{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T12:02:39Z","timestamp":1780574559575,"version":"3.54.1"},"reference-count":55,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:00:00Z","timestamp":1780531200000},"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":["PM&R"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Youth and young adults with spina bifida (SB) are at risk for neurocognitive challenges and face substantial medical needs, including neurogenic bowel management. Little is known about the relationship between neurocognitive functioning and independently managing a bowel program. Understanding these associations could help tailor interventions that promote independence and long\u2010term quality of life.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n To examine whether performance\u2010based measures of intellectual functioning, academic achievement, and executive functioning are associated with bowel management program (BMP) independence in a clinical sample of youth and young adults with SB. We hypothesized that better neurocognitive and academic functioning would be associated with greater BMP independence.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Cross\u2010sectional study using secondary analysis of an institutional clinical registry. Binary logistic regression using weighted least squares mean and variance estimation tested predictors of bowel management independence, including a latent academic functioning factor and observed full\u2010scale IQ, adjusting for age and ambulation status.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n Outpatient hospital pediatric rehabilitation clinic.<\/jats:p>\n <\/jats:sec>\n \n Participants<\/jats:title>\n A total of 79 individuals with SB (ages 10\u201325 years; 50.6% female) with data on BMP status and neuropsychological testing.<\/jats:p>\n <\/jats:sec>\n \n Interventions<\/jats:title>\n Not applicable.<\/jats:p>\n <\/jats:sec>\n \n Main Outcome Measure<\/jats:title>\n BMP independence, as measured by a parent\u2010reported (if under 18\u2009years) or self\u2010reported (if older than 18\u2009years) questionnaire.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After adjusting for age and ambulation status, higher full\u2010scale IQ (odds ratio [OR]\u2009=\u20091.32 [95% CI, 1.04\u20131.67],\n p<\/jats:italic>\n \u2009=\u2009.025) and academic functioning (as defined as a latent variable including reading, writing, and math performance) (OR\u2009=\u20091.35 [95% CI, 1.08\u20131.69],\n p<\/jats:italic>\n \u2009=\u2009.009) were associated with greater BMP independence. Executive functioning (as defined by a latent variable including tasks assessing planning, problem\u2010solving, initiation, and cognitive flexibility) was not a significant predictor. When both full\u2010scale IQ and academic functioning were included in a multivariable model, only full\u2010scale IQ remained a significant independent predictor (OR\u2009=\u20091.45 [95% CI, 1.04\u20131.68],\n p<\/jats:italic>\n \u2009=\u2009.004), suggesting that overall intellectual ability accounts for much of the variance in self\u2010management.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Higher intellectual functioning is associated with BMP independence in youth and young adults with SB, indicating that key cognitive abilities support self\u2010management. These findings highlight the importance of considering general intellectual ability when designing individualized treatment plans and emphasize the need to address broader contextual barriers to promote successful self\u2010management.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pmrj.70160","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:21:31Z","timestamp":1780572091000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations between academic and neurocognitive functioning and bowel program management independence in youth and young adults with spina bifida"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6450-6260","authenticated-orcid":false,"given":"Elisa F.","family":"Stern","sequence":"first","affiliation":[{"name":"Department of Psychology and Neuroscience University of Colorado Boulder Boulder Colorado USA"},{"name":"Institute for Behavioral Genetics University of Colorado Boulder Boulder Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin L.","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado Anschutz Medical Campus Aurora Colorado USA"},{"name":"Rehabilitation and Therapy Services, Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8044-8953","authenticated-orcid":false,"given":"Christine","family":"Petranovich","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado Anschutz Medical Campus Aurora Colorado USA"},{"name":"Rehabilitation and Therapy Services, Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Judd\u2010Glossy","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Child and Adolescent Mental Health Division, University of Colorado Anschutz Medical Campus Aurora Colorado USA"},{"name":"International Center for Colorectal and Urogenital Care Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Betsy","family":"Dunbar","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado Anschutz Medical Campus Aurora Colorado USA"},{"name":"International Center for Colorectal and Urogenital Care Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Bischoff","sequence":"additional","affiliation":[{"name":"International Center for Colorectal and Urogenital Care Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tess S.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Colorado Anschutz Medical Campus Aurora Colorado USA"},{"name":"Rehabilitation and Therapy Services, Children's Hospital Colorado Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,4]]},"reference":[{"issue":"4","key":"e_1_2_9_2_1","first-page":"583","article-title":"Self\u2010management and independence guidelines for the care of people with spina bifida","volume":"13","author":"Logan LR","year":"2020","journal-title":"J Pediatr Rehabil Med"},{"issue":"4","key":"e_1_2_9_3_1","first-page":"491","article-title":"Bowel function and care: guidelines for the care of people with spina bifida","volume":"13","author":"Beierwaltes P","year":"2020","journal-title":"J Pediatr Rehabil Med"},{"issue":"8","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","DOI":"10.3390\/jcm10081669","article-title":"Neurogenic bowel dysfunction in children and adolescents","volume":"10","author":"Mosiello G","year":"2021","journal-title":"J Clin Med"},{"issue":"4","key":"e_1_2_9_5_1","first-page":"565","article-title":"Quality of life: guidelines for the care of people with spina bifida","volume":"13","author":"Sawin KJ","year":"2020","journal-title":"J Pediatr Rehabil Med"},{"issue":"9","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1038\/s41393-024-01002-8","article-title":"Bowel burdens: a systematic review and meta\u2010analysis examining the relationships between bowel dysfunction and quality of life after spinal cord injury","volume":"62","author":"Sober\u2010Williams EK","year":"2024","journal-title":"Spinal Cord"},{"issue":"3","key":"e_1_2_9_7_1","doi-asserted-by":"crossref","first-page":"885","DOI":"10.1016\/j.juro.2016.08.117","article-title":"All incontinence is not created equal: impact of urinary and fecal incontinence on quality of life in adults with spina bifida","volume":"197","author":"Szymanski KM","year":"2017","journal-title":"J Urol"},{"issue":"2","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.jpurol.2023.09.009","article-title":"Transitioning young adults with spina bifida: challenges and paths to success","volume":"20","author":"Roth JD","year":"2024","journal-title":"J Pediatr Urol"},{"issue":"4","key":"e_1_2_9_9_1","first-page":"293","article-title":"Bowel management in children with spina bifida","volume":"11","author":"Ambartsumyan L","year":"2018","journal-title":"J Pediatr Rehabil Med"},{"issue":"10","key":"e_1_2_9_10_1","doi-asserted-by":"crossref","DOI":"10.1037\/hea0001089","article-title":"Medical responsibility growth in youth with spina bifida: neuropsychological and parenting predictors","volume":"40","author":"Stern AR","year":"2021","journal-title":"Health Psychol"},{"issue":"2","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/MPG.0000000000003847","article-title":"Improving bowel management in children with spina bifida","volume":"77","author":"Cohen MB","year":"2023","journal-title":"J Pediatr Gastroenterol Nutr"},{"issue":"6","key":"e_1_2_9_12_1","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1111\/dmcn.15456","article-title":"Education and employment as young adults living with spina bifida transition to adulthood in the USA: a study of the National Spina Bifida Patient Registry","volume":"65","author":"Liu