Wood for NurseZone.com. Addressing the mind-body connection in nursing. URL: Events/more-news/Addressing-the-MindBody-Connection-in- Nursing_42159.aspx?utm _. Published April 28, Interview by Jamie Davis for Johnson & Johnson Nursing Notes Live. Psychiatric Nursing Panel podcast discussion. Published May 1, Interview by Alexandra Tucci for Johnson & Johnson Nursing notes article. The importance of providing comprehensive care: A link between mental health symptoms and physical diseases. Published April 23, Interview by Sarina Gleason with MSU Health News. Unraveling the black ribbon around lung cancer. Published April 17, Interview with Oncology Nursing News. Effect of patient worry on cognitive function. URL: ONS Congress, Washington D.C., April 25, Dealing with the fear of what comes next: Cancer patients can look to nurses for psychological support. Daily Rx: Relevant health News. URL: Interview by Jason Cody from MSU Medical News. Nurses key in helping msucon/lehto/cv/2017 8

9 newly diagnosed cancer patients overcome fears. Published in MSU News Feb. 27, Media features also in The Oncology Nurse: APN/PA: The Official Publication for the Hem/Onc Nurse & Advanced Practitioner (March 5, 2012) & The Michigan Health Care Weekly Review. (March 2, 2012) Interview by Dr. Deborah Mayer, Editor for Clinical Journal of Oncology Nursing Podcast: Concerns of patients with lung cancer. URL: Published February 1, Interview for article. Lung cancer and smoking cessation. Published in Oncology Nursing News, 3, PRESENTATIONS REFEREED PAPER PRESENTATIONS International Lehto, R.H., Sikorskii, A., Wyatt, G., & Safikhani, A. (2016, July). Feasibility of telehealth delivered mindfulness therapy for symptom management in lung cancer. The International Rural Health and Rural Nursing Research Conference. Rapid City, South Dakota. Lehto, R.H., Wyatt, G., Sikorskii, A., & Tesnjak, I. (2014, July). Lung cancer symptom management: Testing a home-based mindfulness intervention. The International Rural Health and Rural Nursing Research Conference. Bozeman, Montana. Lehto, R.H., Wyatt, G., & Sikorskii, A. (2013, May). Home-based mindfulness therapy for lung cancer symptom management. Invited paper presentation at the International Conference on Mindfulness Research, La Sapienza University, Rome, Italy. Lehto, R.H., & Stein, K.F. (2011, July). Prostate cancer screening in African American men: The impact of worry and demographic factors. Paper presentation at the Sigma Theta Tau International s 22 nd International Nursing Research Congress & World Academy of Nursing Science. Cancun, Mexico. Lehto, R.H. (2009, June). Assessment of illness perceptions and learning needs of individuals with early stage lung cancer: Use of the conceptual cognitive map. Paper presentation at the 5 th International Rural Nurse Conference. Boise, Idaho. Lehto, R.H. & Kritpracha, C. (2008, June). Measuring illness perceptions and concerns in newly diagnosed cancer patients: cross-cultural comparisons using the 3CM (Conceptual Cognitive Map) methodology. Paper presentation at the 2008 International Conference: Healthy People for a Healthy World, Bangkok, Thailand. msucon/lehto/cv/2017 9

