Work
Featured
Papers
Metcalfe, R. K., Geary, K., Trusheim, M., Barlow, J. F., Vuong, Q., & Park, J. J. H. (2025). When do value-based contracts add value? Insights from probabilistic simulation. Value in Health. https://doi.org/10.1016/j.jval.2025.02.015
Vuong, Q, Metcalfe, R. K., Ling, A., Ackerman, B., Inoue, K., & Park, J. J. H. (2025). Systematic review of applied transportability and generalizability analyses: A landscape analysis. Annals of Epidemiology. https://doi.org/10.1016/j.annepidem.2025.03.001
Vuong, Q., Metcalfe, R. K., Harri, O., Mills, E. J., & Park, J. J. H. (In press). Benefit-risk assessment of medical products using bayesian multi-criteria augmented decision analysis for clinical development. Biometrical Journal.
Metcalfe, R. K., Hoens, A. M., Sharma, R., Johnson, J., Gupta, S., Struik, L., Bottoroff, J. L., Mokhtaran, M., Sadatsafavi, M., Burns, P., Sin, D. D., Bansback, N., for the IMPACT Study (Under review). Development of integrated physician and patient tools to improve management of COPD: The ACCEPT Decision Intervention.
Metcalfe, R. K., Vuong, Q., Gorst-Rasmussen, A., Remiro-Azócar, A., Morga, A., Keene, O., Dron, L., & Park, J. J. H. (Under review). Treatment switching in evidence synthesis in oncology: A systematic review of current meta-analytical practices. Prospero registration.
Vuong, Q., Metcalfe, R. K., Remiro-Azócar, A., Gorst-Rasmussen, A., Keene, O., & Park, J. J. H. (Under review). Estimands and their implications for evidence synthesis for oncology: A simulation study of treatment switching in meta-analysis. https://doi.org/10.48550/arXiv.2411.14323
Park, J. J. H, Vuong, Q., Yan, Y., Kittredge, S. & Metcalfe, R. K. (Under review). Introducing TransportHealth and DAGDraw: User-friendly open-source software for transportability and generalizability analyses and causal reasoning.
Yan, Y., Vuong, Q., Metcalfe, R. K., Guan, T., Shi, H., & Park, J. J. H. (Under review). Target aggregate data adjustment method for transportability analysis utlizing summary-level data from the target population. https://arxiv.org/abs/2412.12335
Metcalfe, R. K. & Park J. J. H. (2024). Diversity action plans for clinical trials. JAMA. https://doi.org/10.1001/jama.2024.16009
Metcalfe, R. K., Dobischok, S., Bansback, N., MacDonald, S., Lajeunesse, J., Harrison, S., Byres, D., Koch, B., Topping, B., Brock, T., Foreman, J., Schechter, M., & Oviedo-Joekes, E. (2024). Client preferences for the design and delivery of injectable opioid agonist treatment services: Results from a best-worst scaling task. Addiction. https://doi.org/10.1111/add.16620
Metcalfe, R. K., Singer, A., LaBine, L., Francis, L., & Levinson, W. (2024). Enhanced Access but Increased Testing with Virtual Care: Insights from a Multinational Survey. BMJ Evidence-Based Medicine. https://ebm.bmj.com/content/29/1/67
Metcalfe, R. K., Harrison, M., Singer, J., Lewish, M., Lee, T., Von Dadelszen, P., Magee, L. & Bansback, N. (2023). Using a Patient-Centered Composite Endpoint in a Secondary Analysis of the Control of Hypertension in Pregnancy Study (CHIPS) Trial. Trials. https://doi.org/10.1186/s13063-023-07118-1
