{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:25:19Z","timestamp":1784067919847,"version":"3.55.0"},"reference-count":103,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Psychosocial and cognitive interventions are increasingly implemented in pediatric hospital settings. However, evidence regarding their structure, delivery, and outcomes remains dispersed. This scoping review aimed to synthesize current evidence on these interventions, focusing on their design, professional delivery, reported outcomes, and existing research gaps. It was conducted using established scoping review methodology and is reported in accordance with PRISMA-ScR guidelines. Systematic searches were conducted in PubMed, Scopus, Web of Science, PsycINFO, and ProQuest Dissertations to identify peer-reviewed and grey literature published between 2009 and 2024. Following study selection based on predefined inclusion criteria, data were charted using a standardized data extraction form and analyzed to synthesize and map key characteristics of interventions and outcomes in relation to the review questions. Sixty-one studies met the inclusion criteria. Interventions primarily targeted school-aged children and adolescents and were delivered by psychologists, educators, and nurses, frequently within interdisciplinary teams. A wide range of materials and resources were used, including digital technologies, playful and artistic materials, audiovisual and informational supports, and sensory or therapeutic objects. Techniques primarily involved guided conversation, cognitive and body-based exercises, and play-based approaches. Outcomes mainly focused on emotional well-being and recovery, while fewer interventions explicitly addressed cognitive processes such as attention and executive functioning. Overall, reported effects were generally positive. These findings suggest that psychosocial and cognitive interventions in pediatric hospital settings reflect a wide range of approaches, while also revealing methodological heterogeneity, variability in reporting, and the underrepresentation of low- and middle-income countries, pointing to the need for more robust and inclusive future research.<\/jats:p>","DOI":"10.3390\/ejihpe16030041","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T08:43:31Z","timestamp":1773132211000},"page":"41","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Intervention Practices for Promoting Well-Being and Cognitive Development in Hospitalized Children: A Scoping Review"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3660-2950","authenticated-orcid":false,"given":"Sof\u00eda","family":"Castro-Trigo","sequence":"first","affiliation":[{"name":"CEU Escuela Internacional de Doctorado (CEINDO), Universidad San Pablo-CEU, CEU Universities, Urbanizaci\u00f3n Montepr\u00edncipe, Av. de Montepr\u00edncipe s\/n, 28668 Madrid, Spain"},{"name":"Universidad Cat\u00f3lica del Uruguay, Av. 8 de Octubre 2738, Montevideo 11600, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7379-0571","authenticated-orcid":false,"given":"Alexa von","family":"Hagen","sequence":"additional","affiliation":[{"name":"Independent Researcher, 60316 Frankfurt am Main, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1976-7653","authenticated-orcid":false,"given":"Paloma","family":"Alonso-Stuyck","sequence":"additional","affiliation":[{"name":"Department of Psychology, Abat Oliba CEU University, CEU Universities, Carrer de Bellesguard 30, 08022 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7154-0309","authenticated-orcid":false,"given":"Pau","family":"Miquel","sequence":"additional","affiliation":[{"name":"Pediatric Palliative Care and Chronicity Research Group, Sant Joan de D\u00e9u Research Institute (IRSJD), Hospital Sant Joan de D\u00e9u, Esplugues de Llobregat, 08950 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2713-3630","authenticated-orcid":false,"given":"Donovan","family":"Barba-Reynoso","sequence":"additional","affiliation":[{"name":"School of Pedagogy and Psychology, Universidad Panamericana, \u00c1lvaro del Portillo 49, Zapopan 45010, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agustina","family":"Quintero","sequence":"additional","affiliation":[{"name":"Universidad Cat\u00f3lica del Uruguay, Av. 8 de Octubre 2738, Montevideo 11600, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julieta","family":"Zorrilla de San Mart\u00edn","sequence":"additional","affiliation":[{"name":"Universidad