Eve S. Puffer | Scholars@Duke

Eve S. Puffer
Assistant Professor of Psychology and Neuroscience

Dr. Puffer is a global mental health researcher and a licensed clinical psychologist. Her research focuses on developing and evaluating integrated community-based interventions to promote child mental health, improve family functioning, and prevent HIV risk behavior. Her work includes studies with families with young children through those with adolescents, as well as with couples. She has conducted much of this work in rural Kenya and is an investigator on multiple studies of child mental health, family well-being, and parenting interventions in Thailand, Ethiopia, Liberia, South Sudan, and Iraq. Among Dr. Puffer's primary collaborators are the International Rescue Committee, a humanitarian organization, the Women's Institute for Secondary Education and Research in Kenya, and AMPATH, a consortium between North American medical schools and Moi University in Kenya.

Current Appointments & Affiliations

Assistant Professor of Psychology and Neuroscience, Psychology and Neuroscience, Trinity College of Arts & Sciences 2012
Assistant Research Professor of Global Health, Duke Global Health Institute, University Institutes and Centers 2012
Affiliate of the Duke Initiative for Science & Society, Duke Science & Society, Initiatives 2014
Affiliate of the Center for Child and Family Policy, Center for Child and Family Policy, Sanford School of Public Policy 2015

Contact Information

417 Chapel Drive, 250, Reuben-Cooke Building, Durham, NC 27708
90086, 235 Soc/Psych Building, Durham, NC 27708
eve.puffer@duke.edu (919) 660-5734

Background
Education, Training, & Certifications
- Ph.D., University of South Carolina, Columbia 2008
- M.A., University of South Carolina, Columbia 2005
- B.S., Furman University 2002
Previous Appointments & Affiliations
- Visiting Research Scholar in the Duke Global Health Institute, Duke Global Health Institute, University Institutes and Centers 2011 - 2012
Recognition
In the News
- MAY 18, 2021 Duke Global Health Institute
  
  A Family Support Model Developed in Kenya Comes to North Carolina
- MAR 18, 2015
  
  Global Research Confirms Family Interventions Can Reduce Violence, Positively Influence Child's Development
- OCT 16, 2013
  