Michaux, K., Metcalfe, R. K., Conklin, A., Hoens, A., Smith, D., Struik, L., Safari, A., Sin, D., Sadatsafavi, M., & the IMPACT Study Group (2023). IMplementing Predictive Analytics towards efficient COPD Treatments (IMPACT) Trial Protocol: Protocol for a Stepped Wedge Cluster Randomized Impact Study. Journal of Prognostic and Diagnostic Research. https://doi.org/10.1186/s41512-023-00140-6
Foggin, H., Metcalfe, R. K., Hutcheon, J. A., Bansback, N., Burrows, J., Karacebeyli, E., Shivananda, S., Boutin, A., & Liauw, J. (2023). Understanding What Patients and Physicians Need to Improve Their Decision-Making About Late Preterm Antenatal Corticosteroids: A Qualitative Framework Analysis. CMAJ Open. https://doi.org/10.9778/cmajo.20220139
Dobischok, S. A., Metcalfe, R. K., Matzinger, E., Palis, H., Marchand, K., Harrison, S., MacDonald, S., Byres, D., Schechter, M., Bansback, N., & Oviedo-Joekes, E. (2023). Measuring the Preferences of Injectable Opioid Agonist Treatment (iOAT) Clients: Development of a Person-Centered Scale (Best-Worst Scaling). International Journal of Drug Policy. https://doi.org/10.1016/j.drugpo.2022.103948
Magel, T., Matzinger, E., Blawatt, S., Harrison, S., MacDonald, S., Amara, S., Metcalfe, R. K., Bansback, N., Byers, D., Schechter, M., & Oviedo-Joekes, E. (2023). How iOAT Care Could Be Improved? Providers Perspectives on Clients’ Needs. Drugs: Education, Prevention and Policy. https://doi.org/10.1080/09687637.2023.2176287
Dobischok, S. A., Metcalfe, R. K., Matzinger, E., Lock, K., Harrison, S., MacDonald, S., Amara, S., Schechter, M., Bansback, N., & Oviedo-Joekes, E. (2022). Feasibility of Testing Client Preferences for Accessing Injectable Opioid Agonist Treatment (iOAT): A Pilot Study. Patient Preferences and Adherence. https://doi.org/10.2147/PPA.S391532
Bansback, N., Trenaman, L., Mulhern, N., Norman, R., Metcalfe, R. K., Sawatzky, R., Brazier, J., Rowen, D., & Whitehurst, D. (2022). Estimation of a Preference-Based Scoring Algorithm for the Veterans RAND 12-Item Health Survey (VR-12) in Canada. CMAJ Open, 10, E589-598. https://doi.org/10.9778/cmajo.20210113
Bansback*, N., Chiu*, J. A., Metcalfe, R. K., Lapointe, E., Schabas, A., Lenzen, M., ... & Carruthers, R. (2021). Preliminary Testing of a Patient Decision Aid for Patients with Relapsing-Remitting Multiple Sclerosis. Multiple Sclerosis Journal–Experimental, Translational and Clinical, 7, 1-14. https://doi.org/10.1177/20552173211029966
McTaggart-Cowan, H., Bentley, C., Raymakers, A., Metcalfe, R. K., Hawley, P. & Peacock, S. (2021). Understanding Cancer Survivors’ Reasons to Medicate with Cannabis: A Qualitative Study Based on the Theory Of Planned Behaviour. Cancer Medicine, 10, 396-404. https://doi.org/10.1002/cam4.3536
Metcalfe, R. K., Harrison, M., Singer, J., Hutfield, A., Lewish, M., Magee, L. & Bansback, N. (2020). Patient Preferences and Decisional Needs When Choosing a Treatment Approach for Pregnancy Hypertension: A Stated Preference Study. Canadian Journal of Cardiology, 36, 775-779. https://doi.org/10.1016/j.cjca.2020.02.090
Bansback, N., Chui, J. A., Carruthers, R., Metcalfe, R. K., Lapointe, E., Schabas, A., Lenzen, M., Lynd, L. D., & Traboulsee, A. (2019). Development and Usability Testing of a Patient Decision Aid for Newly Diagnosed Relapsing Multiple Sclerosis Patients. BMC Neurology, 19, 173-184. https://doi.org/10.1186/s12883-019-1382-7
