• Siden, Harold (Hal)

    Titles

    Investigator, BC Children's Hospital

    Clinical Professor, Division of General Pediatrics, Department of Pediatrics, University of British Columbia

    Medical Director, Canuck Place Children's Hospice 

    Past Medical Director, Telehealth, BC Children's Hospital and BC Women's Hospital & Health Centre / Provincial Health Services Authority

    Degrees / Designations
    MD, MHSc
    Primary Area of Research
    Brain, Behaviour & Development
    Secondary Area(s) of Research
    Phone
    604-875-2776
    Fax
    Lab Phone
    Assistant
    Claire Crawford
    Assistant Phone
    604-742-3481
    Mailing Address
    BC Children's Hospital
    4480 Oak Street
    Room F612A
    Vancouver, BC V6H 3V4
    Affiliate Websites
    Research Areas

    •  Paediatric palliative care
    •  Paediatric palliative medicine
    •  Pain assessment and treatment in children
    •  Telehealth and technologically mediated healthcare

    Summary

    Pediatric palliative care and palliative medicine are my main areas of interest. Children and families living with life-threatening disease face a number of challenges. Pediatric palliative care is quite different than adult palliative care – there are different diseases, the trajectories are different, and the needs of children and families are different.

    Longitudinal studies of children with life-threatening conditions, epidemiology of children with these condition, and outcomes of palliative care are areas of active inquiry.

    I am also interested in pain assessment and pain management. Pain is not well understood in children who are cognitively normal, and is very poorly understood in children with neurological impairment. Finding new treatments and tools for assessing pain is important. I am specifically interested in some new and emerging areas in biological markers of pain in children. We are launching a new study of pathways to assess and treat pain/irritability in non-verbal children.

    Current Projects

    I am the principal investigator of a CIHR-funded network, PedPalASCNet (Accessible, Sustainable, Collaborative Network in Pediatric Palliative Care), that has been together since 2004. We are a national network of clinicians and researchers in Pediatric Palliative Care representing multiple disciplines.  We use a model of 3 lenses or prisms – biomedical/clinical, psychosocial, and health services – to examine the experience of children and families with life-threatening diseases. More information can be found at: http://pediatricpalliative.com

    Smaller projects include modeling complex care services; economic evaluation of pediatric hospice care; examining whether major surgery is associated with developmental milestone losses in children with severe neurological impairment; observing how families simultaneously engage in curative care and in comfort care; exploring the “meaning” of a genetic diagnosis for families who live with rare diseases.

    Selected Publications

    Davies,  B., Steele, R., Krueger, G., Albersheim, S., Baird, J., Bifirie, M., Cadell, S., Doane, G., Garga, D., Siden, H,, Strahlendorf, C., Zhao, Y. Best Practice in Provider/Parent Interaction.  Qual Health Res Online ahead of print 23 August 2016 doi: 10.1177/1049732316664712

    Steele, R.; Siden, H., Cadell, S., Davies, B., Andrews, G., Feichtinger, L., Singh, M. (2014). Charting the Territory: Symptoms and Functional Assessment in Children With Life-Threatening Conditions. Archives of Disease in Childhood.  99(8), 754-62.

    Clark, B.A., Siden H., Straatman L. (2014) An integrative approach to music therapy in pediatric palliative care. Journal of Palliative Care. 30(3), 179-187.

    Steele, R.; Cadell, S., Siden, H., Andrews, G., Smit Quosai, T., & Feichtinger, L. (2014) Impact of research participation on parents of seriously ill children. Journal of Palliative Medicine. 17(7), 788-796

    Siden, HB, Carleton BC, Oberlander TF. (2013) Physician variability in treating Pain / Irritability of Unknown Origin in Children with Severe Neurological Impairment. Pain Research & Management 18(5), 243-248 FA.

    Chavoshi, N., Miller, T., Siden, H. (2013) Resource utilization among individuals dying from pediatric life-threatening diseases . Journal of Palliative Medicine, 16(10), 1210-1214

    Feudtner, C., Kang, T. I., Hexem, K. R., Friedrichsdorf, S. J., Osenga, K., 
    Siden, H., Frieber, S. E., Hays, R. M., Dussel, V., & Wolfe, J. (2011). Pediatric palliative care patients: A prospective multicenter cohort study. Pediatrics, 127(6), 1094-1101.

    Siden, H., & Urbanoski, K. (2011).  Using network analysis to map the formal clinical reporting process in pediatric palliative care: A pilot study. BMC Health Services Research, 11(343), 1-11. doi:10.1186/1472-6963-11-343.

    Siden, H., Steele, R., Brant, R., Cadell, S., Davies, B., Straatman, L., Widger, K., & Andrews, G. (2010). Designing and implementing a longitudinal study: Charting the Territory. BMC Pediatrics, 10(67), 12 pp. doi:10.1186/1471-2431-10-67 

     Siden, H., Tucker, T., Derman, S., Cox, K., Soon, G. S., Hartnett, C., & Straatman, L. (2009). Pediatric enteral feeding intolerance: A new prognosticator for children with life-limiting illness? Journal of Palliative Care 25(3): 213-217

    Siden, H., Miller, M., Straatman, L., Omesi, L., Tucker, T., & Collins, J. J. (2008). A report on location of death in paediatric palliative care between home, hospice and hospital.  Palliative Medicine, 22(7), 831-834.

    Grants
    Honours & Awards
    Research Group Members
    BC Children’s Hospital Research:
    • Dr. Liisa Holsti
    • Dr. Tim Oberlander
    • Dr. Tammie Dewan
    • Dr. Dan Goldowitz

    Research Team:
    • Gail Andrews, M.Ed. – Research Coordinator 
    • Anne-Mette Hermansen, M.A. – Research Coordinator 

    PedPalASCNet Co-Investigators: 
    • Susan Cadell, MSW, PhD (Renison College, Waterloo U)
    • Betty Davies, RN, PhD (U. Victoria) 
    • Rose Steele, RN, PhD (York University)