{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T20:02:17Z","timestamp":1775332937506,"version":"3.50.1"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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"}]},{"DOI":"10.13039\/100000092","name":"National Library of Medicine","doi-asserted-by":"publisher","award":["R21LM013911"],"award-info":[{"award-number":["R21LM013911"]}],"id":[{"id":"10.13039\/100000092","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jhltopen.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JHLT Open"],"published-print":{"date-parts":[[2025,8]]},"DOI":"10.1016\/j.jhlto.2025.100319","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T12:11:43Z","timestamp":1749816703000},"page":"100319","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Psychosocial considerations in pediatric heart transplantation: Initial validation of the Pediatric Psychosocial Assessment Tool at a single center"],"prefix":"10.1016","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2287-9007","authenticated-orcid":false,"given":"Michael O.","family":"Killian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonnie E.","family":"Mayewski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Schyler E.","family":"Brumm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhe","family":"He","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipankar","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib1","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1111\/petr.12260","article-title":"Best practices in the pediatric pretransplant psychosocial evaluation","volume":"18","author":"Lefkowitz","year":"2014","journal-title":"Pediatr Transplant"},{"issue":"5","key":"10.1016\/j.jhlto.2025.100319_bib2","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1111\/j.1399-3046.2010.01353.x","article-title":"Psychosocial assessment prior to pediatric transplantation: a review and summary of key considerations","volume":"14","author":"Annunziato","year":"2010","journal-title":"Pediatr Transplant"},{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib3","doi-asserted-by":"crossref","DOI":"10.1111\/petr.12899","article-title":"Psychosocial predictors of medication adherence in pediatric heart and lung organ transplantation","volume":"21","author":"Killian","year":"2017","journal-title":"Pediatr Transplant"},{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib4","doi-asserted-by":"crossref","DOI":"10.1111\/petr.13188","article-title":"Psychosocial predictors of medication non-adherence in pediatric organ transplantation: A systematic review","volume":"22","author":"Killian","year":"2018","journal-title":"Pediatr Transplant"},{"issue":"8","key":"10.1016\/j.jhlto.2025.100319_bib5","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1111\/petr.12368","article-title":"A struggle to survive: the experience of awaiting pediatric heart transplantation","volume":"18","author":"Anthony","year":"2014","journal-title":"Pediatr Transplant"},{"issue":"5","key":"10.1016\/j.jhlto.2025.100319_bib6","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1111\/petr.12305","article-title":"Waiting for transplant: physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care","volume":"18","author":"Anthony","year":"2014","journal-title":"Pediatr Transplant"},{"issue":"9","key":"10.1016\/j.jhlto.2025.100319_bib7","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/j.healun.2013.03.008","article-title":"Impact of medication non-adherence on survival after pediatric heart transplantation in the U.S.A","volume":"32","author":"Oliva","year":"2013","journal-title":"J Heart Lung Transplant: The Official Publication Of The International Society For Heart Transplantation"},{"issue":"6","key":"10.1016\/j.jhlto.2025.100319_bib8","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1111\/petr.12117","article-title":"Lower socioeconomic status is associated with worse outcomes after both listing and transplanting children with heart failure","volume":"17","author":"Davies","year":"2013","journal-title":"Pediatr Transplant"},{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib9","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.healun.2024.11.028","article-title":"A consensus-based framework for the psychosocial evaluation of pediatric candidates for cardiothoracic transplant and ventricular assist devices","volume":"44","author":"Lefkowitz","year":"2025","journal-title":"J Heart Lung