Freda Patterson

Freda Patterson

Associate Professor

Behavioral Health & Nutrition
019 Carpenter Sports Bldg.
Ph: 302-831-6588


Dr. Patterson is an Assistant Professor of Health Behavior Science, Director of the PhD Health
Behavior Science and Promotion program, and an investigator with the University of Delaware’s
Centre for Biomedical Research Excellence (COBRE) in Cardiovascular Health. She was previously
an Instructor at Temple University’s College of Public Health (2010-2015), and a Project Manager,
Post-Doctoral Associate, and Research Associate at the University of Pennsylvania’s Perelman
School of Medicine (2001-2010).

As a public health scientist, Dr. Patterson utilizes big-data, community-based, and randomized
controlled trial approaches to elucidate the determinants and co-occurrence of cardiovascular risk
behaviors. A central theme of her work is the testing of interactions between cardiovascular risk
factors (e.g., sedentary behavior and physical activity, healthy sleep and tobacco use, food insecurity
and tobacco use) on cardiovascular disease outcomes in different populations with the goal of
identifying “upstream” behavioral intervention targets. To date, she has published 75 peer-reviewed
articles, several book chapters, and has presented at numerous national and international
conferences. Dr. Patterson is an associate editor for Sleep Health and BMC Public Health, and
serves as a reviewer for the American Heart Association and American Public Health Association.
She has been awarded the American Schools and Programs in Public Health (ASPPH)/Pfizer Early
Career in Public Health Teaching Award.