T","year":"2023","journal-title":"Dev Med Child Neurol"},{"issue":"3","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1111\/cch.13065","article-title":"Trajectories of self\u2010management and independence in youth with spina bifida: demographic predictors of growth","volume":"49","author":"Ridosh MM","year":"2023","journal-title":"Child Care Health Dev"},{"key":"e_1_2_9_14_1","doi-asserted-by":"crossref","DOI":"10.1093\/jpepsy\/jsaf084","article-title":"Neuropsychological predictors of growth in condition\u2010related self\u2010management skill mastery in youth with spina bifida","volume":"50","author":"Payne A","year":"2025","journal-title":"J Pediatr Psychol"},{"issue":"9","key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"1682","DOI":"10.1111\/apa.16420","article-title":"A scoping review of cognition in spina bifida and its consequences for activity and participation throughout life","volume":"111","author":"Lindquist B","year":"2022","journal-title":"Acta Paediatr"},{"issue":"1","key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1002\/ddrr.89","article-title":"The cognitive phenotype of spina bifida meningomyelocele","volume":"16","author":"Dennis M","year":"2010","journal-title":"Dev Disabil Res Rev"},{"issue":"2","key":"e_1_2_9_17_1","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1017\/S0012162206000259","article-title":"Functional independence among young adults with spina bifida, in relation to hydrocephalus and level of lesion","volume":"48","author":"Verhoef M","year":"2006","journal-title":"Dev Med Child Neurol"},{"issue":"5","key":"e_1_2_9_18_1","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1080\/09297049.2024.2428673","article-title":"Development of inattention and executive dysfunction in youth with spina bifida: condition severity variables as predictors","volume":"31","author":"Payne A","year":"2025","journal-title":"Child Neuropsychol"},{"issue":"3","key":"e_1_2_9_19_1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1111\/dmcn.14717","article-title":"Brain malformations and cognitive performance in spina bifida","volume":"63","author":"Schneider J","year":"2021","journal-title":"Dev Med Child Neurol"},{"issue":"12","key":"e_1_2_9_20_1","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1111\/j.1469-8749.2003.tb00896.x","article-title":"Cognitive status of young adults with spina bifida","volume":"45","author":"Barf HA","year":"2003","journal-title":"Dev Med Child Neurol"},{"issue":"7","key":"e_1_2_9_21_1","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1093\/jpepsy\/jsad097","article-title":"Growth of condition\u2010related knowledge among youth with spina bifida: associations with neurocognitive functioning and self\u2010management skills","volume":"49","author":"Clark OE","year":"2024","journal-title":"J Pediatr Psychol"},{"issue":"9","key":"e_1_2_9_22_1","first-page":"910","article-title":"Testing the utility of a bio\u2010neuropsychosocial model for predicting medical adherence and responsibility during early adolescence in youth with spina bifida","volume":"42","author":"Psihogios AM","year":"2017","journal-title":"J Pediatr Psychol"},{"issue":"4","key":"e_1_2_9_23_1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.lindif.2011.01.007","article-title":"Relations between executive function and academic achievement from ages 5 to 17 in a large, representative national sample","volume":"21","author":"Best JR","year":"2011","journal-title":"Learn Individual Differ"},{"issue":"2","key":"e_1_2_9_24_1","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1111\/ejh.14112","article-title":"Adaptive functioning and academic achievement in pediatric survivors of acute lymphoblastic leukemia: associations with executive functioning, socioeconomic status, and academic support","volume":"112","author":"Seghatol\u2010Eslami VC","year":"2024","journal-title":"Eur J Haematol"},{"issue":"6","key":"e_1_2_9_25_1","doi-asserted-by":"crossref","DOI":"10.1037\/pspp0000224","article-title":"\u201cSame but different\u201d: associations between multiple aspects of self\u2010regulation, cognition, and academic abilities","volume":"117","author":"Malanchini M","year":"2019","journal-title":"J Pers Soc Psychol"},{"issue":"2","key":"e_1_2_9_26_1","doi-asserted-by":"crossref","first-page":"167.e1","DOI":"10.1016\/j.jpurol.2019.11.016","article-title":"Assessment of health literacy in adolescents with spina bifida and