{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:09:23Z","timestamp":1791234563698,"version":"4.1.0"},"reference-count":47,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T00:00:00Z","timestamp":1793491200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","pediatricnursing.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pediatric Nursing"],"published-print":{"date-parts":[[2026,11]]},"DOI":"10.1016\/j.pedn.2026.08.022","type":"journal-article","created":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T01:39:22Z","timestamp":1787276362000},"page":"325-335","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Clinical and psychosocial outcomes of digital health interventions in pediatric chronic care: An integrative review advancing the theory of digital autonomy and hybrid care"],"prefix":"10.1016","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6672-2231","authenticated-orcid":false,"given":"G\u00fcl\u015fah Sunay","family":"Ertem","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1227-5856","authenticated-orcid":false,"given":"Sibel","family":"Erg\u00fcn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9482-5254","authenticated-orcid":false,"given":"Serap","family":"Kaynak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1659-3464","authenticated-orcid":false,"given":"Hilal \u00c7elik","family":"Bayram","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.pedn.2026.08.022_bb0005","article-title":"Rethinking pediatric human\u2013AI interaction for building safer digital health ecosystems","volume":"17","author":"Abbasian","year":"2025","journal-title":"Cureus"},{"key":"10.1016\/j.pedn.2026.08.022_bb0010","article-title":"Digital mental health interventions for adolescents and young people: Evaluating efficacy and accessibility","volume":"17","author":"Adjei-Boateng","year":"2025","journal-title":"Cureus"},{"issue":"10","key":"10.1016\/j.pedn.2026.08.022_bb0015","doi-asserted-by":"crossref","DOI":"10.2196\/22074","article-title":"Carbohydrate counting app using image recognition for youth with type 1 diabetes: Pilot randomized control trial","volume":"8","author":"Alfonsi","year":"2020","journal-title":"JMIR mHealth and uHealth"},{"issue":"5","key":"10.1016\/j.pedn.2026.08.022_bb0020","doi-asserted-by":"crossref","DOI":"10.2196\/mhealth.7798","article-title":"Text messaging and mobile phone apps as interventions to improve adherence in adolescents with chronic health conditions: A systematic review","volume":"5","author":"Badawy","year":"2017","journal-title":"JMIR mHealth and uHealth"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.022_bb0025","article-title":"Text messaging and mobile phone applications as interventions to improve adherence in adolescents with chronic health conditions: A systematic review","volume":"4","author":"Badawy","year":"2016","journal-title":"JMIR mHealth and uHealth"},{"key":"10.1016\/j.pedn.2026.08.022_bb0030","doi-asserted-by":"crossref","DOI":"10.2196\/49022","article-title":"Promises, pitfalls, and clinical applications of artificial intelligence in pediatrics","volume":"26","author":"Bhargava","year":"2024","journal-title":"Journal of Medical Internet Research"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.022_bb0035","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2058","article-title":"Design of an mHealth app for the self-management of adolescent type 1 diabetes: A pilot study","volume":"14","author":"Cafazzo","year":"2012","journal-title":"Journal of Medical Internet Research"},{"key":"10.1016\/j.pedn.2026.08.022_bb0045","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare9121642","article-title":"Promotion of self-Management of Chronic Disease in children and teenagers: Scoping review","volume":"9","author":"Catarino","year":"2021","journal-title":"Healthcare"},{"key":"10.1016\/j.pedn.2026.08.022_bb0055","doi-asserted-by":"crossref","DOI":"10.1155\/pedi\/7036544","article-title":"Executive functioning, diabetes distress, and diabetes management among adolescents with type 1 diabetes: Youth and parent perspectives","volume":"2025","author":"Choe","year":"2025","journal-title":"Pediatric Diabetes"},{"key":"10.1016\/j.pedn.2026.08.022_bb0060","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2022.986687","article-title":"Game-based digital therapeutics