  World Mental Health Day Event Attracts Duke Students and Faculty
Expertise
Global Scholarship
- Research
Research
Selected Grants
- Parents Make The Difference 2014 - 2018
- Community-sourced Interventions for Global Mental Health awarded by National Institutes of Health 2017 - 2018
- Developing a Measure of Caregiver Readiness to Disclose HIV Serostatus awarded by National Institutes of Health 2014 - 2017
- Stars in Global Health Round 7 Phase 1; Development of a community embedded family therapy intervention in Kenya: A faith and village based approach 2014 - 2016
- Private Violence, Public Concern: A Research Study on the Drivers, Forms and Consequences of Intimate Partner Violence on Women and Girls in Conflict Settings 2013 - 2014
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Giusto, Ali, Savannah L. Johnson, Kathryn L. Lovero, Milton L. Wainberg, Wilter Rono, David Ayuku, and Eve S. Puffer. “Building community-based helping practices by training peer-father counselors: A novel intervention to reduce drinking and depressive symptoms among fathers through an expanded masculinity lens.” The International Journal on Drug Policy 95 (September 2021): 103291. https://doi.org/10.1016/j.drugpo.2021.103291.
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  - Greene, M Claire, Jeremy C. Kane, Paul Bolton, Laura K. Murray, Milton L. Wainberg, Grace Yi, Amanda Sim, Eve Puffer, Abdulkadir Ismael, and Brian J. Hall. “Assessing trauma and related distress in refugee youth and their caregivers: should we be concerned about iatrogenic effects?” European Child & Adolescent Psychiatry 30, no. 9 (September 2021): 1437–47. https://doi.org/10.1007/s00787-020-01635-z.
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  - Schmidt, Christina N., Eve S. Puffer, Sherryl Broverman, Virginia Warren, and Eric P. Green. “Is social-ecological risk associated with individual HIV risk beliefs and behaviours?: An analysis of Kenyan adolescents' local communities and activity spaces.” Global Public Health, July 8, 2021, 1–16. https://doi.org/10.1080/17441692.2021.1951801.
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  - Ives, Lindsay T., Kate Stein, Alannah M. Rivera-Cancel, Julia K. Nicholas, Kristen Caldwell, Nandini Datta, Christian Mauro, Helen Egger, Eve Puffer, and Nancy L. Zucker. “Children's Beliefs about Pain: An Exploratory Analysis.” Children (Basel) 8, no. 6 (May 27, 2021). https://doi.org/10.3390/children8060452.
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  - Puffer, E. S., E. A. Friis-Healy, A. Giusto, S. Stafford, and D. Ayuku. “Development and Implementation of a Family Therapy Intervention in Kenya: a Community-Embedded Lay Provider Model.” Global Social Welfare 8, no. 1 (March 1, 2021): 11–28. https://doi.org/10.1007/s40609-019-00151-6.
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  - Puffer, Eve S., Ali Giusto, Amber D. Rieder, Elsa Friis-Healy, David Ayuku, and Eric P. Green. “Development of the Family Togetherness Scale: A Mixed-Methods Validation Study in Kenya.” Frontiers in Psychology 12 (January 2021): 662991. https://doi.org/10.3389/fpsyg.2021.662991.
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  - Langhaug, Lisa, A. Finnegan, K. Schenk, E. S. Puffer, S. Rusakaniko, and E. P. Green. “Caregiver self-efficacy to talk about sex predicts conversations about HIV transmission risk with perinatally infected young people in Zimbabwe.” Aids Care 32, no. 12 (December 2020): 1524–28. https://doi.org/10.1080/09540121.2020.1724253.
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  - Puffer, Eve S., Elsa Friis Healy, Eric P. Green, Ali M. Giusto, Bonnie N. Kaiser, Puja Patel, and David Ayuku. “Family Functioning and Mental Health Changes Following a Family Therapy Intervention in Kenya: a Pilot Trial.” Journal of Child and Family Studies 29, no. 12 (December 2020): 3493–3508. https://doi.org/10.1007/s10826-020-01816-z.
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  - Green, Eric P., Yihuan Lai, Nicholas Pearson, Sathyanath Rajasekharan, Michiel Rauws, Angela Joerin, Edith Kwobah, et al. “Expanding Access to Perinatal Depression Treatment in Kenya Through Automated Psychological Support: Development and Usability Study.” Jmir Formative Research 4, no. 10 (October 5, 2020): e17895. https://doi.org/10.2196/17895.
