Our platform has been used at academic medical centers across the U.S. and Canada. We have collaborated on study topics such as stroke rehabilitation, cardiac rehabilitation, and chronic migraine research.
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VANDERBILT UNIVERSITY MEDICAL CENTER
A personalized cardiac rehabilitation program delivered remotely to patients who received transcatheter valve interventions.
Peer-Reviewed Publications
Yun Shi, PhD, Mandy W.M. Fong, PhD, Christopher L. Metts, MD, Sherri L. LaVela, PhD, MPH, MBA, Charles Bombardier, PhD, 
Lu Hu, PhD, Alex W.K. Wong, PhD, DPhil. Dynamics of Perceived Social Isolation, Secondary Conditions, and Daily Activity Patterns Among Individuals With Stroke: A Network Analysis of Ecological Momentary Assessment Data. Archives of Physical Medicine and Rehabilitation. March 05, 2024. doi: 10.1016/j.apmr.2024.02.733
Li Z, Lei Y, Bui Q, DePaul O, Nicol G, Mohr D, Lee S, Fong M, Metts C, Tomazin S, Wong A. A Digital Intervention to Promote Self-Management Self-Efficacy Among Community-Dwelling Individuals With Stroke: Pilot Randomized Controlled Trial. JMIR Rehabil Assist Technol 2024;11:e50863. URL: https://rehab.jmir.org/2024/1/e50863. doi: 10.2196/50863
Munsell, E. G. S., Bui, Q., Kaufman, K. J., Tomazin, S. E., Regan, B. A., Lenze, E. J., Jin-Moo Lee, David C. Mohr, Mandy W.M. Fong, Christopher L. Metts, Wong, A. W. K. Intraindividual variability in post-stroke cognition and its relationship with activities of daily living and social functioning: an ecological momentary assessment approach. Topics in Stroke Rehabilitation, 1–12. Jan 2024. doi: https://doi.org/10.1080/10749357.2024.2307203
Yun Shi, PhD, Eric J. Lenze, MD, David C. Mohr, PhD, Jin-Moo Lee, MD, PhD, Lu Hu, PhD, Christopher L. Metts, MD, Mandy W.M. Fong, PhD, Alex W.K. Wong, PhD, DPhil. Post-stroke Depressive Symptoms and Cognitive Performances: A Network Analysis. Archives of Physical Medicine and Rehabilitation. October 23, 2023. doi: https://doi.org/10.1016/j.apmr.2023.10.006
Wong A, Fong M, Munsell E, Metts C, Lee S, Nicol G, DePaul O, Tomazin S, Kaufman K, Mohr D. Using Intervention Mapping and Behavior Change Techniques to Develop a Digital Intervention for Self-Management in Stroke: Development Study. JMIR Hum Factors. 2023;10:e45099. URL: https://humanfactors.jmir.org/2023/1/e45099. doi: 10.2196/45099
Hahn CK, Kilimnik CD, Brady KT, Marx BP, Rothbaum BO, Saladin ME, Gilmore AK, Metts CL, Back SE. Early intervention using written exposure therapy for PTSD and AUD symptoms following sexual assault: Description of design and methodology. Contemp Clin Trials. 2023 Feb;125:107002. doi: 10.1016/j.cct.2022.107002. Epub 2022 Nov 24. PMID: 36436732; PMCID: PMC9989773.
Snyder AN, Zhang D, Dreesen SL, Baltimore CA, Lopez-Garcia DR, Akers JY, Metts CL, Madory JE, Chang PD, Doan LT, Elston DM, Valdebran MA, Luo F, Forcucci JA. Histologic Screening of Malignant Melanoma, Spitz, Dermal and Junctional Melanocytic Nevi Using a Deep Learning Model. Am J Dermatopathol. 2022 Sep 1;44(9):650-657. doi: 10.1097/DAD.0000000000002232. Epub 2022 Jul 19. PubMed PMID: 35925282.
