https://www.openrecordings.org/contact-us daily 0.75 2021-02-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613763933669-C73JTYUZP0U2LLV9KWAE/image-asset.jpeg Contact Us https://www.openrecordings.org/home daily 1.0 2025-08-04 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1606335124232-0W96KCWDBRDX46Y5VTAG/projects-2x.jpg Home - View Current Projects https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612834851176-MW53CAJWJZ8GVT4WA8M9/home-blox-team-2x.jpg Home - Meet Our Team https://www.openrecordings.org/publications daily 0.75 2025-03-21 https://www.openrecordings.org/current-research-projects daily 0.75 2026-01-28 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/3258b046-ad57-4dda-8d61-a4726458a1b4/E3+-+AdobeStock_410340813.jpg Current Research Projects - The VITALS Trial. Comparing the Impact of Video Integration to Traditional Amyotrophic Lateral Sclerosis Visit Communication on Patient and Caregiver Quality of Life Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth), Suma Babu, MBBS, MPH (Massachusetts General Health, Harvard Medical School) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/3fe97c30-4714-41c6-820b-8de8d0c3d790/replaytrialimage_wide.png Current Research Projects - REPLAY Trial. The Effect of Clinic Visit Audio Recordings for Self-Management in Older Adults Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth), Kerri L Cavanaugh MD MHS (Vanderbilt University Medical Center), Meredith Masel PhD MSW (The University of Texas Medical Branch) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/c643cfa2-acba-4059-9418-dec641a6489f/iStock-1331379404.jpg Current Research Projects - The CHRONICLE Trial. Comparing Healthcare Visit Recording and Open Notes to Improve the Chronic Illness Experience for Older Adults Principal Investigator: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/f7d0d92d-8d2c-4d82-ae05-ccddc6640f21/iStock-1254899249.jpg Current Research Projects - VOiCES ³. The Role of Visit Audio Recordings in Triadic Dementia Care Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College), Joshua Chodosh, MD (New York University Grossman School of Medicine) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/a482d020-e825-45a6-8696-93dd2be1d863/iStock-1425803392_hz.jpg Current Research Projects - iPath. Pathway from screening to online services for depression in an oncology setting Principal Investigator: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/68b64c67-2f93-453c-8e91-6690bddc5e00/iStock-1399695628_hz.jpg Current Research Projects - AudioCare. Sharing meaningful moments from psychotherapy in the treatment of substance use and co-occurring disorders Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College), Nicholas Jacobson, PhD (Geisel School of Medicine, Dartmouth) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612228469474-FCM70OP2OZM8B9IG0ZGZ/recording-2x.jpg Current Research Projects - Understanding How Information from Healthcare Visits is Shared with Informal Caregivers Principal Investigator: Reed WR. Bratches, MPH, MALS https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613573234941-FZ8BIEXUBFY9OFI4JNMV/image.jpg Current Research Projects - An Assessment of Open Access Audio of the Clinical Encounter on Veterans and their Care Principal Investigator: Saul J Weiner, MD (CINCCH at Jesse Brown VAMC) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612886158255-JE7QT8Q7C64APQ7TM6TC/header-2880-8.jpg Current Research Projects - The Impact of Sharing Audio Recorded Clinic Visits on Self-Management in Older Adults: A Multisite Pilot Trial Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College); Kerri Cavanaugh, MD (Vanderbilt University Medical Center); Meredith C. Masel, PhD (The University of Texas Medical Branch) (Multiple PIs) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1610737101264-QRWNHUA2R26FNE4FACCP/projects-1260-2.jpg Current Research Projects - Improving Patient and Caregiver Engagement Through the Application of Data Science Methods to Audio Recorded Clinic Visits Stored in Personal Health Libraries Principal Investigators: Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College); Saeed Hassanpour, PhD (Geisel School of Medicine at Dartmouth College) (Multiple PIs) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1610736266731-Q2DGAQ59VU5KS93W78DU/projects-1260-1.jpg Current Research Projects - The Feasibility of Sharing Audio-Video Recordings of ALS Clinical Encounters with Patients and their Caregivers Principal Investigators: Paul J. Barr, PhD MPH; Jeffrey Cohen MD (Dartmouth Hitchcock Medical Center); Lead Investigator: Reed WR. Bratches, MPH MALS https://www.openrecordings.org/projects-r01 daily 0.75 2022-07-27 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1610738145262-218QLFBZB6FUV6CVSYFX/projects-1260-2.jpg Current Projects – R01 Principal Investigators Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College); Saeed