{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T22:29:20Z","timestamp":1784154560891,"version":"3.55.0"},"reference-count":59,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Government Department of Health and Aged Care"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Objectives: Informed by implementation science, this exploratory study examined the capabilities, opportunities, and motivations of Australian mental health clinicians (N = 38) associated with the implementation of exposure and response prevention (ERP) for youth (i.e., children and adolescents) with obsessive-compulsive disorder (OCD). It also explored how the capabilities and motivations of mental health clinicians untrained in ERP for youth (i.e., typical clinicians; n = 25) differed from clinicians experienced in the use of ERP for youth (i.e., experienced clinicians; n = 13). Methods: Questionnaires were administered to the entire sample alongside observational role-plays, which assessed observed adherence and competence delivering ERP against published best-practice standards among available participants. Results: In the whole sample, the reported time dedicated to implementing ERP was associated with a range of factors relating to capabilities, opportunities, and motivations to implement ERP. Experienced clinicians had greater knowledge, adherence, competence, and self-reported confidence using ERP and fewer negative beliefs about ERP relative to typical clinicians. They also intended to dedicate greater time to implementing within-session ERP for youth and reported greater within- and between-session time spent doing so compared to typical clinicians. The time intended to dedicate to implementing between-sessions ERP did not significantly differ between the clinician groups. Conclusions: In summary, compared to typical clinicians, experienced clinicians appeared to possess greater levels of capabilities and motivations to implement ERP for youth with OCD. Future research examining barriers and facilitators of ERP implementation in community settings and identifying effective strategies to improve it would benefit service provision and, ultimately, outcomes for youth.<\/jats:p>","DOI":"10.3390\/children12020156","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T08:57:48Z","timestamp":1738054668000},"page":"156","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Australian Clinicians\u2019 Capabilities, Opportunities, and Motivations in Implementing Exposure and Response Prevention for Youth with Obsessive-Compulsive Disorder: An Exploratory Study"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3586-9668","authenticated-orcid":false,"given":"Jason I.","family":"Racz","sequence":"first","affiliation":[{"name":"School of Applied Psychology, Griffith University, Southport, QLD 4222, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8028-9032","authenticated-orcid":false,"given":"Iain E.","family":"Perkes","sequence":"additional","affiliation":[{"name":"Discipline of Paediatrics & Child Health, School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW 2052, Australia"},{"name":"Discipline of Psychiatry & Mental Health, School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW 2052, Australia"},{"name":"Department of Psychological Medicine, The Sydney Children\u2019s Hospitals Network, Westmead, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5946-5679","authenticated-orcid":false,"given":"Andrea","family":"Bialocerkowski","sequence":"additional","affiliation":[{"name":"Griffith Health, Griffith University, Southport, QLD 4222, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4854-3314","authenticated-orcid":false,"given":"Katelyn M.","family":"Dyason","sequence":"additional","affiliation":[{"name":"Discipline of Psychiatry & Mental Health, School of Clinical Medicine, Faculty of Medicine & Health, University of New South Wales, Sydney, NSW 2052, Australia"},{"name":"Department of Psychological Medicine, The Sydney Children\u2019s Hospitals Network, Westmead, NSW 2145, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5035-1744","authenticated-orcid":false,"given":"Jessica R.","family":"Grisham","sequence":"additional","affiliation":[{"name":"School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9277-131X","authenticated-orcid":false,"given":"Matthew L.","family":"McKenzie","sequence":"additional","affiliation":[{"name":"School of Applied Psychology, Griffith University, Southport, QLD 4222, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4231-2227","authenticated-orcid":false,"given":"Lara J.","family":"Farrell","sequence":"additional","affiliation":[{"name":"School of Applied Psychology, Griffith University, Southport, QLD 4222, Australia"},{"name":"Centre for Mental Health, Griffith University, Southport, QLD 4222, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2022). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association Publishing. [5th ed.]. text rev.","DOI":"10.1176\/appi.books.9780890425787"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Abramowitz, J.S., McKay, D., and Storch, E.A. (2017). Description and prevalence of OCD in children and adolescents. The Wiley Handbook of Obsessive Compulsive Disorders, Wiley.","DOI":"10.1002\/9781118890233"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1007\/s10578-021-01261-z","article-title":"The cost of obsessive\u2013compulsive disorder in Swedish youth","volume":"54","author":"Lenhard","year":"2023","journal-title":"Child Psychiatry Hum. Dev."