A5054836655- Adolescent and Pediatric Healthcare
- Childhood Cancer Survivors' Quality of Life
- Eating Disorders and Behaviors
- Child Nutrition and Feeding Issues
- Child and Adolescent Health
- Obesity, Physical Activity, Diet
- COVID-19 and Mental Health
- Healthcare Policy and Management
- Obesity and Health Practices
- COVID-19 and healthcare impacts
- Health Policy Implementation Science
- Sleep and Wakefulness Research
- Mental Health and Patient Involvement
- Sleep and related disorders
- Bariatric Surgery and Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- Obstructive Sleep Apnea Research
- Obsessive-Compulsive Spectrum Disorders
- Emergency and Acute Care Studies
- Telemedicine and Telehealth Implementation
- Adolescent Sexual and Reproductive Health
- Ethics and Legal Issues in Pediatric Healthcare
- Systemic Lupus Erythematosus Research
- Gender Roles and Identity Studies
- Family and Disability Support Research
University of Toronto
2015-2025
Hospital for Sick Children
2015-2025
Canadian Paediatric Society
2022-2024
Institute for Clinical Evaluative Sciences
2019-2024
SickKids Foundation
2014-2024
Health Sciences Centre
2023
Women's College Hospital
2021-2023
Sunnybrook Health Science Centre
2023
Centre for Addiction and Mental Health
2021-2023
Western University of Health Sciences
2023
Public health measures to reduce the spread of COVID-19 have heightened distress among children and adolescents contributed a shift in delivery mental care services.
Anecdotal reports suggest a significant increase in acute presentations of eating disorders among children and adolescents. Our objective was to compare the rates emergency department visits hospitalizations for pediatric before during first 10 months COVID-19 pandemic.Using linked health administrative databases, we conducted population-based repeated cross-sectional study all adolescents aged 3-17 years, residing Ontario, Canada. We defined pre-COVID period from January 1, 2017, February...
OBJECTIVE:. To compare health care use and costs for youth with chronic conditions before after transfer from pediatric to adult services.METHODS:. Youth born in Ontario, Canada, between April 1, 1989, 1993, were assigned 11 mutually exclusive, hierarchically arranged clinical groupings, including "complex" (CCCs), non-complex (N-CCCs), mental (CMHCs). Outcomes compared 2-year periods of services, the subjects' 18th birthday.RESULTS:. Among 104 497 youth, mortality was highest those CCCs,...
Admission to hospital is the treatment of choice for anorexia nervosa in adolescent patients who are medically unstable; however, stays often prolonged and frequently disrupt normal development, family functioning, school work productivity. We sought determine costs inpatient this population from a caregiver perspective, identify determinants such costs.We used micro-costing methods cohort study involving all (age 12-18 yr) admitted at tertiary care child eating disorder program Toronto,...
Adolescent and young adult kidney transplant recipients have worse graft outcomes than older younger age groups. Difficulties in the process of transition, defined as purposeful, planned movement adolescents with chronic health conditions from child to adult-centered care systems, may contribute this. Improving transition improve adherence post-transfer services.The purpose this study is investigate whether a transfer clinic for adolescent transitioning pediatric improves post-transfer.We...
<h3>Importance</h3> Adolescents with severe mental illness often age out of pediatric care without a clear transfer to adult services. The extent which primary provides stability during this vulnerable transition period is not known. <h3>Objective</h3> To analyze the association between continuity from and need for acute health services in young adulthood. <h3>Design, Setting, Participants</h3> This population-based cohort study used linked demographic administrative data all adolescents...
<h3>Background:</h3> The extent to which heightened distress during the COVID-19 pandemic translated increases in severe mental health outcomes is unknown. We examined trends psychiatric presentations acute care settings first 12 months after onset of pandemic. <h3>Methods:</h3> This was a analysis administrative population data Ontario, Canada. rates hospitalizations and emergency department visits for diagnoses overall stratified by sex, age diagnostic grouping (e.g., mood disorders,...
Youth have reported worsening mental health during the COVID-19 pandemic. We sought to evaluate rates of pediatric acute care visits for self-harm pandemic according age, sex and service use.
BACKGROUND AND OBJECTIVES Coronavirus disease 2019 (COVID-19) posed a significant threat to adolescents’ sexual and reproductive health. In this study, we examined population-level pregnancy health-related care utilization among adolescent females in Ontario, Canada during the pandemic evaluated relationships between these outcomes key sociodemographic characteristics. METHODS This was population-based, repeated cross-sectional study of &gt;630 000 female adolescents (12–19 years)...
Our objective was to characterize adolescent health and psychosocial issues in patients with childhood-onset systemic lupus erythematosus (cSLE) evaluate demographic disease characteristics associated health.
Low adherence to positive airway pressure (PAP) treatment for adolescents with obstructive sleep apnea (OSA) can have long-term cardiometabolic and developmental impact.To explore the facilitators barriers PAP use in OSA.We conducted a qualitative study using descriptive thematic analysis approach. A total of 21 interviews were clinical setting prescribed treat OSA within previous 12 months. Interview audio recordings transcribed verbatim analysis. Transcripts reviewed, data categorized...
The study's objective was to identify systemic facilitators and barriers of transferring young adults (ages 17–21) with eating disorders from pediatric adult health mental services. Qualitative interviews were conducted three themes emerged: (a) difficulties navigating care during the transfer period; (b) challenges achieving maintaining recovery due after care;and (c) recommendations for facilitating between systems care. From perspective our study shows that transition services may be...
CONTEXT Youth with chronic health conditions experience challenges during their transition to adult care. Those marginalized identities likely further disparities in care as they navigate structural barriers throughout transition. OBJECTIVES This scoping review aims identify the social and drivers of (SSDOH) associated outcomes for youth transitioning care, particularly those who marginalization, including Black, Indigenous, 2-spirit, lesbian, gay, bisexual, transgender, queer or...
ABSTRACT Background Adolescents and young adults (AYA) with spina bifida and/or hydrocephalus (SBH) are at a higher risk for disordered eating, poor body image dissatisfaction. Regrettably, there is limited research on the eating patterns behaviours of AYA SBH, as well their perceptions. Objectives The purpose this study was to explore nature among SBH perceptions surrounding image. This represents first investigation its kind conducted within Canadian population. It fills literature gap...
Compassion stands as a fundamental element in pediatric healthcare. Compassionate care is critical delivering treatments and also shaping the holistic experience of patients their families. Yet, unified understanding what constitutes compassion from perspectives preferences families unknown. In particular, significance compassionate during transitions to adult healthcare cannot be overstated, especially for youth with disabilities. Numerous challenges exist including navigating fragmented...