10 National Lehto, R.H., Chan, R., & Smith, B. (2016, September). Heart Rate Variability to Test Dose Effects During Meditation Practice. Council for Advancement of Nursing Science State of the Science Congress on Nursing Research, Washington, D.C. Lehto, R.H., Sikorskii, A., Wyatt, G., & Safikhani, A. (2016, March). Lung cancer symptom management: evaluation of two mindfulness meditation delivery modes; telehealth and in-person versus usual care. American Psycho-social Oncology Society 13th Annual Conference, San Diego, California. [Abstract]. Psycho-Oncology, 25 (Suppl.2): 71. Wyatt, G., Flanigan, M., Frambes, D., & Lehto, R.H. (2016, March). From pre-award to post-award: experience multi-site intervention research protocol and management. Preconference workshop. American Psycho-social Oncology Society 13th Annual Conference, San Diego, California. Lehto, R.H., Wyatt, G., Sikorskii, A., Tesnjak, I., & Safikhani, A. (2015, June). Home-based mindfulness meditation training for patients with lung cancer: Effects on worry, insomnia, and dyspnea symptoms. Mindfulness and Compassion: The Art and Science of Contemplative Practice Conference. San Francisco State University, San Francisco, CA. Lehto, R.H., Wyatt, G., Sikorskii, A., Tesnjak, I., & Safikhani, A. (2014, September). The impact of a mindfulness intervention on worry, insomnia, and dyspnea outcomes during treatment for advanced lung cancer. Council for Advancement of Nursing Science State of the Science Congress on Nursing Research, Washington, D.C. Lehto, R.H., Wyatt, G., Sikorskii A., & Tesnjak, I. (2014, May). Research critique session: Mindfulness practice and health-related quality of life outcomes during treatment for advanced lung cancer. 39 th Annual ONS Congress, Washington, DC, [Abstract]. Oncology Nursing Forum, 41 (2), E76. Lehto, R.H. Wyatt, G., Sikorskii, A., & Tesnjak, I. (2014, February). Home-based mindfulness therapy for lung cancer symptom management: A feasibility trial. The American Psycho-Social Oncology Society 11th Annual Conference. [Abstract]. Psycho- Oncology, 23 (Suppl.1): 61. Lehto, R.H. (2013, April). Self-Reported cognitive function effectiveness and worry in patients with suspected lung cancer. 38 th Annual ONS Congress, Washington, DC, [Abstract]. Oncology Nursing Forum, 40 (3), E299. Lehto, R.H. (February 2013). Intervention fidelity in an integrative therapy randomized clinical trial for symptom management. Symposium presentation: New approaches to integrative Therapy Interventions: From Models to Outcomes. American Psycho-social Oncology Society 10th Annual Conference, Huntington Beach, California. [Abstract]. Psycho-Oncology, 22 (Suppl.2): 20. msucon/lehto/cv/

11 Lehto, R.H., Wyatt, G., & Sturtevant, J. (2012, November). Tailoring mindfulness-based interventions for lung cancer patients receiving treatment. ONS Connections 2012: Advancing Care through Science Conference. Phoenix, AZ. [Abstract]. Oncology Nursing Forum, 39 (6), E586. Lehto, R.H., Given, C., You, M., & Given, B. (2011, February). Psychological distress and intervention trial participation during treatment for advanced stage cancer. 11 th National Conference on Cancer Nursing Research, Los Angeles, California. [Abstract ]. Oncology Nursing Forum, 38 (1), A15-A16. Lehto, R.H. (2009, February). Death concerns in individuals newly diagnosed with lung cancer. Paper presentation at the 10 th National Conference on Cancer Nursing Research, Orlando, FL. [Abstract]. Oncology Nursing Forum, 36 (1), XIX. Song, L., Lehto, R.H., & Stein, K.F. (2009, February). Factors influencing the prostate cancer screening behavior in African American men. Paper presentation at the 10 th National Conference on Cancer Nursing Research, Orlando, FL. [Abstract]. Oncology Nursing Forum, 36 (1), XXXIV. Lehto, R.H. (2007, February). The structure of worry in newly diagnosed lung cancer. Paper presentation at the 9 th National Conference on Cancer Nursing Research, Hollywood, CA. [Abstract]. Oncology Nursing Forum, 34(1), Regional Lehto, R.H., Sikorskii, A., Wyatt, G., & Safikhani, A. (2016, March). Symptom management in lung cancer: testing two modes of delivery for mindfulness meditation: telehealth and in-person versus usual care. Paper presentation at the 40th Annual MNRS conference, Milwaukee, WI. Wyatt, G., Lehto, R.H., Frambes, D., & Flanigan, M. (2016, March). Supportive care interventions: management, fidelity, data quality, and mechanisms & measures. Preconference workshop; 40th Annual MNRS conference, Milwaukee, WI. Wierenga, K., Lehto, R.H., & Given, B. (2016, March). Heart failure causal attributions in African American women. Paper presentation at the 40th Annual MNRS conference, Milwaukee, WI. Lehto, R.H. Wyatt, G., & Sikorskii, A., Tesnjak, I., & Safikhani, A. (2015, April). Targeting worry, insomnia, and dyspnea outcomes in lung cancer: A mindfulness application. Paper presentation at the 39 th Annual MNRS conference, Indianapolis, IN. Lehto, R.H. Wyatt, G., & Sikorskii, A., & Tesnjak, I. (2014, March). Lung cancer symptom management: Testing a home-based mindfulness intervention. Paper presentation at the 38 th Annual MNRS conference, St. Louis, MO. msucon/lehto/cv/