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1089\/104454603322126359","article-title":"Functional impairment in children and adolescents with obsessive-compulsive disorder","volume":"13","author":"Piacentini","year":"2003","journal-title":"J. Child Adolesc. Psychopharmacol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1111\/j.1600-0447.2004.00302.x","article-title":"Long-term outcome of pediatric obsessive\u2013compulsive disorder: A meta-analysis and qualitative review of the literature","volume":"110","author":"Stewart","year":"2004","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s11920-019-1015-2","article-title":"Epidemiological and clinical gender differences in OCD","volume":"21","author":"Mathes","year":"2019","journal-title":"Curr. Psychiatry Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s00787-020-01495-7","article-title":"Risk factors for obsessive\u2013compulsive symptoms. Follow-up of a community-based youth cohort","volume":"30","author":"Szejko","year":"2021","journal-title":"Eur. Child Adolesc. Psychiatry"},{"key":"ref_8","first-page":"e100580","article-title":"Symptom trajectories of early responders and remitters among youth with OCD","volume":"27","author":"Rech","year":"2020","journal-title":"J. Obs.-Compuls. Relat. Disord."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Ziegler, S., Bednasch, K., Baldofski, S., and Rummel-Kluge, C. (2021). Long durations from symptom onset to diagnosis and from diagnosis to treatment in obsessive-compulsive disorder: A retrospective self-report study. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0261169"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1016\/j.genhosppsych.2023.09.008","article-title":"Hospital admission characteristics for children and adolescents with OCD in Sydney, Australia","volume":"85","author":"Dyason","year":"2023","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jaac.2011.09.019","article-title":"Practice parameter for the assessment and treatment of children and adolescents with obsessive-compulsive disorder","volume":"51","author":"Geller","year":"2012","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1111\/j.1469-7610.2007.01875.x","article-title":"Meta-analysis of randomized, controlled treatment trials for pediatric obsessive-compulsive disorder","volume":"49","author":"Watson","year":"2008","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1002\/da.22389","article-title":"A meta-analysis of cognitive behavior therapy and medication for child obsessive\u2013compulsive disorder: Moderators of treatment efficacy, response, and remission","volume":"32","author":"McGuire","year":"2015","journal-title":"Depress. Anxiety"},{"key":"ref_14","unstructured":"Peris, T.S., Storch, E.A., and McGuire, J.F. (2020). Exposure with response prevention for obsessive-compulsive disorder in children and adolescents. Exposure Therapy for Children with Anxiety and OCD: Clinician\u2019s Guide to Integrated Treatment, Elsevier Academic Press."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.cbpra.2017.12.003","article-title":"An inhibitory learning approach to cognitive-behavioral therapy for children and adolescents","volume":"26","author":"McGuire","year":"2019","journal-title":"Cogn. Behav. Pract."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1037\/a0038402","article-title":"Trajectories of change in youth anxiety during cognitive-behavior therapy","volume":"83","author":"Peris","year":"2015","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.brat.2015.07.011","article-title":"The feasibility of improving CBT for childhood anxiety disorders through a dismantling study","volume":"73","author":"Whiteside","year":"2015","journal-title":"Behav. Res. Ther."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1080\/01612840701354570","article-title":"Pediatric obsessive-compulsive disorder: A guide to assessment and treatment","volume":"28","author":"Keeley","year":"2007","journal-title":"Issues Ment. Health Nurs."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e113854","DOI":"10.1016\/j.psychres.2021.113854","article-title":"Knowledge and competency standards for specialized cognitive behavior therapy for pediatric obsessive-compulsive disorder","volume":"299","author":"Piacentini","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_20","first-page":"e100498","article-title":"Clinician-reported barriers to using exposure with response prevention in the treatment of paediatric obsessive-compulsive disorder","volume":"24","author":"Keleher","year":"2020","journal-title":"J. Obs. Compuls. Relat. Disord."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.janxdis.2018.06.002","article-title":"Exposure therapy for youth with anxiety: Utilization rates and predictors of implementation in a sample of practicing clinicians from across the United States","volume":"58","author":"Reid","year":"2018","journal-title":"J. Anxiety Disord."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1007\/s11414-023-09838-3","article-title":"Delivery of exposure and response prevention among veterans with obsessive\u2013compulsive disorder","volume":"50","author":"Hertz","year":"2023","journal-title":"J. Behav. Health Serv. Res."