{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T17:21:24Z","timestamp":1772817684348,"version":"3.50.1"},"reference-count":61,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:00:00Z","timestamp":1772755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Adolescents are heavy users of digital media but often lack critical skills, increasing their vulnerability to harmful online content. The integration of game elements into learning and training offers a promising strategy to support positive behavioural change and strengthen adolescents\u2019 skills. This paper describes the development of a conceptual framework for Dress-DIGITARIAN, a serious game aimed at improving health literacy, coping skills, and self-esteem, grounded in Self-Determination Theory (SDT). The framework was constructed to generate higher-order understanding through a multi-level process: analyzing general theory (SDT), integrating mid-range models (the Octalysis framework), and incorporating empirical insights derived from two data collection phases with the target population. This integrative approach informed and guided the game\u2019s design through participatory methods. Developed through collaboration between schools and research institutions, this approach bridges theory and practice by aligning game mechanics with adolescents\u2019 psychological needs. It also underscores the value of involving adolescents in research, not only to enhance scientific rigour but also to empower them as agents of change capable of contributing to health promotion policies and educational innovation. This study does not report the results of a completed intervention or outcome evaluation, which will be conducted in the sixth phase at the end of the current school year. Future research is needed to assess the model\u2019s effectiveness and scalability and to identify areas for further refinement.<\/jats:p>","DOI":"10.3390\/ijerph23030328","type":"journal-article","created":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:05:44Z","timestamp":1772795144000},"page":"328","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Towards a Conceptual Participatory Framework to Promote Health Literacy in Adolescents by Integrating Self-Determination Theory and Game Design"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5272-341X","authenticated-orcid":false,"given":"Michela","family":"Franchini","sequence":"first","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"},{"name":"Department of Molecular Biology, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5854-3716","authenticated-orcid":false,"given":"Giada","family":"Anastasi","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8130-4967","authenticated-orcid":false,"given":"Stefania","family":"Pieroni","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7825-1753","authenticated-orcid":false,"given":"Francesca","family":"Denoth","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6647-414X","authenticated-orcid":false,"given":"Benedetta","family":"Ferrante","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"},{"name":"Department of Molecular Biology, University of Siena, 53100 Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3363-8890","authenticated-orcid":false,"given":"Alessia","family":"Formica","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7221-0873","authenticated-orcid":false,"given":"Sabrina","family":"Molinaro","sequence":"additional","affiliation":[{"name":"Institute of Clinical Physiology, National Research Council, 56124 Pisa, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Br\u00f6der, J., Okan, O., Bauer, U., Bruland, D., Schlupp, S., Bollweg, T.M., Saboga-Nunes, L., Bond, E., S\u00f8rensen, K., and Bitzer, E.M. (2017). Health literacy in childhood and youth: A systematic review of definitions and models. BMC Public Health, 17.","DOI":"10.1186\/s12889-017-4365-x"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Emke, H., Altenburg, T., Dijkstra, C., Pinzon, A.L., Stronks, K., Waterlander, W., Kremers, S., and Chinapaw, M. (2024). Applying systems thinking in youth-centred participatory action research for health promotion in an underserved neighbourhood. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1272663"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1093\/heapro\/daq032","article-title":"Developing and evaluating a relevant and feasible instrument for measuring health literacy of Canadian high school students","volume":"25","author":"Wu","year":"2010","journal-title":"Health Promot. Int."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"100056","DOI":"10.1016\/j.pecinn.2022.100056","article-title":"The guided use of an e-health tool to strengthen health literacy. A pilot study in a multicultural diabetes population in a primary care clinic in Brussels","volume":"1","author":"Mertens","year":"2022","journal-title":"PEC Innov."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"E01","DOI":"10.5888\/pcd15.170309","article-title":"Messengers and Messages for Tweets That Used #thinspo and #fitspo Hashtags in 2016","volume":"15","author":"Harris","year":"2018","journal-title":"Prev. Chronic Dis."},{"key":"ref_6","unstructured":"European Union Drugs Agency (2025). ESPAD Report 2024\u2014Results from the European School Survey Project on Alcohol and Other Drugs."