Transplant"},{"issue":"5","key":"10.1016\/j.jhlto.2025.100319_bib10","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.psym.2018.04.003","article-title":"The 2018 ISHLT\/APM\/AST\/ICCAC\/STSW recommendations for the psychosocial evaluation of adult cardiothoracic transplant candidates and candidates for long-term mechanical circulatory support","volume":"59","author":"Dew","year":"2018","journal-title":"Psychosomatics"},{"issue":"1","key":"10.1016\/j.jhlto.2025.100319_bib11","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/ajt.14962","article-title":"Excluding patients from transplant due to social support: results from a national survey of transplant providers","volume":"19","author":"Ladin","year":"2019","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jhlto.2025.100319_bib12","doi-asserted-by":"crossref","DOI":"10.1111\/j.1399-0012.1989.tb00176.x","article-title":"The PACT: a rating scale for the study of clinical decision-making in psychosocial screening of organ transplant candidates","author":"Olbrisch","year":"1989","journal-title":"Clin Transplant"},{"issue":"2","key":"10.1016\/j.jhlto.2025.100319_bib13","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1016\/S0033-3182(93)71905-2","article-title":"The transplant evaluation rating scalel: a revision of the psychosocial levels system for evaluating organ transplant candidates","volume":"34","author":"Twillman","year":"1993","journal-title":"Psychosomatics"},{"issue":"9","key":"10.1016\/j.jhlto.2025.100319_bib14","doi-asserted-by":"crossref","first-page":"1018","DOI":"10.1097\/PSY.0000000000000241","article-title":"The Stanford Integrated Psychosocial Assessment for Transplantation: a prospective study of medical and psychosocial outcomes","volume":"77","author":"Maldonado","year":"2015","journal-title":"Psychosom Med"},{"issue":"1","key":"10.1016\/j.jhlto.2025.100319_bib15","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1111\/j.1399-3046.2007.00785.x","article-title":"Pediatric transplant rating instrument - a scale for the pretransplant psychiatric evaluation of pediatric organ transplant recipients","volume":"12","author":"Fung","year":"2008","journal-title":"Pediatr Transplant"},{"key":"10.1016\/j.jhlto.2025.100319_bib16","doi-asserted-by":"crossref","first-page":"373","DOI":"10.3389\/fpsyt.2020.00373","article-title":"Factor analyses and validity of the Transplant Evaluation Rating Scale (TERS) in a large sample of lung transplant candidates","volume":"11","author":"N\u00f6hre","year":"2020","journal-title":"Front Psychiatry"},{"key":"10.1016\/j.jhlto.2025.100319_bib17","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1111\/j.1399-3046.2010.01428.x","article-title":"Inter-rater reliability of the pediatric transplant rating instrument (P-TRI): challenges to reliably identifying adherence risk factors during pediatric pre-transplant evaluations","volume":"15","author":"Fisher","year":"2011","journal-title":"Pediatr Transplant"},{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib18","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.hrtlng.2017.04.005","article-title":"Evaluation of the SIPAT instrument to assess psychosocial risk in heart transplant candidates: a retrospective single center study","volume":"46","author":"Vandenbogaart","year":"2017","journal-title":"Heart Lung"},{"issue":"5","key":"10.1016\/j.jhlto.2025.100319_bib19","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1002\/lt.25975","article-title":"The stanford integrated psychosocial assessment for transplant is associated with outcomes before and after liver transplantation","volume":"27","author":"Deutsch-Link","year":"2021","journal-title":"Liver Transpl"},{"issue":"1","key":"10.1016\/j.jhlto.2025.100319_bib20","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1177\/1526924820978605","article-title":"The utility of a pre-transplant psychosocial evaluation in predicting post-liver transplant outcomes","volume":"31","author":"Becker","year":"2021","journal-title":"Prog Transplant"},{"issue":"2","key":"10.1016\/j.jhlto.2025.100319_bib21","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.hrtlng.2018.08.011","article-title":"The value of Stanford integrated psychosocial assessment for transplantation (SIPAT) in prediction of clinical outcomes following left ventricular assist device (LVAD) implantation","volume":"48","author":"Bui","year":"2019","journal-title":"Heart Lung"},{"issue":"7","key":"10.1016\/j.jhlto.2025.100319_bib22","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCHEARTFAILURE.119.006058","article-title":"Psychosocial