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  - Giusto, Ali, Eric P. Green, Ryan A. Simmons, David Ayuku, Puja Patel, and Eve S. Puffer. “A multiple baseline study of a brief alcohol reduction and family engagement intervention for fathers in Kenya.” Journal of Consulting and Clinical Psychology 88, no. 8 (August 2020): 708–25. https://doi.org/10.1037/ccp0000559.
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  - Goodman, Michael L., Eve S. Puffer, Philip H. Keiser, and Stanley Gitari. “Suicide clusters among young Kenyan men.” Journal of Health Psychology 25, no. 7 (June 2020): 1004–13. https://doi.org/10.1177/1359105317743803.
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  - Kuerten, Bethany G., Samuel Brotkin, Melanie J. Bonner, David O. Ayuku, Festus Njuguna, Steve M. Taylor, and Eve S. Puffer. “Psychosocial Burden of Childhood Sickle Cell Disease on Caregivers in Kenya.” J Pediatr Psychol 45, no. 5 (June 1, 2020): 561–72. https://doi.org/10.1093/jpepsy/jsaa021.
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  - Watson, Leah K., Bonnie N. Kaiser, Ali M. Giusto, David Ayuku, and Eve S. Puffer. “Validating mental health assessment in Kenya using an innovative gold standard.” International Journal of Psychology : Journal International De Psychologie 55, no. 3 (June 2020): 425–34. https://doi.org/10.1002/ijop.12604.
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  - Wall, Jonathan T., Bonnie N. Kaiser, Elsa A. Friis-Healy, David Ayuku, and Eve S. Puffer. “What about lay counselors' experiences of task-shifting mental health interventions? Example from a family-based intervention in Kenya.” International Journal of Mental Health Systems 14 (January 2020): 9. https://doi.org/10.1186/s13033-020-00343-0.
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  - Patel, Puja, Bonnie N. Kaiser, Christina S. Meade, Ali Giusto, David Ayuku, and Eve Puffer. “Problematic alcohol use among fathers in Kenya: Poverty, people, and practices as barriers and facilitators to help acceptance.” Int J Drug Policy 75 (January 2020): 102576. https://doi.org/10.1016/j.drugpo.2019.10.003.
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  - Giusto, Ali, Bonnie N. Kaiser, David Ayuku, and Eve S. Puffer. “A Direct Observational Measure of Family Functioning for a Low-Resource Setting: Adaptation and Feasibility in a Kenyan Sample.” Behavior Therapy 50, no. 2 (March 2019): 459–73. https://doi.org/10.1016/j.beth.2018.08.004.
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  - Finnegan, Amy, Lisa Langhaug, Katie Schenk, Eve S. Puffer, Simbarashe Rusakaniko, Yujung Choi, Simbarashe Mahaso, and Eric P. Green. “The prevalence and process of pediatric HIV disclosure: A population-based prospective cohort study in Zimbabwe.” Plos One 14, no. 5 (January 2019): e0215659. https://doi.org/10.1371/journal.pone.0215659.
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  - Green, Eric P., Hyunsan Cho, John Gallis, and Eve S. Puffer. “The impact of school support on depression among adolescent orphans: a cluster-randomized trial in Kenya.” Journal of Child Psychology and Psychiatry, and Allied Disciplines 60, no. 1 (January 2019): 54–62. https://doi.org/10.1111/jcpp.12955.
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  - Healy, Elsa A., Bonnie N. Kaiser, and Eve S. Puffer. “Family-based youth mental health interventions delivered by nonspecialist providers in low- and middle-income countries: A systematic review.” Families, Systems & Health : The Journal of Collaborative Family Healthcare 36, no. 2 (June 2018): 182–97. https://doi.org/10.1037/fsh0000334.
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  - Wachter, Karin, Rebecca Horn, Elsa Friis, Kathryn Falb, Leora Ward, Christine Apio, Sophia Wanjiku, and Eve Puffer. “Drivers of Intimate Partner Violence Against Women in Three Refugee Camps.” Violence Against Women 24, no. 3 (March 2018): 286–306. https://doi.org/10.1177/1077801216689163.
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  - Green, Eric, Rhea M. Chase, John Zayzay, Amy Finnegan, and Eve S. Puffer. “The impact of the 2014 Ebola virus disease outbreak in Liberia on parent preferences for harsh discipline practices: a quasi-experimental, pre-post design.” Global Mental Health (Cambridge, England) 5 (January 9, 2018): e1. https://doi.org/10.1017/gmh.2017.24.
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  - Murray, L. K., B. J. Hall, S. Dorsey, A. M. Ugueto, E. S. Puffer, A. Sim, A. Ismael, et al. “An evaluation of a common elements treatment approach for youth in Somali refugee camps.” Global Mental Health (Cambridge, England) 5 (January 2018): e16. https://doi.org/10.1017/gmh.2018.7.
