{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:36:03Z","timestamp":1787758563112,"version":"build-2784847793"},"reference-count":53,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"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>Medication nonadherence during the first 100 days after pediatric hematopoietic stem cell transplantation (HSCT) and during oncology treatment increases risk for complications. BMT4me is a caregiver\u2010facing mobile health (mHealth) application providing medication reminders, symptom tracking, and note\u2010taking features to support medication management. Spanish\u2010speaking caregivers are frequently excluded from digital adherence interventions due to the lack of language\u2010accessible tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Procedure<\/jats:title>\n                    <jats:p>We conducted a multisite, mixed\u2010methods usability testing of a Spanish\u2010language version of BMT4me (\u201cBMT4me en Espa\u00f1ol\u201d) with Spanish\u2010speaking caregivers of children (ages 2\u201317 years) post\u2010HSCT or with an oncology diagnosis on active treatment. Caregivers completed a facilitated, three\u2010step usability session (unobtrusive observation, interactive observation, and debriefing), followed by a semi\u2010structured interview, and then completed the system usability scale (SUS). Quantitative outcomes were summarized descriptively; qualitative data were analyzed using content analysis with constant comparison.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen participants enrolled at each site for a total of 30 participants. Across both sites, the recruitment rate was 91%. All participants completed all parts of the study. The SUS score (\n                      <jats:italic>M<\/jats:italic>\n                      \u00a0=\u00a080.09; SD\u00a0=\u00a017.35) was above average (&gt;68). Two key qualitative themes emerged: (1) the perceived positive impact of BMT4me on managing a serious illness and (2) the acceptance and sociocultural relevance of BMT4me for Spanish\u2010speaking families. Caregivers also shared suggestions to add educational content and multiuser functionalities to BMT4me.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The acceptance and perceived positive impact of the Spanish BMT4me app indicates that socioculturally relevant, Spanish mHealth interventions have strong potential to support Spanish\u2010speaking caregivers in pediatric oncology and HSCT settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Trials NCT<\/jats:title>\n                    <jats:p>NCT06361173.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/1545-5017.70509","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T07:35:58Z","timestamp":1784792158000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["BMT4me\n                    <i>En Espa\u00f1ol<\/i>\n                    : Multisite Feasibility and Usability Testing of a Spanish\u2010Language mHealth Adherence Support App for Spanish\u2010Speaking Caregivers of Children After Hematopoietic Stem Cell Transplantation and Cancer Treatment"],"prefix":"10.1002","volume":"73","author":[{"given":"Micah A.","family":"Skeens","sequence":"first","affiliation":[{"name":"Abigail Wexner Research Institute at Nationwide Children's Hospital  Columbus Ohio USA"},{"name":"Department of Hematology, Oncology and Blood &amp; Marrow Transplant Nationwide Children's Hospital  Columbus Ohio USA"},{"name":"College of Medicine The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline R.","family":"Peek","sequence":"additional","affiliation":[{"name":"Abigail Wexner Research Institute at Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bianca","family":"Franklin","sequence":"additional","affiliation":[{"name":"Abigail Wexner Research Institute at Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8798-9605","authenticated-orcid":false,"given":"Emre","family":"Sezgin","sequence":"additional","affiliation":[{"name":"Abigail Wexner Research Institute at Nationwide Children's Hospital  Columbus Ohio USA"},{"name":"College of Medicine The Ohio State University  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Beauchemin","sequence":"additional","affiliation":[{"name":"Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"issue":"6","key":"e_1_2_11_2_1","doi-asserted-by":"crossref","first-page":"634","DOI":"10.1111\/j.1365-2648.2008.04745.x","article-title":"Adherence: A Concept Analysis","volume":"63","author":"Bissonnette J.","year":"2008","journal-title":"Journal of Advanced Nursing"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2147\/PI.S8820","article-title":"Collaborative Decision\u2010Making and Promoting Treatment Adherence in Pediatric Chronic Illness","volume":"2","author":"Drotar D.","year":"2010","journal-title":"Patient Intelligence"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.0245"},{"issue":"2","key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1177\/1043454217741877","article-title":"Adherence to Oral Medications During Maintenance Therapy Among Children and Adolescents With Acute Lymphoblastic Leukemia: A Medication Refill Analysis","volume":"35","author":"Wu Y. 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