12 Lehto, R.H., Wyatt, G., & Sikorskii, A. (2013, March). Mindfulness-based therapy for symptom management during lung cancer treatment. Paper presentation at Symptom Management Across Multiple Cancer Populations Symposium for 37 th Annual Midwest Nursing Research Society conference, Chicago, Illinois. Lehto, R. H., Given, C., You, M., & Given, B. (2012, April). Psychological distress and intervention trial participation among patients receiving treatment for advanced cancer. Paper presentation at the 36 th Annual Conference of the Midwest Nursing Research Society. Dearborn, MI. Lehto, R.H., & Stein, K.F. (2010, April). Environmental-stress coping in African-American men: John-Henryism and self-reported health behaviors MNRS Stress-Coping Symposium: Stress, coping and well-being among the underserved. Paper presentation at the 34 th Annual Conference of the Midwest Nursing Research Society. Kansas City, MO. Lehto, R.H. (2007, March). Causal attributions of individuals with suspected lung cancer: Before and following surgery. Paper presentation at the 31 st Annual Conference of the Midwest Nursing Research Society, Omaha, Nebraska. Lehto, R.H., & Cimprich, B. (2006, April). The impact of worry on cognitive representations of illness in patients with suspected lung cancer. Paper presented at the 30 th Annual Conference of the Midwest Nursing Research Society, Milwaukee, WI. Kritpracha, C., & Lehto, R.H. (2006, April). Measuring cognitive representations of illness: A cross-cultural perspective. Paper presented at the 30 th Annual Conference of the Midwest Nursing Research Society, Milwaukee, WI. POSTER PRESENTATIONS International Chan, R.R., & Lehto, R.H. (2016, November). The process of emotional awakening in the beginning meditator with chronic disease. Poster presentation at the International Symposium for Contemplative Studies, San Diego, CA. Lehto, R.H., Chan, R.R, & Smith, B. (2016, October). The feasibility of heart rate variability to test dose effectiveness of home-based meditative practices in lung cancer patients. Poster presentation at the 18 th International Psycho-Oncology Society World Congress. [abstract: Psycho-oncology, 25, suppl 3, 135. DOI /pon.4272]. Heeter, C., Lehto, R.H., Allbritton, M., & Day, T., Wiseman, M. (2016, October). 6-week cybermeditation app program introduces hospice and palliative care professionals to meditation and improves professional quality of life. Poster presentation at the 18 th International Psycho-Oncology Society World Congress. [abstract: Psycho-oncology, 25, suppl 3, 137. DOI /pon.4272]. msucon/lehto/cv/

13 Heeter, C., Allbritton, M., Lehto, R., & Day, T. (September, 2016). Effects of a 6-week cybermeditation program for hospice professionals on meditation engagement, interoceptive awareness, and compassion fatigue. Poster presentation at the International (IAYT) Symposium on Yoga Research; Boston MA. [abstract: International Journal of Yoga Therapy Supplement, Vol. 26, p28. DOI: / s2.22]. Lehto, R.H. & Wyatt, G. (2014, July). Rural considerations for developing a home-based mindfulness intervention for patients with lung cancer. The International Rural Health and Rural Nursing Research Conference. Bozeman, Montana. Lehto, R.H., Wyatt, G., & Sikorskii, A. (2013, October). A home-based mindfulness intervention for patients receiving treatment for advanced lung cancer. Poster presentation at the 10 th International conference of the Society for Integrative Oncology International Conference. Vancouver, British Columbia. Wyatt, G., & Lehto, R.H. (2013, May). A mindfulness therapy focus group among lung cancer patients. Poster presentation at the International Conference on Mindfulness Research, La Sapienza University, Rome Italy. National Lehto, R.H., Wyatt, G., & Sikorskii, A. (2017, February). Psychological distress and attrition in patients receiving computer-delivered supportive interventions for symptom management during treatment for advanced lung cancer. Poster presentation at the American Psycho-social Oncology Society 14th Annual Conference, Orlando, FLA. [Abstract]. Psycho-Oncology, 26 (Suppl. 1). 83. DOI: /pon Lehto, R.H., Wyatt, G., & Sikorskii, A., Tesnjak, I, & Safikhani, A. (2015, October). Lung cancer symptom management: A mindfulness meditation pilot study. Poster presentation at the National Institute of Nursing Research 30 th Anniversary Scientific Symposium. Washington, D.C. Lehto, R.H., & Wyatt, G. (2015, June). Patient use of supportive complementary modalities during treatment for advanced lung cancer. Poster presentation at the Oncology Nurse Advisor Navigation Summit. Denver, Colorado. Frambes, D., Wyatt, G., Lehto, R., Sikorskii, A., & Tesjnak, I. (2015, April). Incorporating intervention fidelity in a caregiver delivered reflexology study for women with advanced breast cancer. Poster presentation at the 40 th Annual ONS Congress, Orlando, FLA. [Abstract]. Oncology Nursing Forum, 42 (2), E213. Lehto, R.H., & Wyatt, G. (2015, April). Patient use of supportive complementary modalities during treatment for advanced lung cancer. Poster presentation at the 40 th Annual ONS Congress, Orlando, FLA. [Abstract]. Oncology Nursing Forum, 42 (2), E207. msucon/lehto/cv/