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  - Giusto, A., E. Friis, A. L. Sim, R. M. Chase, J. O. Zayzay, E. Green, and E. Puffer. “A Qualitative Study of Mechanisms Underlying Effects of a Parenting Intervention in Rural Liberia.” European Journal of Development Research 29, no. 5 (November 1, 2017): 964–82. https://doi.org/10.1057/s41287-017-0101-8.
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  - Annan, Jeannie, Amanda Sim, Eve S. Puffer, Carmel Salhi, and Theresa S. Betancourt. “Improving Mental Health Outcomes of Burmese Migrant and Displaced Children in Thailand: a Community-Based Randomized Controlled Trial of a Parenting and Family Skills Intervention.” Prevention Science : The Official Journal of the Society for Prevention Research 18, no. 7 (October 2017): 793–803. https://doi.org/10.1007/s11121-016-0728-2.
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  - Giusto, Ali M., Eric P. Green, and Eve S. Puffer. “Associations Between Fathers' and Sons' Sexual Risk in Rural Kenya: The Potential for Intergenerational Transmission.” The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine 61, no. 2 (August 2017): 219–25. https://doi.org/10.1016/j.jadohealth.2017.02.007.
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  - Puffer, Eve S., Jeannie Annan, Amanda L. Sim, Carmel Salhi, and Theresa S. Betancourt. “The impact of a family skills training intervention among Burmese migrant families in Thailand: A randomized controlled trial.” Plos One 12, no. 3 (January 2017): e0172611. https://doi.org/10.1371/journal.pone.0172611.
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  - Puffer, Eve S., Jeffrey C. Schatz, and Carla W. Roberts. “Association between somatic growth trajectory and cognitive functioning in young children with sickle cell disease.” Journal of Health Psychology 21, no. 8 (August 2016): 1620–29. https://doi.org/10.1177/1359105314559861.
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  - Puffer, Eve S., Eric P. Green, Kathleen J. Sikkema, Sherryl A. Broverman, Rose A. Ogwang-Odhiambo, and Jessica Pian. “A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.” Journal of Consulting and Clinical Psychology 84, no. 6 (June 2016): 511–25. https://doi.org/10.1037/ccp0000076.
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  - Green, Eric P., Virginia Rieck Warren, Sherryl Broverman, Benson Ogwang, and Eve S. Puffer. “Participatory mapping in low-resource settings: Three novel methods used to engage Kenyan youth and other community members in community-based HIV prevention research.” Global Public Health 11, no. 5–6 (May 2016): 583–99. https://doi.org/10.1080/17441692.2016.1170178.
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  - Horn, Rebecca, Eve S. Puffer, Elisabeth Roesch, and Heidi Lehmann. “'I don't need an eye for an eye': Women's responses to intimate partner violence in Sierra Leone and Liberia.” Global Public Health 11, no. 1–2 (January 2016): 108–21. https://doi.org/10.1080/17441692.2015.1032320.
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  - Schatz, Jeffrey, Alyssa M. Schlenz, Catherine B. McClellan, Eve S. Puffer, Steven Hardy, Matthew Pfeiffer, and Carla W. Roberts. “Changes in coping, pain, and activity after cognitive-behavioral training: a randomized clinical trial for pediatric sickle cell disease using smartphones.” The Clinical Journal of Pain 31, no. 6 (June 2015): 536–47. https://doi.org/10.1097/ajp.0000000000000183.
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  - Puffer, E. S., E. P. Green, R. M. Chase, A. L. Sim, J. Zayzay, E. Friis, E. Garcia-Rolland, and L. Boone. “Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia.” Global Mental Health (Cambridge, England) 2 (January 2015): e15. https://doi.org/10.1017/gmh.2015.12.
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  - Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.” East Afr Med J 91, no. 5 (May 2014): 152–60.
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  - Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “IMPLEMENTATION OF A SCHOOL-BASED HIV PREVENTION CURRICULUM FOLLOWING NATIONAL DISSEMINATION IN NYANZA PROVINCE, KENYA.” East Afr Med J 91, no. 5 (May 2014): 152–60.
