{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:17:42Z","timestamp":1787761062308,"version":"build-2784847793"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Blood &amp; Cancer"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Adolescents with haematological malignancies face significant emotional and relational challenges, often accompanied by difficulties in communicating their needs within the healthcare context. To address these issues, a narrative\u2010based psycho\u2010educational intervention based on the creation and prescription of\n                      <jats:italic>Ironic Medications<\/jats:italic>\n                      was developed. These fictional remedies were designed to express emotions, experiences and needs in a playful yet meaningful way while exploring differences in how adolescents and healthcare staff perceive communication and relational needs.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Procedure<\/jats:title>\n                    <jats:p>\n                      The intervention unfolded in two phases: (1) weekly group sessions in which adolescents explored irony and storytelling while developing\n                      <jats:italic>Ironic Medications<\/jats:italic>\n                      addressing relational and communicative needs; and (2) a presentation of the medications to hospital staff followed by a metacognitive exercise exploring alignment in perceived needs. Quantitative surveys assessed the perceived usefulness of the medications and differences between adolescents\u2019 and healthcare professionals\u2019 perspectives.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Adolescents rated\n                      <jats:italic>Ironic Medications<\/jats:italic>\n                      as equally valuable for relational and communication needs, whereas staff mainly recognised their intragroup function, overlooking their intergroup communicative potential. Misalignments emerged at multiple levels: staff's self\u2010prescriptions and predictions of adolescents\u2019 choices did not align with adolescents\u2019 actual prescriptions, with greater discrepancies among physicians than nurses. Adolescents prioritised normality (Normalvit) and relational support (Conversan), while staff emphasised confidence\u2010building (Xpecta) and temporal relief (Temporil). Nurses showed greater alignment with adolescents but reported lower comfort in receiving\n                      <jats:italic>Ironic Medications<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The intervention revealed perspective\u2010taking gaps between adolescents and staff. Ironic Medications fostered self\u2010reflection, empathy and relational skills, suggesting a promising narrative\u2010based tool to support patient\u2013provider communication in adolescent oncology care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70491","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:06:51Z","timestamp":1785384411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ironic Medications: A Narrative\u2010Based Psycho\u2010Educational Intervention to Explore Patient\u2013Provider Communication in Adolescents With Haematological Cancer"],"prefix":"10.1002","volume":"73","author":[{"given":"Marta","family":"Stoppa","sequence":"first","affiliation":[{"name":"Fondazione Monza e Brianza Per Il Bambino e La Sua Mamma  Monza MB Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8699-6459","authenticated-orcid":false,"given":"Elena","family":"Pagani Bagliacca","sequence":"additional","affiliation":[{"name":"Fondazione Monza e Brianza Per Il Bambino e La Sua Mamma  Monza MB Italy"},{"name":"Fondazione IRCCS Istituto Nazionale Dei Tumori  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3024-3316","authenticated-orcid":false,"given":"Selena","family":"Russo","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Monza MB Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2908-2735","authenticated-orcid":false,"given":"Giulia","family":"Rampoldi","sequence":"additional","affiliation":[{"name":"Fondazione Monza e Brianza Per Il Bambino e La Sua Mamma  Monza MB Italy"},{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Monza MB Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5068-8753","authenticated-orcid":false,"given":"Maria Grazia","family":"Strepparava","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Monza MB Italy"},{"name":"Department of Mental Health Fondazione IRCCS San Gerardo Dei Tintori  Monza MB Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5879-0610","authenticated-orcid":false,"given":"Adriana Cristina","family":"Balduzzi","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Monza MB Italy"},{"name":"U.O. 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