14 Lehto, R.H., Wyatt, G., & Sikorskii, A. (2012, November). A mindfulness intervention for symptom management in lung cancer. Poster presentation at the ONS Connections 2012: Advancing Care through Science Conference. Phoenix, AZ. [Abstract]. Oncology Nursing Forum, 39 (6), E541. Lehto, R.H., Wyatt, G., & Sturtevant, J. (2012, February). Using mindfulness therapy during lung cancer treatment: A focus group study. Poster presentation at the American Psycho-Social Oncology Society 9 th Annual Conference. Miami, FLA. [Abstract]. Psycho- Oncology, 21 (Suppl. 1) Lehto, R.H. (2011, April). Optimism and social support in individuals newly diagnosed with lung cancer: relationships to cognitive representations of illness. Poster presentation at the 32 nd Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine. Washington, D.C. [Abstract]. Annals of Behavioral Medicine, 41, (Suppl. 1). S12. Lehto, R.H., (2011, February). A bio-behavioral theory of worry of oncology nursing research and practice application. Poster presentation at the 11 th National Conference on Cancer Nursing Research, Los Angeles, California. [Abstract]. Oncology Nursing Forum, 38 (1), A61. Lehto, R.H., Stein, K.F., & Kupferschmid, B. (2010, September). African American men: Possible selves and health behavior. Poster presentation at the Council for Advancement of Nursing Science 2010 State of the Science Congress on Nursing Research, Washington, D.C. Lehto, R.H., & Stein, K.F. (2010, April). Worry and health-related possible selves in African-American men: Relationships to self-reported health behaviors. Poster presentation at the 31 st Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine. Seattle, WA. [Abstract]. Annals of Behavioral Medicine, 39, 2010 supplement 1, S94. Lehto, R.H., & Therrien, B. (2008, October). Worry and cognitive maps in lung cancer. Poster presentation at the Council for Advancement of Nursing Science 2010 State of the Science Congress on Nursing Research, Washington, D.C. Kritpracha, C., & Lehto, R.H. (2007, February). Measuring cognitive representations of illness: A cross-cultural perspective. Poster presentation at the 9 th National Conference on Cancer Nursing Research, Hollywood, CA. [Abstract]. Oncology Nursing Forum, 34 (1), 250. Lehto, R.H., & Cimprich, B. (2005, September). Worry and cognitive representations of illness among individuals treated for lung cancer. Poster presentation at the University of Texas M.D. Anderson Cancer Center, Mechanisms and Treatment of Cancer-Related Symptoms Conference. Houston, TX. msucon/lehto/cv/

15 Lehto, R.H., & Cimprich, B. (2005, February). Worry and cognitive representations of illness in individuals treated for lung cancer. Poster presentation at the 8th National Conference on Cancer Nursing Research, Fort Lauderdale, FL. [Abstract]. Oncology Nursing Forum, 32(1), 191. Regional (# student; +senior mentor) #Adams, K., Lehto, R.H., & Given, B. (2015, April). Emotion regulation in African American patients with heart failure: An integrative review. Poster presentation at the 39 th Annual Midwest Nursing Research Society conference, Indianapolis, IN. +Rowley, B., Vanpoperin, J., Kerr, M., Foster, T., Steuwe, C., Everett, C., Stommel, M., Lehto, R.H. (2014, March). Patient and environment care factors contributing to perioperative core body temperature changes in surgical patients. Poster discussion at the 38 th Annual MNRS conference, St. Louis, MO. +Tacia, L., & Biskupski, K., & Lehto, R.H. (2014, March). Nurses perceptions about evidenced-based practice implementation: A Focus Group Study. Poster discussion at the 38 th Annual MNRS conference, St. Louis, MO. +Tacia, L., & Biskupski, K., & Lehto, R.H., (2013, March). An investigation of registered nurse beliefs about evidence-based practice. Poster presentation at the 37 th Annual Midwest Nursing Research Society conference, Chicago, Illinois. #Smith, S., & Lehto, R.H. (2013, March). Tracking home-based mindfulness therapy via lung cancer patients homework logs. Poster presentation at the 37 th Annual Midwest Nursing Research Society conference, Chicago, Illinois. #Adams, K., Donnellan, B., Lehto, R.H., & Given, B. (2013, March). Testing smartphone technology to measure subjective states. Poster presentation at the 37 th Annual Midwest Nursing Research Society conference, Chicago, Illinois. Lehto, R.H., Wyatt, G., & Sturtevant, J. (2012, April). Patient perceptions about using mindfulness therapy during lung cancer treatment. Poster presentation at the 35 th Annual Conference of the Midwest Nursing Research Society. Lehto, R.H., & Stein, K.F. (2011, March). Relationships of general worry, cancer-specific worry and age to prostate cancer screening and other health behaviors in African American men. Poster presentation at the 35 th Annual Conference of the Midwest Nursing Research Society. Columbus, OH. Rodseth, S., Lehto, R.H., & Stein, K.F. (2007, March). Contingencies of self-worth: Relationships to self-schema in eating disordered women. Poster presentation at the 31 st Annual Conference of the Midwest Nursing Research Society, Omaha, Nebraska. msucon/lehto/cv/