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  - Hall, B. J., E. Puffer, L. K. Murray, A. Ismael, J. K. Bass, A. Sim, and P. A. Bolton. “The Importance of Establishing Reliability and Validity of Assessment Instruments for Mental Health Problems: An Example from Somali Children and Adolescents Living in Three Refugee Camps in Ethiopia.” Psychological Injury and Law 7, no. 2 (January 1, 2014): 153–64. https://doi.org/10.1007/s12207-014-9188-9.
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  - Horn, Rebecca, Eve S. Puffer, Elisabeth Roesch, and Heidi Lehmann. “Women's perceptions of effects of war on intimate partner violence and gender roles in two post-conflict West African Countries: consequences and unexpected opportunities.” Conflict and Health 8 (January 2014): 12. https://doi.org/10.1186/1752-1505-8-12.
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  - Puffer, Eve S., Jessica Pian, Kathleen J. Sikkema, Rose A. Ogwang-Odhiambo, and Sherryl A. Broverman. “Developing a family-based HIV prevention intervention in rural Kenya: challenges in conducting community-based participatory research.” Journal of Empirical Research on Human Research Ethics : Jerhre 8, no. 2 (April 2013): 119–28. https://doi.org/10.1525/jer.2013.8.2.119.
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  - Meyer, Sarah, Laura K. Murray, Eve S. Puffer, Jillian Larsen, and Paul Bolton. “The nature and impact of chronic stressors on refugee children in Ban Mai Nai Soi camp, Thailand.” Global Public Health 8, no. 9 (January 2013): 1027–47. https://doi.org/10.1080/17441692.2013.811531.
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  - Boateng, L. B., E. S. Puffer, T. Allen, M. Bonner, and C. D. Thornburg. ““It is keeping him alive, and life is what it is all about:” A Qualitative Study of Family Perspectives on Adherence to Secondary Stroke Prevention in Children with Sickle Cell Disease (Submitted).” Pediatric Blood and Cancer, December 2012.
  - Puffer, Eve S., Linda M. Skalski, and Christina S. Meade. “Changes in religious coping and relapse to drug use among opioid-dependent patients following inpatient detoxification.” J Relig Health 51, no. 4 (December 2012): 1226–38. https://doi.org/10.1007/s10943-010-9418-8.
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  - Puffer, Eve S., Anya S. Drabkin, Allison L. Stashko, Sherryl A. Broverman, Rose A. Ogwang-Odhiambo, and Kathleen J. Sikkema. “Orphan status, HIV risk behavior, and mental health among adolescents in rural Kenya.” Journal of Pediatric Psychology 37, no. 8 (September 2012): 868–78. https://doi.org/10.1093/jpepsy/jss077.
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  - Meyer, S., L. Murray, E. S. Puffer, J. Larsen, and P. Bolton. “Refugee children in Ban Mai Nai Soi camp, Thailand: a qualitative study (Submitted).” Conflict and Health, August 2012.
  - Schlenz, A. M., C. B. McClellan, T. R. M. Mark, A. McKelvy, E. S. Puffer, C. W. Roberts, S. M. Sweitzer, and J. D. Schatz. “Sensitization to Acute Procedural Pain in Pediatric Sickle Cell Disease: Modulation by Painful Vaso-occlusive Episodes, Age, and Endothelin-1.” Journal of Pain 13 (July 2012): 656–65.
  - Puffer, Eve S., Melissa H. Watt, Kathleen J. Sikkema, Rose A. Ogwang-Odhiambo, and Sherryl A. Broverman. “The protective role of religious coping in adolescents' responses to poverty and sexual decision-making in rural Kenya.” Journal of Research on Adolescence : The Official Journal of the Society for Research on Adolescence 22, no. 1 (March 2012): 1–7. https://doi.org/10.1111/j.1532-7795.2011.00760.x.
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  - Puffer, E., J. Pian, S. Broverman, R. Ogwang Odhaimbo, and K. Sikkema. “Developing a community-based HIV prevention intervention in rural Kenya: Ethical challenges of community-based participatory research (Submitted).” Journal of Empirical Research on Human Research Ethics, 2012.
  - Sim, A., E. S. Puffer, T. Betancourt, and J. Annan. “Development in Adversity: Risk and Resilience Among Displaced Burmese Children in Thailand (In preparation).” Social Science and Medicine, 2012.
  - Miles, Andrew, Rae Jean Proescholdbell, and Eve Puffer. “Explaining rural/non-rural disparities in physical health-related quality of life: a study of United Methodist clergy in North Carolina.” Quality of Life Research : An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation 20, no. 6 (August 2011): 807–15. https://doi.org/10.1007/s11136-010-9817-z.