for children and adolescents: Their therapeutic effects on mental health problems, the sustainability of the therapeutic effects and the transfer of cognitive functions","volume":"13","author":"Choi","year":"2022","journal-title":"Frontiers in Psychiatry"},{"key":"10.1016\/j.pedn.2026.08.022_bb0065","doi-asserted-by":"crossref","DOI":"10.1155\/pedi\/7261998","article-title":"Effect of an intensive, integrated telehealth intervention on glycemic control in children and adolescents with type 1 diabetes using continuous glucose monitoring: A randomized, crossover trial","volume":"2025","author":"Deeb","year":"2025","journal-title":"Pediatric Diabetes"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.022_bb0070","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2583","article-title":"Opportunities and challenges for smartphone applications in supporting health behavior change: Qualitative study","volume":"15","author":"Dennison","year":"2013","journal-title":"Journal of Medical Internet Research"},{"key":"10.1016\/j.pedn.2026.08.022_bb0248","article-title":"Telemedicine and digital health for chronic conditions in pediatrics: A systematic review","author":"Exner","year":"2025","journal-title":"Journal of Telemedicine and Telecare"},{"key":"10.1016\/j.pedn.2026.08.022_bb0090","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1111\/cea.13793","article-title":"Digital health interventions in children with asthma","volume":"51","author":"Ferrante","year":"2020","journal-title":"Clinical and Experimental Allergy"},{"key":"10.1016\/j.pedn.2026.08.022_bb0095","doi-asserted-by":"crossref","DOI":"10.1016\/j.obpill.2025.100189","article-title":"Integrating digital health into pediatric obesity management: Current practices and future perspectives","volume":"16","author":"Frattolillo","year":"2025","journal-title":"Obesity Pillars"},{"issue":"4","key":"10.1016\/j.pedn.2026.08.022_bb0100","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.2155","article-title":"Improving diabetes care for young people with type 1 diabetes through visual learning on mobile phones: Mixed-methods study","volume":"14","author":"Fr\u00f8island","year":"2012","journal-title":"Journal of Medical Internet Research"},{"issue":"2","key":"10.1016\/j.pedn.2026.08.022_bb0244","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Education Today"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.022_bb0110","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1038\/s41598-025-30114-1","article-title":"Narrative-driven virtual reality serious game to support type 1 diabetes self-management in children","volume":"16","author":"Gu","year":"2025","journal-title":"Scientific Reports"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.022_bb0241","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1093\/jpepsy\/jsz083","article-title":"Assessing health-related quality of life in children and adolescents with diabetes: Development and psychometrics of the type 1 diabetes and life (T1DAL) measures","volume":"45","author":"Hilliard","year":"2020","journal-title":"Journal of Pediatric Psychology"},{"key":"10.1016\/j.pedn.2026.08.022_bb0243","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/j.jclinepi.2019.03.008","article-title":"Improving the content validity of the mixed methods appraisal tool: A modified e-Delphi study","volume":"111","author":"Hong","year":"2019","journal-title":"Journal of Clinical Epidemiology"},{"key":"10.1016\/j.pedn.2026.08.022_bb0115","doi-asserted-by":"crossref","first-page":"e149","DOI":"10.1016\/j.pedn.2021.09.018","article-title":"The effectiveness of user-focused mobile health applications in pediatric chronic disease management: A systematic review","volume":"63","author":"Karata\u015f","year":"2022","journal-title":"Journal of Pediatric Nursing"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.022_bb0120","doi-asserted-by":"crossref","first-page":"e158","DOI":"10.1016\/S2589-7500(21)00271-5","article-title":"Hybrid closed-loop insulin delivery versus sensor-augmented pump therapy in children aged 6-12 years: A randomised, controlled, cross-over, non-inferiority trial","volume":"4","author":"Kariyawasam","year":"2022","journal-title":"The Lancet Digital Health"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.022_bb0250","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.cbpra.2021.05.003","article-title":"Digital