16 Lehto, R.H., & Cimprich, B. (2004, February). Worry and cognitive representations of illness with newly diagnosed lung cancer. Poster presentation at the 28 th Annual Conference of the Midwest Nursing Research Society, St. Louis, MO. Lehto, R.H., & Cimprich, B. (2001, March). Anxiety and cognitive functioning among women newly diagnosed with breast cancer. Poster presentation at the 25 th Annual Conference of the Midwest Nursing Research Society, Cleveland, OH. State/Local #Thana, K., Lehto, R.H., Sikorskii, A., & Wyatt, G. (March 23, 2017). Research quality assurance: A symptom management trial comparing integrative modalities for cancer patients. Poster presentation at the 25 th Annual Greater Lansing Community Research Day. Lansing, MI. #Barrett, A., & Lehto, R.H. (March 23, 2017). Use of complementary therapies as adjunct to opioids in cancer pain management: A review. Poster presentation at the 25th annual Greater Lansing Community Research Day. Lansing, MI. #Flanigan, M., & Lehto, R.H. (March 23, 2017). Hospice outcome assessment: Quality of death and dying experience. Poster presentation at the 25 th annual Greater Lansing Community Research Day. Lansing, MI. Choi, S.H., Chan, R.R., & Lehto, R.H. (March 23, 2017). Relationships between smoking status and psychological distress, health environment perceptions, and social support among lung cancer patients. Poster presentation at the 25 th annual Greater Lansing Community Research Day. Lansing, MI. Heeter, C., Lehto, R.H., Allbritton, M., & Day, T., & Wiseman, M. (March 23, 2017). Improving professional quality of life for hospice and palliative care health providers: Assessment of a 6-week cybermeditation app program for alleviating compassionate fatigue and burnout. Poster presentation at the 25 th annual Greater Lansing Community Research Day. Lansing, MI. #Thana, K., Lehto, R.H., Sikorskii, A., & Wyatt, G. (February 25, 2017). Research quality assurance in a symptom management trial for cancer patients. Poster presentation at the 9th Annual Graduate Academic Conference. Michigan State University. East Lansing, MI #Flanigan, M., Chan, R.R., & Lehto, R.H. (October 28, 2016). Bringing organ donation awareness to our faith communities: knowledge applicability and impacts on end of life decision making. Poster presentation at the Sparrow Health System 7th Annual Nursing Research Symposium. Lansing, MI. msucon/lehto/cv/

17 #Barrett, A., Ross, L., & Lehto, R.H. (April 8, 2016). Factors associated with study attrition among lung cancer patients enrolled in telehealth-delivered mindfulness therapy for symptom management. Poster presentation at the Michigan State University Undergraduate Research and Arts Forum. East Lansing, MI #Ross, L., Barrett, A., & Lehto, R.H. (April 8, 2016). Patients perceptions regarding participation in a mindfulness meditation study for symptom management during treatment for advanced lung cancer. Poster presentation at the Michigan State University Undergraduate Research and Arts Forum. East Lansing, MI Lehto, R.H., Chan, R., & Smith, B. (April 13, 2016). Using heart rate variability to test dose effects during meditation practice. Poster presentation at the Henry Ford Allegiance Health Research Day, Jackson, MI. #Flanigan, M., Wyatt, G., Sikorskii, A., & Lehto, R.H. (April 13, 2016). Supportive care interventions: Maintaining quality in data collection. Poster presentation at the Henry Ford Allegiance Health Research Day, Jackson, MI. Lehto, R.H., Chan, R., & Smith, B. (March 24, 2016). Using heart rate variability to test dose effects during meditation practice. Poster presentation at the 24th annual Greater Lansing Community Research Day. East Lansing, MI. #Barrett, A., Ross, L., & Lehto, R.H. (March 24, 2016). Factors associated with study attrition among lung cancer patients enrolled in telehealth-delivered mindfulness therapy for symptom management. Poster presentation at the 24th annual Greater Lansing Community Research Day. East Lansing, MI. #Ross, L., Barrett, A., & Lehto, R.H. (March 24, 2016). Patients perceptions regarding participation in a mindfulness meditation study for symptom management during treatment for advanced lung cancer. Poster presentation at the 24th annual Greater Lansing Community Research Day. East Lansing, MI. #Flanigan, M., Wyatt, G., Sikorskii, A., & Lehto, R.H. (March 24, 2016). Supportive care interventions: Maintaining quality in data collection. Poster presentation at the 24th annual Greater Lansing Community Research Day. East Lansing, MI. Chan, R.R., Pickering, C., Lehto, R.H., & Beaulieu, J. (March 24, 2016). Expert meditators in the COPD population: Building Sangha in the American health care setting. Poster presentation at the 24th annual Greater Lansing Community Research Day. East Lansing, MI. #David, A. & Lehto, R.H. (2015, April). The relationship of worry to dyspnea, depression, and insomnia symptoms in patients undergoing treatment for advanced lung cancer. msucon/lehto/cv/

