Angela Fagerlin, PhD

Research Interests

  • Factors that Affect People’s Perception of Risks
  • Testing Methods for Improving Risk Communication
  • Developing and Testing of Decision Aids in Clinical Contexts, Particularly their Impact on Patient Decision Making and Patient-Physician Communication
  • Investigating the Effect of Numeracy Skills on Medical Decision Making
  • Examining the Role of Living Wills and Surrogate Decision-Making at the End of Life


  • English

Academic Information

  • Departments: Population Health Sciences - Professor

Academic Office Information

  • 801-587-2100
  • Williams Building
    Department of Population Health Sciences
    295 Chipeta Way, Room: Room 1S105
    Salt Lake City, UT 84108

Academic Bio

Not applicable

Education History

Type School Degree
Doctoral Training Kent State University
Experimental Psychology
Graduate Training Kent State University
Experimental Psychology
Undergraduate Hope College

Selected Publications

Journal Article

  1. Harlan EA, Miller J, Costa DK, Fagerlin A, Iwashyna TJ, Chen EP, Lipman K, Valley TS (2020). Emotional experiences and coping strategies of family members of critically ill patients. (Epub ahead of print) Chest.
  2. Kullgren JT, Fagerlin A, Kerr EA (2019). Completing the MISSION: a Blueprint for Helping Veterans Make the Most of New Choices. J Gen Intern Med, 35(5), 1567-1570.
  3. Schonberg MA, Kistler CE, Pinheiro A, Jacobson AR, Aliberti GM, Karamourtopoulos M, Hayes M, Neville BA, Lewis CL, Wee CC, Fagerlin A, Nekhlyudov L, Marcantonio ER, Hamel MB, Davis RB (2020). Effect of a Mammography Screening Decision Aid for Women 75 Years and Older: A Cluster Randomized Clinical Trial. (Epub ahead of print) JAMA Intern Med.
  4. Kerber KA, Damschroder L, McLaughlin T, Brown DL, Burke JF, Telian SA, Tsodikov A, Fagerlin A, An LC, Morgenstern LB, Forman J, Vijan S, Rowell B, Meurer WJ (2019). Implementation of Evidence-Based Practice for Benign Paroxysmal Positional Vertigo in the Emergency Department: A Stepped-Wedge Randomized Trial. Ann Emerg Med, 75(4), 459-470.
  5. Levine DA, Langa KM, Fagerlin A, Morgenstern LB, Nallamothu BK, Forman J, Galecki A, Kabeto MU, Kollman CD, Olorode T, Giordani B, Lisabeth LD, Zahuranec DB (2020). Physician decision-making and recommendations for stroke and myocardial infarction treatments in older adults with mild cognitive impairment. PLoS ONE, 15(3), e0230446.
  6. Piltch-Loeb R, Zikmund-Fisher BJ, Shaffer VA, Scherer LD, Knaus M, Fagerlin A, Abramson DM, Scherer AM (2019). Cross-Sectional Psychological and Demographic Associations of Zika Knowledge and Conspiracy Beliefs Before and After Local Zika Transmission. Risk Anal, 39(12), 2683-2693.
  7. Schrauben SJ, Cavanaugh KL, Fagerlin A, Ikizler TA, Ricardo AC, Eneanya ND, Nunes JW (2019). The Relationship of Disease-Specific Knowledge and Health Literacy With the Uptake of Self-Care Behaviors in CKD. Kidney Int Rep, 5(1), 48-57.
  8. Zikmund-Fisher BJ, Solomon JB, Scherer AM, Exe NL, Tarini BA, Fagerlin A, Witteman HO (2019). Primary Care Providers' Preferences and Concerns Regarding Specific Visual Displays for Returning Hemoglobin A1c Test Results to Patients. Med Decis Making, 39(7), 796-804.