mental health interventions for child and adolescent anxiety","volume":"29","author":"Khanna","year":"2022","journal-title":"Cognitive and Behavioral Practice"},{"issue":"8","key":"10.1016\/j.pedn.2026.08.022_bb0242","doi-asserted-by":"crossref","DOI":"10.2196\/27379","article-title":"Integration of digital tools into community mental health care settings that serve young people: Focus group study","volume":"8","author":"Knapp","year":"2021","journal-title":"JMIR Mental Health"},{"issue":"43","key":"10.1016\/j.pedn.2026.08.022_bb0130","doi-asserted-by":"crossref","first-page":"1595","DOI":"10.15585\/mmwr.mm6943a3","article-title":"Trends in the use of telehealth during the emergence of the COVID-19 pandemic\u2014United States, January\u2013March 2020","volume":"69","author":"Koonin","year":"2020","journal-title":"Morbidity and Mortality Weekly Report"},{"issue":"8","key":"10.1016\/j.pedn.2026.08.022_bb0135","doi-asserted-by":"crossref","DOI":"10.2196\/40096","article-title":"Characterizing user engagement with a digital intervention for pain self-management among youth with sickle cell disease and their caregivers: Subanalysis of a randomized controlled trial","volume":"24","author":"Lalloo","year":"2022","journal-title":"Journal of Medical Internet Research"},{"key":"10.1016\/j.pedn.2026.08.022_bb0140","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1038\/s44159-021-00003-1","article-title":"An overview of and recommendations for more accessible digital mental health services","volume":"1","author":"Lattie","year":"2022","journal-title":"Nature Reviews Psychology"},{"key":"10.1016\/j.pedn.2026.08.022_bb0247","doi-asserted-by":"crossref","DOI":"10.2196\/56556","article-title":"Usability and effectiveness of eHealth and mHealth interventions that support self-management and health care transition in adolescents and young adults with chronic disease: Systematic review","volume":"26","author":"Li","year":"2024","journal-title":"Journal of Medical Internet Research"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.022_bb0145","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1177\/19322968231155151","article-title":"A randomized pilot trial using Mobile health and financial incentives to motivate heart-healthy behaviors in adolescents with type 1 diabetes","volume":"17","author":"Maxwell","year":"2023","journal-title":"Journal of Diabetes Science and Technology"},{"issue":"9696","key":"10.1016\/j.pedn.2026.08.022_bb0150","first-page":"1363","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement","volume":"374","author":"Moher","year":"2009","journal-title":"Lancet"},{"key":"10.1016\/j.pedn.2026.08.022_bb0155","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1038\/s41746-023-00898-5","article-title":"Recommendations for the use of pediatric data in artificial intelligence and machine learning (ACCEPT-AI)","volume":"6","author":"Muralidharan","year":"2023","journal-title":"npj Digital Medicine"},{"issue":"Supplement 6","key":"10.1016\/j.pedn.2026.08.022_bb0249","article-title":"Digital interventions for universal health promotion in children and adolescents: A systematic review","volume":"149","author":"Oh","year":"2022","journal-title":"Pediatrics"},{"key":"10.1016\/j.pedn.2026.08.022_bb0160","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.022_bb0165","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/j.pain.0000000000003009","article-title":"A cognitive-behavioral digital health intervention for sickle cell disease pain in adolescents: A randomized, controlled, multicenter trial","volume":"165","author":"Palermo","year":"2024","journal-title":"Pain"},{"issue":"9","key":"10.1016\/j.pedn.2026.08.022_bb0170","doi-asserted-by":"crossref","first-page":"e233","DOI":"10.1097\/j.pain.0000000000003583","article-title":"Moderators of digital cognitive-behavioral therapy for youth with sickle cell disease pain: Secondary analysis of a randomized controlled trial","volume":"166","author":"Palermo","year":"2025","journal-title":"Pain"},{"issue":"7","key":"10.1016\/j.pedn.2026.08.022_bb0185","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1093\/jamia\/ocaa078","article-title":"Impact of the digital divide in the age of