18 Poster presentation at the Michigan State University Undergraduate Research and Arts Forum. East Lansing, MI #David, A., & Lehto, R.H. (2015, March). The relationship of worry to depression, and insomnia symptoms in patients undergoing treatment for advanced lung cancer. Poster presentation at the 23 rd annual Greater Lansing Community Research Day. East Lansing, MI. #David, A. & Lehto, R.H. (2014, April). Complementary and alternative medical therapy use in patients undergoing treatment for advanced lung cancer. Poster presentation at the Michigan State University Undergraduate Research and Arts Forum. East Lansing, MI #David, A., & Lehto, R.H. (2014, April). Complementary and alternative medical therapy use in patients undergoing treatment for advanced lung cancer. Poster presentation at the 22 nd Greater Lansing Community Research Day. Jackson, MI. Tacia, L., Royston, P., Pheley, A., & Lehto, R.H. (2014, April). Nurses and medical residents perceptions of interdisciplinary communication. Poster presentation at the 22 nd Greater Lansing Community Research Day. Jackson, MI. Biskupski, K., Maiville, E., & Lehto, R.H. (2014, April). Evaluating outcomes associated with the use of anti-thrombogenic and anti-microbial peripherally inserted central catheters. Poster presentation at the 22 nd Greater Lansing Community Research Day. Jackson, MI. Lehto, R.H., Wyatt, G., Sikorskii, A., & Tesnjak, I. (2014, April). A home-based mindfulness intervention for patients receiving treatment for advanced lung cancer: Feasibility pilot results. Poster presentation at the 22 nd Greater Lansing Community Research Day. Jackson, MI. #Smith, S., & Lehto, R.H. (2013, March). Tracking home-based mindfulness therapy via lung cancer patients homework logs. Poster presentation at the 21 st Greater Lansing Community Nursing Research Day. Lansing, MI. #Adams, K., Donnellan, B., Lehto, R.H. & Given, B. (2013, March). Testing smartphone technology to measure subjective states. Poster presentation at the 21 st Greater Lansing Community Nursing Research Day. Lansing, MI. Rowley, B., Vanpoperin, J., Kerr, M., Foster, T., Steuwe, C., Everett, C., Stommel, M., & Lehto, R.H. (2013, March). Patient and environment care factors that contribute to perioperative core body temperature changes in surgical patients. Poster presentation at the 21 st Annual Greater Lansing Community Nursing Research Day. Lansing, MI. msucon/lehto/cv/

