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Rose-Davis B, Curran J, Wright J, Cellucci T, Duffy CM, Tucker LB, Batthish M, Huber AM, Lang B, Levy DM, Rumsey DG, Watanabe Duffy KN, Stringer E. Factors Influencing the Uptake of Canadian Research Findings into the Care of Children with Arthritis: A Healthcare Provider Perspective. J Rheumatol 2018; 46:294-300. [PMID: 30442824 DOI: 10.3899/jrheum.180282] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2018] [Indexed: 01/13/2023]
Abstract
OBJECTIVE To determine barriers and facilitators to the uptake of findings from the Research in Arthritis in Canadian Children emphasizing Outcomes (ReACCh-Out) study into clinical care by pediatric rheumatologists (PR) and allied health professionals (AHP) caring for children with juvenile idiopathic arthritis (JIA) in Canada. METHODS PR and AHP participated in this qualitative study through telephone interviews. Interview guides were developed using the Theoretical Domains Framework and focused on the use of information from the ReACCh-Out study in the practice of counseling patients and families. A directed content analysis approach was used for coding. RESULTS Nineteen interviews (8 PR and 11 AHP) were completed. All PR had knowledge of the ReACCh-Out study. Three major themes were identified: (1) both groups are motivated to use information from research in clinical care; (2) volume and emotional effect of information on families are barriers; and (3) specific timepoints in care trigger providing this information. AHP had less knowledge of the ReACCh-Out study, did not feel it was their primary role to provide this information, and have a desire for more opportunity to participate in academic forums related to research. CONCLUSION We have described a comprehensive overview of the barriers and facilitators perceived by healthcare providers in the translation of knowledge from JIA research into use in clinical practice. These findings provide a foundation for the development of knowledge translation strategies in the care of children with JIA and other rheumatic diseases.
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Affiliation(s)
- Benjamin Rose-Davis
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Janet Curran
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Julia Wright
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Tania Cellucci
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Ciarån M Duffy
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Lori B Tucker
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Michelle Batthish
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Adam M Huber
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Bianca Lang
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Deborah M Levy
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Dax G Rumsey
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Karen N Watanabe Duffy
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada.,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre
| | - Elizabeth Stringer
- From the IWK Health Centre and Dalhousie University, Halifax, Nova Scotia; Children's Hospital of Eastern Ontario and University of Ottawa, Ottawa, Ontario; British Columbia Children's Hospital, Division of Rheumatology, and University of British Columbia, Vancouver, British Columbia; McMaster Children's Hospital, Division of Rheumatology, and McMaster University, Hamilton; Hospital for Sick Children and University of Toronto, Toronto, Ontario; Stollery Children's Hospital and University of Alberta, Edmonton, Alberta, Canada. .,B. Rose-Davis, BA, IWK Health Centre; J. Curran, BN, MEd, PhD, Clinician Scientist, Pediatrics and Emergency Medicine, Associate Professor of Nursing, IWK Health Centre; J. Wright, BSc, Dalhousie University; T. Cellucci, MD, FRCPC, MScCH, Pediatric Rheumatologist, Associate Professor of Pediatrics, McMaster University; C.M. Duffy, MB, BCh, MSc, FRCPC, FRCPI, Pediatric Rheumatologist, Professor of Pediatrics, Children's Hospital of Eastern Ontario; L.B. Tucker, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, British Columbia Children's Hospital, Division of Rheumatology; M. Batthish, MSc, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, McMaster Children's Hospital, Division of Rheumatology; A.M. Huber, MD, MSc, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; B. Lang, MD, FRCPC, Pediatric Rheumatologist, Professor of Pediatrics, IWK Health Centre; D.M. Levy, MD, MS, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Hospital for Sick Children and University of Toronto; D.G. Rumsey, MD, FRCPC, Pediatric Rheumatologist, Assistant Professor of Pediatrics, University of Alberta; K.N. Watanabe Duffy, MD, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, Children's Hospital of Eastern Ontario; E. Stringer, MD, MSc, FRCPC, Pediatric Rheumatologist, Associate Professor of Pediatrics, IWK Health Centre.
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