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Victoria Marshall

GOAL Health Research Lab

Geriatric Oncology Adherence Link: A Health Program Supporting Older Adults Prescribed Oral Anticancer Medication 

Mission: To provide older adults prescribed oral anticancer medication supportive, evidence-based medication and symptom management guidelines to achieve successful, safe cancer care in the home environment. 

Vision: Our web-based program aims to promote medication adherence, symptom management, and self-efficacy among older adults prescribed oral anticancer medications through trusted information that is evidence-based. We strive to decrease unnecessary healthcare utilization (unplanned oncology visits, urgent or acute care center, emergency room visits, and hospital stays) and quality of life in this population.  

Values: We focus on the health of older adults prescribed oral anticancer medication who have specific needs in relation to aging, comorbidities, polypharmacy, and technology use. Our web-based program uses frameworks that are theoretically driven and rooted in behavior change theory, engagement of technology, and customized considerations for older adults to provide patients with the tools they need to self-manage cancer care in the home environment. Above all else, we strive to improve the health and quality of life among older adults with cancer who are prescribed oral anticancer medication using a sustainable web-based program. 

Join our Team:

If you would like to join the GOAL Health Research Lab, send a cover letter outlining your experience and research interests as well as a CV/resume to Dr. Marshall at vkmarshall@usf.edu. 

For all inquiries, please email Dr. Victoria Marshall. 

Victoria Marshall

Victoria Marshall, PhD, RN -- Lab Director/ Principal Investigator

Dr. Marshall is an Associate Professor in the College of Nursing at the University of South Florida. Her research interests include the supportive self-management of oral anticancer medications and related symptoms among older adults using technology-based interventions. 

Lanie Somon

Lanie Simon, BSN, RN -- Graduate Research Assistant and PhD Student

Lanie was awarded the King O’Neal Scholar Award, Spirit of Nursing Award, and Academic Excellence Award while completing her undergraduate degree at USF. Her current research interests include caregiver burnout among informal caregivers providing care for oncology patients.

Kareem

Kareem Suleiman -- Undergraduate Research Assistant

Kareem is a pre-med Biology B.S. student in the University of South Florida’s College of Arts and Sciences. He is interested in oncology research, focusing on cancer symptoms and how they vary across different treatment approaches.

Thi

Thi Nha Ca Nguyen -- Undergraduate Research Assistant

Thi Nha Ca Nguyen is a Biomedical Sciences student at the University of South Florida and is preparing to apply to the College of Nursing. Her research interests include patient-centered care, health disparities, and the integration of scientific research into clinical practice.

Patrick Chui -- Collaborative Research Assistant

Patrick is a 2025 USF Bull Nurse alumnus and a cellular immunotherapy nurse at Moffitt Cancer Center. As an aspiring nurse researcher, he is interested in developing interventions to increase accessibility of cancer screening, improve oncology health literacy across the lifespan, and manage chemotherapy-induced neurological dysfunction to improve cancer survivorship.

Majed Barazenji -- Undergraduate Research Assistant

 

Majed is a pre-med Biomedical Sciences student at the University of South Florida. He is interested in oncology research, focusing on medication use and symptom management in cancer care.

  • Agency: Florida Department of Health: Casey DeSantis Florida Cancer Innovation Fund
    Title: “GOALHealth: Geriatric Oncology Adherence Link: Testing an Established Prototype to Support Older Adults Prescribed Oral Anticancer Medication”
    Role: PI
    Percent Effort: 25%
    Budget: $213, 219.00
    Project Period: 08/01/2025-07/31/26

     

    Agency: Florida Department of Health: Florida Cancer Innovation Fund
    Title: Increasing Lung Cancer Screening Uptake by Innovatively Using TIMS©, a Tailored Navigation Intervention among Underserved Populations
    Role: Co-Investigator (PI: Laura A. Szalacha)
    Effort: 5%
    Budget: $309,992.52
    Project period: 07/01/2025-06/30/2026

     

  • Agency: American Nurses Foundation
    ID #: Jean E. Johnson, PhD, RN, FAAN Award
    Title: “The Effects of Medication Beliefs on the Symptom Experience in Patients Taking Oral Cancer Medication”
    PI: Marshall, V.
    Budget: $4,706
    Project Period: 9/1/2016-8/31/2018

    Agency: University of South Florida
    ID #: USF COVID-19 Rapid Response Research Grant
    Title:USF Pandemic Rapid Response and Registry
    PI: Usha Menon, PhD, RN, FAAN, FSBN
    Budget: $25,000
    Project Period:2020-2021

     

    Agency: National Cancer Institute 1R03CA262908-01A1
    Title: Exploring the Use of a Web-Based Program for Older Adults Receiving Oral Anticancer Agents to Improve Communication and Self-Management
    Role: PI
    Budget: $149,000
    Project Period: 01/01/2023-12/31/2024

