Falls are a major cause of injuries in young adults and occur due to an inability to recover from a loss of balance. Since previous studies have reported that applying subthreshold vibration to the foot sole enhances tactile feedback and improves standing balance, this study aimed to extend these findings by examining whether vibration also…

Background: Endings in therapy are discussed widely in mainstream literature, however, there is only a small amount of research that considers endings in therapy for people with intellectual disabilities. Methods: Eight therapists were interviewed about their experience of ending therapy with people with intellectual disabilities. Interviews were…

Simulated treatment comparison (STC) is an established method for performing population adjustment for the indirect comparison of two treatments, where individual patient data (IPD) are available for one trial but only aggregate level information is available for the other. The most commonly used method is what we call 'standard STC'. Here we fit…

Meta-analysis is commonly used to combine results from multiple clinical trials, but traditional meta-analysis methods do not refer explicitly to a population of individuals to whom the results apply and it is not clear how to use their results to assess a treatment's effect for a population of interest. We describe recently-introduced causally…

Jaw cyst is a common bone cyst affecting the jaw. Clinically, fenestration decompression is the first choice for treating jaw cysts in children, but traditional strategy still has limitations in positioning accuracy, potential trauma, adherence, etc. This study designed an improved strategy, three-dimensional digital guide plate-based fenestration…

This dissertation aimed to explore the use of machine learning (ML) models in in-patient clinical settings. A literature review was conducted to identify existing guidelines and frameworks for such models, and an in-depth study was conducted on ML-based models to understand their behavior and implications on patient outcomes. A conceptual…

Demand fading involves the removal and gradual reintroduction of demands and has been shown to effectively reduce escape-maintained challenging behavior. However, it is currently unclear if there are common demand fading practices when demand fading is used as an initial intervention rather than as a method for schedule thinning after another…

Purpose: The purposes of this review article were to provide an introduction to and "bird's-eye" overview of the current evidence base for treatment of childhood apraxia of speech (CAS), identify some gaps and trends in this rapidly growing literature, and formulate some future research directions, in order to advance the evidence base…

Single session therapy (SST) is an increasingly popular approach to mental health treatment that aims to address clients' presenting difficulties in a single appointment. However, experiential approaches to SST are limited. In this paper I describe the theory and practice of "chairwork" -- an integrative, action-focused method of…

The impact of long-term services and supports on the quality of life of adults with intellectual and developmental disabilities (IDD) is not well understood given the highly complex nature of researching this topic. To support future research addressing this topic, we conducted a systematic literature review of studies addressing outcomes of…

Introduction: Crisis intervention aims to prevent hospital admissions by providing rapid assessment and intensive support in the community. Interest is growing in the potential of crisis care for people with intellectual disabilities who often have co-occurring psychiatric disorders and challenging behaviors. They are at high risk for admission to…

Background: Delayed auditory feedback (DAF) has been used in the treatment of stuttering, providing different results across different populations and age groups. Aims: This study examines the impact of delayed auditory feedback (DAF) on stuttering-like disfluencies (SLDs) in the spontaneous speech of Jordanian individuals who stutter. Methods…

We consider estimating the effect of a treatment on a given outcome measured on subjects tested both before and after treatment assignment in observational studies. A vast literature compares the competing approaches of modelling the post-test score conditionally on the pre-test score versus modelling the difference, namely, the gain score. Our…

Objective: To test whether pediatrician training leads to provider utilization of stimulant diversion prevention strategies as reported by adolescent patients with ADHD. Methods: Pediatric practices received a stimulant diversion prevention workshop (SDP) or continued treatment-as-usual (TAU) in a cluster-randomized controlled trial. Surveys were…

Background: People with neurodevelopmental disabilities are frequently prescribed or administered psychotropic medication, particularly to manage behaviours of concern. Reducing inappropriate psychotropic use has been the target of international research and policy for several decades. Methods: Six electronic databases were searched for…