BHAN490 Development of Health Promotion Programs

HLPR820 Social and Environmental Determinants of Health


Recent Publications
1. Patterson F, Grandner MA, Malone SK, Rizzo A, Davey A, Edwards, DG. (2017) Sleep as a target for optimized response to smoking cessation treatment. Nicotine and Tobacco Research.
2. Robson S, Lozano A, Papas M, *Patterson F. (2017) Food insecurity and cardiometabolic risk factors in adolescents: Results from a state-wide Pennsylvania Youth Risk Behavior Survey. Preventing Chronic Disease.
3. Patterson F, Grandner MA, Lozano, A, Satti A, Ma G. (2017) Transitioning from Adequate to Inadequate Sleep Duration Associated with Higher Smoking Rate and Greater Nicotine Dependence in a Population Sample. Addictive Behaviors.
4. Lenhart, Weikman, Hanlon, *Patterson. (2017) Perceived Neighborhood Safety associated with physical activity and not sedentary behavior: Results from a Population Sample. BMC Public Health.
5. Frankel, Bass, Patterson. (2017) Association of Sexting with Other Sexual Health Behaviors: Implications for School Health Education. Journal of School Health.
6. Tremblay MS, Aubert S, Barnes JD, Saunders TJ, Carson V, Latimer-Cheung AE, Chastin SFM, Altenburg TM, Chinapaw MJM, Aminian S, Arundell L, Atkin AJ, Barone Gibbs B, Bassett-Gunter R, Belanger K,
Biddle S, Biswas A, Carson V, Chaput JP, Chau J, Colley R,  Coppinger T, Craven C, Cristi-Montero C, de
Assis Teles Santos D, del Pozo Cruz B, del Pozo-Cruz J, Dempsey P, do Carmo Santos Gonçalves RF,
Ekelund U, Ellingson L, Ezeugwu V, Fitzsimons C, Florez-Pregonero A, Friel C, Fröberg A, Giangregorio L,
Godin L, Gunnell K, Halloway S, Hinkley T, Hnatiuk J, Husu P, Kadir M, Karagounis LG, Koster A,
Lakerveld J, Lamb M, Larouche R, LeBlanc A, Lee EY, Lee P, Lopes L, Manns T, Manyanga T, Martin
Ginis K, McVeigh J, Meneguci J, Moreira C, Murtagh E, Patterson F, Pereira da Silva DR, Pesola AJ, Peterson N, Pettitt C, Pilutti L, Pinto Pereira S, Poitras V, Prince S, Rathod A, Rivière F, Rosenkranz S, Routhier F, Santos R, Smith B, Theou O, Tomasone J, Tucker P, Umstattd Meyer R, van der Ploeg H,
Villalobos T, Viren T, Wallmann-Sperlich B, Wijndaele K, Wondergem R. (2017) Sedentary Behavior
Research Network (SBRN) – Terminology Consensus Project process and outcome. International Journal
of Behavioral Nutrition and Physical Activity, 14(75):2-17
7. Malone, Patterson, Lozano, Hanlon. (2017) Racial Differences in Sleep Timing and Duration: Implications for Cardiometabolic Disease Prevention. Chronobiology International.
8. Wenner, M, Patterson, F, Wright R, Lennon S, Witman M, Edwards, D.G. (2017). UD Center of Biomedical Research Excellence in Cardiovascular Health. Delaware Journal of Public Health.
9. Patterson, Malone, Grandner, Lozano, Perkett, Hanlon. (2017). Interactive Effects of Sleep Duration andMorning/Evening Preference on Cardiovascular Risk Factors: A UK Biobank Study. European Journal of Public Health. doi:10.1093/eurpub/ckx02
10. Casola, A., Nelson, D.B., Patterson, F. (2017) Sex differences in contraception non-use among urban adolescents: Risk factors for unintended pregnancy. Journal of School Health. 87(9): 641-649.
11. Niar, U., Patterson, F., Rodriguez, D., Collins, B. (2016) Telephone-based Intervention to Promote Physical Activity During Smoking Cessation: A Randomized Controlled Proof of Concept Study. Translational Behavioral Medicine. PMID: 27896797
12. Bass, S.B., Scarpulla, M, Patterson, F, Watts, S, and Twersky, S. (2016). Development and implementation of a multi-section undergraduate public health capstone course:  Bridging the gap between liberal arts and skill-based frameworks. Pedagogy in Health Promotion, 3(1):16-22.
13. Perkett M, Robson S.M., Wysota, C., McGarry, C., Weddle, D., Papas, M., Patterson, F. (2016)
Characterizing Cardiovascular Health and Evaluating a Low-Intensity Intervention to Promote Smoking
Cessation in a Food-Assistance Population. Journal of Community Health. PMID: 27837357
DOI:10.1007/s10900-016- 0295-2
14. Patterson, F., Zaslav, D., Cuesta, H., Leone, F., Morrison, M., Satti. A. (2016) Smoking Cessation Program Enrollment and Attendance in a Sample of Pulmonary Clinic Patients: A Mixed Methods Analysis. Respiratory Care. 62(2): 179-192. PMID: 27729398 DOI: 10.4187/respcare.04958
15. Patterson, F., Zhang, G., Davey, A., Tan, Y., & Ma, G. X. (2016). American Heart Association’s Ideal Cardiovascular Health Metrics in Under-Represented Asian Americans. Journal of Community Health. doi:10.1007/s10900-016-0217-3
16. Bass, S. B., Muniz, J., Gordon, T. F., Maurer, L., & *Patterson, F. (2016). Understanding help-seeking intentions in male military cadets: An application of perceptual mapping. BMC Public Health, 16(1), 413. doi:10.1186/s12889-016- 3092-z
17. Patterson, F., Malone, S. K., Lozano, A., Grandner, M. A., & Hanlon, A. L. (2016). Smoking, Screen-Based Sedentary Behavior, and Diet Associated with Habitual Sleep Duration and Chronotype: Data from the UK Biobank. Annals of Behavioral Med. doi:10.1007/s12160-016- 9797-5
18. Malone, S. K., Patterson, F., Lu, Y., Lozano, A., & Hanlon, A. (2016). Ethnic differences in sleep duration and morning-evening type in a population sample. Chronobiology International, 33(1), 10-21. doi:10.3109/07420528.2015.1107729
19. Patterson, F and Lenhart, C. (2016) Characteristics of Non-Sedentary Smokers from a National Sample who engaged in any physical activity: Implications for Cardiovascular Health. American Journal of Health Education, 47(2).
20. Becker, B., Patterson, F., Fagan, J., Whitaker, R. (2016) Mindfulness among Home Visitors in Head Start and the Quality of their Working Alliance with Parents. Journal of Child and Family Studies. 25: 1969. doi:10.1007/s10826-015- 0352-y
Professional Service
Associate Editor BMC Public Health
Sleep Health
Conference Abstract Reviewer American Heart Association
American Public Health Association
International Society for Behavioral Nutrition and Physical Activity
Ad-hoc Peer Reviewer British Medical Journal
European Journal of Public Health
Journal of Ethnicity and Disease
Journal of Clinical and Consulting Psychology
Nicotine and Tobacco Research
Preventing Chronic Disease
Respiratory Care
Communications Committee International Society for Behavioral Nutrition and Physical Activity
Current Research Projects

1R01MD012734-01 (Satti)
NIMHD Patterson (Co-PI)
Project Title: Predicting Sleep, Smoking and Lung Health Disparities in at-risk African American Adults
We are conducting a prospective observational study that will enroll and follow a representative sample of African American adults who are current smokers, are aged >39 years, and who have prodromal (GOLD stage 0) or early stage COPD (GOLD stage 0-2), over a 4-year period

Pfizer Patterson (PI)
Funding was secured from the Pfizer II-R mechanism to cover the costs of study medication for the COBRE study.

P20GM113125-01 Patterson (PI)
5/15/2016 – 02/28/2019
Project Title: Effects of Sleep Modification on Smoking Cessation and Cardiovascular Health
This study will conduct a proof-of-concept, randomized controlled trial to determine if response to standard smoking cessation treatment can be optimized with a multi-metric sleep advancement counseling intervention.

University of Delaware Research Foundation Patterson (PI)
6/01/2016 – 05/31/2018
Project Title: Using Big Data to Quantify the Role of Sedentary Behavior in Predicting Cardiovascular Events
This study will determine the predictive capacity of sedentary behavior (e.g., sitting, screen time and driving) for key cardiovascular disease outcomes including angina, myocardial infarction and stroke, independent of the American Heart Association’s 7 heart health metrics including dietary intake, physical activity, tobacco use, body mass index, glycemic control, cholesterol and blood pressure.

