- Stroke Rehabilitation and Recovery
- Autism Spectrum Disorder Research
- Acute Ischemic Stroke Management
- Family and Disability Support Research
- Behavioral and Psychological Studies
- Cerebral Palsy and Movement Disorders
- Obesity, Physical Activity, Diet
- Balance, Gait, and Falls Prevention
- Botulinum Toxin and Related Neurological Disorders
- Disability Education and Employment
- Child and Adolescent Psychosocial and Emotional Development
- Intimate Partner and Family Violence
- Physical Activity and Health
- Telemedicine and Telehealth Implementation
- Food Security and Health in Diverse Populations
- Problem Solving Skills Development
- Technology-Enhanced Education Studies
- Teacher Professional Development and Motivation
- Pasture and Agricultural Systems
- Cognitive Science and Mapping
- Technology Use by Older Adults
- Obesity and Health Practices
- Education Practices and Challenges
- Assistive Technology in Communication and Mobility
- Attention Deficit Hyperactivity Disorder
Vancouver Coastal Health
2021-2023
Vancouver Coastal Health Research Institute
2018-2023
San Jose State University
2017-2023
GF Strong Rehabilitation Centre
2018-2023
University of British Columbia
2011-2022
Sydney Local Health District
2019
University of Massachusetts Boston
2018
Morgantown High School
2011
West Virginia University
2011
Cincinnati Children's Hospital Medical Center
2008-2010
Background The literature suggests that stroke is a major risk factor for falls, but there lack of prospective, controlled studies which quantify fall-risk after stroke. purpose this study was to compare the rates, location and predictors among individuals recently discharged home from rehabilitation age sex matched controls. Methodology/Principal Findings A sample 80 people with 90 controls received baseline assessments balance, mobility balance confidence. Falls were recorded prospectively...
New data from the 2007 National Survey of Children's Health show that percentage children ages 10–17 who are overweight (body mass index in eighty-fifth to ninety-fourth percentiles) remained stable, while national prevalence obesity (BMI ninety-fifth percentile and higher) grew significantly, 14.8 percent 2003 16.4 2007. This increase accounted for entire combined between (from 30.6 31.6 percent). An estimated 10.58 million children, or nearly one three 10–17, were obese Our findings...
Background/aims: People with stroke continue to lead sedentary lives despite the multiple benefits of exercise. Knowledge regarding survivors’ conception exercise, which is essential for a thorough understanding barriers and facilitators lacking. This study aims explore perceptions exercise among survivors, including their concepts definitions as well Methods: used qualitative exploratory design. Focus groups were conducted 11 community dwelling participants (mean 8 ± 3 years post stroke)....
Background As physical activity in people poststroke is low, devices that monitor and provide feedback of walking motivation to engage exercise may assist rehabilitation professionals auditing activity. However, most are not accurate at slow speeds. Objective This study assessed the accuracy one accelerometer measure steps community-dwelling individuals poststroke. Design was a cross-sectional study. Methods Two accelerometers were positioned on nonparetic waist ankle participants (N=43),...
It is important for older adults to be physically active, but many walk slowly. This study examined the accuracy of a commercially available step-count device (Fitbit One) at slow speeds and compared when worn ankle waist in adults.The Fitbit One was placed participants (n=42; mean age 73 years) while they performed walking trials 7 different (0.3-0.9 m/s). Step counts obtained from video recordings were used as gold standard comparison determine device.The ankle-worn had significantly less...
Background. Recent studies have reported lower statistics of upper limb (UL) weakness (48-57%) compared to widely cited values collected over 2 decades ago (70-80%). Objective. To explore potential factors contributing the accuracy prevalence UL using a case study from single regional centre. Methods. All patients admitted acute stroke unit with suspected diagnosis were screened February 2016 August 2017. Upper was captured (a) prospectively Shoulder Abduction and Finger Extension (SAFE)...
BACKGROUND. The epidemic of childhood overweight and obesity is characterized by known disparities. Less about how these disparities vary across within the state in which a child lives. OBJECTIVE. To examine magnitude patterns across- within-state differences prevalence according to children's insurance type (public versus private), household income level, race (non-Hispanic black non-Hispanic white), ethnicity (Hispanic non-Hispanic). METHODS. State-level rates for children aged 10–17 were...
Abstract Objective The purpose of this study was to provide contemporary estimates the prevalence lower extremity motor impairment and walking limitation after first-ever stroke characterize predictive nature early ability for being discharged home acute hospitalization. Methods In cohort study, data were collected from a metropolitan care hospital in Canada at admission 487 adults with ischemic or hemorrhagic stroke. Lower measured using National Institutes Health Stroke Scale AlphaFIM,...
A simple measure that can be administered remotely by means of videoconferencing is needed for telerehabilitation.To develop a valid and reliable measure, the Arm Capacity Movement Test (ArmCAM), to evaluate upper extremity motor function poststroke.Cross-sectional.Participants' homes.A sample people with stroke (N = 31).Test-retest interrater reliabilities were assessed through intraclass correlation coefficients (ICCs), Cohen's κ, standard error measurement (SEM), minimal detectable change...
Objectives Sexual abuse is a strong predictor of future psychiatric problems. A more nuanced qualitative understanding mental health outcomes, in the context interpersonal responses from family members towards survivors after sexual abuse, may help to better inform prevention and interventions. Design mixed-methods approach included timeline method map identify contextual factors mediating emotional associated with disorder following abuse. Setting Participants were adult seeking support...
Social support can help to deal with the consequences of neurological conditions and promote functional independence quality life. Our aim was evaluate impact on use health-care services in a population-based sample community-dwelling adults conditions.Data were from Survey Living Neurological Conditions Canada, which derived representative household residents. Formal informal received out-of-pocket payments assessed by personal interviews. Logistic regression used explore association...
Students with autism spectrum disorder (ASD) are often challenged by social interaction and may require substantial support to interact peers even in inclusive settings. Having adults students ASD during peer interactions, however, ostracize the student from without disabilities. Peer-mediated strategies needed so that disabilities can a variety of activities undue reliance on adults. A peer-mediated approach shared reading activity is presented which taught three-step strategy increase...
Abstract Background and Objectives While arm function has been traditionally used as a primary goal for upper extremity rehabilitation post‐stroke, we propose simple measure of use, which may translate into better activities participation. The aim was to determine the relationship between use measures activity Methods This cross‐sectional study with evaluative components involving community‐dwelling individuals chronic stroke. Rating Everyday Arm‐Use in Community Home (REACH) Scale assess...
As technology continues to provide new instructional options in the classroom, opportunities embed tools their pedagogy are critical for teachers. One avenue that could encourage teachers adopt technologies classroom is professional development. This column outlines how a comprehensive program can be implemented build teacher capacity implementing classrooms. Suggestions include developing referral system connects necessary supports, ongoing trainings knowledge and skills using technology,...
Despite the push to increase inclusive early childhood (EC) care and education programs support learning development of all children, such remain rare in California where most preschoolers with disabilities receive special services day classrooms. Developing requires EC educators who are committed supporting inclusion. Using a survey teachers public private programs, this study sought identify factors that influenced teachers’ attitudes toward self-efficacy for providing young children...
To examine the trajectory of Rating Everyday Arm-use in Community and Home (REACH) scores over first-year post-stroke, determine if REACH are modified by baseline impairment level explore responsiveness scale through hypothesis testing.Consecutive sample longitudinal study.Participants were recruited from an acute stroke unit followed up at three, six, 12 months post-stroke.Seventy-three participants with upper limb weakness (Shoulder Abduction Finger Extension score ≤ 8).The is a six-level...