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The metaverse, offering psychological safety through avatar-based interactions, presents a promising approach to address these developmental challenges. This pilot study aimed to develop and evaluate the feasibility and acceptability of a metaverse-based program designed to support healthcare transition and improve quality of life in adolescents with SB.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Following intervention development and expert validation, eight Korean adolescents with SB (aged 13\u221215 years) were recruited from a tertiary care center. Feasibility and acceptability were evaluated through pre- and post-intervention assessments and interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All participants completed a four-week program, with a 100% retention rate and high satisfaction scores for both the program and metaverse platform. While quantitative changes were not statistically significant, qualitative findings indicated positive experiences, including increased self-management awareness, emotional support through mentorship, and greater engagement facilitated via avatar-based interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The metaverse-based program effectively met the informational and psychosocial needs of adolescents with SB through peer support and avatar-based anonymity. These findings support the potential of metaverse platforms for enhancing healthcare transition in adolescents with SB.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261455147","type":"journal-article","created":{"date-parts":[[2026,5,23]],"date-time":"2026-05-23T12:26:25Z","timestamp":1779539185000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and feasibility of a metaverse-based program for health care transition and quality of life in adolescents with spina bifida: A pilot study"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7346-7902","authenticated-orcid":false,"given":"Hooyun","family":"Lee","sequence":"first","affiliation":[{"name":"Yonsei University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeseon","family":"Yun","sequence":"additional","affiliation":[{"name":"Dong-A University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2971-2927","authenticated-orcid":false,"given":"Kyua","family":"Kim","sequence":"additional","affiliation":[{"name":"Yonsei University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1583-8933","authenticated-orcid":false,"given":"Eunjeong","family":"Bae","sequence":"additional","affiliation":[{"name":"College of Nursing, Sungshin Women\u2019s University, Seoul, South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4622-2437","authenticated-orcid":false,"given":"Eun Kyoung","family":"Choi","sequence":"additional","affiliation":[{"name":"College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, South Korea"},{"name":"Yonsei University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,23]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5802"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2021.03.042"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2116032"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/apa.17275"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0250098"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-230052"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-200732"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.3233\/PRM-200734"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0165025416664432"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2022.07.004"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.7"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/tog.12603"},{"key":"e_1_3_7_14_2","volume-title":"Handbook of Motivation at School","author":"Juvonen J","year":"2016","unstructured":"Juvonen J, Knifsend C. 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