Hassanpour, PhD (Geisel School of Medicine at Dartmouth College) (Multiple PIs) Public Health Relevance The proposed research will integrate audio-­recordings of clinic visits into a Personal Health Library (Audio-­PHL), using data science methods to link medical terms from the recording to trustworthy patient resources, which can be retrieved, organized, edited and shared by patients. It is expected that the Audio-­PHL will be easy to use and highly utilized, making patients and caregivers more knowledgeable and confident of their health care needs, resulting in greater self-­management capabilities. https://www.openrecordings.org/projects-als daily 0.75 2022-07-27 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612228526483-6WPUMZJO44QOYTD0ARTU/projects-1260-1.jpg Projects – ALS Principal Investigator Paul J. Barr, PhD MPH; Jeffrey Cohen MD (Dartmouth Hitchcock Medical Center) Lead Investigator Reed WR. Bratches MPH MALS Public Health Relevance Sharing clinic visit recordings has the potential to make a major positive impact on patients with ALS and their caregivers; the use of video is particularly important in ALS given the involvement of physical and speech therapy. This project will provide insights into the potential of recording technology to support visit information communication and optimal management of this complex condition. https://www.openrecordings.org/past-projects daily 0.75 2022-07-25 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612292812990-STKW2BGINW3EAU7AVLFU/projects-1260-7.jpg Completed Projects - Case Study of U.S. Clinics that Routinely Offer Patients Recordings of Visits Principal Investigators: Paul J. Barr, PhD, MSc (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613573453766-5Z83UD26QJL9YBA5NK9S/image-asset.jpeg Completed Projects - Finding the Value: Identifying the Key Elements of Primary Care Visits for Patients, Clinicians, and Caregivers Principal Investigators: Paul J. Barr, PhD (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613756386947-WTJ2AB997Q1IRUY8Y1B4/image.jpg Completed Projects - HEARt Sounds: Testing the acceptability and feasibility of audio recordings to improve discharge communication for cardiology inpatients Principal Investigators: Stacey L. Schott, MD, MPH (Dartmouth Hitchcock Medical Center, Johns Hopkins Medicine), Paul J. Barr, PhD, MSc (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613573739423-V1CGA5VZXRXCFPQK3XTS/image-asset.jpeg Completed Projects - The Open Recordings Automated Logging System (ORALS) Principal Investigators: Paul J. Barr, PhD (Geisel School of Medicine at Dartmouth College) https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612292701259-7VR64MJNY48PAK3NUU09/projects-1260-13.jpg Completed Projects - Patients recording clinical encounters: A path to empowerment? Assessment by mixed methods Principal Investigators: Glyn Elwyn MD PhD https://www.openrecordings.org/projects-heart-sounds daily 0.75 2021-02-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613756386947-WTJ2AB997Q1IRUY8Y1B4/image.jpg Projects – Heart Sounds Principal Investigators Stacey L. Schott, MD, MPH (Dartmouth Hitchcock Medical Center, Johns Hopkins Medicine), Paul J. Barr, PhD, MSc (Geisel School of Medicine at Dartmouth College) Public Health Relevance It is common for the majority of the information shared during clinic visits and discharge appointments to be quickly forgotten after the visit’s conclusion. Incorporating an audio-recording of a discharge discussion into standard practice for patients leaving the hospital is a tool with great potential to improve patient understanding and compliance. https://www.openrecordings.org/projects-mixed-methods daily 0.75 2021-02-02 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612292701259-7VR64MJNY48PAK3NUU09/projects-1260-13.jpg Projects – Mixed Methods Principal Investigators Glyn Elwyn MD PhD, Paul James Barr PhD, MScPH, Stuart W. Grande PhD Public Health Relevance Patient-proctored audio recordings have the potential to fundamentally alter the doctor-patient relationship. While audio recordings have been associated with a multitude of positive impacts on the patient treatment experience, the use of covert recordings has the potential to damage the mutual trust between doctor and patient. In order to fully realize the benefits of audio recordings, the practice should be normalized in the medical community in order to minimize the adverse effects associated with covert recordings. https://www.openrecordings.org/projects-r56 daily 0.75 2026-01-28 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612885964209-29D7Z7KFN834SUCPL4OI/header-2880-8.jpg Current Projects – R56 Principal Investigators Paul J. Barr, PhD MPH (Geisel School of Medicine at Dartmouth College); Kerri Cavanaugh, MD (Vanderbilt University Medical Center); Meredith C. Masel, PhD (The University of