COVID-19","volume":"27","author":"Ramsetty","year":"2020","journal-title":"Journal of the American Medical Informatics Association"},{"issue":"3","key":"10.1016\/j.pedn.2026.08.022_bb0190","article-title":"Health system factors and telemedicine use during the COVID-19 pandemic","volume":"2","author":"Roberts","year":"2021","journal-title":"JAMA Health Forum"},{"key":"10.1016\/j.pedn.2026.08.022_bb0200","doi-asserted-by":"crossref","first-page":"517","DOI":"10.2147\/PPA.S400702","article-title":"Let us talk treatment: Using a digital body map tool to examine treatment burden and coping strategies among young people with a chronic condition","volume":"17","author":"van Schelven","year":"2023","journal-title":"Patient Preference and Adherence"},{"issue":"9","key":"10.1016\/j.pedn.2026.08.022_bb0205","doi-asserted-by":"crossref","DOI":"10.2196\/10285","article-title":"Proposing an ecosystem of digital health solutions for teens with chronic conditions transitioning to self-management and independence: Exploratory qualitative study","volume":"20","author":"Sezgin","year":"2018","journal-title":"Journal of Medical Internet Research"},{"issue":"13","key":"10.1016\/j.pedn.2026.08.022_bb0245","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.3390\/healthcare11131812","article-title":"ChatGPT and the future of digital health: A study on healthcare workers\u2019 perceptions and expectations","volume":"11","author":"Temsah","year":"2023","journal-title":"Healthcare"},{"issue":"1","key":"10.1016\/j.pedn.2026.08.022_bb0210","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1038\/s41591-018-0300-7","article-title":"High-performance medicine: The convergence of human and artificial intelligence","volume":"25","author":"Topol","year":"2019","journal-title":"Nature Medicine"},{"key":"10.1016\/j.pedn.2026.08.022_bb0225","doi-asserted-by":"crossref","DOI":"10.2196\/70401","article-title":"Insights into how digital health interventions shape outcomes for emerging adults living with type 1 diabetes: Qualitative realist process evaluation","volume":"27","author":"Wang","year":"2025","journal-title":"Journal of Medical Internet Research"},{"issue":"5","key":"10.1016\/j.pedn.2026.08.022_bb0230","doi-asserted-by":"crossref","first-page":"546","DOI":"10.1111\/j.1365-2648.2005.03621.x","article-title":"The integrative review: Updated methodology","volume":"52","author":"Whittemore","year":"2005","journal-title":"Journal of Advanced Nursing"},{"key":"10.1016\/j.pedn.2026.08.022_bb0235","doi-asserted-by":"crossref","DOI":"10.3389\/fdgth.2021.697072","article-title":"Digital mental health for Young people: A scoping review of ethical promises and challenges","volume":"3","author":"Wies","year":"2021","journal-title":"Frontiers in Digital Health"},{"key":"10.1016\/j.pedn.2026.08.022_bb0240","series-title":"Global strategy on digital health 2020\u20132025","author":"World Health Organization","year":"2021"},{"key":"10.1016\/j.pedn.2026.08.022_bb9046","series-title":"Making the WHO European Region the healthiest online environment for children: Position statement","year":"2024"},{"key":"10.1016\/j.pedn.2026.08.022_bb0246","series-title":"Health data governance in the age of artificial intelligence: Policy imperatives for the WHO European Region","year":"2025"}],"container-title":["Journal of Pediatric Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326003908?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0882596326003908?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T22:20:32Z","timestamp":1789597232000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0882596326003908"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,11]]},"references-count":47,"alternative-id":["S0882596326003908"],"URL":"https:\/\/doi.org\/10.1016\/j.pedn.2026.08.022","relation":{},"ISSN":["0882-5963"],"issn-type":[{"value":"0882-5963","type":"print"}],"subject":[],"published":{"date-parts":[[2026,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical and psychosocial outcomes of digital health interventions in pediatric chronic care: An integrative review advancing the theory of digital autonomy and hybrid care","name":"articletitle","label":"Article Title"},{"value":"Journal of Pediatric Nursing","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pedn.2026.08.022","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}