Completed Research Projects

Patterson (PI)
10/01/2016 – 09/30/2017
Funder: American Lung Association of Delaware
Project Title:  Mobile Food Pantry Events as a Venue to Improve Heart Health in Underserved Groups.
Overview: This pilot-study tested the feasibility and impact of a brief cardiovascular health intervention designed to address tobacco use and dietary intake in a high-risk population of food pantry users.

Patterson (Co-I)
6/01/2016 – 11/31/2017
Hanlon (PI), School of Nursing, University of Pennsylvania
Funder: University of Pennsylvania Research Foundation
Project Title:  Effects of Sleep on Cardiovascular Risk Factors and Outcomes
Overview: This study quantified the longitudinal relationship between sleep duration and chronotype (sleep-wake timing) on the key cardiovascular risk factors (alcohol consumption, dietary intake, physical inactivity, stress) and outcomes (stroke, hypertension, type-2 diabetes).

Patterson (Co-I)
01/01/2017 – 12/31/2017
Washio (PI) Christiana Health System
Funder: Physician Professionalism Council Discretionary Fund, Christiana Health System
Project Title:  Incentive-based smoking cessation program in an out-patient obstetric clinic
Overview: This pilot-study evaluated the effects of a novel incentive-based smoking cessation program on prenatal smoking rates and birth outcomes (decreased preterm delivery, increased birth weight, and decreased NICU admission) in a sample of 50 pregnant women.

Patterson (PI)
01/01/2015 – 12/31/2015
Satti (Co-PI), Department of Pulmonology, Temple University Hospital
Funder: College of Public Health, Dean’s Incentive Award, Temple University
Title: Smoking Cessation Behaviors among Pulmonary Clinic Patients: A Mixed Methods Analysis
Overview: In this mixed methods study, a quantitative chart extraction for 360 Temple University Pulmonary Clinic patients will be conducted to examine demographic, health status and smoking behavior predictors of attendance to the in-house smoking cessation clinic.  Qualitative assessment of the barriers and facilitators for smoking cessation efforts will be examined through four focus groups (N=48) comprised of current Pulmonary Clinic patients.

Patterson (Co-I)
01/01/2013 – 12/31/2014
Nair (PI), Department of Public Health, Temple University
Funder: American Heart Association
Title:   Using Physical Activity to reduce Smoking cue reactivity among Low-Income Smokers Preparing to Quit Smoking
Overview: The goal of this randomized controlled trial was to test the effect of an 8-week, low-moderate physical activity intervention as compared to an attention control condition on smoking cue reactivity in a sample of 70 low-income smokers.

Patterson (Co-I) 
09/1/2013 – 8/31/2015      
Hanlon (PI), School of Nursing, University of Pennsylvania
Funder: Robert Wood Johnson Foundation
Title:   Effects of Chronotype on Sleep Duration and Body Composition Variables
Overview: The purpose of this study was to examine whether chronotype moderates the relationship between sleep duration and obesity using a sample of 200,000 adults from the United Kingdom BioBank prospective cohort study.

Patterson (Co-I)
Avalos (PI), Congreso De Latinos Unidos
Funder: Barra Foundation
Title:   Healthy Movimiento for Families
Overview: The purpose of this study was to evaluate the efficacy of a novel, family-based physical activity and nutrition intervention on daily step count and fruit and vegetable consumption. The feasibility and impact of using the Nike Fit-bit in this context was assessed.

Patterson (PI)
08/01/2013 – 07/31/2015
Funder: Centers for Disease Control
Title: Youth Risk Behavior Survey (YRBS), Philadelphia
Overview: The YRBS evaluates youth risk health behaviors bi-annually in a sample of 9-12th grade students attending Philadelphia Public schools. In the alternating years, Principals and Lead Health teachers from District and Middle and High schools are surveyed about health-related curriculum and policies.

Patterson (Co-PI)
06/01/2014 – 5/31/2015
Funder: Substance Abuse and Mental Health Services Administration
Title: Monitoring Substance Abuse among Pennsylvania Adolescents
Overview: In partnership with the Bureau of Treatment, Prevention and Intervention, Temple University faculty (Drs. Frankel, Nelson and Patterson) were subcontracted to conduct all evaluation related activities required for the PA Strategic Prevention Framework Partnership for Success.  The main goals of this initiative were to reduce underage drinking among 12-20 year olds and reduce prescription drug misuse and abuse among 12-25 year olds in the five high-need PA counties of Blair, Bucks, Delaware, Lackawanna and Westmoreland.

Patterson (PI)
03/01/2011 – 02-28/2013
Funder: Community Driven Research Initiative, Temple University.
Title: Evaluation of a Community Based Physical Activity Program
Overview: The goal of this community based participatory research program is to test the feasibility and preliminary efficacy of a non-traditional form of physical activity, namely line dancing, on participant activity levels and blood pressure.  Fifty participants will complete eight sessions of line dancing and nutrition education.  Outcomes include participant retention and attendance, liking of line dancing, blood pressure and nutrition knowledge. This community trial is being conducted in partnership with the community organization, Earth’s keepers.