Margaret F. Clayton

Margaret F. Clayton, PhD, APRN

Academic Office Information

Margaret.Clayton@nurs.utah.edu

Margaret Clayton, PhD, APRN, FAAN is a professor in the College of Nursing at the University of Utah, an investigator at Huntsman Cancer Institute and member of the Cancer Control and Population Sciences Program. Her clinical background is as a family nurse practitioner.

In her research, Clayton combines self report and physiologic data that relates to cancer survivorship and end of life. A main focus of her research is how verbal and nonverbal communication processes influence emotional and physical well-being.

Clayton earned her bachelor's degree in nursing from the University of Connecticut, her master's degree in nursing from Pace University in New York, and a PhD in nursing from the University of North Carolina at Chapel Hill. Her predoctoral education was funded by a National Institutes of Health (NIH) National Research Service Award and a National Cancer Institute fellowship in cancer control and epidemiology at the Lineberger Comprehensive Cancer Center. Her postdoctoral research was funded by the American Nurses Foundation and an NIH National Research Service Award. Clayton joined the University of Utah faculty in 2005 and served as the Academic Senate President 2017-18.

Research Statement

Margaret Clayton is a Professor in the College of Nursing, and a board certified Family Nurse Practitioner. Dr Clayton's primary research interest is cancer survivorship and end of life communication, specifically how patient/provider and nurse/ caregiver communication processes influence emotional and physical well-being. Outcomes include self-report and physiologic measures, as well as coding of verbal and nonverbal communication interactions.