their caregivers: a multi\u2010institutional study","volume":"16","author":"Lightfoot MA","year":"2020","journal-title":"J Pediatr Urol"},{"issue":"9","key":"e_1_2_9_27_1","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2021.27034","article-title":"Assessment of health literacy and self\u2010reported readiness for transition to adult care among adolescents and young adults with spina bifida","volume":"4","author":"Rague JT","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"2","key":"e_1_2_9_28_1","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1007\/s00383-018-4403-5","article-title":"Bowel management program in patients with spina bifida","volume":"35","author":"Schletker J","year":"2019","journal-title":"Pediatr Surg Int"},{"issue":"1","key":"e_1_2_9_29_1","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s00383-023-05509-8","article-title":"Identifying predictive factors for bowel control in patients with spina bifida and spinal cord injuries","volume":"39","author":"Dom\u00ednguez\u2010Mu\u00f1oz A","year":"2023","journal-title":"Pediatr Surg Int"},{"key":"e_1_2_9_30_1","first-page":"507","volume-title":"Mplus. Handbook of Item Response Theory","author":"Muth\u00e9n B","year":"2017"},{"issue":"7","key":"e_1_2_9_31_1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1111\/j.1746-1561.2005.00034.x","article-title":"Chronic health conditions and student performance at school","volume":"75","author":"Taras H","year":"2005","journal-title":"J School Health"},{"issue":"11","key":"e_1_2_9_32_1","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1111\/j.1746-1561.2011.00648.x","article-title":"Associations between academic achievement and psychosocial variables in adolescents with cystic fibrosis","volume":"81","author":"Grieve AJ","year":"2011","journal-title":"J School Health"},{"issue":"4","key":"e_1_2_9_33_1","doi-asserted-by":"crossref","DOI":"10.1002\/pbc.28913","article-title":"Adaptive functioning and academic achievement in survivors of childhood acute lymphoblastic leukemia: a report from the Children's oncology group","volume":"68","author":"Jacola LM","year":"2021","journal-title":"Pediatr Blood Cancer"},{"issue":"10","key":"e_1_2_9_34_1","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1093\/jpepsy\/jsaa065","article-title":"Predictors of distinct trajectories of medical responsibility in youth with spina bifida","volume":"45","author":"Kayle M","year":"2020","journal-title":"J Pediatr Psychol"},{"issue":"2","key":"e_1_2_9_35_1","doi-asserted-by":"crossref","first-page":"E3","DOI":"10.3171\/2024.5.FOCUS24234","article-title":"Barriers to healthcare transition for spina bifida patients: a systematic review","volume":"57","author":"Colliander R","year":"2024","journal-title":"Neurosurg Focus"},{"issue":"3","key":"e_1_2_9_36_1","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1037\/rep0000151","article-title":"Mastery motivation and executive functions as predictors of adaptive behavior in adolescents and young adults with cerebral palsy or myelomeningocele","volume":"62","author":"Warschausky S","year":"2017","journal-title":"Rehabil Psychol"},{"key":"e_1_2_9_37_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.yebeh.2025.110429","article-title":"Looking beyond epilepsy management: the impact of mental health, quality of life, and transition\u2010readiness on transition\u2010aged adolescents with epilepsy and varying cognitive abilities","volume":"169","author":"Healy SA","year":"2025","journal-title":"Epilepsy Behav"},{"issue":"2","key":"e_1_2_9_38_1","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1093\/jpepsy\/jsn068","article-title":"The role of cognitive functioning in medication adherence of children and adolescents with HIV infection","volume":"34","author":"Malee K","year":"2009","journal-title":"J Pediatr Psychol"},{"issue":"6","key":"e_1_2_9_39_1","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1080\/13854046.2022.2096484","article-title":"Characterizing and comparing adaptive and academic functioning in children with low average and below average intellectual abilities","volume":"37","author":"Wexler D","year":"2023","journal-title":"Clin Neuropsychol"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/dbp.0000000000001404"},{"issue":"5","key":"e_1_2_9_41_1","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1111\/dmcn.12620","article-title":"Stability of cognitive performance