    Agency: Patient-Centered Outcomes Research Institute
    Title: “Culturally Adapted Couples Communication Program for Latina Breast Cancer Patients and Partners”
    Role: Marshall, V. (Co-Investigator)
    P.I.: Martinez-Tyson
    Budget: $2,773,097
    Project Period: 02/2022-01/2025

    • National Women’s Intellectual Property Day
    • Fellow to ORBIT Institute: Developing Behavioral Treatments to Improve Health. National Cancer Institute (1R25CA244065-01A1)
    • Cohort Recipient of the Harvard Medical School Center for Palliative Care Research Methods in Supportive Oncology Workshop funded by the National Cancer Institute (R25CA181000) 
    • Outstanding New Investigator Award, University of South Florida, College of Nursing 
    • Second Place Abstract in Symptom Management Category, Symptom Science Advances in Oncology Nursing Colloquium sponsored by Oncology Nursing Society, National Institute of Nursing Research and National Cancer Institute Center for Cancer Research 
    • Third Place Abstract in Hot Topics Category, Symptom Science Advances in Oncology Nursing Colloquium sponsored by Oncology Nursing Society, National Institute of Nursing Research and National Cancer Institute Center for Cancer Research 

  • Belcher, S., Mackler, E.,  Muluneh, B., Ginex, P., Anderson, M., Bettencourt, E. DasGupta, R., Elliott, J., Hall, E., Karlin, M., Kostoff, D., Marshall, V.K. Millisor, V., Molnar, M., Schneider, S., Tipton, J., Yackzan, S., LeFebvre, K., Sivakumaran, K., Waseem, H., Morgan, R. Guidelines™ to Support Patient Adherence to Oral Anticancer Medications. Oncology Nursing Forum, 49(4), 279-295. DOI: 10.1188/22.ONF.279-295 

    Marshall, V.K.,Visovsky, C., Advani, P., Mussallem, D., Tofthagen, C. (2022). Cancer Treatment-Specific Medication Beliefs among Metastatic Breast Cancer Patients: A Qualitative Study. Supportive Care in Cancer, 30(8), 6807-6815. doi: 10.1007/s00520-022-07101-7 

    Marshall, V.K., Given, C.W., Given, B.A., Lehto, R., Sikorskii, A. (2020). Evaluating Change in Medication Beliefs in Patients Newly Prescribed Oral Oncolytic Agents. Journal of Psychosocial Oncology, 40(1), 62-79. 

    Marshall, V.K., Given, C.W., Given, B.A., Lehto, R., Sikorskii, A. (2020). Evaluating Change in Medication Beliefs in Patients Newly Prescribed Oral Oncolytic Agents. Journal of Psychosocial Oncology, 40(1), 62-79. doi: 10.1080/07347332.2020.1855497 

    Marshall, V. Given, B.A. (2020). Satisfaction with an Interactive Voice Response System & Symptom Management Toolkit Intervention to Improve Adherence and Symptoms Management in Patients Newly Prescribed an Oral Anticancer Agent. Oncology Nursing Forum, 47(6), 637-648. doi: 10.1188/20.ONF.637-648 

    Marshall, V.K., Given, C.W., Sikorskii, A., Given, B.A., Lehto, R. (2019). How Adverse Events and Permanent Medication Stoppages Affect Changes in Patient’s Beliefs About Oral Antineoplastic Agents. Supportive Care in Cancer, 28, 2589-2596. doi:10.1007/s00520-019-05073-9. 

    Marshall, V.K., Cairns, P. (August, 2019). Challenges of Caregivers Who are on Oral Oncolytic Therapy. Seminars in Oncology Nursing, 25(4), 363-369.  

    Marshall, V. K., & Given, B. A. (2018). Factors Associated with Medication Beliefs in Patients with Cancer: An Integrative Review. Oncology Nursing Forum, 45(4), 508-526. doi: 10.1188/18.ONF.508-526. 

    Marshall, V., Vachon, E., Given, B., & Lehto, R. (2018). Impact of Anticancer Medication From a Family Caregiver Perspective. Oncology Nursing Forum, 45(5), 597-606. doi: 10.1188/18.ONF.597-606.  

    Marshall, V. K., Chavez, M. N., Mason, T. M., Extermann, M., Simon, L. A., Ligatti, J., Menon, U., & Szalacha, L. A. (2025). Technology ownership, use, and perceptions of web-based program design features for older adults prescribed oral anticancer medication. Journal of Geriatric Oncology, 16(2), 102190.