19 #Hudgins, C.M., Tacia, L., Biskupski, K., & Lehto, R.H. (2013, March). Identifying Nurses Perceptions about evidenced-based practice via focus groups. Poster presentation at the 21 st Greater Lansing Community Nursing Research Day. Lansing, MI. Lehto, R.H., Wyatt, G., & Sikorskii, A. (2013, March). A mindfulness intervention for symptom management in lung cancer. Poster presentation at the 21 st Greater Lansing Community Nursing Research Day. Lansing, MI. Tacia, L., Biskupski, K., & Lehto, R.H., (2012, March). An investigation of registered nurses beliefs about evidenced-based practice. Poster presentation at the 20 th Greater Lansing Community Nursing Research Day. Lansing, MI. Lehto, R.H., Wyatt, G., & Sturtevant, J. (2012, March). Using mindfulness therapy in lung cancer: A focus group study. Poster presentation at the 20 th Greater Lansing Community Nursing Research Day. Lansing, MI. Lehto, R.H., (2011, March). Optimism and social support in individuals newly diagnosed with lung cancer: relationships to cognitive representations of illness. Poster presentation at the 19 th Greater Lansing Nursing Research Day. Lansing, MI. Lehto, R.H., (2011, March). A bio-behavioral theory of worry of oncology nursing research and practice application. Poster presentation at the 19 th Greater Lansing Nursing Research Day. Lansing, MI. Lehto, R.H., & Stein, K.F. (2010, March). Worry and health-related possible selves in African-American men: Relationships to self-reported health behaviors. Poster presentation at the 18 th Greater Lansing Nursing Research Day. East Lansing, MI. Lehto, R.H., & Cimprich, B. (1997, July). Anxiety and directed attention in women awaiting breast cancer surgery. Poster Presentation at the Women's Public Health Research conference, University of Michigan, Ann Arbor, MI. 9.0 INVITED PRESENTATIONS International Lehto, R.H. (September 6, 2015). Symptom burden in lung cancer. Keynote speaker. The International Thoracic Oncology Nurses Forum (ITONF) Nurse/Allied Health Lung Cancer Workshop. 16 th World Conference on Lung Cancer. Denver, CO. Lehto, R.H. (November 11, 2013). Invited outside discussant for dissertation topic related to nurse death anxiety research. Department of Psychology. University of Monterrey; Monterrey, Mexico. Video conference discussion/presentation. msucon/lehto/cv/

20 Lehto, R.H. (2012, September). Invited Lecture. Psychosocial landscape of the lung cancer disease trajectory. Boehringer Ingelheim International Stand Alone Meeting: Conversations in Lung Cancer: The Role of the Oncology Nurse in Lung Cancer Patient Care. Mainz, Germany. Lehto, R.H. (2008, July). Invited Lecture. Updates in cancer nursing research. School of Nursing Presentation. Prince of Songkla University, Hat-Yai, Thailand. Lehto, R.H. (2008, July). Invited Lecture. Concept of the cognitive representation in health and illness research. School of Nursing Presentation. Prince of Songkla University, Hat-Yai, Thailand. National Lehto, R.H. (April 17, 2015). Symptom management of pain among cancer patients using mindfulness as self-practice. Mind-Body Week D.C. The Mindfulness Center, Washington, D.C. Lehto, R.H. (April 27, 2011). Panel participant. Cancer Special Interest Group Mock Grant Review. Proposal defense of grant application A mindfulness intervention to reduce distress in lung cancer 32 nd Annual Meeting & Scientific Sessions of the Society of Behavioral Medicine. Washington, D.C. Regional Lehto, R.H. (August 9, 2012). Development and testing of a mindfulness-based therapy for symptom management during treatment for advanced lung cancer. Presentation for Behavioral Cooperative Oncology Group Annual Summer Conference. East Lansing, Michigan. Lehto, R.H. (August 6, 2010). Worry and cancer: current challenges and further directions. Presentation for Behavioral Cooperative Oncology Group Annual Summer Conference. Columbus, Ohio. Lehto, R.H. (November 12, 2009). Worry and cancer: developing a program of research. Presentation for Behavioral Cooperative Oncology Group Annual Fall Conference. Indianapolis, Indiana. Lehto, R.H. (August 6, 2009). Worry in lung cancer: relationships to adaptation. Presentation for Behavioral Cooperative Oncology Group Annual Summer Conference. East Lansing, Michigan. State/Local Lehto, R.H. (March 23, 2017). Integrative therapies for symptom management in cancer: A research program. Bronson Methodist Hospital & Upsilon Epsilon Sigma Theta msucon/lehto/cv/