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  - Puffer, Eve S., Christina S. Meade, Anya S. Drabkin, Sherryl A. Broverman, Rose A. Ogwang-Odhiambo, and Kathleen J. Sikkema. “Individual- and family-level psychosocial correlates of HIV risk behavior among youth in rural Kenya.” Aids Behav 15, no. 6 (August 2011): 1264–74. https://doi.org/10.1007/s10461-010-9823-8.
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  - Matthews, E. J., E. S. Puffer, C. S. Meade, and S. A. Broverman. “. Implementation of a of a school-based HIV prevention program in rural Kenya after national dissemination (Submitted).” East African Medical Journal, 2011.
  - Miles, A., R. J. Proescholdbell, and E. S. Puffer. “Explaining Rural and non-rural disparities in physical health-related quality of life among clergy members.” Quality of Life Research 20 (2011): 807–15.
  - Pufer, E. S., A. Kochman, N. B. Hansen, and K. J. Sikema. “An evidence-based group coping intervention for women living with HIV and history of childhood sexual abuse.” International Journal of Group Psychotherapy 61, no. 1 (January 1, 2011): 99–126.
  - Puffer, Eve S., Arlene Kochman, Nathan B. Hansen, and Kathleen J. Sikkema. “An evidence-based group coping intervention for women living with HIV and history of childhood sexual abuse.” International Journal of Group Psychotherapy 61, no. 1 (January 2011): 98–126. https://doi.org/10.1521/ijgp.2011.61.1.98.
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  - Puffer, Eve S., Sherryl Broverman, Rose O. Odhiambo, and Kathleen J. Sikkema. “MENTAL HEALTH FACTORS ASSOCIATED WITH HIV RISK BEHAVIOR AMONG ADOLESCENTS IN RURAL KENYA.” Annals of Behavioral Medicine 39 (April 1, 2010): 205–205.
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  - McClellan, Catherine B., Jeffrey C. Schatz, Eve Puffer, Carmen E. Sanchez, Melita T. Stancil, and Carla W. Roberts. “Use of handheld wireless technology for a home-based sickle cell pain management protocol.” Journal of Pediatric Psychology 34, no. 5 (June 2009): 564–73. https://doi.org/10.1093/jpepsy/jsn121.
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  - McClellan, Catherine B., Jeffrey C. Schatz, Teresa R. M. Mark, Alvin McKelvy, Eve Puffer, Carla W. Roberts, and Sarah M. Sweitzer. “Criterion and convergent validity for 4 measures of pain in a pediatric sickle cell disease population.” The Clinical Journal of Pain 25, no. 2 (February 2009): 146–52. https://doi.org/10.1097/ajp.0b013e3181839ac4.
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  - McClellan, C. B., J. C. Schatz, T. R. M. Mark, A. McKelvy, E. S. Puffer, C. Roberts, and S. M. Sweitzer. “Criterion and convergent validity for 4 measures of pediatric pain in sickle cell disease.” Clinical Journal of Pain 25 (2009): 146–52.
  - Schatz, J. C., E. S. Puffer, C. Sanchez, M. Stancil, and C. W. Roberts. “Language Processing Deficits in Sickle Cell Disease in Young School-Age Children.” Developmental Neuropsychology 34 (2009): 1–15.
  - Schatz, Jeffrey, Eve S. Puffer, Carmen Sanchez, Melita Stancil, and Carla W. Roberts. “Language processing deficits in sickle cell disease in young school-age children.” Developmental Neuropsychology 34, no. 1 (January 2009): 122–36. https://doi.org/10.1080/87565640802499191.
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  - Puffer, E. S., J. C. Schatz, and C. W. Roberts. “Relationships between Somatic Growth and Cognitive Functioning in Children with Sickle Cell Disease.” Journal of Pediatric Psychology 35 (2009): 892–904.
  - Schatz, J., C. B. McClellan, E. S. Puffer, K. Johnson, and C. W. Roberts. “Neurodevelopmental Screening in Toddlers and Early Preschoolers with Sickle Cell Disease.” Journal of Child Neurology 23 (2008): 44–50.
  - Puffer, E. S., J. Schatz, and C. W. Roberts. “The association of oral hydroxyurea therapy with improved cognitive functioning in sickle cell disease.” Child Neuropsychology 13 (2007): 142–54.
Teaching & Mentoring
Recent Courses
Scholarly, Clinical, & Service Activities
Presentations & Appearances
Outreach & Engaged Scholarship
Service to the Profession

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Education, Training, & Certifications

Previous Appointments & Affiliations

In the News

Global Scholarship

Research

Selected Grants

Selected Publications

Academic Articles

Recent Courses

Presentations & Appearances

Outreach & Engaged Scholarship

Service to the Profession