Texas Medical Branch) (Multiple PIs) Public Health Relevance The proposed research will determine the effectiveness of the emerging strategy of audio recording and sharing of clinic visits on the ability of patients to manage their healthcare. It is expected that findings from this project will inform future policy related to the use of audio-recording as part of routine care and guide implementation strategies if audio recording is found to improve self-management ability and health related outcomes. https://www.openrecordings.org/projects-can-patients-make-recordings daily 0.75 2021-02-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613573804558-WMR5JR81BM1CERPRQ8L7/image.jpg Projects – Can Patients Make Recordings Principal Investigators Glyn Elwyn, MD, PhD, Paul James Barr, PhD, MScPH, Mary Castaldo, JD, MPH Public Health Relevance Patient engagement in their own healthcare decisions has become increasingly explored in contemporary health literature. The profound accessibility of handheld recording devices has maximized the patient’s ability to extract every detail from their clinic visits, but inconsistent legal codes pose a real barrier to their use. If a clear and consistent legal framework were to be imposed across the country, patients and physicians alike may feel far more comfortable with the premise of patient recordings, allowing patient recordings to become commonplace. https://www.openrecordings.org/projects-new-project daily 0.75 2021-02-11 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613069220259-8I3NMRMCP16XA2A1XG32/projects-1260-11.jpg Projects – New Project Principal Investigator Paul J. Barr, PhD; Jeffrey Cohen MD (Dartmouth Hitchcock Medical Center) Public Health Relevance Sharing clinic visit recordings has the potential to make a major positive impact on patients with ALS and their caregivers; the use of video is particularly important in ALS given the involvement of physical and speech therapy. This project will provide insights into the potential of recording technology to support visit information communication and optimal management of this complex condition. https://www.openrecordings.org/team-2 daily 0.75 2021-02-17 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613527699677-YD1PTNZ67BVBM92I5TIB/IMG_9929.jpg Undergraduate Interns - Noah Freundlich, Undergraduate Noah is a senior at Dartmouth College where he is majoring in government while fulfilling pre-health requirements. As an undergraduate intern, he assists with data coding, text editing, and managing the OpenRecordings website. He is interested in exploring how to best facilitate a collaborative and informative relationship between physicians, patients, and informal caregivers. After college he plans to work in healthcare consulting before pursuing a degree in medicine. Outside of work you can find him woodworking, hiking, fly fishing, skiing, and doing any other activity that gets him outside. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1609278141237-QP30I80UAXQQ0S9AEWQ1/team-1260-bratches.jpg Undergraduate Interns - Grace Reed Bratches is a PhD student at The Dartmouth Institute at Geisel School of Medicine. After completing his undergraduate degree in political theory at Franklin and Marshall College, Reed worked in the advertising industry before returning to academia. He has a MALS degree in Cultural Studies, where he examined interactions with technology-based virtual spaced through Theodor Adorno and Walter Benjamin. During his MPH, he studied potential technological interventions to impact access to ethics consultation services in rural areas. Reed’s doctoral research is focused on caregivers, caregiver communications, technologies, and ethics. Reed enjoys skiing, biking, and surfing https://www.openrecordings.org/projects-sayles daily 0.75 2022-07-27 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612228469474-FCM70OP2OZM8B9IG0ZGZ/recording-2x.jpg Current Projects – Sayles Principal Investigator Reed WR. Bratches, MPH, MALS Public Health Relevance Caregivers who have access to high-quality information about the condition they care for demonstrate less stress, but few studies examine the best ways of provisioning information to caregivers. The proposed research will determine how caregivers are currently interacting with visit information and how caregivers feel about the positive aspects of their caregiving, caregiver burden, and caregiver preparedness. It is expected that findings from this project will inform future research around the provisioning of visit information to caregivers, as well as determine what implementation strategies may be feasible to improve caregiver outcomes. https://www.openrecordings.org/projects-chronicle daily 0.75 2023-05-18 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/fcb422ce-62cf-49e8-a3a0-e0d317fee782/OpenNotes-Logo-2014.png Current Projects – CHRONICLE