  9. Meurer WJ, Johnson P, Brown D, Tsodikov A, Rowell B, Fagerlin A, Telian SA, Damschroder L, An LC, Morgenstern LB, Kerber KA (2020). An Educational Intervention for Acute Dizziness Care: A Randomized, Vignette-based Study. Otol Neurotol, 40(8), e830-e838.
  10. Levy AG, Scherer AM, Zikmund-Fisher BJ, Larkin K, Barnes GD, Fagerlin A (2019). Assessment of Patient Nondisclosures to Clinicians of Experiencing Imminent Threats. JAMA Netw Open, 2(8), e199277.
  11. Scherer LD, Valentine KD, Patel N, Baker SG, Fagerlin A (2018). A bias for action in cancer screening? J Exp Psychol Appl, 25(2), 149-161.
  12. Taksler GB, Beth Mercer M, Fagerlin A, Rothberg MB (2019). Assessing Patient Interest in Individualized Preventive Care Recommendations. MDM Policy Pract, 4(1), 2381468319850803.
  13. Meurer WJ, Beck KE, Rowell B, Brown D, Tsodikov A, Fagerlin A, Telian SA, Damschroder L, An LC, Morgenstern LB, Ujhely M, Loudermilk L, Vijan S, Kerber KA (2018). Implementation of evidence-based practice for benign paroxysmal positional vertigo: DIZZTINCT- A study protocol for an exploratory stepped-wedge randomized trial. Trials, 19(1), 697.
  14. Oddone EZ, Gierisch JM, Sanders LL, Fagerlin A, Sparks J, McCant F, May C, Olsen MK, Damschroder LJ (2018). A Coaching by Telephone Intervention on Engaging Patients to Address Modifiable Cardiovascular Risk Factors: a Randomized Controlled Trial. J Gen Intern Med, 33(9), 1487-1494.
  15. Loeb S, Curnyn C, Fagerlin A, Braithwaite RS, Schwartz MD, Lepor H, Carter HB, Sedlander E (2017). Qualitative study on decision-making by prostate cancer physicians during active surveillance. BJU Int, 120(1), 32-39.
  16. Meka AP, Porath JD, Iyengar R, Morrow C, Fagerlin A, Meurer WJ (2017). Risk, Benefit, and Cost Thresholds for Emergency Department Testing: A Cross-sectional, Scenario-based Study. Acad Emerg Med, 24(6), 686-690.
  17. Zikmund-Fisher BJ, Scherer AM, Witteman HO, Solomon JB, Exe NL, Tarini BA, Fagerlin A (2017). Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results. J Am Med Inform Assoc, 24(3), 520-528.
  18. Kullgren JT, Youles B, Shetty S, Richardson C, Fagerlin A, Heisler M (2017). ForgIng New paths in DIabetes PrevenTion (FINDIT): Study Protocol for a Randomized Controlled Trial. Trials, 18(1), 167.
  19. Hofer R, Choi H, Mase R, Fagerlin A, Spencer M, Heisler M (2017). Mediators and Moderators of Improvements in Medication Adherence. Health Educ Behav, 44(2), 285-296.
  20. Oddone EZ, Damschroder LJ, Gierisch J, Olsen M, Fagerlin A, Sanders L, Sparks J, Turner M, May C, McCant F, Curry D, White-Clark C, Juntilla K (2017). A Coaching by Telephone Intervention for Veterans and Care Team Engagement (ACTIVATE): A study protocol for a Hybrid Type I effectiveness-implementation randomized controlled trial. Contemp Clin Trials, 55, 1-9.
  21. Zikmund-Fisher BJ, Scherer AM, Knaus M, Das E, Fagerlin A (2017). Discussion of Average versus Extreme Case Severity in Pandemic Risk Communications. Emerging Infectious Diseases, 23(4), 706-708.
  22. Zikmund-Fisher BJ, Kullgren JT, Fagerlin A, Klamerus ML, Bernstein SJ, Kerr EA (2017). Perceived Barriers to Implementing Individual Choosing Wisely® Recommendations in Two National Surveys of Primary Care Providers. J Gen Intern Med, 32(2), 210-217.