Cat\u00f3lica del Uruguay, Av. 8 de Octubre 2738, Montevideo 11600, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2088-382X","authenticated-orcid":false,"given":"Augusto","family":"Ferreira-Umpi\u00e9rrez","sequence":"additional","affiliation":[{"name":"Universidad Cat\u00f3lica del Uruguay, Av. 8 de Octubre 2738, Montevideo 11600, Uruguay"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Abazari, L., Ghonchehpour, A., Abazari, A., Isari, Z., Abbaszadeh, M. H., and Tavan, A. (2025). Experiences of children during hospitalization: Content analysis of interviews and paintings. BMC Pediatrics, 25, (1).","DOI":"10.1186\/s12887-025-05529-4"},{"key":"ref_2","first-page":"37","article-title":"Integrating child life specialists in pediatric oncology and hematology care: A narrative review","volume":"5","author":"Abdelkhalik","year":"2024","journal-title":"The Journal of Pediatric Academy"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Abdi, F., Karamoozian, A., Lotfilou, M., Gholami, F., Shaterian, N., Niasar, A. A., Aghapour, E., and Jandaghian-Bidgoli, M. (2025). Effect of play therapy and storytelling on the anxiety level of hospitalized children: A randomized controlled trial. BMC Complementary Medicine and Therapies, 25, (1).","DOI":"10.1186\/s12906-025-04767-4"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1007\/s12671-020-01506-3","article-title":"A randomized clinical trial of a modified mindfulness-based cognitive therapy for children hospitalized with cancer","volume":"12","author":"Abedini","year":"2021","journal-title":"Mindfulness"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"97","DOI":"10.33545\/26648377.2024.v6.i1b.48","article-title":"Psychological impact of hospitalization on child and family and the role of nursing care","volume":"6","author":"Ahmed","year":"2024","journal-title":"International Journal of Psychology Sciences"},{"key":"ref_6","unstructured":"Alade, K. (2021). Examination of cognitive flexibility over time in response to a cognitive rehabilitation program in pediatric traumatic brain injury patients, ProQuest Dissertations Publishing. Available online: https:\/\/www.proquest.com\/docview\/2600354852\/abstract\/59DE94F6C4254275PQ\/1."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"126713","DOI":"10.1016\/j.ufug.2020.126713","article-title":"The role of dish gardens on the physical and neuropsychological improvement of hospitalized children","volume":"53","author":"Kazemi","year":"2020","journal-title":"Urban Forestry & Urban Greening"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1007\/s10566-019-09532-6","article-title":"The effects of hospital clowning on physical and emotional states of pediatric patients during chemotherapy treatment","volume":"49","author":"Arriaga","year":"2020","journal-title":"Child & Youth Care Forum"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.2196\/pediatrics.9576","article-title":"Home to hospital live streaming with virtual reality goggles: A qualitative study exploring the experiences of hospitalized children","volume":"1","author":"Bakker","year":"2018","journal-title":"JMIR Pediatrics and Parenting"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.anpede.2019.12.006","article-title":"Chronic diseases in the paediatric population: Comorbidities and use of primary care services","volume":"93","author":"Lagos","year":"2020","journal-title":"Anales de Pediatr\u00eda (English Edition)"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"539","DOI":"10.6018\/eglobal.413211","article-title":"Interven\u00e7\u00f5es de enfermagem promotoras da adapta\u00e7\u00e3o da crian\u00e7a\/jovem\/fam\u00edlia \u00e0 hospitaliza\u00e7\u00e3o: Uma scoping review","volume":"20","author":"Barros","year":"2021","journal-title":"Enfermer\u00eda Global"},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Bastidas-Rivera, S., S\u00e1nchez, J. E., Sierra, Y., and Gonz\u00e1lez, L. (Research Square, 2023). The hospital classroom, an opportunity for educational inclusion, PREPRINT (Version 1), Research Square.","DOI":"10.1007\/s42087-023-00362-6"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1159\/000479532","article-title":"Design of a self-management program for children aged 6\u201312 years with type 1 diabetes mellitus at the community hospital herdecke, Germany","volume":"24","author":"Berger","year":"2017","journal-title":"Complementary Medicine