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University of Colorado College of Nursing

College of Nursing

Paul F. Cook, PhD, Licensed Psychologist

Associate Professor

Paul Cook

Paul Cook studies problems in health-behavior change, such as medication adherence, self-management of chronic diseases, and HIV prevention. He brings to this research his background in clinical psychology and training as a psychotherapist, which has made him particularly interested in theories of change (which may be distinct from theories about why people have problems in the first place). Dr. Cook’s primary research focus is on implementing psychologically based behavior-change techniques in health-care settings to help patients self-manage chronic conditions. He is currently the primary investigator or co-investigator on studies of psychological techniques to improve treatment adherence and methods for training health-care providers to implement behavior-change techniques, and he has published empirical and theoretical work on behavior-change techniques. Prior to his appointment at UCD, Dr. Cook served as Director of Research and Development for ScriptAssist Medication Adherence Programs and also as Corporate Quality Improvement Director for several specialty managed care organizations, including behavioral health, disease management, and nurse triage.

Degree Awarding Institution Field of Study Graduation Date
Post-Doctoral Fellow University of Colorado
Denver, Colorado
Public Psychology 2000
PhD Temple University
Philadelphia, Pennsilvania
Clinical Psychology 2000
MA Temple University
Philadelphia, Pennsilvania
Clinical Psychology 1997
BS Valparaiso University
Valparaiso, Indiana
French 1994
BS Valparaiso University
Valparaiso, Indiana
Psychology 1994
  1. Cook, P. F., Schmiege, S. J., Mansberger, S. L., Kammer, J., Fitzgerald, T., & Kahook, M. Y. (in press). Predictors of adherence to glaucoma treatment in a multi-site study. Annals of Behavioral Medicine.
  2. Langness, J., Cook, P., Boggs, R., Gill, J., & Netsanet, N. (in press). Comparison of adherence rates for antiretroviral medications, blood pressure medications, and mental health medications for HIV-positive patients at an academic medical center outpatient pharmacy. Journal of Managed Care Pharmacy.
  3. Larsen, K. R., Voronovich, Z. A., Cook, P. F., & Pedro, L. W. (2013). Addicted to constructs: Science in reverse? Addictions, 108, 1532-1533. doi: 10.1111/add.12227
  4. Hayat, M. J., Schmiege, S. J., & Cook, P. (in press). Perspectives on statistics education: Learning from statistical consulting in an academic nursing environment. Journal of Nursing Education.
  5. Nelson, J., Cook, P. F., & Raterink, G. (2013). The evolution of a DNP capstone process: Programmatic revisions to improve the quality of student projects. Journal of Professional Nursing, 29, 370-380. doi:10.1016/j.profnurs.2012.05.018
  6. Battaglia, C., Benson, S. L., Cook, P. F., & Prochazka, A. (2013). Building a tobacco cessation telehealth care management program for veterans with posttraumatic stress disorder. Journal of the American Psychiatric Nurses Association. 19, 78-91. doi: 10.1177/1078390313483314
  7. Cook, P. F., Richardson, G., & Wilson, A. (2013). Evaluating the delivery of motivational interviewing to promote children’s oral health at a multi-site urban Head Start program. Journal of Public Health Dentistry, 73, 147-150. doi: 10.1111/j.1752-7325.2012.00357.x
  8. Corwin, E. J., Meek, P., Cook, P., Lowe, N., & Sousa, K. (2012). Shape shifters: Biobehavioral determinants and phenomena in symptom research. Nursing Outlook, 60, 191-197.
  9. Cook, P. F., Schmiege, S. J., McClean, M., Aagaard, L., & Kahook, M. Y. (2012). Practical and analytic issues in the electronic assessment of adherence. Western Journal of Nursing Research, 34, 598-620. doi: 10.1177/0193945911427153
  10. Cook, P. F., Larsen, K. R., Sakraida, T. J., & Pedro. L. (2012). A novel quantitative approach to concept analysis: The Inter-Nomological Network. Nursing Research, 61, 369–378. doi: 10.1097/NNR.0b013e318250c199
  11. Cook, P. F., Sousa, K. H., Matthews, E. E., Meek, P. M., & Kwong, J. (2011). Patterns of change in symptom clusters with HIV disease progression. Journal of Pain and Symptom Management, 42, 12-23. doi: 10.1016/j.jpainsymman.2010.09.021
  12. Cook, P. F., Mansberger, S. L., Sheppler, C., Schmiege, S. J., & Kahook, M. Y. (2012). Glaucoma medication treatment nonadherence: Correlates and consequences. Communicating Nursing Research.
  13. Cook, P. F., Bremer, R. W., Ayala, A. J., & Kahook, M. Y. (2010). Feasibility of motivational interviewing delivered by a glaucoma educator to improve medication adherence. Clinical Ophthalmology, 4, 1091-1101.
  14. Cook, P. F., McElwain, C. J., & Bradley-Springer, L. (2010). Feasibility of a daily electronic survey to study prevention behavior with HIV-infected individuals. Research in Nursing and Health, 33, 221-234. doi: 10.1002/nur.20381
  15. Cook, P. F., Emiliozzi, S., El-Hajj, D., & McCabe, M. (2010). Telephone nurse counseling for ulcerative colitis: A preliminary study. Patient Education and Counseling, 81, 182-186. doi: 10.1016/j.pec.2009.12.010
  16. Cook, P. F., McCabe, M. M., Emiliozzi, S., & Pointer, L. (2009). Telephone nurse counseling improves HIV medication adherence: An effectiveness study. Journal of the Association of Nurses in AIDS Care, 20, 316-325.