evaluation of candidates for heart transplant and ventricular assist devices: beyond the current consensus","volume":"12","author":"Bui","year":"2019","journal-title":"Circ Heart Fail"},{"key":"10.1016\/j.jhlto.2025.100319_bib23","doi-asserted-by":"crossref","DOI":"10.3389\/frtra.2023.1250184","article-title":"Psychosocial assessment tools for use before transplantation are predictive of post-operative psychosocial and health behavior outcomes: a narrative review of the literature","volume":"2","author":"Thode","year":"2023","journal-title":"Front Transplant"},{"key":"10.1016\/j.jhlto.2025.100319_bib24","unstructured":"Society for Transplant Social Workers. Annual STSW Survey Results 2024. 2025. Accessed April 12, 2025. \u3008https:\/\/www.stsw.org\/Survey\u3009."},{"issue":"4","key":"10.1016\/j.jhlto.2025.100319_bib25","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.1016\/j.healun.2023.02.176","article-title":"Pediatric psychosocial assessment tool: an initial risk assessment tool for pediatric heart transplant candidates","volume":"42","author":"McLendon","year":"2023","journal-title":"The Journal of Heart and Lung Transplantation"},{"key":"10.1016\/j.jhlto.2025.100319_bib26","series-title":"Principles and practice of structural equation","author":"Kline","year":"2015"},{"key":"10.1016\/j.jhlto.2025.100319_bib27","article-title":"Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes","author":"Muth\u00e9n","year":"1997","journal-title":"Psychometrika"},{"issue":"3","key":"10.1016\/j.jhlto.2025.100319_bib28","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1007\/BF02310555","article-title":"Coefficient alpha and the internal structure of tests","volume":"16","author":"Cronbach","year":"1951","journal-title":"Psychometrika"},{"key":"10.1016\/j.jhlto.2025.100319_bib29","series-title":"Test theory: a unified treatment","author":"McDonald","year":"2013"},{"key":"10.1016\/j.jhlto.2025.100319_bib30","series-title":"IBM SPSS Statistics for Windows, Version 29.0.2.0. Version 29.0.2.0","year":"2023"},{"key":"10.1016\/j.jhlto.2025.100319_bib31","unstructured":"Mplus. Version 8.11. Muth\u00e9n & Muth\u00e9n; 2017. Accessed April 12, 2025. \u3008https:\/\/www.statmodel.com\/\u3009."},{"key":"10.1016\/j.jhlto.2025.100319_bib32","doi-asserted-by":"crossref","first-page":"2808","DOI":"10.1111\/j.1600-6143.2009.02852.x","article-title":"Racial and ethic differences in mortality in children awaiting heart transplant in the United States","volume":"9","author":"Singh","year":"2009","journal-title":"Am J Transplant"},{"issue":"9","key":"10.1016\/j.jhlto.2025.100319_bib33","doi-asserted-by":"crossref","first-page":"2116","DOI":"10.1111\/j.1600-6143.2010.03241.x","article-title":"Association of race and socioeconomic position with outcomes in pediatric heart transplant recipients","volume":"10","author":"Singh","year":"2010","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jhlto.2025.100319_bib34","first-page":"1","article-title":"Towards conversational diagnostic artificial intelligence","author":"Tu","year":"2025","journal-title":"Nature"},{"key":"10.1016\/j.jhlto.2025.100319_bib35","unstructured":"Robitschek E., Bastani A., Horwath K., et al. A large language model-based approach to quantifying the effects of social determinants in liver transplant decisions. arXiv preprint arXiv:241207924. 2024;"}],"container-title":["JHLT Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2950133425001144?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2950133425001144?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T07:28:03Z","timestamp":1758785283000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2950133425001144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":35,"alternative-id":["S2950133425001144"],"URL":"https:\/\/doi.org\/10.1016\/j.jhlto.2025.100319","relation":{},"ISSN":["2950-1334"],"issn-type":[{"value":"2950-1334","type":"print"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Psychosocial considerations in pediatric heart transplantation: Initial validation of the Pediatric Psychosocial Assessment Tool at a single center","name":"articletitle","label":"Article Title"},{"value":"JHLT Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jhlto.2025.100319","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of International Society for Heart and Lung Transplantation.","name":"copyright","label":"Copyright"}],"article-number":"100319"}}