Bui, Q., Kaufman, K.J., Munsell, E.G.S., Lenze, E.J., Lee, J., Mohr, D.C., Fong, M.W.M., Metts, C.L., Tomazin, S.E., Pham, V., & Wong, A.W.K. (2022). Smartphone assessment uncovers real-time relationships between depressed mood and daily functional behaviors after stroke. Journal of Telemedicine and Telecare, 1-14. PMID: 35549589
Bui, Q., Kaufman, K.J., Pham, V., Lenze, E.J., Lee, J., Mohr, D.C., Fong, M.W.M., Metts, C.L., Tomazin, S.E., & Wong, A.W.K. (2022). Ecological momentary assessment of real-world functional behaviors in individuals with stroke: A longitudinal observational study. Archives of Physical Medicine and Rehabilitation, 103(7), 1327-1337. PMID: 35278467
Strauss DH, Davoodi NM, Healy M, Metts CL, Merchant RC, Banskota S, Goldberg EM. The Geriatric Acute and Post-Acute Fall Prevention Intervention (GAPcare) II to Assess the Use of the Apple Watch in Older Emergency Department Patients With Falls: Protocol for a Mixed Methods Study. JMIR Res Protoc. 2021;10(4):e24455 doi: 10.2196/24455
Nicol GE, Riccio AR, Metts CL, Yingling MD, Ramsey AT, Schweiger JA, Miller JP, Lenze EJ. A Smartphone-Based Technique to Detect Dynamic User Preferences for Tailoring Behavioral Interventions: Observational Utility Study of Ecological Daily Needs Assessment. Journal of Medical Internet Research - mHealth and uHealth. 2020 Nov 13;8(11):e18609. doi: 10.2196/18609
Alexander V Alekseyenko, Bashir Hamidi, Trevor D Faith, Keith A Crandall, Jennifer G Powers, Christopher L Metts, James E Madory, Steven L Carroll, Jihad S Obeid, Leslie A Lenert : Each patient is a research biorepository: informatics-enabled research on surplus clinical specimens via the living BioBank. Journal of the American Medical Informatics Association. 2020 Nov 9. doi: 10.1093/jamia/ocaa236
Dee Ford, Jillian B. Harvey, James McElligott, Kathryn King, Kit N. Simpson, Shawn Valenta, Emily H. Warr, Tasia Walsh, Ellen Debenham, Carla Teasdale, Stephane Meystre, Jihad S. Obeid, Christopher L Metts, Leslie A. Lenert : Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment. Journal of the American Medical Informatics Association. 2020 Jun 30. doi: /10.1093/jamia/ocaa157
Anna J. Neff, BA, Yejin Lee, MS , Christopher L. Metts, MD, & Alex W.K. Wong, PhD. Ecological Momentary Assessment of Social Interactions: Associations with Depression, Anxiety, Pain, and Fatigue in Individuals with Mild Stroke. Archives of Physical Medicine and Rehabilitation. 2020 Sep 9. doi: 10.1016/j.apmr.2020.08.007
Ahmad FA, Payne P, Lackey I, Komeshak R, Kenney K, Magnusen B, Metts CL, Bailey T. Using REDCap and Apple ResearchKit to Integrate Patient Questionnaires and Clinical Decision Support into the EHR to Improve STI Testing in the Emergency Department. Journal of the American Medical Informatics Association. 2019 Nov 13. doi: 10.1093/jamia/ocz182
Seng EK, Conway AB, Grinberg AS, Patel ZS, Marzouk M, Rosenberg L, Metts CL, Day MA, Minen MT, Buse DC , Lipton RB. Response to Mindfulness-Based Cognitive Therapy Differs Between Chronic and Episodic Migraine. Neurology Clinical Practice. 2020 Oct 6. doi: 10.1212/CPJ.0000000000000984
Seng EK, Singer AB, Metts C, Grinberg AS, Patel ZS, Marzouk M, Rosenberg L, Day M, Minen MT, Lipton RB, Buse DC. Does Mindfulness-Based Cognitive Therapy for Migraine Reduce Migraine-Related Disability in People with Episodic and Chronic Migraine? A Phase 2b Pilot Randomized Clinical Trial. Headache. 2019 Sep 26.https://doi.org/10.1111/head.13657
Baird SO, Metts CL, Conroy HE, Rosenfield D, Smits JA. Physical Activity and Community Engagement (PACE) to facilitate community reintegration among returning veterans: Study protocol for a randomized controlled trial. Contemporary Clinical Trials Communications. 2018 Sep; https://doi.org/10.1016/j.conctc.2018.07.005
Wong, Alex W.K., Lenze, Eric J., Metts, Christopher, Depp, Colin A., Rodebaugh, Thomas L., Wang, Jiayu, Yingling, Michael D., Voegtle, Michelle L., Wetherell, Julie Loebach. Ecological Momentary Assessment Uncovers Dynamic Affective Processes in Older Adults with Cognitive Decline. Archives of Physical Medicine and Rehabilitation. 2018 Oct. doi: 10.1016/j.apmr.2018.07.015
Tomko RL, Saladin ME, Baker NL, McClure EA, Carpenter MJ, Ramakrishnan VR, Heckman BW, Wray JM, Foster KT, Tiffany ST, Metts CL, Gray KM. Sex Differences in Subjective and Behavioral Responses to Stressful and Smoking Cues Presented in the Natural Environment of Smokers. Nicotine Tob Res. 2018 Oct 26. doi: 10.1093/ntr/nty234
Christopher Metts. REDCap, iOS, and ResearchKit Integration for Clinical Decision Support. American Journal of Clinical Pathology. 2017 Mar 1, doi: /10.1093/ajcp/aqw191.053