{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:34:38Z","timestamp":1787236478259,"version":"build-2736575974"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004748","name":"Mashhad University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004748","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,20]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Family caregivers of pediatric hemodialysis patients may face challenges in health literacy and resilience. This study evaluated the effect of a culturally tailored virtual education and follow-up program on these outcomes.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Sixty caregivers were randomly assigned to intervention (n = 30) and control (n = 30) groups using computer-generated randomization with allocation concealment. The intervention group received routine education plus 3 weeks of virtual training and follow-up via Eitaa, an interactive Iranian messaging application, including multimedia content and online interactive sessions; controls received routine education only. Health literacy and resilience were measured at baseline, immediately post-intervention, and 1\u2005month later using the Health Literacy for Iranian Adults (HELIA) and Connor\u2013Davidson Resilience Scale (CD-RISC). Non-parametric tests were applied due to non-normal data, and effect sizes (Cohen's d and Kendall's W) were reported.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Fifty-five participants completed the study. Baseline characteristics were comparable. The intervention group showed significant improvements in health literacy (HELIA: baseline 36.7 \u00b1 9.4, post-intervention 45.2 \u00b1 8.5, 1-month 44.0 \u00b1 9.0; Friedman P &lt; .001; Cohen's d = 0.45) and resilience (CD-RISC: baseline 66.6 \u00b1 11.0, post-intervention 78.3 \u00b1 10.5, 1-month 76.5 \u00b1 11.2; Friedman P &lt; .001; Cohen's d = 0.55) compared with controls, who exhibited minimal changes.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Culturally tailored virtual education with follow-up moderately improves health literacy and resilience among family caregivers of pediatric hemodialysis patients, supporting its integration into routine care. The use of Eitaa ensures feasibility and accessibility within Iran.<\/jats:p>\n <\/jats:sec>\n \n Trial registration<\/jats:title>\n IRCT20240914063036N1. Registered on October 11, 2024.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/joneph\/aajag015","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T12:41:00Z","timestamp":1769258460000},"page":"818-824","source":"Crossref","is-referenced-by-count":0,"title":["Effect of virtual education and follow-up on health literacy and resilience in family caregivers of pediatric hemodialysis patients: a randomized controlled trial"],"prefix":"10.1093","volume":"39","author":[{"given":"Masoud","family":"Zare","sequence":"first","affiliation":[{"name":"Department of Community Health Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences , Mashhad ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fariba","family":"Abaj","sequence":"additional","affiliation":[{"name":"Department of Community Health Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences , Mashhad 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