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The overarching aim of the CARES Lab is to understand the significant challenges faced by individuals coping with cancer and improve outcomes across the cancer continuum through patient-centered healthcare and tailored, empirically-supported interventions. Our interests include resilience, metastatic disease, and supportive care needs, as well as psychoneuroimmunology and the pathways through which psychosocial factors influence stress biology. We are particularly interested in moving beyond a singular focus on distress and symptom reduction in order to elucidate the unique effects of protective psychological processes, such as purpose and meaning in life, acceptance, and positive emotion, on quality of life and health outcomes in cancer survivors. Due to persistent disparities experienced by racial and ethnic minorities, a primary area of our research focuses on identifying factors that can be targeted to improve quality of life and health outcomes among Hispanics/Latinos and other underrepresented, underserved individuals. We are also committed to improving women's health and collaborate on projects in the areas of urogynecology and reproductive endocrinology.


Enhancing Quality of Life and Symptom Management among Hispanics/Latinos with Metastatic Cancer

We are conducting a research study about the quality of life among Hispanics/Latinos who are living with metastatic cancer. We are interested in the kind of support and care that patients have received to manage the symptoms and side effects of treatment. We also want to learn if patients have spoken with their care team about their quality of life. Our goal is to use what we learn in this study to develop resources that improve the quality of life in patients in the future.


Patients who participate will be asked to take part in a focus group discussion along with 8 or 9 other patients. The focus group will be led by a trained facilitator on our research team. If you are interested in participating or finding out more information, please click the button below to contact our research team.


Antoni, M. H., Moreno, P. I., & Penedo, F. J. (in press). Stress management interventions to facilitate psychological and physiological adaptation and optimal health outcomes in cancer patients and survivors. Annual Review of Psychology

Moreno, P. I., Noriega Esquives, B., Thomas, J. L., Horner, F. S., Torzewski, J. B., Gradishar, W., Victorson, D., & Penedo, F. J. (in press). Characterizing unique supportive care needs among women living with metastatic breast cancer: A qualitative study. Journal of Psychosocial Oncology Research & Practice.

Peipert, J. D., Shaunfeld, S., Kaiser, K., Moreno, P. I., Fox, R. S., Kircher, S., Mohindra, N., Wagner, L., & Cella, D. (in press). How do patients interpret and respond to a single item global indicator of cancer treatment tolerability?Supportive Care in Cancer.


Noriega Esquives, B., St. George, S. M., Moreno, P. I., Lee, T. K., Munoz, E., Lad, T., Hollowell, C., Ramirez, A. G., & Penedo, F. J. (in press). A latent class analysis of health behavior changes after cancer diagnosis among Hispanic/Latino cancer survivors. Journal of Cancer Survivorship.

Moreno, P. I., Penedo, F. J., Knaul, F. M., Oltmann, C., Huber, M. T. & Khawand-Azoulai, M. (2023). EHR-integrated assessments of patient-reported outcomes in oncology: A critical opportunity for timely and targeted palliative care. Journal of National Comprehensive Cancer Network, 21(1), 2-5. PDF

Walsh, E. A., Moreno, P. I., Fox, R. S., Yanez, B. & Penedo, F. J. (2023). Pain, cancer-related distress, and physical and functional well-being among men with advanced prostate cancer. Supportive Care in Cancer, 31(1), 28. PDF


Natori, A., Sookdeo, V. D., Koru-Sengul, T., Schlumbrecht, M., Calfa, C. L., MacIntyre, J., Benzo, R. M., Moreno, P. I., Crane, T. E., Garcia, S. F., & Penedo, F. J. (2023). Symptoms and Needs Monitoring in Diverse Ambulatory Oncology Patients: Usage Characteristics and Impact on Emergency Room Visits and Hospitalization. Journal of Clinical Oncology, 41(2), 285-294. PDF

Walsh, E. A., Antoni, M. H., Popok, P. J., Moreno, P. I., & Penedo, F. J. (2022). Effects of a randomized-controlled trial of cognitive behavioral stress management: Psychosocial adaptation and immune status in men with early-stage prostate cancer. General Hospital Psychiatry, 79, 128–134. PDF

Bakkensen, J. B., Flannagan, K. S., Mumford, S. L., Hutchinson, A. P., Cheung, E. O., Moreno, P. I., Jordan, N., Feinberg, E. C., & Goldman, K. N. (2022). Freeze now, save later: A SART data cost-effectiveness analysis of planned oocyte cryopreservation considering ideal family size. Fertility & Sterility. PDF