    Yan, K., Wang, H.-L, Small, B., Kim, E., Elliott, A., Marshall, V. K., Tometich, D., Beckie, T. M. (In press) Longitudinal mediating role of cancer-coping self-efficacy between symptom occurrence and quality of life among cancer patients: Across-lagged panel model. Journal of Advanced Nursing

    Chavez, M.N., Thomas, H.M, Lake, P, Gutierrez A., Rigg, K.K., Marshall, V.K., Lubrano, B., Rajasekhara, S., Martinez Tyson, D. (2025).  “They still deserve for their pain to be controlled”: healthcare providers’ and community level stakeholders’ perceptions of pain management among cancer survivors with an opioid use. Supportive Care in Cancer, 33, 504. https://doi.org/10.1007/s00520-025-09566-8

    *Chavez, M.N., Grabowski, C., Simon, L.A., Marshall, V.K. (2025). Perceptions of Oncology Healthcare Professional Providing Care to Older Adults Prescribed Oral Anticancer Medications in the United States: A Qualitative Study. Journal of Oncology Pharmacy Practice.

    *Yan, K., Wang, H.-L, Small, B., Marshall, V., Elliott, A., Beckie, T. M. (In press) The mediating effects in the relationship between symptoms, self-efficacy, and quality of life among cancer survivors - evidence from a scoping review. Oncology Nursing Forum.

    Marshall, V.K., Tofthagen, C., Advani, P., Mussallem, D.,  Zambroski, C., Visovsky, C. (2025). Qualitative Evaluation of Financial Toxicity and Supportive Care Needs of Women Living with Metastatic Breast Cancer. Nursing Research, 74(4), 266-271. doi: 10.1097/NNR.0000000000000831.

    *Yan, K., Wang, H.-L, Small, B., Marshall, V., Elliott, A., Tometich, D., Beckie, T. M. (2025) Factor structure and longitudinal invariance of the Cancer Behavior Inventory: Assessing cancer-coping self-efficacy in patients with moderate to high symptoms. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16939.

    *Marshall, V. K., Chavez, M. N., Mason, T. M., Extermann, M., Simon, L. A., Ligatti, J., ... & Szalacha, L. A. (2025). Technology ownership, use, and perceptions of web-based program design features for older adults prescribed oral anticancer medication. Journal of Geriatric Oncology, 16(2), 102190-102196. https://doi.org/10.1016/j.jgo.2025.102190

    *Visovsky, C., Marshall, V. K., Moreno, M., Advani, P., Mussallem, D., & Tofthagen, C. (2023). The sharks are circling: A qualitative study of living with metastatic breast cancer. Journal of Cancer Survivorship, 1-7. https://doi.org/10.1007/s11764-023-01476-0 

    Chavez, M. N., Marshall, V. K., Martinez Tyson, D., Mason, T. M., & Rechenberg, K. (2023). Psychological Impact of COVID-19 on Oncology Patients: Perceptions of Oncology Health Care Providers. Western Journal of Nursing Research, 45(2), 152-160. https://doi.org/10.1177/01939459221114634

    *Marshall, V.K., Chavez, M., Rigg, K., Lubrano, B., Rajasekhara, S., Efre, A., Martinez Tyson, D. (2023). Framing Cancer Survivors’ Access, Use and Disposal of Prescribed Opioid Medications within the Opioid Epidemic. Oncology Nursing Forum, 50(1), 25-34. https://doi.org/10.1188/23.onf.25-34

    Belcher, S., Mackler, E.,  Muluneh, B., Ginex, P., Anderson, M., Bettencourt, E. DasGupta, R., Elliott, J., Hall, E., Karlin, M., Kostoff, D., Marshall, V.K. Millisor, V., Molnar, M., Schneider, S., Tipton, J., Yackzan, S., LeFebvre, K., Sivakumaran, K., Waseem, H., Morgan, R. (2022). Guidelines™ to Support Patient Adherence to Oral Anticancer Medications. Oncology Nursing Forum, 49(4), 279-295. https://doi.org/10.1188%2F22.ONF.279-295

    Marshall, V.K.,Visovsky, C., Advani, P., Mussallem, D., Tofthagen, C. (2022). Cancer Treatment-Specific Medication Beliefs among Metastatic Breast Cancer Patients: A Qualitative Study. Supportive Care in Cancer, 30(8), 6807-6815. https://doi.org/10.1007/s00520-022-07101-7

    *Marshall, V.K., PhD, Chavez, M., Efre, A., Lake, P.W., Rigg, K.K., PhD; Lubrano, B. Pabbathi, S., Rajasekhara, S., Martinez Tyson, D. (2022). Barriers to Adequate Pain Control and Opioid Use Among Cancer Survivors: Implications for Nursing Practice. Cancer Nursing. DOI: 12.1097/NCC.0000000000001126

    *Marshall, V.K., Mason, T. M. Chavez, M., Martinez-Tyson, D., Bugajski, A. (2022). Impact of COVID-19 on Oncology Health Care Providers: The Resilience of a Profession. Cancer Nursing, 45(2), E407-E416. doi: 10.1097/NCC.0000000000000954

