{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T15:05:08Z","timestamp":1789571108767,"version":"build-2803163510"},"reference-count":76,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T00:00:00Z","timestamp":1787356800000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004337","name":"Roche","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004337","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Severe and chronic illnesses such as an oncological disease in children, adolescents, and young adults (CAYAs) are accompanied by profound physical, psychological, and social challenges for the patients and their families. Consensus\u2010 and evidence\u2010based psychosocial standards of care aim to address these challenges but implementation is heterogeneous. The current paper presents the consensus\u2010 and evidence\u2010based psychosocial therapy tool \u201cMyLogbook\u2014I know my way around\u201d which aims to operationalize and implement existing guidelines for psychosocial care in pediatric oncology, supporting patients from diagnosis through follow\u2010up care with psychoeducational and emotional resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Procedure<\/jats:title>\n                    <jats:p>This multi\u2010center pilot study evaluated the feasibility and efficacy of \u201cMyLogbook\u201d in 240 participants (mean age\u00a0=\u00a09.00, SD\u00a0=\u00a02.78; 50.8% female) across 22 pediatric oncology treatment centers and rehabilitation centers in Germany, Austria, Switzerland, and Italy. The therapy program involves psychoeducational modules tailored to different medical treatment phases and includes assessments of emotional well\u2010being and health literacy. Psychosocial health care professionals (HCPs) of the respective center conducted selected modules with children, with each module consisting of two 60\u2010min sessions. Efficacy was determined through pre\u2010 and post\u2010session assessments of children's emotional states with validated measures and their self\u2010perceived, module\u2010specific expertise (health literacy) on a scale of [1;5].<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A significant improvement in subjective module\u2010specific health literacy was observed, with self\u2010reported expertise increasing from a mean of 2.97 (SD\u00a0=\u00a01.45) following session 1 to 3.97 (SD\u00a0=\u00a01.13) following session 2 (Wilcoxon\n                      <jats:italic>V<\/jats:italic>\n                      \u00a0=\u00a01597.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Negative emotions significantly decreased across sessions (\n                      <jats:italic>B<\/jats:italic>\n                      \u00a0=\u00a0\u22120.342,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), as did neutral emotions (\n                      <jats:italic>beta\u00a0=<\/jats:italic>\n                      \u00a0\u22120.194,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), whereas positive emotions significantly increased (\n                      <jats:italic>beta\u00a0=<\/jats:italic>\n                      \u00a00.051,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.011). Notably, 38% of children and 40% of parents reported average QoL at baseline, which had no impact on the outcome of emotional well\u2010being over time. The highest efficacy of the therapy program \u201cMyLogbook\u201d was observed in psychoeducational modules addressing early treatment phases (e.g.,\u00a0more than half of used booklets are accounted for by \u201cEverything there is to know!\u201d, \u201cMy path to diagnosis\u201d and \u201cI\u2019M Ready\u201d).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The psychological therapy program \u201cMyLogbook\u201d effectively translates psychosocial care guidelines into clinical practice, improving emotional well\u2010being and health literacy among pediatric oncology patients and their families. To maximize its impact, future efforts should address structural challenges, integrate modules into a unified format, and expand accessibility through multi\u2010lingual adaptations. This published psychosocial therapy program demonstrates the feasibility of delivering standardized psychosocial interventions and highlights their potential to enhance the quality of life for young patients with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>ClinicalTrials.gov Identifier: NCT04474678<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70577","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T11:07:47Z","timestamp":1787396867000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cMyLogbook\u2014I Know My Way Around\u201d: A Psychological Therapy Program to Enhance Health Literacy and Positive Emotional Adjustment in Pediatric Oncology"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2908-8010","authenticated-orcid":false,"given":"Liesa J.","family":"Weiler\u2010Wichtl","sequence":"first","affiliation":[{"name":"Medical University of Vienna General Hospital  Vienna Austria"},{"name":"KOKON\u2014Psychosocial and Mental Health in Pediatrics lab  Rohrbach\u2010Berg Upper Austria Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verena","family":"Fohn\u2010Erhold","sequence":"additional","affiliation":[{"name":"Medical University of Vienna General Hospital  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8030-9942","authenticated-orcid":false,"given":"Verena","family":"Rosenmayr","sequence":"additional","affiliation":[{"name":"Medical University of Vienna General Hospital  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8199-6307","authenticated-orcid":false,"given":"Rita","family":"Hansl","sequence":"additional","affiliation":[{"name":"Medical University of Vienna General Hospital  Vienna Austria"},{"name":"Department of Clinical Psychology and Behavioral Neuroscience Faculty of Psychology TUD Dresden Universit\u00e4t of Technology  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4734-7955","authenticated-orcid":false,"given":"Maximilian","family":"Hopfgartner","sequence":"additional","affiliation":[{"name":"Medical University of Vienna General Hospital  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3253-5109","authenticated-orcid":false,"given":"Jonathan","family":"Fries","sequence":"additional","affiliation":[{"name":"Department of Developmental and Educational Psychology Faculty of Psychology University of Vienna  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2336-5849","authenticated-orcid":false,"given":"Carina","family":"Schneider","sequence":"additional","affiliation":[{"name":"Childhood Cancer International\u2014Europe (CCI\u2010E)  Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2902-0171","authenticated-orcid":false,"given":"Kristina","family":"Herzog","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Psychotherapy Faculty of Medicine of the Technische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Neumann","sequence":"additional","affiliation":[{"name":"Kinderhaus Klinik Bad Oexen  Bad Oeynhausen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Schellenberg","sequence":"additional","affiliation":[{"name":"Department of Paediatric Oncology\/Haematology Charit\u00e9\u2010Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorothee","family":"Sch\u00f6nenberger\u2010Loppacher","sequence":"additional","affiliation":[{"name":"Department of Paediatric Oncology and Haematology University Hospital of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Faist\u2010Schweika","sequence":"additional","affiliation":[{"name":"Department of Oncology\/Haematology Luca\u2010Dethlefsen\u2010Hilfe e.V. 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