A5031780835- Musculoskeletal pain and rehabilitation
- Pediatric Pain Management Techniques
- Autoimmune and Inflammatory Disorders Research
- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Pain Management and Placebo Effect
- Family and Disability Support Research
- Cerebral Palsy and Movement Disorders
- Clinical practice guidelines implementation
- Occupational Therapy Practice and Research
- Effects of Vibration on Health
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Human-Animal Interaction Studies
- Social Work Education and Practice
- Psychology of Social Influence
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Pain Mechanisms and Treatments
- Ergonomics and Musculoskeletal Disorders
- Healthcare Quality and Management
- Dementia and Cognitive Impairment Research
- Family and Patient Care in Intensive Care Units
- Emotions and Moral Behavior
- Palliative Care and End-of-Life Issues
- Child and Adolescent Health
Saskatchewan Health Authority
2013-2024
University of Saskatchewan
2012-2024
Saskatchewan Health
2019-2024
University of Alberta
2023
University of British Columbia
2023
Royal University Hospital
2018-2020
Hospital for Sick Children
2016
Abstract Objective To describe variability of pain intensity experienced by youths with juvenile idiopathic arthritis (JIA) and examine factors related to within‐day patterns the relationship between magnitude quality life. Methods Pain was self‐reported on a visual analog scale (VAS; range 0–100) 112 JIA ages 8–18 years using electronic diaries 3 times per day for 7 days. Average absolute change in (AAC) computed as measure each participant. Logistic regression used demographic disease...
Family presence in long-term care (LTC) homes is crucial for meeting the health, psychosocial, and practical needs of residents. Initially during COVID-19 pandemic, visitation restrictions essentially locked-out families as public health orders prioritized prevention harm from spread infection. Although telephone technology-assisted communication with was encouraged, many residents were unable to participate. The outcry on injustice disruption family units emerging reports harms arising...
We studied children enrolled within 90 days of juvenile idiopathic arthritis diagnosis in the Research Arthritis Canadian Children Emphasizing Outcomes (ReACCh-Out) prospective inception cohort to identify longitudinal trajectories pain severity and features that may predict trajectory at diagnosis. A total 1062 participants were followed a median 24.3 months (interquartile range = 16.0-37.1 months). Latent analysis severity, measured 100-mm visual analogue scale, identified 5 distinct...
Juvenile idiopathic arthritis (JIA), among the most common chronic diseases of childhood, can be associated with attenuated physical activity levels, reduced fitness, decreased functionality and pain. This pilot study aimed to determine safety, feasibility effect a six week resistance training program in children JIA.Youth (8-18 years) JIA participated home-based program. Participants reported pain on an electronic diary once day for one prior training, then non-exercise days three times...
Abstract Objective To identify early predictors of disease activity at 18 months in JIA using clinical and biomarker profiling. Methods Clinical data were collected diagnosis a prospective longitudinal inception cohort 82 children with non-systemic JIA, their ability to predict an active joint count 0, physician global assessment ≤1 cm, inactive by Wallace 2004 criteria later was assessed. Correlation-based feature selection ReliefF used shortlist random forest models trained outcomes....
Context Pain is a primary reason individuals attend an Emergency Department (ED), and its management concern. Objectives Change in symptoms physiologic variables at 3 time points pre-post ten-minute St. John Ambulance therapy dog team visit compared to no ED patients who experienced pain. Design, setting participants Using controlled clinical trial design, pain, anxiety, depression well-being were measured with the Edmonton Symptom Assessment System (revised version) (ESAS-r) 11-point rating...
Purpose: This article provides an overview of literature relevant to the prevention and relief pain distress during physiotherapy procedures, with guidance for physiotherapists treating children. Summary key points: Physiotherapists are generally well trained in assessing managing as a symptom injury or disease, but there is need improve identification management produced by procedures such stretching splinting. In contrast physiotherapy, other health care disciplines, dentistry, nursing,...
To identify discrete clusters comprising clinical features and inflammatory biomarkers in children with JIA to determine cluster alignment categories.A Canadian prospective inception cohort 150 was evaluated at baseline (visit 1) after six months 2). Data included manifestations inflammation-related biomarkers. Probabilistic principal component analysis identified sets of composite variables, or components, from 191 original variables. discern new clinical-biomarker (clusters), Gaussian...
Abstract This study describes the minimum incidence of pediatric complex regional pain syndrome (CRPS), clinical features, and treatments recommended by pediatricians clinics in Canada. Participants Canadian Paediatric Surveillance Program reported new cases CRPS aged 2 to 18 years monthly completed a detailed case reporting questionnaire from September 2017 August 2019. Descriptive analysis was completed, annual sex age groupings estimated. A total 198 were Program, 168 (84.8%) met...
Physical activity (PA) patterns in children with juvenile idiopathic arthritis (JIA) over time are not well described. The aim of this study was to describe associations physical disease activity, function, pain, and psychosocial stress the 2 years following diagnosis an inception cohort (JIA).In 82 newly diagnosed JIA, PA levels, prospectively determined at enrollment, 12 24 months using Activity Questionnaire for Children (PAQ-C) Adolescents (PAQ-A) raw scores, were evaluated relation as...
National strategies from North America call for substantive improvements in entry-level pain management education to help reduce the burden of chronic pain. Past work has generated a valuable set interprofessional competencies guide future health professionals. However, there been very limited that explored development such individual professions different regions. Developing profession-specific tailored local context is necessary first step integrate them within regulatory systems. Our...
The quality of patient healthcare is a growing concern in Canada’s hospital emergency departments (ED) due to increasing wait times and associated adverse outcomes. A developing body literature indicates that therapy dogs can positively impact the experience. In 2016, members our team partnered with Royal University Hospital (RUH) Saskatchewan become first ED Canada integrate visiting dog aim this preliminary case study was examine if how unique initiative impacted patients’ feelings during...
Abstract Background To identify baseline predictors of persisting pain in children with Juvenile Idiopathic Arthritis (JIA), relative to patients JIA who had similar levels but whom the did not persist. Methods We used data from Research Canadian Children emphasizing Outcomes (ReACCh-Out) inception cohort compare cases ‘moderate pain’ controls decreasing pain’. Moderate was defined as a Visual Analogue Scale (VAS) for measurement score > 3.5 cm. Follow-up minimum 3 years. Univariate and...
Abstract Video-assisted patient education is a favored format for accessing healthcare information. Based on consultative process, the purpose of this project was to create and evaluate video resource support communication between staff family caregivers in Canadian long-term care (LTC) homes when introducing palliative approach care. The development proceeded four stages: consulting with lived experience advisors; refining concept; piloting finalizing resource. concept included...
Abstract Background Healthcare systems are transforming into learning health that use data-driven and research-informed approaches to achieve continuous improvement. One of these is the clinical pathways, which tools standardize care for a specific population improve healthcare quality. Evaluating maturity pathways necessary inform pathway development teams system decision makers about required revisions or implementation supports. In an effort development, implementation, sustainability...
Abstract Background: Physical activity (PA) patterns in children with juvenile idiopathic arthritis (JIA) over time are not well described. The aim of this study was to describe associations physical disease activity, function, pain, and psychosocial stress the two years following diagnosis an inception cohort (JIA). Methods: In 82 newly diagnosed JIA, PA levels, prospectively determined at enrollment, 12 24 months using Activity Questionnaire for Children (PAQ-C) Adolescents (PAQ-A) raw...