https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/6e60595e-027d-402c-8e5b-4eb2e58b4213/open+recordings+FA+RGB-01.png Current Projects – CHRONICLE https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/c643cfa2-acba-4059-9418-dec641a6489f/iStock-1331379404.jpg Current Projects – CHRONICLE Lead Investigators Paul J. Barr, PhD MPH (PI; Geisel School of Medicine, Dartmouth), Kerri L Cavanaugh MD MHS (Vanderbilt University Medical Center), Meredith Masel PhD MSW (University of Texas Medical Branch). Public Health Relevance The 21st Century CURES Act ensures that patients and caregivers can access visit information in the medical record – yet it is unclear if this is the best way to share information. Visit audio recordings has emerged as another evidence-based strategy to share information. This has resulted in a decisional dilemma for patients and healthcare leaders who ask the question “what is the most effective approach to communicating healthcare visit information to facilitate the day-to-day self-care of older adults living in the community?” To answer this question, we propose the CHRONICLE (Comparing Healthcare visit Recording and Open Notes to improve the chronic illness care experience for older adults) Trial, a Type 1 Hybrid trial where 900 older adults with multimorbidity will be randomized to receive clinical notes alone (NOTES), or Notes plus visit audio recording (AUDIO) for all primary care visits in a six-month period. Knowledge gained from our study will improve the quality of evidence about the best strategy of communicating vital health care information in this vulnerable older adult patient population at high risk for adverse outcomes and lower quality of life https://www.openrecordings.org/projects-va daily 0.75 2022-07-27 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613573234941-FZ8BIEXUBFY9OFI4JNMV/image.jpg Current Projects – VA Project Principal Investigator Saul J Weiner, MD (CINCCH at Jesse Brown VAMC) Public Health Relevance As a great majority of the information exchanged during a clinic visit can be immediately forgotten after finishing a visit with their clinicians, the VA and Veterans themselves are in need of tools which may assist them in retaining that which might otherwise be forgotten. The known benefits of OAA, such as better patient recall and understanding, allowing for improved health care outcomes. We will elucidate the recording's effect on physicians’ communication, specifically tailored to an individual's Veteran’s need. We will determine the acceptability of recording clinic visits for both patients and physicians and, should it prove to be unburdensome and beneficial, will explore OAA’s incorporation into Patient Portals in the future. https://www.openrecordings.org/projects-case-study-patient-recording daily 0.75 2021-02-19 https://www.openrecordings.org/projects-ftv daily 0.75 2021-02-16 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612228526483-6WPUMZJO44QOYTD0ARTU/projects-1260-1.jpg Projects – Finding the Value Principal Investigator Paul J. Barr, PhD (Geisel School of Medicine at Dartmouth College) Public Health Relevance Clinic visit information continues to be patients’ most trusted resource for medical information. To date, there has been little research on what is important to patients, caregivers and clinicians, and whether these views overlap. By identifying what information is most important to patients, caregivers and clinicians, interventions to promote patient engagement in decision making and self-management can be better designed. This can result in better patient centered communication both in clinic and at home. https://www.openrecordings.org/projects-orals daily 0.75 2021-02-16 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612228526483-6WPUMZJO44QOYTD0ARTU/projects-1260-1.jpg Projects – ORALS Principal Investigator Paul J. Barr, PhD (Geisel School of Medicine at Dartmouth College) Public Health Relevance As up to 80% of clinic visit information can be immediately forgotten after finishing a visit with their physician, older adults with multimorbidity are in need of tools that will help them better manage their care. An automated means by which their own visits could be transcribed, tagged and cross-referenced to reliable information would function as a huge-step forward to this goal. Having key medications highlighted, or being provided a direct link to a trustworthy explanation of their given condition, would lessen the burden on this patient population both in remembering every little detail from their visit and reduce the chances that they might be detoured to a less-than-reputable source of information regarding their condition. Additionally, providing a means by which these patients can directly share a recording of their visit with their family or caregiver, would allow them to further involve people in their care, should they choose, without