Benzo R. M., Moreno, P. I., Noriega-Esquives, B., Otto A. K., & Penedo, F. J., (2022). Who benefits from an eHealth-based stress management intervention in advanced prostate cancer? Results from a randomized controlled trial. Psycho-Oncology, 1-11. PDF

Smith, K. S., Bakkensen, J. B., Hutchinson, A. P., Cheung, E. O., Thomas, J. L., Grote, V., Moreno, P. I., Goldman, K. N., Jordan, N., & Feinberg, E. C. (2022). Knowledge of fertility and perspectives about family planning among female physicians. JAMA Network Open, 5(5), e2213337. PDF

Noriega Esquives, B., Lee, T. K., Moreno, P. I., Fox, R. S., Yanez, B., Miller, G. E., Estabrook, R., Begale, M. J., Flury, S. C., Perry, K., Kundu, S. D., & Penedo, F. J. (2022). Symptom burden profiles in men with advanced prostate cancer undergoing androgen deprivation therapy. Journal of Behavioral Medicine, 45, 366–377. PDF

Mesa, R. A., Ramirez, A. G., Moreno, P. I., Segarra-Vazquez, B. & Fejerman, L. (2022). Latino cancer health equity, Cancer Moonshot converge in San Antonio. The Cancer Letter, 48(10), 25-30. PDF


Penedo, F.J., Medina, H.N., Moreno, P.I., Sookdeo, V., Natori, A., Boland, C., Schlumbrecht, M.P., Calfa, C., MacIntyre, J., Crane, T.E., Garcia, S.F. (2022). Implementation of an electronic health record (EHR) integrated patient reported outcomes (PRO) symptom and needs monitoring program in ambulatory oncology: The My Wellness Check Program. JCO Oncology Practice, 18(7), e1100-e1113. PDF

Moreno, P. I., Horner, F. S., Torzewski, J. B., Thomas, J. L., Gradishar, W., Victorson, D., & Penedo, F. J. (2022). Study design and protocol for tailored Acceptance and Commitment Therapy (ACT) to optimize quality of life in women living with metastatic breast cancer. Contemporary Clinical Trials Communications, 25, 100870. PDF

Cheung, E. O., Penedo, F. J., Moskowitz, J. T., Yanez, B., Kircher, S. M., Kundu, S. D., Flury, S. C., & Moreno, P. I. (2021). Prospectively examining the effects of a cancer diagnosis on patients, spouses/partners, and their relationship. In F. J. Infurna & E. Jayawickreme (Eds.) Redesigning Research on Post-Traumatic Growth: Challenges, Pitfalls, & New Directions. New York: Oxford University Press.

Penedo, F. J., Fox, R. S., Walsh, E. A., Yanez, B., Miller, G. E., Oswald, L. B., Estabrook, R., Chatterton, R. T., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K., Kundu, S. D. & Moreno, P. I. (2021). Effects of web-based cognitive behavioral stress management and health promotion interventions on neuroendocrine and inflammatory markers in men with advanced prostate cancer: A randomized controlled trial. Brain, Behavior, & Immunity, 95, 168-177. PDF

Gomez-Perez, D., Cancino, M., Moreno, P. I., & Ortiz, M. S. (2020). Weight stigma, chronic stress, unhealthy diet, and obesity in Chilean adults. International Journal of Behavioral Medicine, 28, 292–298. PDF

Lattie, E. G., Bass, M., Garcia, S. F., Phillips, S. M., Moreno, P. I., Flores, A. M., Smith, J. D., Scholtens D., Barnard, C., Penedo, F. J., Cella, D., & Yanez B. (2020). Optimizing health information technologies for symptom management in cancer patients and survivors: Usability evaluation. JMIR Formative Research, 4(9): e18412. PDF

Penedo, F. J., Fox, R. S., Oswald, L. B., Moreno, P.I., Boland, C. L., Estabrook, R., McGinty, H. L., Mohr, D. C., Begale, M. J., Dahn, J. R., Flury, S. C., Perry, K. T., Kundu, S. D., & Yanez, B.  (2020). Technology-based psychosocial intervention to improve quality of life and reduce symptom burden in men with advanced prostate cancer: Results from a randomized controlled trial. International Journal of Behavioral Medicine, 27, 490–505. PDF

Ramirez, A. G., Choi, B. Y., Munoz, E., Perez, A., Gallion, K. J., Moreno, P. I., & Penedo, F. J. (2020). Assessing the effect of patient navigator assistance to psychosocial support services on health-related quality of life in a randomized clinical trial in Latino breast, prostate, colorectal cancer survivors. Cancer, 126(5), 1112-1123. PDF