Metcalfe, R. K., Fitzpatrick, S., & Kuo, J. R. (2017). A Laboratory Examination of Emotion Regulation Skill Strengthening in Borderline Personality Disorder. Personality Disorders: Theory, Research, and Treatment, 8, 237-246. https://doi.org/10.1037/per0000156
Kuo, J. R., Fitzpatrick, S., Metcalfe, R. K., & McMain, S. (2016) A Multi-Method Laboratory Investigation of Emotion Regulation Abilities in Borderline Personality Disorder. Journal of Behavior Therapy and Experimental Psychiatry, 50, 52-60. https://doi.org/10.1016/j.jbtep.2015.05.002
Kuo, J. R., Khoury, J. E., Metcalfe, R. K., Fitzpatrick, S., & Goodwill, A. (2014) An Examination of the Relationship between Childhood Emotional Abuse and Borderline Personality Disorder Features: The Role of Difficulties with Emotion Regulation. Child Abuse & Neglect, 39, 147-155. https://doi.org/10.1016/j.chiabu.2014.08.008
Brankley, A., Lane, J., Metcalfe, R. K., Feeny, J., Allen, J. & Walker, J. (2013) Educating the Public: The Role of Graduate Students. Psynopsis, 35(4), 25-26. https://cpa.ca/docs/File/Psynopsis/2013/Psynopsis_Fall2013.pdf
Oral Presentations & Posters
Metcalfe, R. K., Harrison, M., Singer, J., M., Magee, L. & Bansback, N. (Submitted). Using a Patient-Centered Composite Endpoint in a Secondary Analysis of the Control of Hypertension in Pregnancy Study (CHIPS) Trial. Presentation submitted to the Annual Conference of the Society Medical Decision Making.
Metcalfe, R. K., Harrison, M., Singer, J., M., Magee, L. & Bansback, N. (2022). Integrating Patient Values into Clinical Trials Using Composite Endpoints: A Case Study Using the Control of Hypertension in Pregnancy Study. Oral Presentation at the Annual Conference of the Society for Clinical Trials, San Diego, California.
Oviedo-Joekes, E., Matzinger, E., Metcalfe, R. K., Harrison, S., MacDonald, S., & Bansback, N. (2022). How iOAT Care Could Be Improved?: Providers Perspectives on Clients’ Needs. Teaching session at the 53rd annual conference of the American Society of Addiction Medicine.
Matzinger, L., Harrison, S., MacDonald, S., Metcalfe, R. K., Bansback, N., Oviedo-Joekes, E. (2022). How iOAT Care Could Be Improved?: Providers Perspectives on Clients’ Needs. Oral presentation to the annual conference of the BC Patient Safety and Quality Council.
Metcalfe, R. K., Harrison, M., Singer, J., M., Magee, L. & Bansback, N. (2021). Integrating Patient Values into Clinical Trials Using Composite Endpoints: A Case Study Using the Control of Hypertension in Pregnancy Study. Oral Presentation at the Annual Canadian Student Health Research Forum, Virtual.
Metcalfe, R.K., Easterbrook, A.E., Oviedo-Joekes, E. (2020). Client Engagement with iOAT (Injectable Opioid Agonist Treatment) Sites Before and During the COVID-19 Pandemic. Oral presentation at the 5th Annual Meeting of the B.C. Support Unit, Vancouver, Canada.
Metcalfe, R. K., Harrison, M., Singer, J., Magee, L. & Bansback, N. (2020). How and How Often Do Decision Aids Address Emotion? A Review of Pregnancy Related Decision Aids. Poster presentation at the 42st Annual Meeting of the Society for Medical Decision Making, Virtual.
Easterbrook, A.E., Metcalfe, R. K., Oviedo-Joekes, E. (2020). Life in Two Crises: Client and Nurse Experiences of Injectable Opioid Agonist Treatment (iOAT) during the COVID-19 Pandemic. Oral presentation at the annual scientific conference and meeting of the Canadian Society of Addiction Medicine, Virtual.