  23. Dillard AJ, Scherer LD, Ubel PA, Alexander S, Fagerlin A (2017). Anxiety symptoms prior to a prostate cancer diagnosis: Associations with knowledge and openness to treatment. Br J Health Psychol, 22(1), 151-168.
  24. Shuman AG, Larkin K, Thomas D, Palmer FL, Fins JJ, Baxi SS, Lee N, Shah JP, Fagerlin A, Patel SG (2017). Patient Reflections on Decision Making for Laryngeal Cancer Treatment. Otolaryngol Head Neck Surg, 156(2), 299-304.
  25. Dugas M, Trottier M, Chipenda Dansokho S, Vaisson G, Provencher T, Colquhoun H, Dogba MJ, Dupr S, Fagerlin A, Giguere AM, Haslett L, Hoffman AS, Ivers NM, Lgar F, Lgar J, Levin CA, Menear M, Renaud JS, Stacey D, Volk RJ, Witteman HO (2017). Involving members of vulnerable populations in the development of patient decision aids: a mixed methods sequential explanatory study. BMC Med Informat Decis Making, 17(1), 12.
  26. Scherr KA, Fagerlin A, Wei JT, Williamson LD, Ubel PA (2017). Treatment Availability Influences Physicians' Portrayal of Robotic Surgery During Clinical Appointments. Health Commun, 32(1), 119-125.
  27. Scherr KA, Fagerlin A, Williamson LD, Davis JK, Fridman I, Atyeo N, Ubel PA (2017). The Physician Recommendation Coding System (PhyReCS): A Reliable and Valid Method to Quantify the Strength of Physician Recommendations During Clinical Encounters. Med Decis Making, 37(1), 46-55.
  28. Scherr KA, Fagerlin A, Hofer T, Scherer LD, Holmes-Rovner M, Williamson LD, Kahn VC, Montgomery JS, Greene KL, Zhang B, Ubel PA (2017). Physician Recommendations Trump Patient Preferences in Prostate Cancer Treatment Decisions. Med Decis Making, 37(1), 56-69.
  29. Sears ED, Caverly TJ, Kullgren JT, Fagerlin A, Zikmund-Fisher BJ, Prenovost K, Kerr EA (2016). Clinicians' Perceptions of Barriers to Avoiding Inappropriate Imaging for Low Back Pain-Knowing Is Not Enough. JAMA Intern Med, 176(12), 1866-1868.
  30. Scherer LD, Caverly TJ, Burke J, Zikmund-Fisher BJ, Kullgren JT, Steinley D, McCarthy DM, Roney M, Fagerlin A (2016). Development of the Medical Maximizer-Minimizer Scale. Health Psychol, 35(11), 1276-1287.
  31. Witteman HO, Gavaruzzi T, Scherer LD, Pieterse AH, Fuhrel-Forbis A, Chipenda Dansokho S, Exe N, Kahn VC, Feldman-Stewart D, Col NF, Turgeon AF, Fagerlin A (2016). Effects of Design Features of Explicit Values Clarification Methods: A Systematic Review. Med Decis Making, 36(6), 760-76.
  32. Wright Nunes J, Roney M, Kerr E, Ojo A, Fagerlin A (2016). A diagnosis of chronic kidney disease: despite fears patients want to know early. Clin Nephrol, 86(2), 78-86.
  33. Sah S, Fagerlin A, Ubel P (2016). Effect of physician disclosure of specialty bias on patient trust and treatment choice. Proc Natl Acad Sci U S A, 113(27), 7465-9.
  34. Barnes GD, Izzo B, Conte ML, Chopra V, Holbrook A, Fagerlin A (2016). Use of decision aids for shared decision making in venous thromboembolism: A systematic review. Thromb Res, 143, 71-5.
  35. Determann D, Korfage IJ, Fagerlin A, Steyerberg EW, Bliemer MC, Voeten HA, Richardus JH, Lambooij MS, de Bekker-Grob EW (2016). Public preferences for vaccination programmes during pandemics caused by pathogens transmitted through respiratory droplets - a discrete choice experiment in four European countries, 2013. Euro Surveill, 21(22).
