{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:44:47Z","timestamp":1765233887261,"version":"3.41.2"},"reference-count":41,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["17K17479"],"award-info":[{"award-number":["17K17479"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To optimize self\u2010care in the treatment of children and young people (CYP) after liver transplantation, intervention by healthcare professionals is necessary for both the CYP and their parents. Increasing evidence supports a comprehensive intervention strategy with dedicated individual time, but data on specific ways of involvement are limited. We explored specific and structured intervention strategies within the healthcare system in Japan to optimize self\u2010care in treatment for CYP after liver transplantation by describing the best practices discussed by healthcare providers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted semi\u2010structured interviews with six RN clinical transplant coordinators from six different facilities in Japan. We inquired about their collaborative interventions with other healthcare professionals for CYP after liver transplantation. Each interview was audio\u2010recorded, and anonymized transcripts were qualitatively coded and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our findings revealed interventions to optimize self\u2010care in CYP after liver transplantation, involving three core categories: invest in future young people, grounding autonomy from the start, employ a patient\u2010centered approach to optimizing self\u2010care in CYP after liver transplant, and optimize the environment as an enabling factor for self\u2010care through CYP stage.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study emphasizes a holistic approach to optimizing self\u2010care in CYP after liver transplantation by integrating normative development with transplant therapy demands. It focuses on two key age groups: early childhood and adolescence, within a life course perspective.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14849","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T09:18:45Z","timestamp":1731921525000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A Strategy for Optimization of Self\u2010Care in the Treatment of\u00a0Children and Young People After Liver Transplantation: A Qualitative Study"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7125-8194","authenticated-orcid":false,"given":"Sachi","family":"Takeuchi","sequence":"first","affiliation":[{"name":"Department of Population, Family and Reproductive Health Johns Hopkins Bloomberg School of Public Health  Baltimore USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9668-9647","authenticated-orcid":false,"given":"Kuniko","family":"Hagiwara","sequence":"additional","affiliation":[{"name":"Graduate School of Medical Safety Management Jikei University of Health Care Sciences  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4639-8814","authenticated-orcid":false,"given":"Takehisa","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Osaka University Graduate School of Medicine  Suita Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization WHO Guideline on Self\u2010Care Interventions for Health and Well\u2010Being(2022) https:\/\/www.who.int\/publications\u2010detail\u2010redirect\/9789240052192."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13188"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-7795.2010.00728.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60149-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S181195"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.24837"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002553"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.14106"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8888"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S53504"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/abm\/kaac075"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2008.04.005"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000003549"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S184991"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.13709"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.11386\/jst.58.2_93"},{"key":"e_1_2_9_18_1","unstructured":"HARC Prrecision Paradigm Framework\u2010Context https:\/\/hvresearch.org\/precision\u2010paradigm\u2010framework\/context\/."},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-022-01201-y"},{"volume-title":"Qualitative Research Practice Note","year":"2007","author":"Kayama M.","key":"e_1_2_9_20_1"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139152198.005"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000159"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000536"},{"volume-title":"Three Theories of Child Development: The Contributions of Erik H. 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