Selected Publications

Journal Article

  1. Tanner CT (01/01/2020). Social expectancy and age-related macular degeneration research; A scoping review of the literature. . 10.
  2. Pokharel M (10/01/2019). Health communication roles in Latino, Pacific Islander, and Caucasian Families: A qualitative investigation. . 1-11.
  3. Tjia J, DeSanto-Madeya S, Mazor KM, Han P, Nguyen B, Curran T, Gallagher J, Clayton MF (2019). Nurses' Perspectives on Family Caregiver Medication Management Support and Deprescribing. J Hosp Palliat Nurs, 21(4), 312-318. (Read full article)
  4. Kane L, Clayton MF, Baucom BR, Ellington L, Reblin M (2019). Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis. Cancer Nurs. (Read full article)
  5. Kane L (07/01/2019). Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis. .
  6. Lambert de Diesbach PB (07/01/2019). The Caregivers Quality of Life Cancer-Index (CQOL-C) in Spain: An Exploratory and Confirmatory Factor Analysis for Caregivers of Ambulatory and Hospitalized Patients With Cancer .
  7. Himes DO, Gibbons DK, Birmingham WC, Beckstrand RL, Gammon A, Kinney AY, Clayton MF (2019). Female family members lack understanding of indeterminate negative BRCA1/2 test results shared by probands. J Genet Couns, 28(5), 950-961. (Read full article)
  8. Clayton MF, Iacob E, Reblin M, Ellington L (2019). Hospice nurse identification of comfortable and difficult discussion topics: Associations among self-perceived communication effectiveness, nursing stress, life events, and burnout. Patient Educ Couns. (Read full article)
  9. Hulett JM, Fessele KL, Clayton MF, Eaton LH (2019). Rigor and Reproducibility: A Systematic Review of Salivary Cortisol Sampling and Reporting Parameters Used in Cancer Survivorship Research. Biol Res Nurs, 21(3), 318-334. (Read full article)
  10. Reblin M, Baucom BRW, Clayton MF, Utz R, Caserta M, Lund D, Mooney K, Ellington L (2019). Communication of emotion in home hospice cancer care: Implications for spouse caregiver depression into bereavement. Psychooncology, 28(5), 1102-1109. (Read full article)
  11. Himes DO, Davis SH, Lassetter JH, Peterson NE, Clayton MF, Birmingham WC, Kinney AY (2019). Does family communication matter? Exploring knowledge of breast cancer genetics in cancer families. J Community Genet. (Read full article)
  12. Oliver DP, Tappana J, Washington KT, Rolbiecki A, Craig K, Demiris G, Schafer C, Winjobi M, Clayton MF, Reblin M, Ellington L (2019). Behind the doors of home hospice patients: A secondary qualitative analysis of hospice nurse communication with patients and families. Palliat Support Care, 1-5. (Read full article)
  13. Canary H E (01/07/2019). Family health history tools as communication resources: Perspectives from Caucasian, Hispanic, and Pacific Islander families. 19, 126-43.
  14. Xu J, Yang R, Wilson A, Reblin M, Clayton MF, Ellington L (2018). Using Social Network Analysis to Investigate Positive EOL Communication. J Pain Symptom Manage, 56(2), 273-280. (Read full article)
  15. Haynes-Lewis H, Clayton MF, Viswanathan S, Moadel-Robblee A, Clark L, Caserta M (2018). Distress and Supportive Care Needs of Ethnically Diverse Older Adults With Advanced or Recurrent Cancer. Oncol Nurs Forum, 45(4), 496-507. (Read full article)
  16. Haynes-Lewis H (07/01/2018). Distress and supportive care needs of ethnically diverse older adults with advanced or recurrent cancer. . Oncol Nurs Forum, 45(4), 496-507.
  17. Tanner C T (07/01/2018). Conducting research with older adults with vision impairment: Lessons learned and recommended best practices. Gerontol Geriatr Med, epub ahead of print.
  18. Hudson J, Reblin M, Clayton MF, Ellington L (2018). Addressing cancer patient and caregiver role transitions during home hospice nursing care. Palliat Support Care, 1-8. (Read full article)
  19. Han CJ, Chi NC, Han S, Demiris G, Parker-Oliver D, Washington K, Clayton MF, Reblin M, Ellington L (2018). Communicating Caregivers' Challenges With Cancer Pain Management: An Analysis of Home Hospice Visits. J Pain Symptom Manage, 55(5), 1296-1303. (Read full article)
  20. Ellington L, Cloyes KG, Xu J, Bellury L, Berry PH, Reblin M, Clayton MF (2017). Supporting home hospice family caregivers: Insights from different perspectives. Palliat Support Care, 16(2), 209-219. (Read full article)
  21. Terrill AL, Ellington L, John KK, Latimer S, Xu J, Reblin M, Clayton MF (2017). Positive emotion communication: Fostering well-being at end of life. Patient Educ Couns, 101(4), 631-638. (Read full article)
  22. Ellington L, Clayton MF, Reblin M, Donaldson G, Latimer S (2017). Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time. Patient Educ Couns, 101(3), 414-421. (Read full article)