Research"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"213","DOI":"10.5958\/0976-5506.2018.00710.6","article-title":"Effectiveness of an organized play session among hospitalized children and parents\u2019 attitude","volume":"9","author":"Bhama","year":"2018","journal-title":"Indian Journal of Public Health Research & Development"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Bharuchi, V. N. A., and Rasheed, M. A. (2024). Effect of play-based intervention on children\u2019s mental status and caregiver involvement during hospitalization: Findings from Pakistan. BMC Pediatrics, 24.","DOI":"10.1186\/s12887-024-04659-5"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Binarelli, G., Joly, F., Tron, L., Lefevre Arbogast, S., and Lange, M. (2021). Management of cancer-related cognitive impairment: A systematic review of computerized cognitive stimulation and computerized physical activity. Cancers, 13, (20).","DOI":"10.3390\/cancers13205161"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1111\/j.1447-0349.2009.00618.x","article-title":"An examination of frequent nursing interventions and outcomes in an adolescent psychiatric inpatient unit","volume":"18","author":"Bobier","year":"2009","journal-title":"International Journal of Mental Health Nursing"},{"key":"ref_18","first-page":"243","article-title":"Manejo de la ansiedad en el paciente pedi\u00e1trico oncol\u00f3gico y su cuidador durante la hospitalizaci\u00f3n a trav\u00e9s de musicoterapia","volume":"11","year":"2014","journal-title":"Psicooncolog\u00eda"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1177\/1359104520918641","article-title":"An intensive form of trauma focused cognitive behaviour therapy in an acute adolescent inpatient unit: An uncontrolled open trial","volume":"25","author":"Cabrera","year":"2020","journal-title":"Clinical Child Psychology and Psychiatry"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"l6890","DOI":"10.1136\/bmj.l6890","article-title":"Synthesis without meta-analysis (SWiM) in systematic reviews: Reporting guideline","volume":"368","author":"Campbell","year":"2020","journal-title":"BMJ"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1177\/1937586718779219","article-title":"The role of hospital design in reducing anxiety for pediatric patients","volume":"11","author":"Cartland","year":"2018","journal-title":"HERD Health Environments Research & Design Journal"},{"key":"ref_22","first-page":"750","article-title":"Real time reorientation and cognitive load adjustment allow for broad application of virtual reality in a pediatric hospital","volume":"7","author":"Caruso","year":"2021","journal-title":"Journal of Clinical and Translational Research"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e20190399","DOI":"10.1590\/0034-7167-2019-0399","article-title":"The hospital designed by hospitalized children and adolescents","volume":"73","author":"Cassemiro","year":"2020","journal-title":"Revista Brasileira de Enfermagem"},{"key":"ref_24","unstructured":"Chivington, K. J. (2016). The effects of music therapy and harmonica with pediatric patients admitted for respiratory issues. [Master\u2019s thesis, Florida State University Libraries]."},{"key":"ref_25","first-page":"142","article-title":"La promoci\u00f3n del bienestar en ni\u00f1os hospitalizados a trav\u00e9s de una metodolog\u00eda interdisciplinaria","volume":"22","year":"2018","journal-title":"Medicentro Electr\u00f3nica"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1542\/hpeds.2020-002535","article-title":"Effects of a poetry intervention on emotional wellbeing in hospitalized pediatric patients","volume":"11","author":"Delamerced","year":"2021","journal-title":"Hospital Pediatrics"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"567","DOI":"10.2217\/cpr.13.51","article-title":"A model of child life intervention to facilitate effective coping in a child hospitalized for heart surgery","volume":"10","author":"Dolidze","year":"2013","journal-title":"Clinical Practice"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1179\/1743291X13Y.0000000049","article-title":"Integrating music therapy into pediatric palliative care","volume":"21","author":"Duda","year":"2013","journal-title":"Progress in Palliative Care"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e99","DOI":"10.1097\/BCR.0b013e3182853e97","article-title":"\u201cRemember Me\u201d program","volume":"34","author":"Dunlap","year":"2013","journal-title":"Journal