- Pediatric Pain Management Techniques
- Musculoskeletal pain and rehabilitation
- Infant Development and Preterm Care
- Childhood Cancer Survivors' Quality of Life
- Hemoglobinopathies and Related Disorders
- Mobile Health and mHealth Applications
- Adolescent and Pediatric Healthcare
- Family and Patient Care in Intensive Care Units
- Pain Management and Opioid Use
- Cardiac Health and Mental Health
- Iron Metabolism and Disorders
- Autoimmune and Inflammatory Disorders Research
- Digital Mental Health Interventions
- Religion, Spirituality, and Psychology
- Cardiovascular Issues in Pregnancy
- Pain Mechanisms and Treatments
- Cardiac Arrest and Resuscitation
- Heart Failure Treatment and Management
- Neurofibromatosis and Schwannoma Cases
- Anesthesia and Pain Management
- Health Literacy and Information Accessibility
- Palliative Care and End-of-Life Issues
- Healthcare professionals’ stress and burnout
- Muscle and Compartmental Disorders
- Music Therapy and Health
Institute for Clinical Evaluative Sciences
2014-2025
Hospital for Sick Children
2016-2025
SickKids Foundation
2014-2025
University of Toronto
2014-2025
Leeds Beckett University
2024
University of California System
2024
Université de Sherbrooke
2024
Tufts University
2024
University of California, Davis
2024
Western University
2024
BACKGROUND: While there are emerging web‐based self‐management programs for children and adolescents with chronic pain, is currently not an integrated web‐ smartphone‐based app that specifically addresses the needs of pain. OBJECTIVES: To conduct a assessment to inform development online pain program adolescents, called iCanCope Pain ™. METHODS: A purposive sample (n=23; 14 18 years age) was recruited from two pediatric clinics in Ontario. Interdisciplinary health care providers were also...
Recently, the use of smartphones to deliver health-related content has experienced rapid growth, with more than 165,000 mobile health (mHealth) apps currently available in digital marketplace. With 3 out 4 Canadians owning a smartphone, mHealth offer opportunities accessible knowledge and support. Many individuals experience pain after surgery, which can negatively impact their quality life, including sleep, emotional, social functioning. Smartphone that provide remote real-time monitoring...
To qualitatively explore the information and service needs of young adults (YAs) with chronic pain to inform development a web-based self-management program.A convenience sample YAs (n=17; aged 18 29 y) was recruited from 2 adult tertiary care multidisciplinary clinics in Ontario. Interdisciplinary health professionals who had worked for at least 1 year were also these sites. Five audiotaped focus groups conducted, 3 professionals. Transcribed data organized into categories that reflected...
In clinical practice, children are often asked to rate their pain intensity on a simple 0 10 numerical rating scale (NRS). Although the NRS is well-established measure for adults, no study has yet evaluated its validity with chronic pain.To examine convergent and discriminant of as it used within regular practice document pain. Interchangeability between an analogue was also assessed.A cohort 143 (mean [± SD] age 14.1±2.4 years; 72% female) rated (current, usual, lowest strongest levels)...
Objectives: We aimed to determine the feasibility of virtual reality (VR) distraction for children with cancer undergoing subcutaneous port (SCP) access. also estimate preliminary treatment effects VR compared an active control (iPad). Materials and Methods: A single-site pilot randomized controlled trial comparing iPad was conducted. Eligible adolescents were aged 8 18 years upcoming SCP needle insertions. Intervention acceptability evaluated by child, parent, nurse self-report. Preliminary...
Numerous eHealth tools for pain assessment and management have been developed evaluated with promising results regarding psychometric properties, efficacy, effectiveness. Although considerable resources are spent on developing evaluating these the aim of increasing access to care, current evidence suggests they not made available end users, reducing their impact creating potential research waste.This study consisted 2 components: (1) a systematic review pediatric and/or published in past 10...
Moderate to severe postoperative pain in children is common. Increased pediatric day surgeries have shifted management predominantly the home setting. Mobile health technology has potential overcome barriers care by improving access self-management resources. However, apps generally lack scientific evidence and are highly underutilized due of involvement end users their development. Thus, an evidence-based smartphone app that incorporates needs perspective adolescents (end users) improve...
Severe acute and chronic pain are the most common complications of sickle cell disease (SCD). Pain results in disability, psychosocial distress, repeated clinic visits/hospitalizations, significant healthcare costs. Psychosocial interventions that teach cognitive behavioral strategies for managing have been effective other adolescent populations when delivered person or through digital technologies. Our aim was to conduct a multisite, randomized, controlled trial improve coping youth aged 12...
Abstract Pain is the hallmark symptom of sickle cell disease (SCD). By adolescence, 20% youth with SCD develop chronic pain. Our randomized controlled trial found significant reductions in pain receiving digital cognitive-behavioral therapy (CBT) vs education control. However, little known about factors that moderate effects CBT adolescents SCD. This secondary data analysis aims to identify adolescent and family characteristics treatment on outcomes 111 aged 12 18 (M = 14.9, SD 1.9, girls...
Background: Chronic pain is a common problem in adolescents that can negatively impact all aspects of their health-related quality life. The developmental period adolescence represents critical window opportunity to optimize and solidify positive health behaviors minimize future pain-related disability impaired work productivity. This research focuses on the development evaluation smartphone-based self-management app for with chronic pain. Objective: objectives this study were characterize...
Persistent or chronic pain is a common health problem among adolescents. Thus, it important that they receive evidence-based strategies for symptom management. iCanCope with Pain mobile phone app designed to help adolescents cope pain. The comprises 5 evidence- and theory-based features: (I) trackers pain, sleep, mood, physical function, energy; (II) goal setting improve function; (III) coping toolbox of self-management strategies; (IV) social support; (V) age-appropriate education. based on...
To evaluate the feasibility and preliminary effectiveness of iCanCope with Pain (iCanCope), a smartphone-based pain self-management program, in adolescents JIA. featured symptom tracking, goal-setting, coping skills social support.A two-arm pilot randomized controlled trial was used to app compared version tracking only. Primary (feasibility) outcomes were: participant accrual/attrition rates, success deployment, acceptability adherence. Secondary (preliminary effectiveness) intensity,...
The current study investigated the construct validity of a multidimensional pain diary for youth with juvenile idiopathic arthritis and also compared participants' responses on electronic retrospective measures. purpose latter part this was to compare absolute agreement, between-person within-person consistency judged change in weekly between these 2 methods assessing pain.A total 70 adolescents completed both recalled momentary reports over 2-week period assessed their using 5-point global...
Background Digital technologies connect young people with health services and resources that support their self-care. The lack of accessible, reliable digital tailored to persistent musculoskeletal pain is a significant gap in the Australia. Recognizing intense resourcing required develop implement effective electronic (eHealth) interventions, adaptation extant, proven may improve access care cost time efficiencies. Objective This study aimed test acceptability need for extant technologies,...
Pediatric pain is a complex health challenge requiring multi-modal management approach. It critical that healthcare providers (HCPs) have access to ongoing, flexible education and mentorship specific pediatric pain. However, there are significant gaps in available need for more opportunities support interprofessional training. Project Extension Community Healthcare Outcomes (Project ECHO®) model delivering online HCP cultivating virtual community of practice. Within the setting, ECHO® has...