A5024696519- Autism Spectrum Disorder Research
- Family and Disability Support Research
- Child Nutrition and Feeding Issues
- Child and Adolescent Health
- Adolescent and Pediatric Healthcare
- Attention Deficit Hyperactivity Disorder
- Infant Development and Preterm Care
- Child Development and Digital Technology
- Health Policy Implementation Science
- Child and Adolescent Psychosocial and Emotional Development
- Childhood Cancer Survivors' Quality of Life
- Health Systems, Economic Evaluations, Quality of Life
- Behavioral and Psychological Studies
- Genetics and Neurodevelopmental Disorders
- Cerebral Palsy and Movement Disorders
- Pharmaceutical studies and practices
- Antibiotic Use and Resistance
- Emergency and Acute Care Studies
- Assistive Technology in Communication and Mobility
- Family and Patient Care in Intensive Care Units
- Urinary Tract Infections Management
- Patient Satisfaction in Healthcare
- COVID-19 and Mental Health
- Urinary Bladder and Prostate Research
- Schizophrenia research and treatment
Holland Bloorview Kids Rehabilitation Hospital
2016-2025
University of Toronto
2015-2025
Canadian Paediatric Society
2023
Autism Research Institute
2022
Owl Research Institute
2017
Institute for Clinical Evaluative Sciences
2015
Hospital for Sick Children
2015
SickKids Foundation
2015
OBJECTIVES: Pain in children with cerebral palsy (CP) is underrecognized, undertreated, and negatively affects quality of life. Communication challenges multiple pain etiologies complicate diagnosis treatment. The primary objectives this study were to determine the impact on activities identify common physician-identified causes youth ages 3 19 years across all levels severity CP. METHODS: design was cross-sectional, whereby children/youth aged their families consecutively recruited....
Introduction: Burnout, inertia, meltdown, and shutdown (BIMS) have been identified as important parts of some autistic people’s lives. This study builds on our previous work that offered early academic descriptions these phenomena, based the perspectives adults. Objectives: aimed to explore unique knowledge insights eight children youth extend refine earlier description burnout, i nertia, with additional exploration shutdown. We also how cope phenomena what others around them do make things...
Importance Wait times for autism spectrum disorder (ASD) diagnosis are lengthy because of inadequate supply specialist teams. General pediatricians may be able to diagnose some cases ASD, thereby reducing wait times. Objective To determine the accuracy ASD diagnostic assessments conducted by general compared with a multidisciplinary team (MDT). Design, Setting, and Participants This prospective study was in assessment center Toronto, Ontario, Canada, Ontario pediatrician practices from June...
Inefficient diagnostic practices for autism spectrum disorder (ASD) may contribute to longer wait times, delaying access intervention. The objectives were describe the of Canadian pediatricians and identify determinants time ASD diagnosis. An online survey was conducted through Paediatric Society's developmental pediatrics, community mental health sections. Participants asked demographic information, whether they diagnosed ASD, elements their assessment. A multiple linear regression total...
Objective Early identification of autism spectrum disorder (ASD) is an essential healthcare priority. Girls may be at risk for late diagnosis, although research equivocal regarding how sex and other factors relate to ASD identification. The goals the current investigation were (1) identify child sex, cognitive abilities, demographic age first concern (AOC) diagnosis (AOD), (2) evaluate trends in AOC/AOD over time, (3) consider whether main effects on are moderated by abilities or time.Method...
Abstract Background The prescribing of antidepressants and antipsychotics to children has increased worldwide, but little is known about how changes in drug funding policy influence the practice. In 2018, Ontario introduced a universal pharmacare program (OHIP+) for youth, amending it April 2019 cover only those without private insurance. We examined association these with antipsychotic antidepressant medication prescribing. Methods conducted population-based study dispensing ≤ 18 years old...
<title>Abstract</title> <bold>Background: </bold>In the general population, adaptive functioning typically aligns with cognitive abilities; however, this relationship appears more complex among neurodivergent individuals. Neurodevelopmental conditions (NDCs), including autism, attention-deficit/hyperactivity disorder (ADHD), and obsessive-compulsive (OCD), are associated significant differences between functioning, described as cognitive-adaptive gap. While gap has been examined primarily in...