of Burn Care & Research"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1177\/1043454213514633","article-title":"Results of a nurse-led intervention","volume":"30","author":"Ellis","year":"2013","journal-title":"Journal of Pediatric Oncology Nursing"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1037\/a0026074","article-title":"Treatment of co-occurring substance abuse and suicidality among adolescents: A randomized trial","volume":"79","author":"Spirito","year":"2011","journal-title":"Journal of Consulting and Clinical Psychology"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1093\/jpepsy\/jsad025","article-title":"Impact of hospitalizations due to chronic health conditions on early child development","volume":"48","author":"Fardell","year":"2023","journal-title":"Journal of Pediatric Psychology"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1111\/eip.12234","article-title":"Inpatient treatment has no impact on the core thoughts and perceptions in adolescents with anorexia nervosa","volume":"11","author":"Fennig","year":"2017","journal-title":"Early Intervention in Psychiatry"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"53","DOI":"10.33539\/educacion.2018.v24n1.1315","article-title":"Leucemia infantil: Necesidades e intervenci\u00f3n integral basadas en el modelo centrado en la persona","volume":"24","author":"Garay","year":"2018","journal-title":"Educaci\u00f3n"},{"key":"ref_35","first-page":"99","article-title":"Promoting emotional well-being in hospitalized children and adolescents with virtual reality","volume":"38","year":"2019","journal-title":"CIN Computers Informatics Nursing"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"69","DOI":"10.5354\/0719-5346.2019.53685","article-title":"Rol del Terapeuta Ocupacional en tratamiento de ni\u00f1os con delirium hospitalario infantil en unidades hospitalarias de Chile","volume":"19","author":"Gallegos","year":"2019","journal-title":"Revista Chilena de Terapia Ocupacional"},{"key":"ref_37","first-page":"290","article-title":"Revisi\u00f3n narrativa sobre humanizaci\u00f3n en cuidados intensivos pedi\u00e1tricos: \u00bfd\u00f3nde estamos?","volume":"43","author":"Calle","year":"2018","journal-title":"Medicina Intensiva"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1002\/cpp.2854","article-title":"The effectiveness of a day hospital mentalization-based therapy programme for adolescents with borderline personality traits: Findings from touchstone\u2013child and adolescent mental health service","volume":"30","author":"Gilbey","year":"2023","journal-title":"Clinical Psychology & Psychotherapy"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Godino, M. J., Martos, M. B., Suleiman, M., G\u00f3mez, J. L., Vargas, K., Membrive, M. J., and Albend\u00edn, L. (2020). Play therapy as an intervention in hospitalized children: A systematic review. Healthcare, 8, (3).","DOI":"10.3390\/healthcare8030239"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1080\/21622965.2016.1253478","article-title":"Cognitive and academic achievement changes associated with day hospital rehabilitation in children with acquired brain injury","volume":"7","author":"Goldstein","year":"2018","journal-title":"Applied Neuropsychology Child"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Gonz\u00e1lez-Gonz\u00e1lez, C. S., C\u00e1ceres-Garc\u00eda, L., and Violant-Holz, V. (2019). Bringing computational thinking to hospital classrooms. Proceedings of the seventh international conference on technological ecosystems for enhancing multiculturality, Association for Computing Machinery.","DOI":"10.1145\/3362789.3362908"},{"key":"ref_42","first-page":"375","article-title":"Rob\u00f3tica educativa en contextos inclusivos: El caso de las aulas hospitalarias","volume":"24","year":"2021","journal-title":"Educaci\u00f3n XX1"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"385","DOI":"10.5209\/PSIC.61444","article-title":"Intervenci\u00f3n cognitivo-conductual en cuidados paliativos pedi\u00e1tricos: Un caso cl\u00ednico","volume":"15","year":"2018","journal-title":"Psicooncolog\u00eda"},{"key":"ref_44","unstructured":"Grau, C. (2005). Educaci\u00f3n especial. Orientaciones pr\u00e1cticas, Aljibe."