{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T21:24:52Z","timestamp":1783113892481,"version":"3.54.6"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100014367","name":"National Palliative Care Research Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014367","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["NCI 1K08CA304376"],"award-info":[{"award-number":["NCI 1K08CA304376"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000982","name":"Conquer Cancer Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000982","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp;amp; Cancer"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Objectives<\/jats:title>\n                    <jats:p>Families of children with advanced cancer living in poverty experience inferior outcomes including poor parent mental health and worse child quality of life. Household material hardship (HMH: food, housing, transportation, and\/or utility insecurity) is a modifiable poverty exposure\u2014and potential intervention target\u2014that has not been systematically evaluated in pediatric advanced cancer. We aimed to determine the feasibility of systematic HMH evaluation among families of children with advanced cancer and to describe the prevalence and trajectory of HMH at baseline advanced cancer determination and at 12\u2010week follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Parents of children &lt; 18 years with new advanced cancer (defined as new palliative care consult, new relapse\/progression, initial diagnosis of poor prognosis cancer, or early phase trial enrollment) receiving oncology care at two large pediatric cancer centers in Boston, MA, or Dallas, TX, were offered an opportunity to consent. Enrolled participants completed questionnaires at baseline and 12\u2010week follow\u2010up. Feasibility was defined as \u2265 75% consent rate and \u2265 75% complete baseline HMH data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 90 parents approached, 80 (89%) consented to participation and 79 (99%) provided complete baseline HMH data. Nearly all participants approached for the 12\u2010week follow\u2010up survey completed it (\n                      <jats:italic>n<\/jats:italic>\n                      = 65\/66; 98%) with 100% complete HMH data. At baseline, 42% of households reported HMH and at 12 weeks, 40% of households reported HMH.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Systematic longitudinal HMH evaluation is feasible in pediatric advanced cancer. HMH remains highly prevalent over time, with approximately 40% of families reporting HMH at baseline and 12\u2010week follow\u2010up. Interventions to address HMH are essential to mitigate outcome disparities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70352","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T06:03:24Z","timestamp":1777010604000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and Trajectory of Household Material Hardship Among Children With Advanced Cancer"],"prefix":"10.1002","volume":"73","author":[{"given":"Sarah","family":"Wright","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan A.","family":"Paul","sequence":"additional","affiliation":[{"name":"Department of Data Science Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selena Murcia","family":"Mendez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Jones","sequence":"additional","affiliation":[{"name":"School of Public Health &amp; Health Sciences University of Massachusetts  Amherst Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucille","family":"Lokko","sequence":"additional","affiliation":[{"name":"Rush Medical College  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Heneghan","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Purol","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan","family":"Arnold","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4753-5144","authenticated-orcid":false,"given":"Rahela","family":"Aziz\u2010Bose","sequence":"additional","affiliation":[{"name":"Dana\u2010Farber\/Boston Children's Cancer and Blood Disorders Center  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen A.","family":"Kelly","sequence":"additional","affiliation":[{"name":"Dana\u2010Farber\/Boston Children's Cancer and Blood Disorders Center  Boston Massachusetts USA"},{"name":"Harvard Medical School  Boston Massachusetts USA"},{"name":"Division of Population Sciences Dana\u2010Farber Cancer Institute  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1007-9176","authenticated-orcid":false,"given":"Sandi L.","family":"Pruitt","sequence":"additional","affiliation":[{"name":"Department of Social and Behavioral Sciences Peter O'Donnell Jr School of Public Health, University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"Harold C. 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