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Sars, D., and van Minnen, A. (2015). On the use of exposure therapy in the treatment of anxiety disorders: A survey among cognitive behavioural therapists in the Netherlands. BMC Psychol., 3.","DOI":"10.1186\/s40359-015-0083-2"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1080\/16506073.2018.1494750","article-title":"\u201cPhobie \u00e0 deux\u201d and other reasons why clinicians do not apply exposure with response prevention in patients with obsessive\u2013compulsive disorder","volume":"48","author":"Moritz","year":"2019","journal-title":"Cogn. Behav. Ther."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1007\/s10597-017-0108-9","article-title":"Common barriers to the dissemination of exposure therapy for youth with anxiety disorders","volume":"53","author":"Reid","year":"2017","journal-title":"Community Ment. Health J."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Racz, J.I., Perkes, I.E., Bialocerkowski, A., Dyason, K.M., Grisham, J.R., McKenzie, M.L., and Farrell, L.J. (Child Psychiatry Hum. Dev., 2025). Training community clinicians in implementing CBT-ERP for youth with OCD: A pilot study in Australian community mental health services, Child Psychiatry Hum. Dev., advance online publication.","DOI":"10.1007\/s10578-024-01805-z"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1017\/bec.2020.9","article-title":"The impact of Australian psychologists\u2019 education, beliefs, theoretical understanding, and attachment on the use and implementation of exposure therapy","volume":"37","author":"Rowe","year":"2020","journal-title":"Behav. Change"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1111\/j.1742-9544.2010.00011.x","article-title":"The emphasis on cognitive-behavioural therapy within clinical psychology training at Australian and New Zealand universities: A survey of program directors","volume":"46","author":"Kazantzis","year":"2011","journal-title":"Aust. Psychol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1467","DOI":"10.1176\/appi.ps.54.11.1467","article-title":"New Freedom Commission report: The President\u2019s New Freedom Commission: Recommendations to transform mental health care in America","volume":"54","author":"Hogan","year":"2003","journal-title":"Psychiatr. Serv."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1111\/jcpp.12960","article-title":"Annual research review: The state of implementation science in child psychology and psychiatry: A review and suggestions to advance the field","volume":"60","author":"Williams","year":"2019","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s10488-015-0689-y","article-title":"Post-training beliefs, intentions, and use of prolonged exposure therapy by clinicians in the Veterans Health Administration","volume":"44","author":"Ruzek","year":"2017","journal-title":"Adm. Policy Ment. Health Ment. Health Serv. Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1037\/a0018121","article-title":"The dissemination and implementation of evidence-based psychological treatments: A review of current efforts","volume":"65","author":"McHugh","year":"2010","journal-title":"Am. Psychol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1007\/s10567-024-00478-3","article-title":"Determinants of exposure therapy implementation in clinical practice for the treatment of anxiety, OCD, and PTSD: A systematic review","volume":"27","author":"Racz","year":"2024","journal-title":"Clin. Child Fam. Psychol. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1016\/j.brat.2009.07.002","article-title":"Dissemination of effective mental health treatment procedures: Maximizing the return on a significant investment","volume":"47","author":"Chorpita","year":"2009","journal-title":"Behav. Res. Ther."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1186\/1748-5908-1-1","article-title":"Welcome to implementation science","volume":"1","author":"Eccles","year":"2006","journal-title":"Implement. Sci."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1186\/1748-5908-6-42","article-title":"The behaviour change wheel: A new method for characterising and designing behaviour change interventions","volume":"6","author":"Michie","year":"2011","journal-title":"Implement. Sci."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e12330","DOI":"10.1111\/cpsp.12330","article-title":"Therapist training in evidence-based interventions for mental health: A systematic review of training approaches and outcomes","volume":"27","author":"Frank","year":"2020","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e101887","DOI":"10.1016\/j.cpr.2020.101887","article-title":"A meta-analysis of the effects of training clinicians in exposure therapy on knowledge, attitudes, intentions, and behavior","volume":"80","author":"Trivasse","year":"2020","journal-title":"Clin. Psychol. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/chp.47","article-title":"Lost in knowledge translation: Time for a map?","volume":"26","author":"Graham","year":"2006","journal-title":"J. Contin. Educ. Health Prof."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e113753","DOI":"10.1016\/j.psychres.2021.113753","article-title":"Introduction to knowledge and competency standards for specialized treatments for obsessive-compulsive disorder throughout the lifespan: Phase two series by the International Accreditation Task Force of the Canadian Institute for Obsessive Compulsive Disorders (CIOCD, www.ciocd.ca)","volume":"298","author":"Sookman","year":"2021","journal-title":"Psychiatry Res."