McTaggart-Cowan, H., Bentley, C., Raymakers, A., Metcalfe, R. K., Hawley, P. & Peacock, S. (Conference Deferred) Using the Theory of Planned Behaviour to Understand Cancer Survivors’ Decisions for Using Cannabis as a Complementary Therapy. Poster submitted to the Annual Meeting of the Canadian Association for Health Services and Policy Research, Saskatoon, Canada.
McTaggart-Cowan, H., Bentley, C., Raymakers, A., Metcalfe, R. K., Hawley, P. & Peacock, S. (Conference Deferred) Understanding Cancer Survivors’ Decisions for Using Cannabis as a Complementary Therapy. Poster submitted to the Annual Meeting of the Canadian Centre for Applied Research in Cancer Control, Saskatoon, Canada.
Metcalfe, R. K., Harrison, M., Singer, J., Hutfield, A., Lewish, M., Muramatsu, M., Magee, L. & Bansback, N. (2019). The Importance of Emotion in Healthcare Decision-making in Pregnancy: Insights from a Qualitative Study. Poster presented at the 4thAnnual Meeting of the B.C. SUPPORT Unit, Vancouver, Canada.
Metcalfe, R. K., Harrison, M., Singer, J., Hutfield, A., Lewish, M., Magee, L. & Bansback, N. (2019). Women’s Priorities and Preferences for Management of Pregnancy Hypertension. Poster presented at the 41st Annual Meeting of the Society for Medical Decision Making, Portland, Oregon.
Chiu, J., Carruthers, R., Metcalfe, R. K., Lapointe, E., Schabas, A., Lenzen, M., Lynd, L. D. & Bansback, N. (2019). Evaluating an Interactive Patient Decision Aid for People with Relapsing-Remitting Multiple Sclerosis. Oral presentation at the 41st Annual Meeting of the Society for Medical Decision Making, Portland, Oregon.
Bansback, N., Mulhern, B., Norman, R., Trenaman, L., Metcalfe, R. K., Sawatzky, R., Brazier, J., Rowen, D. & Whitehurst, D. G. T. (2019). Development of a Preference Based Single Index for the VR-12 in Canada. Poster presented at the 41st Annual Meeting of the Society for Medical Decision Making, Portland, Oregon.
Metcalfe, R. K., Magee, L., Harrison, M., Hutfield, A., Singer, J., & Bansback, N. (2019). Quantitative Assessment of Women’s Preferences for Management of Hypertension in Pregnancy: Insights to Support New Clinical Guidelines. Poster presented at the annual Vancouver Health Economics Methodology Meeting, Vancouver, Canada.
Metcalfe, R. K. & Bansback, N. (2019). Heterogeneity in Patient Preferences: Measurement and Implications for Shared Decision-Making. Poster presented at the bi-annual conference of the International Shared Decision Making Society, Quebec City, Canada.
Metcalfe, R. K., Magee, L., Harrison, M., Hutfield, A., Singer, J., & Bansback, N. (2019). Women’s Preferences for Management of Hypertension in Pregnancy. Poster presented at the bi-annual conference of the International Shared Decision Making Society, Quebec City, Canada.
Thejoe, M., Boutin, A., Bansback, N., Metcalfe, R. K., Burrows, J., Shivananda, S., Karacebeyli, E., Foggin, H., Hutcheon, J. & Liauw, J. (2019). A Descriptive Review of Balancing Risks and Benefits in SOGC Guideline Recommendations and Opportunities for the Development of Decision Aids. Poster presented at the 75th Annual Clinical and Scientific Conference of the Society of Obstetricians and Gynecologists of Canada.
Metcalfe, R. K., Magee, L., Singer, J., Lee, T., Hutfield, A., Harrison, M., & Bansback, N. (2018, October). A Qualitative Inquiry into Women’s Preferences for Treatment of Hypertension in Pregnancy. Poster presented at the annual convention of the International Society for the Study of Hypertension in Pregnancy, Amsterdam, the Netherlands.