  36. Hoerger M, Scherer LD, Fagerlin A (2016). Affective forecasting and medication decision making in breast-cancer prevention. Health Psychol, 35(6), 594-603.
  37. Zahuranec DB, Fagerlin A, Snchez BN, Roney ME, Thompson BB, Fuhrel-Forbis A, Morgenstern LB (2016). Variability in physician prognosis and recommendations after intracerebral hemorrhage. Neurology, 86(20), 1864-71.
  38. Witteman HO, Scherer LD, Gavaruzzi T, Pieterse AH, Fuhrel-Forbis A, Chipenda Dansokho S, Exe N, Kahn VC, Feldman-Stewart D, Col NF, Turgeon AF, Fagerlin A (2016). Design Features of Explicit Values Clarification Methods: A Systematic Review. Med Decis Making, 36(4), 453-71.
  39. Martinez KA, Fagerlin A, Witteman HO, Holmberg C, Hawley ST (2016). What Matters to Women When Making Decisions About Breast Cancer Chemoprevention? Patient, 9(2), 149-59.
  40. Witteman HO, Fagerlin A, Exe N, Trottier ME, Zikmund-Fisher BJ (2016). One-Sided Social Media Comments Influenced Opinions And Intentions About Home Birth: An Experimental Study. Health Aff (Millwood), 35(4), 726-33.
  41. Caverly TJ, Hayward RA, Reamer E, Zikmund-Fisher BJ, Connochie D, Heisler M, Fagerlin A (2016). Presentation of Benefits and Harms in US Cancer Screening and Prevention Guidelines: Systematic Review. J Natl Cancer Inst, 108(6), djv436.
  42. Liang PS, Wheat CL, Abhat A, Brenner AT, Fagerlin A, Hayward RA, Thomas JP, Vijan S, Inadomi JM (2016). Adherence to Competing Strategies for Colorectal Cancer Screening Over 3 Years. Am J Gastroenterol, 111(1), 105-14.
  43. Caverly TJ, Fagerlin A, Zikmund-Fisher BJ, Kirsh S, Kullgren JT, Prenovost K, Kerr EA (2015). Appropriate Prescribing for Patients With Diabetes at High Risk for Hypoglycemia: National Survey of Veterans Affairs Health Care Professionals. JAMA Intern Med, 175(12), 1994-6.
  44. Kang SK, Fagerlin A, Braithwaite RS (2015). A Roadmap for Personalized Care in Radiology. Radiology, 277(3), 638-43.
  45. Vijan S, Fagerlin A (2015). Diabetes Risk Assessment and Glycemic Control. JAMA, 314(17), 1861-2.
  46. Holmes-Rovner M, Montgomery JS, Rovner DR, Scherer LD, Whitfield J, Kahn VC, Merkle EC, Ubel PA, Fagerlin A (2015). Informed Decision Making: Assessment of the Quality of Physician Communication about Prostate Cancer Diagnosis and Treatment. Med Decis Making, 35(8), 999-1009.
  47. Krishnan N, Fagerlin A, Skolarus TA (2015). Rethinking Patient-Physician Communication of Biopsy Results--The Waiting Game. JAMA Oncol, 1(8), 1025-6.
  48. Scherer LD, de Vries M, Zikmund-Fisher BJ, Witteman HO, Fagerlin A (2015). Trust in deliberation: The consequences of deliberative decision strategies for medical decisions. Health Psychol, 34(11), 1090-9.
  49. Henry SG, Czarnecki D, Kahn VC, Chou WY, Fagerlin A, Ubel PA, Rovner DR, Alexander SC, Knight SJ, Holmes-Rovner M (2015). Patient-physician communication about early stage prostate cancer: analysis of overall visit structure. Health Expect, 18(5), 1757-68.
  50. Shorten A, Fagerlin A, Illuzzi J, Kennedy HP, Lakehomer H, Pettker CM, Saran A, Witteman H, Whittemore R (2015). Developing an Internet-Based Decision Aid for Women Choosing Between Vaginal Birth After Cesarean and Planned Repeat Cesarean. J Midwifery Womens Health, 60(4), 390-400.