    *Chavez, M., Martinez Tyson, D., Lake, P., Sherry, P., Rigg, K., Marshall, V.K., Henderson, H., Rajasekhara, S., Pabbathi, S., Lubrano, B. (2022). “They say you can get addicted.” Exploring Factors that Fuel the Fear of Addiction to Prescription Opioid Medication among Cancer Survivors. Qualitative Health Research Journal, 1-8. https://doi.org/10.1111/ecc.1358

    *Marshall, V. K., Chavez, M. N., Mason, T. M., & Martinez Tyson, D. (2021). The Use of Telehealth to Provide Continuity of Cancer Care during the COVID-19 Pandemic: Advantages, Disparities, and Implications to Promote Health Equity. Hospital Topics, 1-11. https://doi.org/10.1080/00185868.2021.1942360

    *Marshall, V. K., Chavez, M., Mason, T. M., & Martinez‐Tyson, D. (2021). Emergency preparedness during the COVID‐19 pandemic: Perceptions of oncology professionals and implications for nursing management from a qualitative study. Journal of Nursing Management, 29(6), 1375-1384. https://doi.org/10.1111/jonm.13399

    *Martinez Tyson, D., Chavez, M., , Lubrano, B., Lake, P., Gutierrez, A., Marshall, V.K., Rigg, K., Henderson, H., Pabbathi, S., Sherry, P., Rajasekhara, S. (2021). Perceptions of prescription opioid medication within the context of cancer survivorship and the opioid epidemic. Journal of Cancer Survivorship, 1-12. https://doi.org/10.1007/s11764-020-00952-1

    *Tyson, D. M., Chavez, M. N., Lubrano, B., Lake, P., Gutierrez, A., Marshall, V. K., Rigg, K., Henderson, H., Pabbathi, S., Rajasekhara, S. (2021). Understanding Cancer Survivors’ Educational Needs About Prescription Opioid Medications: Implications for Cancer Education and Health Literacy. Journal of Cancer Education, 1-10. doi.org/10.1007/s13187-021-01957.

    Marshall, V.K., Given, C.W., Given, B.A., Lehto, R., Sikorskii, A. (2020). Factors Affecting Medication Beliefs in Patients Newly Prescribed Oral Oncolytic Agents. Journal of Psychosocial Oncology, 40(1), 62-79. https://doi.org/10.1080/07347332.2020.1855497

    Marshall, V. Given, B.A. (2020). Satisfaction with an Interactive Voice Response System & Symptom Management Toolkit Intervention to Improve Adherence and Symptoms Management in Patients Newly Prescribed an Oral Anticancer Agent. Oncology Nursing Forum, 47(6), 637-648. doi: 10.1188/20.ONF.637-648.

    Marshall, V.K., Given, C.W., Sikorskii, A., Given, B.A., Lehto, R. (2019). How Adverse Events and Permanent Medication Stoppages Affect Changes in Patient’s Beliefs About Oral Antineoplastic Agents. Supportive Care in Cancer, 28, 2589-2596. https://doi.org/10.1007/s00520-019-05073-9

    Marshall, V.K. Lehto, R.H., Given, C.W, Given, B.A., Sikorskii, A. (2019). Conceptualisation of Medication Beliefs among Patients with Advanced Cancer Receiving Oral Oncolytic Agents Using a Theory Derivation Approach. European Journal of Cancer Care, 28(2), e12988-e12999. https://doi.org/10.1111/ecc.12988

    Marshall, V. K., & Given, B. A. (2018). Factors Associated with Medication Beliefs in Patients with Cancer: An Integrative Review. Oncology Nursing Forum, 45(4), 508-526. doi: 10.1188/18.ONF.508-526.

    Marshall, V., Vachon, E., Given, B., & Lehto, R. (2018). Impact of Anticancer Medication From a Family Caregiver Perspective. Oncology Nursing Forum, 45(5), 597-606. doi: 10.1188/18.ONF.597-606.

    Sikorskii, A., Given, C. W., Given, B. A., Vachon, E., Marshall, V., Krauss, J. C., Banik, A., & Majumder, A. (2018). Do Treatment Patterns Alter Beliefs Cancer Patients hold Regarding Oral Oncolytic Agents? Psycho-Oncology, 27(3), 1005-1012. https://doi.org/10.1002/pon.4606

  • Victoria Marshall, PhD, RN 
    Assistant Professor
    USF Health College of Nursing
    12901 Bruce B. Downs Blvd., MDC 22
    Tampa, FL 33612
    O: 813-974-1514 
    vkmarshall@usf.edu 

    Learn more about my research expertise: Nursing Science Without Limits