Cognitive Rehabilitation Laboratory
General Laboratory Description
Dr. Wong’s Cognitive Rehabilitation Laboratory has three key areas to optimize health and participation for individuals with neurological conditions, especially those after stroke:
- Developing precise assessments through the application of mobile health technologies and modern psychometric theories
- Developing innovative interventions to maximize daily, cognitive and emotional functioning
- Understanding mechanisms of functional recovery using wireless health, neurobehavioral testing and patient-reported methods
Dr. Wong also directs the Stroke Management and Rehabilitation Team (SMART) Stroke Registry, which prospectively collects data from medicine, radiology and rehabilitation on approximately 30,000 stroke patients admitted to Barnes-Jewish Hospital. This provides an ideal environment for researchers and students to study optimal stroke recovery from acute care to community rehabilitation.
General Description of Student Activities
Dr. Wong uses an experiential-learning approach to help students gain clinical research experience and develop necessary skills to link research to practice. Students will have opportunities to receive training and participate in scheduling and conducting client interviews and focus groups. In addition, students will obtain formal training on the administration, scoring and interpretation of different standardized neuropsychological assessments, patient-reported outcome measures and mobile assessments. Students will also participate in intervention sessions as a student therapist, conduct qualitative and quantitative data analysis, and develop scientific abstracts/manuscripts.
OTD students have the opportunity to participate in an ongoing lab study. Students are expected to support other lab members as necessary and attend regular lab meetings.
By the end of the final year, OTD students may be mentored in the development of a scientific abstract/manuscript.
Examples of Projects
- Mobile Rehabilitation for Daily Life Participation Post-Stroke – To investigate the impact of cognitive, mood and somatic symptoms on real-time daily functioning in stroke survivors using ecological momentary assessment
- Feasibility of Mobile Self-Management Intervention for Stroke – To test whether community and social participation are impacted by a remotely delivered self-management program following the principles of behavioral activation and metacognitive strategy
- Patient Engagement Intervention in Inpatient Spinal Cord Injury Rehabilitation – To test a systematic engagement technique to optimize therapists’ skills for improving inpatients’ functional and psychosocial outcomes
- Mobile Intervention for Daily Physical Activity (PA) Participation Post-Stroke – To develop measures to understand dynamic mechanisms among motivation, PA and function, and to examine the initial efficacy of a mobile intervention to enhance stroke survivors’ PA participation
- Measuring Activities of Daily Living in Stroke Patients with Motion Artificial Intelligence – To use wearables and ambulatory psychophysiology tools to predict activities in stroke survivors
PhD Mentor Information
Dr. Wong is an assistant professor of occupational therapy, neurology and psychiatry at Washington University School of Medicine in St. Louis. He also directs a laboratory focusing on neurorehabilitation that has been supported by grants from the NIH, NIDILRR, Craig H. Neilsen Foundation and other institutions. Dr. Wong has published more than 50 peer-reviewed manuscripts and delivered more than 100 professional presentations.
Dr. Wong’s research focuses on using mobile health technologies, neurobehavioral assessments, and patient-reported outcome measures to characterize neuro-recovery and develop rehabilitation programs for people after stroke, traumatic brain injury, spinal cord injury and other neurological disorders. He was selected as a recipient of the Deborah L. Wilkerson Early Career Award at the American Congress of Rehabilitation Medicine (ACRM).
Dr. Wong serves on editorial boards of three rehabilitation journals and as an ad-hoc reviewer for journals, foundations and federal agencies in the U.S. Internationally, Dr. Wong collaborates with investigators in China, Hong Kong, Singapore and Australia. He is also the principal investigator for the Washington University Stroke Registry.
Regarding Dr. Wong’s education and professional training, Dr. Wong earned a Bachelor of Science degree (1st Class Honors) in Occupational Therapy and a Doctor of Philosophy degree in Rehabilitation Sciences from The Hong Kong Polytechnic University. He earned another doctorate in Community Health at the University of Illinois, Urbana-Champaign and completed his postdoctoral research training at Northwestern University Feinberg School of Medicine and the Shirley Ryan AbilityLab (formerly the Rehabilitation Institute of Chicago).
Dr. Wong’s research program is focused on developing patient-centered rehabilitation for people with neurological disorders, especially those after stroke. His lab studies focus on (1) advancing precise outcome measurement development, (2) characterizing the influence of cognitive impairments and mood symptoms on daily life participation, and (3) developing individualized interventions to optimize engagement, functional independence and community participation. His research tools include neurobehavioral assessments to quantify one’s capacity in a structured setting, ambulatory assessments (accelerometers and smartphone-based ecological momentary assessments) to measure one’s performance in real-world contexts, and patient-reported outcome methods to understand one’s perceived functional limitations and participation restrictions.