  51. Caverly TJ, Prochazka AV, Combs BP, Lucas BP, Mueller SR, Kutner JS, Binswanger I, Fagerlin A, McCormick J, Pfister S, Matlock DD (2015). Doctors and numbers: an assessment of the critical risk interpretation test. Med Decis Making, 35(4), 512-24.
  52. Hesse BW, Beckjord E, Rutten LJ, Fagerlin A, Cameron LD (2015). Cancer communication and informatics research across the cancer continuum. Am Psychol, 70(2), 198-210.
  53. Witteman HO, Dansokho SC, Colquhoun H, Coulter A, Dugas M, Fagerlin A, Giguere AM, Glouberman S, Haslett L, Hoffman A, Ivers N, Lgar F, Lgar J, Levin C, Lopez K, Montori VM, Provencher T, Renaud JS, Sparling K, Stacey D, Vaisson G, Volk RJ, Witteman W (2015). User-centered design and the development of patient decision aids: protocol for a systematic review. Syst Rev, 4, 11.
  54. Kachalia A, Berg A, Fagerlin A, Fowler KE, Hofer TP, Flanders SA, Saint S (2015). Overuse of testing in preoperative evaluation and syncope: a survey of hospitalists. Ann Intern Med, 162(2), 100-8.
  55. Hamstra DA, Johnson SB, Daignault S, Zikmund-Fisher BJ, Taylor JM, Larkin K, Wood A, Fagerlin A (2015). The impact of numeracy on verbatim knowledge of the longitudinal risk for prostate cancer recurrence following radiation therapy. Med Decis Making, 35(1), 27-36.
  56. Scherer AM, Scherer LD, Fagerlin A (2015). Getting ahead of illness: using metaphors to influence medical decision making. Med Decis Making, 35(1), 37-45.
  57. Resnicow K, Abrahamse P, Tocco RS, Hawley S, Griggs J, Janz N, Fagerlin A, Wilson A, Ward KC, Gabram SG, Katz S (2014). Development and psychometric properties of a brief measure of subjective decision quality for breast cancer treatment. BMC Med Informat Decis Making, 14, 110.
  58. Heisler M, Choi H, Palmisano G, Mase R, Richardson C, Fagerlin A, Montori VM, Spencer M, An LC (2014). Comparison of community health worker-led diabetes medication decision-making support for low-income Latino and African American adults with diabetes using e-health tools versus print materials: a randomized, controlled trial. Ann Intern Med, 161(10 Suppl), S13-22.
  59. Weinstein AL, Marascalchi BJ, Spiegel MA, Saunders JK, Fagerlin A, Parikh M (2014). Patient preferences and bariatric surgery procedure selection; the need for shared decision-making. Obes Surg, 24(11), 1933-9.
  60. Hoerger M, Chapman BP, Prigerson HG, Fagerlin A, Mohile SG, Epstein RM, Lyness JM, Duberstein PR (2014). Personality Change Pre- to Post- Loss in Spousal Caregivers of Patients with Terminal Lung Cancer. Soc Psychol Personal Sci, 5(6), 722-729.
  61. Volk ML, Roney M, Fagerlin A (2014). Pilot test of a patient decision aid about liver transplant organ quality. Liver Transpl, 20(7), 850-5.
  62. Zikmund-Fisher BJ, Witteman HO, Dickson M, Fuhrel-Forbis A, Kahn VC, Exe NL, Valerio M, Holtzman LG, Scherer LD, Fagerlin A (2014). Blocks, ovals, or people? Icon type affects risk perceptions and recall of pictographs. Med Decis Making, 34(4), 443-53.
  63. Schonberg MA, Hamel MB, Davis RB, Griggs MC, Wee CC, Fagerlin A, Marcantonio ER (2014). Development and evaluation of a decision aid on mammography screening for women 75 years and older. JAMA Intern Med, 174(3), 417-24.