Psychotropic medications are commonly used for neurodivergent children, but their effectiveness varies, making prescribing challenging and potentially exposing individuals to multiple medication trials. We developed artificial intelligence (AI) models predict success stimulants, anti-depressants, anti-psychotics. first demonstrate feasibility using cross-sectional data from three research cohorts, then use a cohort of patients pharmacology clinic choice by class, longitudinally, electronic...
<sec> <title>BACKGROUND</title> Family caregivers of individuals with neurodevelopmental disabilities (NDDs) experience high levels stress, anxiety, and depression, yet few interventions are designed to improve their mental well-being. Additionally, most evidence-based do not actively involve as peer facilitators. </sec> <title>OBJECTIVE</title> To address this gap, we developed an Acceptance Commitment Training (ACT) group intervention co-facilitated by trained clinicians. This study...
<h3>Importance</h3> Earlier access to intensive behavioral intervention (IBI) is associated with improved outcomes for children severe autism spectrum disorder (ASD); however, there are long waiting times this program. No analyses have been performed modeling the cost-effectiveness of wait time reduction IBI. <h3>Objectives</h3> To model starting age IBI reduced (RWT) (by half) and eliminated (EWT), perform a analysis comparing RWT EWT current (CWT) from government societal perspectives....
Community general pediatricians (CGPs) are a potential resource to increase capacity for autism spectrum disorder (ASD) diagnostic assessments. The objective of this study was explore factors influencing CGPs' perspectives on and practices providing ASD diagnoses.This qualitative used constructivist modified grounded theory approach. Participants included CGPs who had attended educational events or referred child with suspected tertiary rehabilitation center. Individual in-depth interviews...
The COVID-19 pandemic has led to an increase in screen time for children and families. Traditionally, been associated with negative physical mental health outcomes, autism spectrum disorder (ASD) are at increased risk of these outcomes. primary objectives this study were (1) characterize the change during school closures ASD, (2) examine parent perceived impact on quality life their Canadian parents caregivers 19 years age younger eligible participate anonymous, online survey study. This was...
Abstract Neurodevelopmental conditions can be associated with decreased health-related quality of life; however, the predictors these outcomes remain largely unknown. We characterized life (HRQoL) in a sample neurodiverse children and youth. used cross-sectional subsample from Province Ontario Disorders Network (POND) consisting those young people POND dataset complete study data (total n = 615; 31% female; age: 11.28 years ± 2.84 years). Using structural equation model, we investigated...
The number of young adults (youth) living with childhood-onset disabilities, and requiring transitional support to adult community rehabilitation services, is increasing. We explored facilitators barriers accessing sustaining services during the transition from pediatric care.A qualitative descriptive study was conducted in Ontario, Canada. Data were collected through interviews youth (n = 11) family caregivers 7). data coded analyzed using thematic analysis.Youth face many types transitions...
COVID-19 associated public health measures and school closures exacerbated symptoms in some children youth with attention-deficit hyperactivity disorder (ADHD). Less well understood is how the pandemic influenced patterns of prescription stimulant use. We conducted a population-based study dispensing to ≤ 24 years old between January 1, 2013, June 30, 2022. used structural break analyses identify month(s) when changes stimulants occurred. interrupted time series models quantify following...
Abstract Background Population-based research examining geographic variability in psychotropic medication dispensing to children and youth the sociodemographic correlates of such variation is lacking. Variation use could reflect disparities access non-pharmacologic interventions identify potentially concerning patterns. Methods We conducted a population-based study all Ontario residents aged 0 24 years who were dispensed benzodiazepine, stimulant, antipsychotic or antidepressant between...
Abstract Background Young adults with childhood-onset disabilities experience challenges accessing age appropriate primary health care services as they transition from pediatric to adult services. They often a negative impact on their associated long-term and social concerns, disease complications increased use of emergency once transitioned This is particularly challenging for youth cerebral palsy (CP) due the complexity medical needs. The aim this study was explore experiences or providing...