diminishing the quality of information shared. https://www.openrecordings.org/projects--1-1-1-1-1-1 daily 0.75 2021-02-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1612886771257-P656NN83KMBDLQWRYI9C/projects-1260-12.jpg Projects – Scoping Review Principal Investigator TKTK Public Health Relevance The facilitation of patient engagement and autonomy has become an increasingly salient debate in the medical community. This trend, along with the pervasiveness of technology, has the capability to fundamentally alter the modern public health landscape. Existing technology makes possible the recording of physician visits by all patients, and the benefits of such recordings has been well documented. An expansion of research on this subject has the potential to define best practices regarding patient use of audio recording as well as shed light on potential medico-legal and ethical pitfalls of their use. https://www.openrecordings.org/team daily 0.75 2025-12-17 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1609277813595-MJZH3PVHQHCYZ7J6GWJJ/team-1260-barr.jpg Team - Paul J. Barr, MSc, PhD Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1609278141237-QP30I80UAXQQ0S9AEWQ1/team-1260-bratches.jpg Team - Reed Bratches, PhD, MPH, MALS Reed Bratches is a postdoctoral fellow at the University of Alabama at Birmingham’s Center for Outcomes and Effectiveness Research and Education. His research focuses on how we communicate information to family caregivers, with a focus on medication-related information. Outside of work, Reed can be found with his family, biking, and golfing. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613751992224-A7HFLENSWJQBDXWKIL7C/Ganoe.jpg Team - Craig Ganoe, MS Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/863636c4-bc90-4fe3-bc9f-19717aecdb34/Salar+pic.jpg Team - Salar Khaleghzadegan, MPP Salar Khaleghzdegan is a PhD student at The Dartmouth Institute for Health Policy and Clinical Practice, focusing his research on the impact of barriers within dynamic relationships among patients, care partners, and clinicians during clinical encounters. His primary interests lie in understanding how these barriers contribute to sub-optimal care and the pivotal role of patient-centered communication and shared decision-making in enhancing these relationships. Additionally, he explores the emergence and management of medical uncertainty during discussions among patients, care partners, and clinicians. Salar is particularly passionate about utilizing tools from disciplines such as linguistics and data science to analyze recordings of clinical encounters, aiming to advance the basic science of patient-provider communication. Prior to joining TDI, Salar served as a Research Data Analyst at the Armstrong Institute for Patient Safety and Quality at Johns Hopkins University School of Medicine. In this role, he investigated the impact of teamwork, coordination, leadership, and communication on patient safety and quality. Salar holds an MPP from the University of Maryland Baltimore County (UMBC) School of Public Policy, along with a BS in Biological Sciences and a minor in Sociology from UMBC. Outside of work, Salar enjoys experimenting with new recipes in the kitchen and hiking. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/61549a33-6081-4ffb-9916-a2726090baf0/Alejandra001.jpg Team - Alejandra Martínez, PhD Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/cbbc75a3-2101-48ad-93ba-90ec8c5b14f6/lam-picture-cropped.jpg Team - Lisa A. Mistler, MD, MS, FAPA, FASAM Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1609278223448-F0B7TZL2Q3Q3CNNGDY7Y/team-1260-oh.jpg Team - Lisa Oh Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1609278728890-QUE4XDAAAFEI5Y6CIVI5/team-1260-onsando.jpg Team - Wambui Moraa Onsando, MD, MPH Wambui Moraa Onsando is a PhD student at The Dartmouth Institute and prior research assistant at the Center for Technology and Behavioral Health. Born in Kenya, Moraa graduated with an MD from St. George’s University in Grenada before attaining her MPH from the Dartmouth Institute for Health Policy and Clinical Practice. Her masters culminated in a project exploring the widespread implications of medical tourism in Sub-Saharan Africa and an internship that examined the obstacles faced by women in the peripartum period suffering from opioid addiction. As a former Health Equity Research Fellow, she worked with PIs in the Health Equity and Advocacy lab to explore housing, food insecurity and discrimination as social determinants of health. She is passionate about understanding how barriers to an optimal provider-patient relationship, and the applications of patient centered communication in an ever-changing healthcare delivery landscape, can help bridge health equity gaps. Moraa enjoys music and unwinds by playing guitar and ukelele. She has 2 dogs and a craft obsession for every season. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/4420300e-7795-470b-87f6-cb0e315de632/Jesse-Schoonmaker-500x500.jpg Team - Jesse Schoonmaker, MD, MPH Jesse Schoonmaker’s eclectic academic and professional journey currently has him spearheading patient recruitment for various projects at The Center for Technology and Behavioral Health. A New Hampshire native, Jesse received his Bachelor of Science degree in Biological Chemistry from Bates College in Lewiston, Maine. For the next four years he worked as the lab manager at both the Scadden Laboratory at Massachusetts General Hospital’s Center for Regenerative Medicine/ Harvard’s Stem Cell Institute in Boston and at the Lo Celso Laboratory at Imperial College London. Jesse would later return to school, graduating with a MD from St. George’s University School of Medicine in Grenada followed by an MPH from The Dartmouth Institute for Health Policy and Clinical Practice in Hanover, NH. He hopes to positively contribute to the research being done at CTBH while maintaining a firm grasp on his medical and “hard science” background. Jesse has visited 31 of the 63 US National Parks, most of these within one year. He loves a good road trip, ideally with his wife and two dogs. Jesse is a licensed bartender, a lapsed tequila aficionado, and enjoys making cocktails that take way longer than necessary. He is an enthusiastic and excellent cook but loses all interest when it comes to the presentation of his creations… just eat it already. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/86b9d09a-1ee1-413c-a4f9-f119202552da/20221014-Susan-Tarczewski-kl-00-2.jpg Team - Sue Tarczewski, CCRP Sue is a research coordinator for Open Recordings, a group researching and promoting the use of recording clinic visits for patient use. She is certified as a clinical research professional by the Society of Clinical Research Associates. Sue is deeply interested in learning how behavioral interventions may improve patient engagement, with a goal of improving patient outcomes. Her professional background includes over 15 years as a clinical research coordinator at Norris Cotton Cancer Center. At NCCC, she focused on solid tumor trials, primarily in gastrointestinal cancers. In her spare time, Sue is an avid reader, loves hiking with her spoiled-rotten dog, and serves on the Board of Directors of the Sullivan County Humane Society. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1613319983503-4Q0WN60N35PYJVTFQRBO/Wasp%2BHeadshot%2B2019_08.jpg Team - Garrett Wasp, MD Dr. Garrett Wasp is a medical oncologist at the Dartmouth-Hitchcock Norris Cotton Cancer Center at Lebanon, NH. Dr. Wasp specializes in the treatment of Head and Neck Cancer and Sarcoma. He is also an Assistant Professor at The Geisel School of Medicine where he studies communication and decision-making in the treatment of cancer and during end-of-life care decisions. Dr. Wasp is particularly interested in identifying ways to improve serious illness conversations between patients, their families, and oncology clinicians. Strategies include healthcare system implementation and refining scalable, digital tools that assist patients and clinicians in ensuring what matters most to patients and families is heard by their care team. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/c852f8f8-1eef-4c17-bd69-5c1a2ac0c0d7/Yen+Headshot_sq.jpg Team - Renata W. Yen, PhD, MPH Renata is a health services researcher at the Center for Technology and Behavioral Health and the Department of Biomedical Data Science at Dartmouth’s Geisel School of Medicine. She works on the OpenRecordings team under the mentorship of Dr. Paul Barr. Her research focuses on mental health and decision-making needs for people who experience birth injuries such as pelvic organ prolapse and enhancing patient-clinician communication through plain language interventions. She is passionate about engaging patients and end-users in all aspects of research, from conception to publication. She completed her PhD in Health Policy & Clinical Practice at Dartmouth in 2023. For her PhD, she studied how to measure clinician use of plain language in healthcare encounters and the impact of shared decision-making interventions for socially disadvantaged populations. Before moving into research, Renata worked at the Centers for Disease Control and Prevention as a public health associate, tracking transmission of communicable diseases at a health department in St. Petersburg, Florida. Renata received a Master’s in Public Health from Dartmouth in 2016 and a dual Bachelor of Science degree in Biology & Society and Development Sociology from Cornell University. Outside of work, Renata spends her time with her husband and two kids enjoying all that New Hampshire and the northeast have to offer. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/9cdf7ea3-0849-4b64-b239-c061776d4e1f/headshot-stephen.jpg Team - Stephen Adjei, MS Student Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/68b4a7ce-660d-4ef5-892d-6e9495017760/Sachi_pic.jpg Team - Sachi Badola, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/dcd27ef4-40ae-4bf2-a76d-fc8287f2c2c0/Gabe_pic.jpg Team - Gabriel Brigham, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/62168429-a639-4b46-850b-1ba53d5fc159/Ash.jpg Team - Ash Chinta, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/9c6f0a03-d183-4866-9bc3-6537b3fa96d0/diane+photo.jpg Team - Diane Chen, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/349cddba-f1e5-488e-9249-9c78cd7849d4/Anya+pic.jpg Team - Anya Ramrakhiani, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1ea94601-8745-4c7c-a550-abc139ef86eb/Fatma.png Team - Fatma Al Arbawi, Undergraduate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1616082169270-DBL56YZZ4ZNF5KR5O10Y/Roger_Arend.jpg Team - Roger Arend, BSCE Patient Advisor, DHMC Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/298bb0fe-6a0a-403d-9ea8-bd5a612dece8/TerryG_1.jpg Team - Terry Grigsby, Patient Advocate Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1615992761549-TZH4UEAF95JKHX5DDU3S/Unknown%255B4%255D.jpg Team - Sheri Piper Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/85ca2f33-5d33-4eb8-b3ca-2ca720499143/PhyllisW.jpg Team - Phyllis Whitney, Patient Family Advisor Tobias Keene, D.D.S. Hailing from Richmond, Virginia, Dr. Tobias Keene brings a bit of unabashed Southern hospitality to all his patients. He moved to Washington, D.C. over thirty years ago as a freshman at Ivy College. Right after graduation, he attended World University’s School of Dentistry. Before opening Keene Dental in 1994, he worked for free clinics and some of the finest practices in the District. He is part of the 123 Dental Association and stays up-to-date on the latest dental discoveries. When not striving to keep his patients happy and healthy, he’s enjoys hiking with his family in Rock Creek Park. https://www.openrecordings.org/external-publications daily 0.75 2021-04-04 https://www.openrecordings.org/healthpal daily 0.75 2024-02-23 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1617660453699-38GA8DRL0F62QJVAFFBE/recordings_list.png HealthPAL https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1617660865513-VJ7GYXD7OFP8ELCJ9DU9/vertical_concept_2.png HealthPAL https://www.openrecordings.org/projects-voices daily 0.75 2025-08-01 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/bee8c680-e39b-49e0-8765-3ebc79778626/iStock-1254899249.jpg Current Projects – VOiCES³ Principal Investigators Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth), Joshua Chodosh, MD (NYU). Public Health Relevance Effective interpersonal communication is associated with improved health related outcomes, yet it is unclear to what extent this occurs in triadic clinic visits in dementia, and few tools exist to support it. The objective of this project is to characterize the extent to which interpersonal communication occurs during triadic visits in dementia, examine how this is related to health outcomes and use this understanding to adapt an innovative clinic visit audio recording intervention, HealthPAL for use in this setting. The results are expected to have a major positive impact by providing a rich understanding of communication during triadic visits in dementia, and proof-of-principle of the usability, feasibility, and acceptability of visit audio recording to enhance interpersonal communication. https://www.openrecordings.org/projects-pcc-covid-19 daily 0.75 2022-07-25 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/fcb422ce-62cf-49e8-a3a0-e0d317fee782/OpenNotes-Logo-2014.png Current Projects – PCC During COVID-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/6e60595e-027d-402c-8e5b-4eb2e58b4213/open+recordings+FA+RGB-01.png Current Projects – PCC During COVID-19 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/c643cfa2-acba-4059-9418-dec641a6489f/iStock-1331379404.jpg Current Projects – PCC During COVID-19 Lead Investigators Paul J. Barr, PhD MScPH (PI; Geisel School of Medicine, Dartmouth), Kerri L Cavanaugh MD MHS (Vanderbilt University Medical Center), Meredith Masel PhD MSW (University Texas Medical Branch). Public Health Relevance The 21st Century CURES Act ensures that patients and caregivers can access visit information in the medical record – yet it is unclear if this is the best way to share information. Visit audio recordings has emerged as another evidence-based strategy to share information. This has resulted in a decisional dilemma for patients and healthcare leaders who ask the question “what is the most effective approach to communicating healthcare visit information to facilitate the day-to-day self-care of older adults living in the community?” To answer this question, we propose the CHRONICLE (Comparing Healthcare visit Recording and Open Notes to improve