  23. Oliver DP, Washington K, Demiris G, Wallace A, Propst MR, Uraizee AM, Craig K, Clayton MF, Reblin M, Ellington L (2017). Shared Decision Making in Home Hospice Nursing Visits: A Qualitative Study. J Pain Symptom Manage, 55(3), 922-929. (Read full article)
  24. Lai D, Cloyes KG, Clayton MF, Doyon K, Reblin M, Beck AC, Ellington L (2018). WE'RE THE EYES AND THE EARS, BUT WE DON'T HAVE A VOICE: PERSPECTIVES OF HOSPICE AIDES. J Hosp Palliat Nurs, 20(1), 47-54. (Read full article)
  25. Lai D (02/01/2018). We're the Eyes and the Ears, but We Don't Have a Voice. J Hosp Palliat Nurs, 20, 47-54. (Read full article)
  26. Cornide M (02/01/2018). Assessing quality-of-life of cancer caregivers in Spain: Validation of CQOLC-Spain scale and elements of a cross-cultural analysis. 9(1), 311-319.
  27. Fowler B (01/2018). Utah Cancer Survivors: A comprehensive comparison of health-related outcomes between survivors and individuals without a history of cancer. J Cancer Educ, 33(1), 214-221.
  28. Han CJ (01/2018). Communicating caregivers' challenges with cancer pain management: An analysis of home hospice visits. . J Pain Symptom Manage, 55(5), 1296-1303.
  29. Reblin M, Clayton MF, Xu J, Hulett JM, Latimer S, Donaldson GW, Ellington L (2017). Caregiver, patient, and nurse visit communication patterns in cancer home hospice. Psychooncology, 26(12), 2285-2293. (Read full article)
  30. Ellington L, Billitteri J, Reblin M, Clayton MF (2017). Spiritual Care Communication in Cancer Patients. Semin Oncol Nurs, 33(5), 517-525. (Read full article)
  31. Dingley C (10/2017). Caregiver activation and hospice nurse communication in advanced cancer care. . 40(5), E38-50.
  32. Scherr CL, Dean M, Clayton MF, Hesse BW, Silk K, Street RL Jr, Krieger J (2017). A Research Agenda for Communication Scholars in the Precision Medicine Era. J Health Commun, 22(10), 839-848. (Read full article)
  33. Clayton MF (09/2017). Nursing support of home hospice caregivers on the day of cancer patient death. . Oncol Nurs Forum, 44(4), 457-464.
  34. Clayton MF, Hulett J, Kaur K, Reblin M, Wilson A, Ellington L (2017). Nursing Support of Home Hospice Caregivers on the Day of Patient Death. Oncol Nurs Forum, 44(4), 457-464. (Read full article)
  35. Reblin M (07/2017). Caregiver, patient, and nurse visit communication patterns in cancer home hospice. . Psychooncology, 26(12), 2285–2293.
  36. Madden C (06/01/2017). Rules of performance in the nursing home: A grounded theory of Nurse-CNA communication. . Geriatr Nurs, 38(5), 378-84.
  37. Wilson B (06/2017). The Five Rights of Distance PhD Education. Advances in Nursing Doctoral Education & Research . 6(2), 9-16.
  38. Clayton MF (04/2017). Using simulation in nursing PhD education: Application of Responsible Conduct of Research principles. J Prof Nurs, 33(1), 68-73.
  39. Clayton MF, Dingley C, Donaldson G (2016). The Integration of Emotional, Physiologic, and Communication Responses to Medical Oncology Surveillance Appointments During Breast Cancer Survivorship. Cancer Nurs, 40(2), 124-134. (Read full article)
  40. Song L, Tyler C, Clayton MF, Rodgiriguez-Rassi E, Hill L, Bai J, Pruthi R, Bailey DE Jr (2016). Patient and family communication during consultation visits: The effects of a decision aid for treatment decision-making for localized prostate cancer. Patient Educ Couns, 100(2), 267-275. (Read full article)
  41. Clayton MF, Supiano K, Wilson R, Lassche M, Latendresse G (2016). Using Simulation in Nursing PhD Education: Facilitating Application of Responsible Conduct of Research Principles. J Prof Nurs, 33(1), 68-73. (Read full article)
  42. Song L (01/2017). ). Patient and family communication during consultation visits: The effects of a decision aid for treatment decision making for localized prostate cancer. Patient Educ Couns, 100(2), 267-275.
  43. Reblin M, Clayton MF, John KK, Ellington L (2015). Addressing Methodological Challenges in Large Communication Data Sets: Collecting and Coding Longitudinal Interactions in Home Hospice Cancer Care. Health Commun, 31(7), 789-97. (Read full article)
  44. Ellington L, Clayton MF, Reblin M, Cloyes K, Beck AC, Harrold JK, Harris P, Casarett D (2016). Interdisciplinary Team Care and Hospice Team Provider Visit Patterns during the Last Week of Life. J Palliat Med, 19(5), 482-7. (Read full article)
  45. Himes DO, Clayton MF, Donaldson GW, Ellington L, Buys SS, Kinney AY (2015). Breast Cancer Risk Perceptions among Relatives of Women with Uninformative Negative BRCA1/2 Test Results: The Moderating Effect of the Amount of Shared Information. J Genet Couns, 25(2), 258-69. (Read full article)
  46. Haas BK, Mark DD, LeVasseur SA, Ziehm SR, Hrabe DP, Clayton MF, Hafalia A, McNeil P (2016). NEXus: Making Efficient Use of Limited Resources. J Prof Nurs, 32(6), 449-457. (Read full article)