  64. Darwish-Yassine M, Berenji M, Wing D, Copeland G, Demers RY, Garlinghouse C, Fagerlin A, Newth GE, Northouse L, Holmes-Rovner M, Rovner D, Sims J, Wei JT (2014). Evaluating long-term patient-centered outcomes following prostate cancer treatment: findings from the Michigan Prostate Cancer Survivor study. J Cancer Surviv, 8(1), 121-30.
  65. Singer E, Couper MP, Fagerlin A, Fowler FJ, Levin CA, Ubel PA, Van Hoewyk J, Zikmund-Fisher BJ (2014). The role of perceived benefits and costs in patients' medical decisions. Health Expect, 17(1), 4-14.
  66. Loeb S, Carter HB, Schwartz M, Fagerlin A, Braithwaite RS, Lepor H (2014). Heterogeneity in active surveillance protocols worldwide. Reviews in Urology, 16(4), 202-3.
  67. Schonberg MA, Kistler CE, Nekhlyudov L, Fagerlin A, Davis RB, Wee CC, Marcantonio ER, Lewis CL, Stanley WA, Crutchfield TM, Hamel MB (2014). Evaluation of a Mammography Screening Decision Aid for Women Aged 75 and Older: Protocol for a Cluster-randomized Controlled Trial. J Clin Trials, 4, 191.
  68. Levy H, Ubel PA, Dillard AJ, Weir DR, Fagerlin A (2014). Health numeracy: the importance of domain in assessing numeracy. Med Decis Making, 34(1), 107-15.
  69. Applegate M, Taksler GB, Hajizadeh N, Milavsky KI, Ekeleme C, Fagerlin A, Uhler L, Braithwaite RS (2014). Pilot-Testing a New Program for Providing Personalized and Patient-Centered Preventive Care [Epub ahead of print]. Am J Manag Care.
  70. Taksler GB, Keshner M, Fagerlin A, Hajizadeh N, Braithwaite RS (2013). Personalized estimates of benefit from preventive care guidelines: a proof of concept. Ann Intern Med, 159(3), 161-8.
  71. Scherer LD, Ubel PA, McClure J, Greene SM, Alford SH, Holtzman L, Exe N, Fagerlin A (2013). Belief in numbers: When and why women disbelieve tailored breast cancer risk statistics. Patient Educ Couns, 92(2), 253-9.
  72. Skolarus TA, Holmes-Rovner M, Northouse LL, Fagerlin A, Garlinghouse C, Demers RY, Rovner DR, Darwish-Yassine M, Wei JT (2013). Primary care perspectives on prostate cancer survivorship: implications for improving quality of care. Urol Oncol, 31(6), 727-32.
  73. Tait AR, Voepel-Lewis T, Nair VN, Narisetty NN, Fagerlin A (2013). Informing the uninformed: optimizing the consent message using a fractional factorial design. JAMA Pediatr, 167(7), 640-6.
  74. Fagerlin A, Pignone M, Abhyankar P, Col N, Feldman-Stewart D, Gavaruzzi T, Kryworuchko J, Levin CA, Pieterse AH, Reyna V, Stiggelbout A, Scherer LD, Wills C, Witteman HO (2013). Clarifying values: an updated review. BMC Med Informat Decis Making, 13 Suppl 2, S8.


  1. Lin GA, Fagerlin A (2014). Shared decision making: state of the science. [Review]. Circ Cardiovasc Qual Outcomes, 7(2), 328-34.

Book Chapter

  1. Zikmund-Fisher BJ, Mayman G, Fagerlin A (2014). Patient numeracy: What do patients need to recognize, think, or do with health numbers? In Numerical Reasoning in Judgments and Decision Making About Health.


  1. Valley TS, Fagerlin A (2016). Disruptive Technology. Can Electronic Portals Promote Communication in the Intensive Care Unit? Ann Am Thorac Soc, 13(3), 309-10.
  2. Wright Nunes JA, Cavanaugh KL, Fagerlin A (2016). An Informed and Activated Patient: Addressing Barriers in the Pathway From Education to Outcomes. 67(1), 1-4.