{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T11:03:39Z","timestamp":1779793419933,"version":"3.53.1"},"reference-count":54,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Children with cancer and their parents require continuous psychosocial support beyond hospital\u2010based care, particularly in settings where structured, family\u2010centered psychosocial services are limited. Although evidence\u2010based psychosocial interventions exist, these are predominantly developed and implemented in well\u2010resourced healthcare systems and may not be readily accessible or scalable in different care contexts. However, evidence on structured, technology\u2010based psychosocial empowerment programs targeting both children and parents within home\u2010based care remains limited. This study aimed to evaluate the effectiveness of a technology\u2010based psychosocial empowerment program for children with cancer receiving care in the home setting and their parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This parallel\u2010group randomized controlled trial included 64 children with cancer (aged 8\u201318\u00a0years) and their parents, who were randomly assigned to either an intervention (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a032) or a control (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a032) group. The intervention group took part in a 4\u2010week, web\u2010based psychosocial empowerment program based on Psychological Empowerment Theory, which included modules designed specifically for children and parents. In comparison, the control group received standard care. Psychosocial outcomes were assessed using validated measures of self\u2010efficacy, anxiety, coping, problem\u2010solving, and psychological resilience at baseline, post\u2010intervention, and at the 1\u2010month follow\u2010up. Data were analyzed using variance analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Children in the intervention group showed significantly higher levels of self\u2010efficacy and coping, along with lower levels of state and trait anxiety compared to the control group (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;  range\u00a0=\u00a00.48\u20130.68). Similarly, parents in the intervention group showed significantly higher self\u2010efficacy, problem\u2010solving skills, and psychological resilience than those in the control group (all\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001;  range\u00a0=\u00a00.40\u20130.82). These effects were maintained at the 1\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Technology\u2010based psychosocial empowerment programs integrated into home\u2010based care effectively enhance the psychosocial well\u2010being of children with cancer and their parents. These psychological empowerment programs provide a systematic, innovative, and sustainable approach that can be integrated into home\u2010based care and follow\u2010up processes in pediatric oncology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      ClinicalTrials.gov (NCT05566951),\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/clinicaltrials.gov\/study\/NCT05566951\">https:\/\/clinicaltrials.gov\/study\/NCT05566951<\/jats:ext-link>\n                      , registered on April 25, 2023\n                    <\/jats:p>\n                  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