  47. Tjia J, Ellington L, Clayton MF, Lemay C, Reblin M (2015). Managing Medications During Home Hospice Cancer Care: The Needs of Family Caregivers. J Pain Symptom Manage, 50(5), 630-41. (Read full article)
  48. Tjia JT (11/2015).
  49. Tabler J (11/2015).
  50. Reblin M (10/2015).
  51. Ellington L (10/2015).
  52. Anderson RA (10/2015).
  53. Mooney K (08/2015).
  54. Reblin M, Cloyes KG, Carpenter J, Berry PH, Clayton MF, Ellington L (2014). Social support needs: discordance between home hospice nurses and former family caregivers. Palliat Support Care, 13(3), 465-72. (Read full article)
  55. Moreland J (06/2015).
  56. Himes DO (05/2015).
  57. Moreland JJ, Ewoldsen DR, Albert NM, Kosicki GM, Clayton MF (2015). Predicting Nurses' Turnover: The Aversive Effects of Decreased Identity, Poor Interpersonal Communication, and Learned Helplessness. J Health Commun, 20(10), 1155-65. (Read full article)
  58. Reblin M, Otis-Green S, Ellington L, Clayton MF (2014). Strategies to support spirituality in health care communication: a home hospice cancer caregiver case study. J Holist Nurs, 32(4), 269-77. (Read full article)
  59. Reblin M (11/2014).
  60. Clayton MF, Reblin M, Carlisle M, Ellington L (2014). Communication behaviors and patient and caregiver emotional concerns: a description of home hospice communication. Oncol Nurs Forum, 41(3), 311-21. (Read full article)
  61. Clayton MF (05/2014).
  62. Cloyes KG (05/2014).
  63. Ellington L, Cloyes K, Berry P, Thomas NT, Reblin M, Clayton MF (2013). Complexities for hospice nurses in supporting family caregivers: opinions from U.S. thought leaders. J Palliat Med, 16(9), 1013-9. (Read full article)
  64. Ellington L (09/2013).
  65. Ellington L (07/2013).
  66. Ellington L, Reblin M, Berry P, Giese-Davis J, Clayton MF (2012). Reflective research: supporting researchers engaged in analyzing end-of-life communication. Patient Educ Couns, 91(1), 126-8. (Read full article)
  67. Ellington L, Reblin M, Clayton MF, Berry P, Mooney K (2012). Hospice nurse communication with patients with cancer and their family caregivers. J Palliat Med, 15(3), 262-8. (Read full article)
  68. Ellington L (01/2012).
  69. Cloyes K (01/2012).
  70. Ellington L (01/2012).
  71. Fisher JH (01/2012).
  72. Neville-Swenson M (10/2011).
  73. Clayton MF (10/2011).
  74. Clayton MF, Latimer S, Dunn TW, Haas L (2011). Assessing patient-centered communication in a family practice setting: how do we measure it, and whose opinion matters? Patient Educ Couns, 84(3), 294-302. (Read full article)
  75. Tavernier SS (06/2011).
  76. Tavernier SS, Beck SL, Clayton MF, Pett MA, Berry DL (2011). Validity of the Patient Generated Index as a quality-of-life measure in radiation oncology. Oncol Nurs Forum, 38(3), 319-29. (Read full article)
  77. Clayton MF, Pett MA (2011). Modeling relationships in clinical research using path analysis Part II: evaluating the model. J Spec Pediatr Nurs, 16(1), 75-9. (Read full article)
  78. (11/2010).
  79. (10/2010).
  80. (09/2010).
  81. (2009).
  82. (2009).
  83. (2009).
  84. (2009).
  85. Clayton MF (01/2008).
  86. Sheldon L (01/2008).
  87. Clayton MF (01/2008).
  88. Gil KM, Mishel MH, Belyea M, Germino BB, Porter L, Clayton MF (2006). Benefits From an Uncertainty Management Intervention for Older Long-term Breast Cancer: 20 month Outcomes. Int J Behav Med, 13(4), 286-294.
  89. Porter LS, Clayton MF, Belyea M, Mishel M, Gil KM, Germino BB (2006). Predicting negative mood state and personal growth in African American and White long-term breast cancer survivors. Ann Behav Med, 31(3), 195-204. (Read full article)
  90. Porter L, Clayton MF, Belyea M, Gil KM, Germino BB, Mishel M (2006). Predicting psychological distress and psychological growth in African American and Caucasian long term breast cancer survivors. Ann Behav Med, 31(3), 195-204.
  91. Clayton MF (2006). Communication with breast cancer survivors. Commun Nurs Res, 39, 83-91. (Read full article)
  92. Clayton MF, Mishel MH, Belyea M (2006). Testing a model of symptoms, communication, uncertainty, and well-being, in older breast cancer survivors. Res Nurs Health, 29(1), 18-39. (Read full article)
  93. Gil K (01/2006).
  94. Clayton MF (01/2006).
  95. Porter L (01/2006).
  96. Clayton MF (01/2006).
  97. Mishel MH, Germino BB, Gil KM, Belyea M, LaNey IC, Stewart J, Porter L, amp Clayton MF (2005). Benefits from an uncertainty management intervention for African-American and Caucasian older long-term breast cancer survivors. Psychooncology, 14(11), 962-978.
  98. Mishel MH (01/2005).
  99. Clayton MF, Boegel E (2000). Missed immunization opportunities: a comparison of nurse practitioners and physicians. J Am Acad Nurse Pract, 11(10), 423-9. (Read full article)
  100. Clayton MF (01/1999).
  101. Clayton MF (1996). Caring for Carl at home. Home Healthc Nurse, 14(8), 605-8. (Read full article)
  102. Clayton MF (01/1996).