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1111\/jcpp.13460","article-title":"The early course and treatment of posttraumatic stress disorder in very young children: Diagnostic prevalence and predictors in hospital-attending children and a randomized controlled proof-of-concept trial of trauma-focused cognitive therapy, for 3- to 8-year-olds","volume":"63","author":"Hitchcock","year":"2022","journal-title":"Journal of Child Psychology and Psychiatry, and Allied Disciplines"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1136\/archdischild-2020-321285","article-title":"School academic performance of children hospitalised with a chronic condition","volume":"107","author":"Hu","year":"2022","journal-title":"Archives of Disease in Childhood"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/ams2.415","article-title":"Post-intensive care syndrome: Its pathophysiology, prevention, and future directions","volume":"6","author":"Inoue","year":"2019","journal-title":"Acute Medicine & Surgery"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.ijer.2017.02.012","article-title":"Engagement with education: Music education in a paediatric hospital","volume":"83","author":"Issaka","year":"2017","journal-title":"International Journal of Educational Research"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1007\/s10803-020-04471-x","article-title":"Group based cognitive behavioural therapy for anxiety in children with autism spectrum disorder: A randomised controlled trial in a general child psychiatric hospital setting","volume":"53","author":"Kilburn","year":"2023","journal-title":"Journal of Autism and Developmental Disorders"},{"key":"ref_50","first-page":"95","article-title":"Children\u2019s specialized hospital and GetWellNetwork collaborate to improve patient education and outcomes using an innovative approach","volume":"42","author":"Kompany","year":"2016","journal-title":"Pediatric Nursing"},{"key":"ref_51","unstructured":"Lagarde, C. (2018). A pilot study of the effects of a relaxation movement group on students attending a partial hospitalization program. [Doctoral dissertation, The State University of New Jersey]."},{"key":"ref_52","unstructured":"Lee, R. (2019). Efficacy of a preparation intervention for the management of children\u2019s pain and fear during needle procedures: Help from a robot named MEDi\u00ae. [Master\u2019s Thesis, University of Calgary]. Available online: http:\/\/hdl.handle.net\/1880\/110567."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e220687","DOI":"10.1001\/jamapediatrics.2022.0687","article-title":"Prevalence of children with medical complexity and associations with health care utilization and in-hospital mortality","volume":"176","author":"Leyenaar","year":"2022","journal-title":"JAMA Pediatrics"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Li, W., Chung, J. O. K., Ho, K. Y., and Kwok, B. M. C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC Pediatrics, 16, (1).","DOI":"10.1186\/s12887-016-0570-5"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"e63098","DOI":"10.2196\/63098","article-title":"Cooperative virtual reality gaming for anxiety and pain reduction in pediatric patients and their caregivers during painful medical procedures: Research protocol for a randomized control trial (Preprint)","volume":"14","author":"Liszio","year":"2024","journal-title":"JMIR Research Protocols"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"5","DOI":"10.21556\/edutec.2021.77.2143","article-title":"De qu\u00e9 hablamos cuando hablamos de pedagog\u00eda hospitalaria","volume":"77","author":"Lizasoain","year":"2021","journal-title":"Edutec Revista Electr\u00f3nica de Tecnolog\u00eda Educativa"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e20181511","DOI":"10.1542\/peds.2018-1511","article-title":"Social robots for hospitalized children","volume":"144","author":"Logan","year":"2019","journal-title":"Pediatrics"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1177\/1367493517697479","article-title":"A two-week inpatient programme with a booster improved long-term management of severe chronic paediatric pain","volume":"21","author":"Major","year":"2017","journal-title":"Journal of Child Health Care"},{"key":"ref_59","unstructured":"McClure, V. (2017). The impact of the Microsoft Office PowerPoint program on students with medical conditions in a home and hospital program. [Doctoral dissertation, Northern Illinois University]. Available online: https:\/\/huskiecommons.lib.niu.edu\/allgraduate-thesesdissertations\/5877."