in children with mild intellectual disability","volume":"57","author":"Jenni OG","year":"2015","journal-title":"Dev Med Child Neurol"},{"issue":"21","key":"e_1_2_9_42_1","doi-asserted-by":"crossref","DOI":"10.1073\/pnas.2426531122","article-title":"Stability of general cognitive ability from infancy to adulthood: a combined twin and genomic investigation","volume":"122","author":"Gustavson DE","year":"2025","journal-title":"Proc Natl Acad Sci"},{"key":"e_1_2_9_43_1","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyg.2019.00466","article-title":"Enriched environments as a potential treatment for developmental disorders: a critical assessment","volume":"10","author":"Ball NJ","year":"2019","journal-title":"Front Psychol"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000131"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0215828"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuroimage.2013.09.038"},{"issue":"2","key":"e_1_2_9_47_1","doi-asserted-by":"crossref","DOI":"10.1002\/cl2.1081","article-title":"Targeted school\u2010based interventions for improving reading and mathematics for students with, or at risk of, academic difficulties in grades 7\u201312: a systematic review","volume":"16","author":"Dietrichson J","year":"2020","journal-title":"Campbell Syst Rev"},{"issue":"1","key":"e_1_2_9_48_1","doi-asserted-by":"crossref","first-page":"29","DOI":"10.3102\/00346543074001029","article-title":"The effects of school\u2010based writing\u2010to\u2010learn interventions on academic achievement: a meta\u2010analysis","volume":"74","author":"Bangert\u2010Drowns RL","year":"2004","journal-title":"Rev Educ Res"},{"issue":"1","key":"e_1_2_9_49_1","doi-asserted-by":"crossref","first-page":"8","DOI":"10.5334\/cie.2","article-title":"A multidisciplinary educational approach for children with chronic illness: an intervention case study","volume":"1","author":"Harden C","year":"2020","journal-title":"Continuity Educ"},{"issue":"8","key":"e_1_2_9_50_1","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1093\/jpepsy\/jsm042","article-title":"Attention and executive functions in adolescents with spina bifida","volume":"32","author":"Rose BM","year":"2007","journal-title":"J Pediatr Psychol"},{"issue":"2","key":"e_1_2_9_51_1","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1080\/09297049.2011.590470","article-title":"Executive functions in adolescents with spina bifida: relations with autonomy development and parental intrusiveness","volume":"18","author":"Tuminello ER","year":"2012","journal-title":"Child Neuropsychol"},{"issue":"6","key":"e_1_2_9_52_1","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1037\/neu0000681","article-title":"Executive functioning rating scales: ecologically valid or construct invalid?","volume":"34","author":"Soto EF","year":"2020","journal-title":"Neuropsychology"},{"issue":"4","key":"e_1_2_9_53_1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1037\/edu0000861","article-title":"Stability and change in academic achievement goals: a meta\u2010analysis of longitudinal studies","volume":"116","author":"Scherrer V","year":"2024","journal-title":"J Educ Psychol"},{"issue":"4","key":"e_1_2_9_54_1","doi-asserted-by":"crossref","DOI":"10.1037\/bul0000425","article-title":"The stability of cognitive abilities: a meta\u2010analytic review of longitudinal studies","volume":"150","author":"Breit M","year":"2024","journal-title":"Psychol Bull"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467\u2010023\u201042540\u20108"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2016.09.004"}],"container-title":["PM&R"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70160","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/pmrj.70160","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pmrj.70160","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:21:37Z","timestamp":1780572097000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/pmrj.70160"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,4]]},"references-count":55,"alternative-id":["10.1002\/pmrj.70160"],"URL":"https:\/\/doi.org\/10.1002\/pmrj.70160","archive":["Portico"],"relation":{},"ISSN":["1934-1482","1934-1563"],"issn-type":[{"value":"1934-1482","type":"print"},{"value":"1934-1563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,4]]},"assertion":[{"value":"2025-08-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"pmrj.70160"}}