},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Harris, P.A., Taylor, R., Minor, B.L., Elliott, V., Fernandez, M., O\u2019Neal, L., McLeod, L., Delacqua, G., Delacqua, F., and Kirby, J. (2019). The REDCap consortium: Building an international community of software platform partners. J. Biomed. Inform., 95.","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.janxdis.2013.04.006","article-title":"Assessing therapist reservations about exposure therapy for anxiety disorders: The therapist beliefs about exposure scale","volume":"27","author":"Deacon","year":"2013","journal-title":"J. Anxiety Disord."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.beth.2014.09.004","article-title":"Specific phobias in youth: A randomized controlled trial comparing one-session treatment to a parent-augmented one-session treatment","volume":"46","author":"Ollendick","year":"2015","journal-title":"Behav. Ther."},{"key":"ref_44","first-page":"55","article-title":"Attention check items and instructions in online surveys: Boon or bane for data quality?","volume":"14","author":"Shamon","year":"2020","journal-title":"Surv. Res. Methods"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1037\/0022-006X.61.4.620","article-title":"Testing the integrity of a psychotherapy protocol: Assessment of adherence and competence","volume":"61","author":"Waltz","year":"1993","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jcm.2016.02.012","article-title":"A guideline of selecting and reporting intraclass correlation coefficients for reliability research","volume":"15","author":"Koo","year":"2016","journal-title":"J. Chiropr. Med."},{"key":"ref_47","unstructured":"Lopreiato, J. (2024, July 24). Healthcare Simulation Dictionary, Available online: https:\/\/www.ahrq.gov\/sites\/default\/files\/publications\/files\/sim-dictionary.pdf."},{"key":"ref_48","unstructured":"Australian Physiotherapy Council (2024, July 24). Clinical Assessment Information Booklet. Available online: https:\/\/cdn.physiocouncil.com.au\/assets\/volumes\/downloads\/Clinical-Assessment-Information-Booklet.pdf."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/sim.2231","article-title":"Multiple imputation techniques in small sample clinical trials","volume":"25","author":"Barnes","year":"2006","journal-title":"Stat. Med."},{"key":"ref_50","first-page":"72","article-title":"Different outcomes of the Wilcoxon-Mann-Whitney test from different statistics packages","volume":"54","author":"Bergmann","year":"2000","journal-title":"Am. Stat."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.janxdis.2016.04.001","article-title":"Factors associated with practitioners\u2019 use of exposure therapy for childhood anxiety disorders","volume":"40","author":"Whiteside","year":"2016","journal-title":"J. Anxiety Disord."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1186\/1748-5908-7-37","article-title":"Validation of the theoretical domains framework for use in behaviour change and implementation research","volume":"7","author":"Cane","year":"2012","journal-title":"Implement. Sci."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.janxdis.2017.04.002","article-title":"Predictors of clinician use of exposure therapy in community mental health settings","volume":"49","author":"Okamura","year":"2017","journal-title":"J. Anxiety Disord."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"e77","DOI":"10.1186\/s13012-017-0605-9","article-title":"A guide to using the theoretical domains framework of behaviour change to investigate implementation problems","volume":"12","author":"Atkins","year":"2017","journal-title":"Implement. Sci."},{"key":"ref_55","first-page":"e100895","article-title":"Clinician-reported challenges associated with delivery of exposure with response prevention for patients with obsessive-compulsive disorder","volume":"42","author":"Ramsey","year":"2024","journal-title":"J. Obs.-Compuls. Relat. Disord."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1176\/appi.ps.201400134","article-title":"Barriers to and facilitators in the implementation of cognitive-behavioral therapy for youth anxiety in the community","volume":"66","author":"Ringle","year":"2015","journal-title":"Psychiatr. Serv."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1080\/15374416.2017.1381914","article-title":"Benchmarking treatment adherence and therapist competence in individual cognitive-behavioral treatment for youth anxiety disorders","volume":"48","author":"McLeod","year":"2019","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"ref_58","first-page":"e4666","article-title":"Does the therapy manual or the therapist matter most in treatment of obsessive-compulsive disorder? A randomized controlled trial of exposure with response or ritual prevention in 118 patients","volume":"71","author":"Smit","year":"2010","journal-title":"J. Clin. Psychiatry"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1017\/bec.2014.20","article-title":"The barriers to seeking treatment for obsessive-compulsive disorder in an Australian population","volume":"31","author":"Gentle","year":"2014","journal-title":"Behav. Change"}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/2\/156\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:37:52Z","timestamp":1759919872000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/12\/2\/156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,28]]},"references-count":59,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,2]]}},"alternative-id":["children12020156"],"URL":"https:\/\/doi.org\/10.3390\/children12020156","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,28]]}}}