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1080\/02739615.2021.1890077","article-title":"Psychological outcomes after pediatric hospitalization: The role of trauma type","volume":"50","author":"Meentken","year":"2021","journal-title":"Children s Health Care"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., and Aromataris, E. (2018). Systematic review or scoping review? Guidance on selecting the review approach for evidence synthesis. BMC Medical Research Methodology, 18, (1).","DOI":"10.1186\/s12874-018-0611-x"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Mu\u00f1oz-Arteaga, J., Amador, C. V., Reyes, H. C., Esparza, M. O., and Agui\u00f1aga, C. O. (2021). Process model to develop educational applications for hospital school programs. New perspectives in software engineering, Springer.","DOI":"10.1007\/978-3-030-63329-5_6"},{"key":"ref_63","unstructured":"National Academies of Sciences, Engineering, and Medicine [NASEM] (2024). Launching lifelong health by improving health care for children, youth, and families, National Academies Press."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1177\/1043454209355983","article-title":"Music therapy to reduce pain and anxiety in children with cancer undergoing lumbar puncture: A randomized clinical trial","volume":"27","author":"Nguyen","year":"2010","journal-title":"Journal of Pediatric Oncology Nursing"},{"key":"ref_65","unstructured":"Noblecilla Castro, R. M. (2019). Recursos digitales para mejorar el desarrollo acad\u00e9mico y emocional de ni\u00f1os y adolescentes hospitalizados en el Instituto Nacional de Salud del Ni\u00f1o. [Master\u2019s thesis, Pontificia Universidad Cat\u00f3lica del Per\u00fa]. Available online: http:\/\/hdl.handle.net\/20.500.12404\/14597."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1080\/09297049.2015.1049941","article-title":"Cognitive training programs for childhood cancer patients and survivors: A critical review and future directions","volume":"22","author":"Olson","year":"2015","journal-title":"Child Neuropsychology"},{"key":"ref_67","unstructured":"Pan American Health Organization (2025, January 31). Child health, Available online: https:\/\/www.paho.org\/en\/topics\/child-health."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1177\/19375867231165763","article-title":"Designing well-being: A qualitative investigation of young patients\u2019 perspectives on the material hospital environment","volume":"16","author":"Payam","year":"2023","journal-title":"HERD Health Environments Research & Design Journal"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Aromataris, E., Lockwood, C., Porritt, K., Pilla, B., and Jordan, Z. (2024). Chapter 11: Scoping reviews. JBI manual for evidence synthesis, JBI.","DOI":"10.46658\/JBIMES-24-01"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1097\/XEB.0000000000000050","article-title":"Guidance for conducting systematic scoping reviews","volume":"13","author":"Peters","year":"2015","journal-title":"International Journal of Evidence-Based Healthcare"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1023\/A:1021284215801","article-title":"Child well-being: A systematic review of the literature","volume":"61","author":"Pollard","year":"2003","journal-title":"Social Indicators Research"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3109\/11038128.2012.729087","article-title":"Effect of play activities on hospitalized children\u2019s stress: A randomized clinical trial","volume":"20","author":"Potasz","year":"2013","journal-title":"Scandinavian Journal of Occupational Therapy"},{"key":"ref_73","unstructured":"Pottinger, H. L. (2017). Integrative wellness sessions in a pediatric hospital setting: A mixed-methods feasibility study to assess evaluation of the Hospital Heroes program at Banner\u2019s Diamond Children\u2019s Hospital, ProQuest Dissertations Publishing. Available online: https:\/\/repository.arizona.edu\/bitstream\/handle\/10150\/625669\/azu_etd_15817_sip1_m.pdf?sequence=1&isAllowed=y."},{"key":"ref_74","doi-asserted-by":"crossref","unstructured":"Ramachandran, S., Stensland, S., Corder, J. H., Cuomo, C., Dao, T.