  17. Cook, P. F., Emiliozzi, S., & El-Hajj, D. (2009). Adherence and quality of life in serious and persistent mental illness. Communicating Nursing Research, 42, 198.
  18. Cook, P. F., Friedman, R., Lord, A., & Bradley-Springer, L. A. (2009). Outcomes of multi-modal training for healthcare professionals at an AIDS Education and Training Center. Evaluation and the Health Professions, 32, 3-22.
  19. Thrun, M., Cook, P. F., Bradley-Springer, L. A., Gardner, L., Marks, G., Wright, J., Wilson, T., et al. (2009). Brief Training Improves Prevention Counseling by Providers in HIV-Care Settings: The Positive STEPs Curriculum. AIDS Education and Prevention, 21, 55-66.
  20. Cook, P. F. (2009). Study designs for program evaluation: How do we know what works? Journal for Specialists in Pediatric Nursing, 14, 70-72.
  21. Cook, P. F., Emiliozzi, S., Waters, C., & El-Hajj, D. (2008). Effects of telephone counseling on antipsychotic adherence and emergency department utilization. American Journal of Managed Care, 14, 841-846.
  22. Cook, P.F. (2008). Patients' and health care practitioners' attributions about adherence problems as predictors of medication adherence. Research in Nursing & Health, 31, 261–273.
  23. Cook, P. F. (2008). Build or buy? Using surveys for clinical research. Journal for Specialists in Pediatric Nursing, 13, 56-59.
  24. Cook, P. F., Emiliozzi, S., & McCabe, M. (2007). Telephone counseling to improve osteoporosis treatment adherence: An effectiveness study in community practice settings. American Journal of Medical Quality, 22, 445-456.
  25. Cook, P. F., Farrell, E., & Perlman, J. (2007). The CCH Consumer Outcome Scales: A brief instrument to assess the multiple problems of homelessness. The Journal of Nursing Measurement, 15, 83-104.
  26. Cook, P. F. (2006). Adherence to medications. In W. T. O'Donohue, & E. R. Levensky (Eds.), Promoting treatment adherence: A practical handbook for health care providers (pp. 183-202 Thousand Oaks: Sage Publications.
  27. Efran, J. S. & Cook, P. F. (2000). Linguistic ambiguity as a diagnostic tool. In R. A. Neimeyer & J. D. Raskin (Eds.), Constructions of disorder: Meaning-making frameworks for psychotherapy (pp. 121-144). Washington, DC: APA.
  • Evaluator, Nurses Helping Colorado: An SBIRT Training Program, training in brief screening and motivational interviewing for BSN and APRN nursing students, PI: Dr. Mary Weber, CU College of Nursing, September 1, 2013 - August 31, 2016. Funded.
  • PI, National Institutes of Health/National Institute of Nursing Research, R21, February 8, 2012 - January 31, 2014. Funded.
  • Co-PI, An Assessment of the Impact of Motivational Interviewing via Glaucoma Educator on Glaucoma Treatment Adherence and Persistence, lead site for 3-site randomized controlled trial, Merck & Co., November 8, 2011 - December 31, 2013. Funded. 
  • PI, Translational Study of Motivational Interviewing to Improve Dental Follow-up at Head Start, City and County of Denver, November 1, 2008 – October 31, 2009. Funded.
  • Program Evaluator, Mountain-Plains AIDS Education and Training Center, Health Resources and Services Administration (HRSA), PI: Lucy Bradley-Springer PhD, University of Colorado Denver School of Medicine. July 1, 2005 – June 30, 2010. Funded.
  • Contributor, Colorado Clinical and Translational Research Institute, Biostatistics Core, NIH.
  • PI: Ronald Sokol MD, University of Colorado Denver School of Medicine, May 1, 2008 – April 30, 2013. Funded.
  • Collaborator, Self-Management of Type 2 Diabetes and Chronic Kidney Disease. Robert Wood Johnson Foundation. PI: Teresa Sakraida PhD, University of Colorado Denver College of Nursing. September 1, 2008 – August 31, 2011. Funded.
  • PI, Assessing a Telephonic Patient Education and Support Program to Improve Treatment Adherence, Centene Corporation. July 1, 1005 – June 30, 2009. Funded.
  • PI, Testing the Feasibility of a PDA Diary to Study Predictors of HIV Prevention Behavior, Colorado Center for AIDS Research (CFAR) of the University of Colorado a Denver School of Medicine, funded by the National Institute for Allergies and Infectious Diseases (NIH/NIAID). August 1, 2006 – April 15, 2008. Funded.

Cook is a licensed psychologist with 12 years of experience in the field of health behavior change. He uses motivational interviewing extensively in his own research on medication adherence, and has supported studies on smoking cessation, diet change, and exercise promotion. He has trained health care professionals from many different disciplines to use MI for health behavior change, including nurses, physicians, pharmacists, diabetes educators, health coaches, respiratory therapists, dentists, dental hygenists, dieticians, physician assistants, chiropractors, social workers, school health professionals, pharmaceutical representatives, and others.

In 2014, Cook launched an online motivational interviewing training course, available for CE credit through the CU College of Nursing. You can access the online course here:

  • Dr. Cook provides occasional consultation on medication adherence, quality improvement, or program-evaluation projects for managed care or disease-management organizations. Recent consultation projects have involved developing brief messages to promote medication adherence among patients with chronic diseases and developing a model to predict length of stay (LOS) for infants in neonatal intensive care units (NICU) from demographic and clinical variables in an administrative dataset.