Metcalfe, R. K., Magee, L., Singer, J., Lee, T., Harrison, M. & Bansback, N. (2018, May). Can We Develop Patient-Oriented Composite Outcomes for Clinical Trials? A Case Study Using the CHIPS Trial. Poster presented at the annual Vancouver Health Economics Methodology Meeting, Vancouver, Canada.
Kapila, S., Foussias, G., Awan, S., Baluyut, C., Bromley, S., Porto, M. L., Metcalfe, R. K., Agid, O., & Voineskos, A. (2016, May). Integrated Care Pathway for First Episode Psychosis in an Outpatient Setting. Poster presented at the annual convention of the Early Psychosis Intervention Ontario Network, Toronto, Canada.
Metcalfe, R. K., & Kuo, J. R. (2013, November). Training in Suicide Intervention Among Health Practitioners in Canada. Poster presented at the annual convention of the Association for Behavioral & Cognitive Therapies, Nashville, United States of America.
Khoury, J., Fitzpatrick, S., Metcalfe, R. K., & Kuo, J. R. (2013, November). Deconstructing Emotion Processes: Testing Models of Emotion Reactivity and Emotion Regulation. Poster presented at the annual convention of the Association for Behavioral and Cognitive Therapies, Nashville, United State of America.
Kuo, J. R., Fitzpatrick, S., Metcalfe, R. K., & McMain, S. (2013, November). A Multi-Method Investigation of Emotion Regulation Capabilities in Borderline Personality Disorder: Comparison of Distraction and Acceptance. Paper presented at the annual convention of the Association for Behavioral and Cognitive Therapies, Nashville, United State of America.
Metcalfe, R. K., Kuo, J. R., & Khoury, J. (2013, June). Emotion Dysregulation Mediates the Relationship between Childhood Trauma and Borderline Personality Disorder Symptom Severity. Poster presented at the annual convention of the Canadian Psychological Association, Quebec City, Canada.
Metcalfe, R. K., Brankley, A., Lane, J., Feeny, J., & Allen, J. (2013, June). Correcting Public Misconceptions of Psychology: How to Communicate Directly and through the Media. Workshop presented at the annual convention of the Canadian Psychological Association, Quebec City, Canada.
Metcalfe, R. K., Kuo, J. R., Kaloupek, D., & Woodward, S. (2011, November). Amygdala Volume in Combat-Exposed Veterans with PTSD and Early Life Stress. Poster presented at the annual convention of the Association for Behavioral & Cognitive Therapies, Toronto, Canada.
Invited Talks
Metcalfe, R. K., Harrison, M., & Bansback, N. (April, 2022). How to Design Clinical Trials to Increase Enrollment and Impact? Patient-Oriented Approaches to Trial Design. Work in Progress presented to the Centre for Health Evaluation & Outcome Sciences, Vancouver, Canada.
Metcalfe, R. K., Harrison, M., Singer, J., Lewish, M., Lee, T., Von Dadelszen, P., Magee, L. & Bansback, N. (2022, February). Patient Engagement in Clinical Trials. Presentation to Health Research BC Clinical Trials Community of Practice Meeting, Vancouver, Canada.
Feehan, L., Metcalfe, R. K., Mroz, L., Potter, N., & Rideout, K. (2022, January). Knowledge Translation & Mobilization: Patient-oriented Research. Panel presented to graduate level trainees at the UBC Center for Heart Lung Innovation, Vancouver, Canada.
Metcalfe, R. K. (2019, April). Writing Lay Summaries: Translating Scientific Language. Professional Development Workshop presented to the University of British Columbia Pharmaceutical Sciences Graduate Society, Vancouver, British Columbia
Harvard, S. & Metcalfe, R. K. (2018, February). Writing in Plain Language. Oral presentation to the Health Economics and Simulation Modeling Methods Cluster of the B.C. Support Unit. Vancouver, Canada.