-V., and Natowicz, M. R. (2025). Adolescent to adult health care transition for persons with intellectual and developmental disability: Current barriers, next steps. Frontiers in Pediatrics, 13.","DOI":"10.3389\/fped.2025.1486325"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"432","DOI":"10.3126\/jnps.v41i3.36115","article-title":"The effectiveness of handicrafts on anxiety reduction among hospitalised children in paediatric ward of dhulikhel hospital","volume":"41","author":"Ranamagar","year":"2021","journal-title":"Journal of Nepal Paediatric Society"},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"e007863","DOI":"10.1136\/bmjgh-2021-007863","article-title":"Models of lifelong care for children and adolescents with chronic conditions in low-income and middle-income countries: A scoping review","volume":"7","author":"Reif","year":"2022","journal-title":"BMJ Global Health"},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Reitze, A., Voigt, M., Klawonn, F., Dusch, M., Grigull, L., and M\u00fccke, U. (2024). Impact of virtual reality on peri-interventional pain, anxiety and distress in a pediatric oncology outpatient clinic: A randomized controlled trial. BMC Pediatrics, 24, (1).","DOI":"10.1186\/s12887-024-04952-3"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"e24967","DOI":"10.2196\/24967","article-title":"Effectiveness of virtual reality interventions for adolescent patients in hospital settings: Systematic review","volume":"23","author":"Ridout","year":"2021","journal-title":"Journal of Medical Internet Research"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.11124\/JBIES-23-00025","article-title":"Child life specialist services, practice, and utilization across health care: A scoping review","volume":"22","author":"Rosenblatt","year":"2024","journal-title":"JBI Evidence Synthesis"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1146\/annurev.psych.52.1.141","article-title":"On happiness and human potentials: A review of research on hedonic and eudaimonic well-being","volume":"52","author":"Ryan","year":"2001","journal-title":"Annual Review of Psychology"},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1037\/0022-3514.57.6.1069","article-title":"Happiness is everything, or is it? Explorations on the meaning of psychological well-being","volume":"57","author":"Ryff","year":"1989","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1037\/0022-3514.69.4.719","article-title":"The structure of psychological well-being revisited","volume":"69","author":"Ryff","year":"1995","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_83","doi-asserted-by":"crossref","unstructured":"S\u00e1nchez, J. C., Porras, G. L., Viera, M. T., Olaya, J. C., Garc\u00eda, A., Mu\u00f1oz, L. V., Mesa, H., and Ram\u00edrez, A. F. (2024). Effects of clowning on anxiety, stress, pain, and hormonal markers in paediatric patients. BMC Pediatrics, 24, (1).","DOI":"10.1186\/s12887-024-05211-1"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"e29013","DOI":"10.1002\/pbc.29013","article-title":"The comfort ability program for adolescents with sickle cell pain: Evaluating feasibility and acceptability of an inpatient group-based clinical implementation","volume":"68","author":"Sil","year":"2021","journal-title":"Pediatric Blood & Cancer"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"3138","DOI":"10.3390\/nursrep14040228","article-title":"Child-centered care: A qualitative study exploring pediatric hospitalization through children\u2019s perspectives","volume":"14","year":"2024","journal-title":"Nursing Reports"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1136\/archdischild-2022-324874","article-title":"School lives of adolescent school students living with chronic physical health conditions: A qualitative evidence synthesis","volume":"108","author":"Spencer","year":"2023","journal-title":"Archives of Disease in Childhood"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1055\/s-0043-1777124","article-title":"Effectiveness of neuropediatric inpatient rehabilitation","volume":"55","author":"Stadler","year":"2024","journal-title":"Neuropediatrics"},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"213","DOI":"10.33546\/bnj.2054","article-title":"Effectiveness of art-based distraction in reducing pain and anxiety of hospitalized children during cannulation procedure: A randomized controlled trial","volume":"8","author":"Suleman","year":"2022","journal-title":"Belitung Nursing Journal"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1097\/MRR.0000000000000280","article-title":"Effect of inpatient rehabilitation on activities of daily living in pediatric cancer patients in Japan","volume":"41","author":"Taguchi","year":"2018","journal-title":"International Journal of Rehabilitation Research"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"e29164","DOI":"10.2196\/29164","article-title":"Immersive reality experience technology for reducing social isolation and improving social connectedness and well-being of children and young people who are hospitalized: Open trial","volume":"5","author":"Thabrew","year":"2022","journal-title":"JMIR Pediatrics and Parenting"},{"key":"ref_91","unstructured":"Toyama, H. (2021). Graded exposure treatment (GET) for pediatric chronic pain and its effect on parent-child dyads: The pain is relative. [Doctoral dissertation, Palo Alto University]."