},{"key":"ref_7","unstructured":"National Research Council of Italy (2025). ESPAD 2024: Sotto la Superficie\u2014Le Nuove Sfide Dell\u2019adolescenza Tra Rischi e Quotidianit\u00e0. Rapporto di Ricerca Sulla Diffusione Dei Comportamenti a Rischio Fra Gli Studenti Delle Scuole Superiori di Secondo Grado, National Research Council of Italy. Available online: https:\/\/www.epid.ifc.cnr.it\/wp-content\/uploads\/2025\/09\/ESPAD_2024_Final-Compresso_compressed.pdf."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e51094","DOI":"10.2196\/51094","article-title":"Mediterranean Diet Information on TikTok and Implications for Digital Health Promotion Research: Social Media Content Analysis","volume":"8","author":"Raber","year":"2024","journal-title":"JMIR Form. Res."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"102566","DOI":"10.1016\/j.techsoc.2024.102566","article-title":"Societal impacts of chatbot and mitigation strategies for negative impacts: A large-scale qualitative survey of ChatGPT users","volume":"77","author":"Wei","year":"2024","journal-title":"Technol. Soc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1080\/13573322.2017.1423464","article-title":"Young people and their engagement with health-related social media: New perspectives","volume":"24","author":"Goodyear","year":"2018","journal-title":"Sport Educ. Soc."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"5519","DOI":"10.1007\/s10639-022-11414-9","article-title":"Serious games for health promotion in adolescents\u2014A systematic scoping review","volume":"28","author":"Andrew","year":"2023","journal-title":"Educ. Inf. Technol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Raney, A.A., Janicke-Bowles, S.H., Oliver, M.B., and Bowles, K.R. (2021). Social media. Introduction to Positive Media Psychology, Routledge.","DOI":"10.4324\/9780429353482"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"West, M., Rice, S., and Vella-Brodrick, D. (2024). Adolescent Social Media Use through a Self-Determination Theory Lens: A Systematic Scoping Review. Int. J. Environ. Res. Public Health, 21.","DOI":"10.3390\/ijerph21070862"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Ferretti, A., Hubbs, S., and Vayena, E. (2023). Global youth perspectives on digital health promotion: A scoping review. BMC Digit. Health, 1.","DOI":"10.1186\/s44247-023-00025-0"},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Hammady, R., and Arnab, S. (2022). Serious Gaming for Behaviour Change: A Systematic Review. Information, 13.","DOI":"10.3390\/info13030142"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Hulaj, R., Nystr\u00f6m, M.B.T., S\u00f6rman, D.E., Backlund, C., R\u00f6hlcke, S., and Jonsson, B. (2020). A Motivational Model Explaining Performance in Video Games. Front. Psychol., 11.","DOI":"10.3389\/fpsyg.2020.01510"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1177\/08295735211055355","article-title":"Applying Self-Determination Theory to Education: Regulations Types, Psychological Needs, and Autonomy Supporting Behaviors","volume":"37","author":"Guay","year":"2022","journal-title":"Can. J. Sch. Psychol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1017\/S1138741600002341","article-title":"Using self-determination theory to explain sport persistence and dropout in adolescent athletes","volume":"13","author":"Iglesias","year":"2010","journal-title":"Span. J. Psychol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1080\/00336297.2016.1268967","article-title":"Critical Considerations for Physical Literacy Policy in Public Health, Recreation, Sport, and Education Agencies","volume":"69","author":"Dudley","year":"2017","journal-title":"Quest"},{"key":"ref_21","unstructured":"Vail, K.E., and Routledge, C. (2020). Understanding the psychology of religion: The contribution of self-determination theory. The Science of Religion, Spirituality, and Existentialism, Academic Press."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1080\/17437199.2020.1718529","article-title":"A meta-analysis of self-determination theory-informed intervention studies in the health domain: Effects on motivation, health behavior, physical, and psychological health","volume":"15","author":"Ntoumanis","year":"2021","journal-title":"Health Psychol. Rev."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s11528-024-00968-9","article-title":"Advancing Gamification Research and Practice with Three Underexplored Ideas in Self-Determination Theory","volume":"68","author":"Gao","year":"2024","journal-title":"TechTrends"},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Franchini, M., Pieroni, S., Martini, N., Ripoli, A., Chiappino, D., Denoth, F., Liebman, M.N., Molinaro, S., and Della Latta, D. (2020). Shifting the Paradigm: The Dress-COV Telegram Bot as a Tool for Participatory Medicine. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17238786"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1016\/j.childyouth.2017.08.022","article-title":"Participatory action research (PAR) with children and youth: An integrative review of methodology and PAR outcomes for participants, organizations, and communities","volume":"81","year":"2017","journal-title":"Child. Youth Serv. Rev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1738","DOI":"10.1002\/jad.12531","article-title":"The Role of Internship Programs in Fostering School-to-Work Transitions in Secondary Schools: Paths for Transversal Skills and Orientation (PCTOs)","volume":"97","author":"Germani","year":"2025","journal-title":"J. Adolesc."