{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:42:40Z","timestamp":1792258960866,"version":"4.4.0"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:00Z","timestamp":1791936000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pediatric palliative care (PPC) requires specific knowledge and skills, yet healthcare professionals often report limited training. This study assessed baseline PPC knowledge among professionals and the impact of a brief digital educational intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess healthcare professionals\u2019 knowledge of PPC and identify knowledge gaps, and explore the feasibility and effect of a non-formal digital educational intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A quasi-experimental pre-test\/post-test pilot study was conducted in a pediatric department of a level II hospital in Lisbon, Portugal, between 2024 and 2025. Physicians and nurses completed a questionnaire assessing PPC knowledge, previous training, and perceived barriers. A digital educational campaign was implemented, followed by reassessment using the same theoretical questions. Paired analyses were performed. Data was analyzed using JASP\u00ae.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>43 professionals completed the baseline questionnaire, 21 completed both phases. Baseline theoretical knowledge was generally high, with a mean score of 86.6% \u00b1 5.7, but lower scores were observed in symptom management. Post-intervention scores showed small numerical improvements in selected domains, although not statistically significant. Among participants with lower baseline knowledge, the overall score improved significantly after the intervention. Participants identified barriers to PPC, including negative family perceptions (65.1%), lack of support services (55.8%), and funding and resource limitations (46.5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Healthcare professionals demonstrated good baseline theoretical knowledge of pediatric palliative care, although important gaps were identified. The digital flashcard-based intervention was feasible and associated with improvements in selected domains, especially among participants with lower baseline knowledge. These findings may support the value of targeted, accessible, and continuous educational strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261498809","type":"journal-article","created":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:31:50Z","timestamp":1792020710000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Palliative Care Knowledge Among Health Professionals: Baseline Assessment and Pilot of a Digital Educational Intervention"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5572-1191","authenticated-orcid":false,"given":"Catarina","family":"Ferreira Nunes","sequence":"first","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o Pedro","family":"Valente","sequence":"additional","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constan\u00e7a","family":"Vasconcelos","sequence":"additional","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Ravara","sequence":"additional","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9","family":"Garrido","sequence":"additional","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Moniz","sequence":"additional","affiliation":[{"name":"Hospital Prof. Doutor Fernando Fonseca, EPE"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"Integrating Palliative Care and Symptom Relief into Paediatrics: A WHO Guide for Health-Care Planners, Implementers and Managers","author":"World Health Organization","year":"2018","unstructured":"World Health Organization. Integrating Palliative Care and Symptom Relief into Paediatrics: A WHO Guide for Health-Care Planners, Implementers and Managers. World Health Organization; 2018. Accessed [date]. https:\/\/www.who.int\/publications\/i\/item\/9789241514453"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.12968\/ijpn.2009.15.9.44255"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjpo-2025-004413"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000802"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0193945916680615"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2026.107376"},{"key":"e_1_3_5_8_2","volume-title":"Crit\u00e9rios de Referencia\u00e7\u00e3o para Equipas Especializadas de Cuidados Paliativos Pedi\u00e1tricos [Referral criteria for specialized pediatric palliative care teams]","author":"Comiss\u00e3o Nacional de Cuidados Paliativos","year":"2023","unstructured":"Comiss\u00e3o Nacional de Cuidados Paliativos. Crit\u00e9rios de Referencia\u00e7\u00e3o para Equipas Especializadas de Cuidados Paliativos Pedi\u00e1tricos [Referral criteria for specialized pediatric palliative care teams]. Comiss\u00e3o Nacional de Cuidados Paliativos; 2023."},{"key":"e_1_3_5_9_2","volume-title":"Plano Estrat\u00e9gico Para o Desenvolvimento dos Cuidados Paliativos em Portugal Continental: Bi\u00e9nio 2023-2024 [Strategic plan for the development of palliative care in mainland Portugal, 2023-2024]","author":"Comiss\u00e3o Nacional de Cuidados Paliativos","year":"2023","unstructured":"Comiss\u00e3o Nacional de Cuidados Paliativos. Plano Estrat\u00e9gico Para o Desenvolvimento dos Cuidados Paliativos em Portugal Continental: Bi\u00e9nio 2023-2024 [Strategic plan for the development of palliative care in mainland Portugal, 2023-2024]. Comiss\u00e3o Nacional de Cuidados Paliativos; 2023."},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.20344\/amp.18071"},{"key":"e_1_3_5_11_2","volume-title":"Proposta de Modelo Organizacional dos Cuidados Paliativos nas ULS: Servi\u00e7o Integrado de Cuidados Paliativos [Proposed organizational model for palliative care in local health units: integrated palliative care service]","author":"Comiss\u00e3o Nacional de Cuidados Paliativos","year":"2023","unstructured":"Comiss\u00e3o Nacional de Cuidados Paliativos. Proposta de Modelo Organizacional dos Cuidados Paliativos nas ULS: Servi\u00e7o Integrado de Cuidados Paliativos [Proposed organizational model for palliative care in local health units: integrated palliative care service]. Comiss\u00e3o Nacional de Cuidados Paliativos. 2023."},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2023-326776"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.27457"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/medu.12549"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31265"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-057011"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.30484"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-12-43"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261498809","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091261498809","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091261498809","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T16:54:36Z","timestamp":1792256076000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091261498809"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,14]]},"references-count":17,"alternative-id":["10.1177\/10499091261498809"],"URL":"https:\/\/doi.org\/10.1177\/10499091261498809","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,14]]},"article-number":"10499091261498809"}}