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"467","DOI":"10.7326\/M18-0850","article-title":"PRISMA extension for scoping reviews (PRISMA-ScR): Checklist and explanation","volume":"169","author":"Tricco","year":"2018","journal-title":"Annals of Internal Medicine"},{"key":"ref_93","unstructured":"United Nations (2024, July 30). Convention on the rights of the child. Office of the High Commissioner for Human Rights, Available online: https:\/\/www.ohchr.org\/en\/instruments-mechanisms\/instruments\/convention-rights-child."},{"key":"ref_94","unstructured":"United Nations (2024, July 30). UN population division data portal. Interactive access to global demographic indicators. Life expectancy at birth, Available online: https:\/\/population.un.org\/wpp\/."},{"key":"ref_95","unstructured":"Veritas Health Innovation (2024, July 02). Covidence systematic review software, Available online: https:\/\/www.covidence.org."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1515\/ijamh-2014-0009","article-title":"More than a break: The impact of a social-pedagogical intervention during young persons\u2019 long-term hospital admission\u2014A qualitative study","volume":"27","author":"Villadsen","year":"2015","journal-title":"International Journal of Adolescent Medicine and Health"},{"key":"ref_97","unstructured":"Viotti, F. (2018). La calidad de vida relacionada con la salud y el uso del tiempo en ni\u00f1os hospitalizados. [Doctoral thesis, Universidad de Salamanca]. Available online: https:\/\/gredos.usal.es\/bitstream\/handle\/10366\/139769\/DPETP_ViottiParreiraF_Calidaddevida.pdf?sequence=1&isAllowed=y."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/1469-7610.00302","article-title":"Effects of pediatric chronic physical disorders on child and family adjustment","volume":"39","author":"Wallander","year":"1998","journal-title":"Journal of Child Psychology and Psychiatry"},{"key":"ref_99","unstructured":"World Health Organization (2024, July 30). Framework on integrated, people-centred health services: Report by the director-general, Available online: https:\/\/apps.who.int\/iris\/handle\/10665\/252698."},{"key":"ref_100","unstructured":"World Health Organization (2025, January 20). Child deaths: Under-five mortality rate (per 1000 live births) (SDG 3.2.1), Available online: https:\/\/www.who.int\/data\/gho\/data\/indicators\/indicator-details\/GHO\/under-five-mortality-rate-(probability-of-dying-by-age-5-per-1000-live-births)."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.4187\/respcare.10971","article-title":"How to conduct a systematic review and meta-analysis: A guide for clinicians","volume":"68","author":"Zaccagnini","year":"2023","journal-title":"Respiratory Care"},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Zamani, M., Sigaroudi, A. E., Pouralizadeh, M., and Kazemnejad-Leili, E. (2022). Effect of the Digital Education Package (DEP) on prevention of anxiety in hospitalized children: A quasi-experimental study. BMC Nursing, 21, (1).","DOI":"10.1186\/s12912-022-01113-8"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1080\/13575279.2020.1792840","article-title":"Effects of hospital early childcare intervention in young children with cancer","volume":"28","author":"Zucchetti","year":"2020","journal-title":"Child Care in Practice"}],"container-title":["European Journal of Investigation in Health, Psychology and Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/3\/41\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T09:36:50Z","timestamp":1773135410000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2254-9625\/16\/3\/41"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":103,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["ejihpe16030041"],"URL":"https:\/\/doi.org\/10.3390\/ejihpe16030041","relation":{},"ISSN":["2254-9625"],"issn-type":[{"value":"2254-9625","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}