Fox, R. S., Moreno, P.I., Yanez, B., Estabrook, R., Thomas, J., Bouchard, L. C., McGinty, H. L., Mohr, D. C., Begale, M. J., Flury, S. C., Perry, K. T., Kundu, S. D., & Penedo, F. J. (2019). Integrating PROMIS computerized adaptive tests into a web-based intervention for prostate cancer. Health Psychology, 38(5), 403-409. PDF

Moreno, P. I., Yanez, B., Schuetz, S. J., Wortman, K., Gallo, L. C., Benedict, C., Brintz, C. E., Cai, J., Castaneda, S. F., Perreira, K. M., Gonzalez, P., Gonzalez, F., Isasi, C. R. & Penedo, F. J (2019). Cancer fatalism and adherence to national cancer screening guidelines: Results from the Hispanic Community Health Study/Study of Latinos. Cancer Epidemiology, 60, 39-45. PDF

Moreno, P. I., Dooley, L. N., & Bower, J. E. (2019). Unique associations of eudaimonic and hedonic wellbeing with adjustment in breast cancer survivors. Journal of Psychosocial Oncology, 36(5), 649-657. PDF

Ramirez, A. G., Gallion, K. J., Perez, A., Munoz, E., Parma, D. L., Moreno, P. I., & Penedo, F. J. (2019). Improving quality of life among Latino cancer survivors: Design of a randomized trial of patient navigation. Contemporary Clinical Trials, 76, 41-48. PDF

Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Castillo, L., Fox, R. S., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C. & Penedo, F. J. (2019). Unmet supportive care needs in Hispanic/Latino cancer survivors: Prevalence and associations with patient-provider communication, satisfaction with cancer care, and symptom burden. Supportive Care in Cancer. 27(4), 1383-1394PDF

Penedo, F. J., Antoni, M. H., Moreno, P. I., Traeger, L., Perdomo, D., Dahn, J., Miller, G. E., Cole, S. Orjuela, J., Pizarro, E. & Yanez, B. (2018). Study design and protocol for a culturally adapted cognitive behavioral stress and self-management intervention for prostate cancer: The Encuentros de Salud Study. Contemporary Clinical Trials, 71, 173-180. PDF

Moreno, P. I., Ramirez, A. G., San Miguel-Majors, S. L., Fox, R. S., Castillo, L., Gallion, K. J., Munoz, E., Estabrook, R., Perez, A., Lad, T., Hollowell, C. & Penedo, F. J. (2018). Satisfaction with cancer care, self-efficacy, and health-related quality of life in Latino cancer survivors. Cancer, 124(8), 1770-1779. PDF

Moreno, P. I., Wiley, J., & Stanton, A. L. (2017). Coping through emotional approach: Emerging evidence for the utility of processing and expressing emotions in response to stress. In C. R. Snyder, S. J. Lopez, L. M. Edwards, & S. C. Marques (Eds.) Oxford Handbook of Positive Psychology (3rd ed.). New York: Oxford University Press. PDF


Crosswell, A. D., Moreno, P. I., Raposa, E., Motivala, S., Stanton, A. L., Ganz, P. A., & Bower, J. E. (2017). Effects of mindfulness training on emotional and physiologic recovery from induced negative emotion. Psychoneuroendocrinology, 86, 78-86. PDF


Dooley, L. N., Slavich, G. M., Moreno, P. I., & Bower, J. E. (2017). Strength through adversity: Moderate life stress is associated with psychological resilience in breast cancer survivors. Stress & Health, 1-9. PDF


Moreno, P. I., Bauer, M. R.,  Yanez, B., Jorge, A., Maggard-Gibbons, M. & Stanton, A. L. (2016). Dispositional emotional expressivity, cancer-specific coping, and distress in socioeconomically disadvantaged Latinas. Health Psychology, 35(6), 584-593. PDF


Yanez, B., Maggard-Gibbons, M., Moreno, P. I., Jorge, A., & Stanton, A. L. (2016). Predictors of psychological outcomes in a longitudinal study of Latina breast cancer survivors. Psychology & Health, 31(11), 1359-1374. PDF


Moreno, P. I., Moskowitz, A. L., Ganz, P. A., & Bower, J. E (2016). Positive affect and inflammatory activity in breast cancer survivors: Examining the role of affective arousal. Psychosomatic Medicine, 78(5), 532-541. PDF


Moreno, P. I. & Stanton, A. L. (2013). Personal growth in patients with advanced cancer: A systematic review. The Cancer Journal, 19(5), 421-430. PDF

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