Book Chapter

  1. Takahashi LK (09/2018). Stress and Disease. In S. E. Huether & K. L. McCance (Eds.), Pathophysiology: The biologic basis for disease in adults and children 8th ed. Elsevier.
  2. Clayton MF (03/01/2018). Theories of Uncertainty in Illness. In M.J. Smith & P. Liehr (Eds). Middle Range Theory for Nursing. 4th Edition. Springer.
  3. Clayton MF (01/2017).
  4. Clayton MF (07/2014).
  5. Clayton MF (07/2014).
  6. Clayton MF (12/01/2013).
  7. SE Huether (11/2011).
  8. T Thompson (06/2011).
  9. (2010).
  10. (2008).
  11. Mishel MH (01/2003).
  12. Mishel MH, Clayton MF (2003). Uncertainty in Illness Theories. In Smith MJ; Liehr P (Ed.), Middle Range Theory in Advanced Practice Nursing 2nd ed. New York: Springer Publishing.
  13. Clayton MF (01/2001).

Conference Proceedings

  1. Bybee S (03/01/2018). ). Death-Talk May Predict Death Acceptance Among Advanced Cancer Patients & Spouse Caregivers. Innov Aging, Innovation in Aging, 2, S1.
  2. Hulett J (06/2017). ). Relationships between salivary diurnal cortisol and cancer survivorship outcomes: A systematic review. Ann Behav Med, Annals of Behavioral Medicine, 51, S2424-S2425.
  3. Xu J (06/2017). Clinic Visit Wait Time: Advanced Cancer Patient and Caregiver Discussions. Ann Behav Med, Annals of Behavioral Medicine, 51, S1834-S1835.
  4. Reblin M (06/2017). Coping with Home Hospice Cancer Caregiving: Emotional Scaffolding in Nurse-Caregiver Communication. Ann Behav Med, Annals of Behavioral Medicine, 51, S1769-S1770.
  5. Reblin M (06/2017). Changes in Nurse-Caregiver Communication in Cancer Home Hospice Visits Over Time. Ann Behav Med, Annals of Behavioral Medicine, 51, S1765-S1766.
  6. Oliver DP (06/2017). Listening behind closed doors: Shared decision making between hospice nurses and cancer patients and caregivers. J Clin Oncol, Journal of Clinical Oncology, 35, 41.
  7. Clayton MF (01/2017).
  8. Xu J (11/2016).
  9. Reblin M (10/2016).
  10. Beck Monica (06/2016). Hospice Caregiver Self-Care: Who’s Caring for the Caregiver? (S735). Elsevier BV, 51(2), 426. (Read full article)
  11. Lai Djin (06/2016). We’re the Eyes and the Ears, but We Don’t Have a Voice: Perspectives of Hospice Aides (S702). Elsevier BV, 51(2), 407-408. (Read full article)
  12. Lassche M (12/2015).
  13. Ellington L (06/2015).
  14. Tjia J (11/2014).
  15. Chaplik S (10/2011).
  16. LeBaron V (10/2011).
  17. Ellington L (10/2011).
  18. Wright K (10/2010).
  19. Ellington L (10/2010).
  20. Clayton MF (01/2010).
  21. Clayton MF (06/2009).
  22. Sheldon LK (10/2008).
  23. Clayton MF (10/2007).
  24. Clayton MF (10/2007).
  25. Clayton MF (10/2006).

Other

  1. (03/12/2009).

Video/Film/CD/Web/Podcast

  1. (2009). .