the chronic illness care experience for older adults) Trial, a Type 1 Hybrid trial where 900 older adults with multimorbidity will be randomized to receive clinical notes alone (NOTES), or Notes plus visit audio recording (AUDIO) for all primary care visits in a six-month period. Knowledge gained from our study will improve the quality of evidence about the best strategy of communicating vital health care information in this vulnerable older adult patient population at high risk for adverse outcomes and lower quality of life https://www.openrecordings.org/projects-ipath daily 0.75 2023-10-24 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/a482d020-e825-45a6-8696-93dd2be1d863/iStock-1425803392_hz.jpg Current Projects – iPath Principal Investigator Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth). Public Health Relevance Depression is a significant problem in cancer care, it is under detected and despite the expansion of evidence- based treatments, most patients with depression in oncology settings do not receive treatment. The objective of this project is to develop and evaluate the usability, feasibility and acceptability of an innovative pathway to online evidence-based treatment for depression (iPath*D) as a means of increasing mental health literacy, screening rates and treatment access in oncology settings. The results are expected to have a major positive impact by providing proof-of-principle for the use of an online pathway to evidence based treatment with the potential for reaching an unprecedented number of patients with cancer who have unmet mental health needs. https://www.openrecordings.org/projects-replay daily 0.75 2026-01-28 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/d6863c07-7bbf-4082-bf8e-829085762a8b/replaytrialimage_wide2.png Current Projects – REPLAY Trial Principal Investigators Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth), Kerri L Cavanaugh MD MHS (Vanderbilt University Medical Center (VUMC)), Meredith Masel PhD MSW (The University of Texas Medical Branch (UTMB)). Public Health Relevance Up to 80% of clinic visit information is forgotten immediately by patients, a significant impediment to self-management for older adults with multimorbidity, that leads to poor health outcomes. The proposed research will determine the impact of the emerging strategy of audio recording and sharing of clinic visits on the ability of older adult patients to manage their healthcare. It is expected that findings from this project will inform future policy related to the use of audio-recording as part of routine care and guide implementation strategies. https://www.openrecordings.org/projects-audiocare daily 0.75 2022-12-16 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/68b64c67-2f93-453c-8e91-6690bddc5e00/iStock-1399695628_hz.jpg Current Projects – AudioCare Principal Investigator Paul Barr, PhD MPH (Geisel School of Medicine, Dartmouth); Nicholas Jacobson, PhD (Geisel School of Medicine, Dartmouth). Public Health Relevance Our proposed project builds on prior work that demonstrates potential benefits of recordings and extends them. Amplifying the potential impact of this innovative strategy is the growth of telemedicine, especially in response to COVID-19, and use of technology to support psychotherapy. With the ubiquity of smartphones, recording interventions can now be quickly scaled, providing an opportunity to reach an unprecedented number of patients with substance use disorder and co-occurring mental health disorders. https://www.openrecordings.org/healthpal-config daily 0.75 2024-02-23 https://www.openrecordings.org/projects-vitals daily 0.75 2025-10-16 https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/1465576a-1996-487d-8a37-8a5cb41fff59/NEALS_logo.png Current Projects – VITALS https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/6e60595e-027d-402c-8e5b-4eb2e58b4213/open+recordings+FA+RGB-01.png Current Projects – VITALS https://images.squarespace-cdn.com/content/v1/5fbc5a3ea60e1b13871feb15/3258b046-ad57-4dda-8d61-a4726458a1b4/E3+-+AdobeStock_410340813.jpg Current Projects – VITALS Principal Investigators Paul J. Barr, PhD MPH (Geisel School of Medicine, Dartmouth), Suma Babu, MBBS, MPH (Massachusetts General Health, Harvard Medical School). Public Health Relevance Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease requiring complex management. Multidisciplinary clinics (MDCs) provide comprehensive care, but people with ALS (pwALS) and care partners often recall less than 40% of recommendations. The proposed research will determine the impact of the emerging strategy of video recording and sharing of clinic visits on the ability of pwALS and their care partners to manage their healthcare. It is expected that findings from this project will inform future policy related to the use of videorecording as part of routine care in ALS and guide implementation strategies.