{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T09:15:01Z","timestamp":1789031701368,"version":"build-2803163510"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T00:00:00Z","timestamp":1573603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007172","name":"Cincinnati Children's Hospital Medical Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007172","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":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although pediatric brain tumor survivors are at high risk for a variety of psychosocial and neurocognitive late effects, there are few evidence\u2010based interventions to address their needs. The purpose of this study was to test the efficacy of an online problem\u2010solving intervention on improving the quality of life and executive dysfunction among adolescent and young adult brain tumor survivors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Procedure<\/jats:title><jats:p>A Survivor's Journey was adapted from a similar intervention for survivors of traumatic brain injuries, and involved self\u2010guided web modules providing training in problem\u2010solving as a tool for coping with everyday challenges, as well as weekly teleconferences with a trained therapist. Survivors (<jats:italic>n<\/jats:italic>\u00a0=\u00a019) between the ages of 13 and 25, and their caregivers, completed standardized measures of their emotional and behavioral functioning, executive functioning, and quality of life before and after the 12\u2010 to 16\u2010week intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participation in the intervention led to significant improvements in self\u2010reported overall (<jats:italic>M<\/jats:italic><jats:sub>pre<\/jats:sub>\u00a0=\u00a062.03, SD<jats:sub>pre<\/jats:sub>\u00a0=\u00a017.67, <jats:italic>M<\/jats:italic><jats:sub>post<\/jats:sub>\u00a0=\u00a071.97, SD<jats:sub>post<\/jats:sub>\u00a0=\u00a016.75; <jats:italic>d<\/jats:italic>\u00a0=\u00a00.58, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.01) and physical quality of life (<jats:italic>M<\/jats:italic><jats:sub>pre<\/jats:sub>\u00a0=\u00a063.13, SD<jats:sub>pre<\/jats:sub>\u00a0=\u00a021.88, <jats:italic>M<\/jats:italic><jats:sub>post<\/jats:sub><jats:italic><jats:sub>\u00a0<\/jats:sub><\/jats:italic>=\u00a075.00, SD<jats:sub>post<\/jats:sub><jats:italic><jats:sub>\u00a0<\/jats:sub><\/jats:italic>=\u00a021.33; <jats:italic>d<\/jats:italic>\u00a0=\u00a00.55, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.01) as well as parent\u2010reported emotional quality of life (<jats:italic>M<\/jats:italic><jats:sub>pre<\/jats:sub>\u00a0=\u00a065.00, SD<jats:sub>pre<\/jats:sub>\u00a0=\u00a028.72, <jats:italic>M<\/jats:italic><jats:sub>post<\/jats:sub>\u00a0=\u00a076.15, SD<jats:sub>post<\/jats:sub>\u00a0=\u00a023.47; <jats:italic>d\u00a0<\/jats:italic>=\u00a00.43, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.03). Greater improvement was noted in those who were diagnosed before the age of seven and those with average or above average estimated IQs. Current age did not moderate outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Online problem\u2010solving therapy may be efficacious in improving pediatric brain tumor survivors\u2019 quality of life; however, further research with a comparison group is needed. Online interventions such as Survivor's Journey may decrease barriers to evidence\u2010based psychosocial care for brain tumor survivors.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pbc.28043","type":"journal-article","created":{"date-parts":[[2019,11,14]],"date-time":"2019-11-14T05:30:46Z","timestamp":1573709446000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["A Survivor's Journey: Preliminary efficacy of an online problem\u2010solving therapy for survivors of pediatric brain tumor"],"prefix":"10.1002","volume":"67","author":[{"given":"Shari L.","family":"Wade","sequence":"first","affiliation":[{"name":"Division of Pediatric Rehabilitation Medicine Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"},{"name":"Department of Pediatrics University of Cincinnati  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan E.","family":"Narad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Cincinnati  Cincinnati Ohio"},{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0207-0251","authenticated-orcid":false,"given":"Emily L.","family":"Moscato","sequence":"additional","affiliation":[{"name":"Division of Pediatric Rehabilitation Medicine Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"},{"name":"Department of Psychology University of Cincinnati  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth I.","family":"LeBlond","sequence":"additional","affiliation":[{"name":"Division of Pediatric Rehabilitation Medicine Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"},{"name":"Department of Psychology University of Cincinnati  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica A.","family":"King","sequence":"additional","affiliation":[{"name":"Division of Behavioral Medicine and Clinical Psychology Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey P.","family":"Raj","sequence":"additional","affiliation":[{"name":"School of Psychology Xavier University  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amber","family":"Platt","sequence":"additional","affiliation":[{"name":"Cancer and Blood Diseases Institute Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aimee N.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Cancer and Blood Diseases Institute Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"},{"name":"PsychBc  Blue Ash Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine T.","family":"Baum","sequence":"additional","affiliation":[{"name":"Department of Child &amp; Adolescent Psychiatry and Behavioral Sciences Children's Hospital of Philadelphia  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralph","family":"Salloum","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Cincinnati  Cincinnati Ohio"},{"name":"Cancer and Blood Diseases Institute Cincinnati Children's Hospital Medical Center  Cincinnati Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,11,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2003.12.029"},{"key":"e_1_2_9_3_1","unstructured":"LA Ries D Harkins M Krapcho 2006 1975\u20102003. 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