• Miller, Anton R.

    Titles
    Investigator, BC Children's Hospital

    Clinical Associate Professor, Division of Developmental Pediatrics, Department of Pediatrics, University of British Columbia

    Degrees / Designations

    MB, FRCPC

    Primary Area of Research
    Brain, Behaviour & Development
    Secondary Area(s) of Research
    Phone
    604-875-2050
    Fax
    604-875-3569
    Lab Phone
    Mailing Address
    Sunny Hill Health Centre for Children
    Room HT 101 

    3644 Slocan Street
    Vancouver, BC  V5M 3E8

    Affiliate Websites
    Research Areas
    1. Defining and operationalizing disability and its relationship to other domains and indicators of health as applied to organization of clinical services, research and policy. 
    2. Defining and operationalizing disability in population-based data sets.
    3. Development of methodologies to accurately describe, manualize, and evaluate non-traditional habilitative interventions for children with neurodisability.  
    4. The study of health and wellbeing of caregivers of children with chronic health conditions and disabilities. 
    Summary

    My work aims to address challenging issues in care and services for children with disabilities and their families in innovative ways. It is rooted in intensive collaborations with selected researchers and colleagues at BC Children's Hospital; other BC Children's Hospital and UBC researchers, with whom we in turn link to the Canadian NeuroDevNet network; and a research team investigating caregiver health which is distributed across a number of academic centres in Canada.     

    I also co-founded and remain linked to a research collaborative within Developmental Neurosciences & Child Health known as Children and Youth with Disabilities in Society (CYDiS). The CYDiS mission is to promote, conduct, support and coordinate research aimed primarily at understanding needs, measuring health status, and evaluating and improving services for this population across all relevant service sectors (including health, education, family and social services). 

    Current Projects
    • Secondary analysis of a Canadian national disability data set (Participation and Activity Limitations Survey, PALS 2006) in order to examine childrens’ diagnosis status (specifically, presence or absence of a diagnosis of autism spectrum disorder) in relation to functional status, and to model the relative contribution of each of these health ‘components’ to child participation and family wellbeing.

    • An exploration of medical and disability perspectives as they apply to children with neurodevelopmental problems, contrasting emphasis on named health conditions (i.e. diagnoses) with functional characteristics; exploration of the implications of different perspectives on planning and organization of clinical services, research and health and social policy (interpretive synthetic review) .
    • Laying the groundwork for detailed analysis, description and evaluation of less traditional and more “holistic” habilitative interventions for children with neurodisability, with particular focus on a community-based, individualized program for children with various kinds of disorders (hence “non-categorical” approach), which uses movement and gymnastics.      
    • Secondary analysis of linked administrative health and related datasets from British Columbia to evaluate health and wellbeing of caregivers of children with chronic health conditions and disabilities. This study includes preliminary methodological work to identify children with chronic health conditions and disabilities “non-categorically” in these population-based data set. 
    Selected Publications

    Miller, A. R., Mâsse, L. C., Shen, J., Schiariti, V., Roxborough, L.  Diagnostic status, functional status and complexity among Canadian children with neurodevelopmental disorders and disabilities: a population-based study.  Disabil Rehabil. 2013;35(6):468-78.

    Miller AR. Diagnostic nomenclature for foetal alcohol spectrum disorders: the continuing challenge of causality. Child: Care, Health & Development 2013 (Nov); 39 (6):810-15.

    Mâsse, L. C., Miller, A. R., Shen, J., Schiariti, V., Roxborough, L. Patterns of participation across a range of activities among Canadian children with neurodevelopmental disorders and disabilities. Dev Med Child Neurol. 2013;55(8):729-36.

    Mâsse, L. C., Miller, A. R., Shen, J., Schiariti, V., Roxborough, L.  Comparing participation in activities among children with disabilities. Res Dev Disabil. 2012; 33(6):2245–2254.

    Brehaut JC, Garner RE, Miller AR, Lach LM, Klassen AF, Rosenbaum PL, Kohen DE. Changes over Time in the Health of Caregivers of Children with Health Problems: Growth-Curve Findings from a 10-Year Canadian Population-Based Study. Am J Public Health. 2011;101:2308–2316.

    Klassen A, Miller A, Anderson N, Shen, J, Schiariti V, O’Donnell M. Performance measurement and improvement frameworks in health, education and social services systems: a systematic review.  Int J Qual Health Care. 2010;22(1):44-69.

    Miller AR, Condin CJ, McKellin WH, Shaw N, Klassen AF, Sheps S. Continuity of care for children with complex chronic health conditions: parents' perspectives.  BMC Health Serv Res. 2009;9:242.  Available at http://www.biomedcentral.com/1472-6963/9/242.

    Brehaut JC, Kohen DE, Garner RE, Miller AR, Lach LM, Klassen AF, Rosenbaum PL. Health among caregivers of children with health problems: findings from a Canadian population-based study.  Am J Public Health. 2009;99:1254-62.

    Lach LM, Kohen DE, Garner RE, Brehaut JC, Miller AR, Klassen AF, Rosenbaum PL. The health and psychosocial functioning of caregivers of children with neurodevelopmental disorders. Disabil Rehabil 2009;31(8):607-18. 

    Miller AR, Armstrong RW, Masse LC, Klassen AF, Shen J, O’Donnell ME.: Waiting for child developmental and rehabilitation services. An overview of issues and needs. Dev Med Child Neurol. 2008 Nov;50(11):815-21.

    Kohen DE, Brehaut JC, Garner RE, Miller AR, Lach LM, Klassen AF,  Rosenbaum PL. Conceptualizing childhood health problems using survey data: a comparison of key indicators, BMC Pediatrics 2007, 7:40. Available at http://www.biomedcentral.com/1471-2431/7/40

    Grants
    Honours & Awards
    Research Group Members
    • Jane Shen – Research coordinator, Children and Youth with Disability in Society 
    • Veronica Schiariti – PhD student, Children and Youth with Disability in Society