21 Tau The Revolving Door of Nursing Research conference. Kalamazoo Valley Community College, Kalamazoo, MI. Panel Presenter. (February 7, 2017). Hospice and palliative care. Six feet over, six feet under: A panel discussion on the rights of the dying and bereaved. University of Michigan, Ann Arbor, MI. Chan, R.R., & Lehto, R.H. (November 30, 2016). Mind/body self-care for stressful situations. Out of the Shadows: Shining the light on the stigma of mental health: Sparrow Hospital and AWHONN Perinatal Mental Health conference, Lansing, MI. Lehto, R.H. (July 16, 2016). Mindfulness meditation for symptom management. How to Dance in the Rain conference for scleroderma and autoimmune community. Scleroderma Foundation Michigan Chapter. Okemos, MI. Lehto, R.H. (November 14, 2013). The Cochrane collaboration resources: Pain management as an exemplar. Presentation to the Allegiance Health Nursing Research Council. Jackson, MI. Lehto, R.H., Tacia, L., & Biskupski, K. (October 9, 2013). Engaging nurses in research & evidence-based practice: 2013 Updates. Presentation to the Allegiance Health Nursing Research Council. Jackson, MI. Lehto, R.H., Tacia, L., & Biskupski, K. (July 10, 2013). Evidence-based practice initiative: Focus group results. Presentation to the Allegiance Health Nursing Research Council. Jackson, MI. Lehto, R.H. (February 13, 2013). Publishing 101 for nurses: The pathway to research dissemination. Presentation to the Allegiance Health Nursing Research Council. Jackson, MI. Lehto, R.H., Tacia, L., & Biskupski, K. (September 12, 2012). A SWOT analysis of Allegiance Health research council past, present, and future activities. Presentation to Allegiance Health Research Council. Allegiance Health System, Jackson, MI. Lehto, R.H., Tacia, L., & Biskupski, K. (April 11, 2012). An investigation of registered nurse beliefs regarding evidence-based practice. Lunch and Learn Research presentation to the Allegiance Health staff nurses for continuing education (CEU) credit. Allegiance Health, Jackson, MI. Lehto, R.H. (January 11, 2012). Using focus groups in nursing research: patient perceptions of using mindfulness therapy during lung cancer treatment. Presentation to Allegiance Health Research Council, Jackson, MI. msucon/lehto/cv/

22 Lehto, R.H. (March 9, 2011). Developing a mindfulness intervention research program for patients with lung cancer. Research presentation to Allegiance Health Nursing Research Council. Jackson, MI. Lehto, R.H. (October 12, 2011). Developing journal clubs: Critiquing research articles. Allegiance Health, Jackson, MI. Lehto, R.H. (May 24, 2006). Worry and cognitive representations in lung cancer: relationships to quality of life. University of Michigan Comprehensive Cancer Center, Inter-Disciplinary Quality of Life Meeting. Ann Arbor, MI. University Lehto, R.H. (November 20, 2015). Gender differences in lung cancer adaptation: Current issues, trends, and future directions. 4 th Annual MSU Conference on Women s Health Research. East Lansing, MI. College Lehto, R.H. (December 1, 2015). Mindfulness meditation therapy for lung cancer symptom management delivered via telehealth: A pilot study. MSU College of Nursing doctoral student presentation. East Lansing, MI. Lehto, R.H. (October 1, 2013). Mindfulness therapy for lung cancer symptom management: A pilot study. MSU College of Nursing doctoral student presentation. Lehto, R.H. (October 11, 2011). Patient perceptions regarding use of mindfulness therapy during lung cancer treatment: A focus group study. MSU College of Nursing research presentation. Lehto, R.H. (January 14, 2011). Presentation for research faculty. Data management for research. MSU College of Nursing Research Retreat HONORS & AWARDS 2016 International Studies and Programs Special Foreign Travel Fund Award. Michigan State University Billie Diane Gamble Undergraduate Faculty Teaching Excellence/Enrichment Award. MSU College of Nursing 2012 McDevitt Excellence in Research Award. Blue Cross Blue Shield of Michigan Foundation International Studies and Programs Special Foreign Travel Fund Award. Michigan State University. msucon/lehto/cv/

23 Mabel Burdette Junior Faculty Fellowship Award. Mary Margaret Walther Program for Cancer Care Research. Behaviorial Cooperative Oncology Group (BCOG) 2008 Visiting Scholar. Prince of Songkla University, Hat-Yai, Thailand 2008 Recognition for outstanding service and continued support. GENESIS II Project Enact: Exploring Nursing as a Career for Tomorrow: Nursing Research Mentorship. University of Michigan School of Nursing 2008 Office of International Affairs Travel Award. University of Michigan School of Nursing Post-doctoral fellowship. Center for Enhancement and Restoration of Cognitive Function, University of Michigan, Ann Arbor, MI 2006 Hildegaard E. Peplau American Nurses Foundation Scholar National Research Service Award, National Institute of Nursing Research (1 F31 NR A1), Project: Worry and Illness Representations in Cancer Patients Doctoral Student Poster Award, Midwest Nursing Research Society 25 th Annual Conference, Cleveland, OH Pre-doctoral traineeship. Institutional National Service Award, University of Michigan 1997 R. Faye McCain Award for scholarship and leadership in medicalsurgical nursing, University of Michigan 1997 Director s Commendation for Nursing Excellence Award, Ann Arbor VA Health Care System 1996 Consumer Honor Roll, Ann Arbor VA Health Care System 1996 Sigma Theta Tau Induction, March 23, 1996, Rho Chapter; International Honor Society of Nursing, University of Michigan 1996 Oncology Nursing Scholarship; University of Michigan School of Nursing 11.0 PROFESSIONAL MEMBERSHIPS msucon/lehto/cv/

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