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Fernandez, M.E., Ruiter, R.A.C., Markham, C.M., and Kok, G. (2019). Intervention Mapping: Theory- and Evidence-Based Health Promotion Program Planning: Perspective and Examples. Front. Public Health, 7.","DOI":"10.3389\/fpubh.2019.00209"},{"key":"ref_28","unstructured":"WHO (2020). Young People and Digital Health Interventions: Working Together to Design Better, World Health Organisation. Available online: https:\/\/www.who.int\/news\/item\/29-10-2020-young-people-and-digital-health-interventions-working-together-to-design-better."},{"key":"ref_29","unstructured":"Werbach, K., and Hunter, D. (2015). The Gamification Toolkit: Dynamics, Mechanics, and Components for the Win, Wharton School Press."},{"key":"ref_30","first-page":"30","article-title":"Assessment of factor structure of Ryff\u2019s psychological well-being scales in Italian adolescents","volume":"259","author":"Sirigatti","year":"2009","journal-title":"Boll. Psicol. Appl."},{"key":"ref_31","unstructured":"Caprara, G.V. (2001). Affective perceived self-efficacy: The capacity to regulate negative affect and to express positive affect. Self-Efficacy Assessment, Centro Studi Erickson."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Caprara, M., Di Giunta, L., Berm\u00fadez, J., and Caprara, G.V. (2020). How self-efficacy beliefs in dealing with negative emotions are associated to negative affect and to life satisfaction across gender and age. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0242326"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/j.jadohealth.2020.06.042","article-title":"Adolescent Well-Being: A Definition and Conceptual Framework","volume":"67","author":"Ross","year":"2020","journal-title":"J. Adolesc. Health Off. Publ. Soc. Adolesc. Med."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Michalos, A.C. (2014). Eudaimonic Well-Being. Encyclopedia of Quality of Life and Well-Being Research, Springer.","DOI":"10.1007\/978-94-007-0753-5"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1007\/s11205-010-9668-6","article-title":"The Subjective Wellbeing of High-School Students: Validating the Personal Wellbeing Index\u2014School Children","volume":"101","author":"Tomyn","year":"2011","journal-title":"Soc. Indic. Res."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Casanova, E., Molero-Jurado, M.D.M., and P\u00e9rez-Fuentes, M.D.C. (2024). Self-Esteem and Risk Behaviours in Adolescents: A Systematic Review. Behav. Sci., 14.","DOI":"10.3390\/bs14060432"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Czubaj, N., Szyma\u0144ska, M., Nowak, B., and Grajek, M. (2025). The Impact of Social Media on Body Image Perception in Young People. Nutrients, 17.","DOI":"10.3390\/nu17091455"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Korn, L., Gonen, E., Shaked, Y., and Golan, M. (2013). Health perceptions, self and body image, physical activity and nutrition among undergraduate students in Israel. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0058543"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1093\/nutrit\/nuad044","article-title":"Body image and dietary habits in adolescents: A systematic review","volume":"82","author":"Bodega","year":"2023","journal-title":"Nutr. Rev."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-regulation strategies across psychopathology: A meta-analytic review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1412","DOI":"10.1007\/s10964-024-02121-4","article-title":"Positive Body Image in Adolescence: Longitudinal Associations with Identity and Eating Disorder Symptoms","volume":"54","author":"Uyar","year":"2024","journal-title":"J. Youth Adolesc."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1007\/s11031-024-10063-4","article-title":"Basic psychological needs as an explanation of body image and eating pathways to adolescent adjustment: A prospective study testing an integrated self-determination theory model","volume":"48","author":"Yu","year":"2024","journal-title":"Motiv. Emot."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1001\/jamapediatrics.2022.5848","article-title":"Global Proportion of Disordered Eating in Children and Adolescents: A Systematic Review and Meta-analysis","volume":"177","author":"Smith","year":"2023","journal-title":"JAMA Pediatr."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.appet.2018.01.025","article-title":"Steps toward understanding the impact of early emotional experiences on disordered eating: The role of self-criticism, shame, and body image shame","volume":"125","author":"Gois","year":"2018","journal-title":"Appetite"},{"key":"ref_45","first-page":"27","article-title":"Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI): Uno strumento per la misura degli stili di coping","volume":"14","author":"Sica","year":"2008","journal-title":"Psicoter. Cogn. Comport."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.9734\/cjast\/2019\/v36i330232","article-title":"Adolescents\u2019 Coping Strategies Influence Their Psychosocial Well-Being","volume":"36","author":"Zammuner","year":"2019","journal-title":"Curr. J. Appl. Sci. Technol."},{"key":"ref_47","unstructured":"Cicchetti, D., and Cohen, D.J. (2006). Resilience in development: A synthesis of research across five decades. Developmental Psychopathology: Vol. 3. Risk, Disorder, and Adaptation, Wiley. [2nd ed.]."},{"key":"ref_48","first-page":"100","article-title":"Building resilience","volume":"89","author":"Seligman","year":"2011","journal-title":"Harv. Bus. Rev."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"106963","DOI":"10.1016\/j.chb.2021.106963","article-title":"Revealing the theoretical basis of gamification: A systematic review and analysis of theory in research on gamification, serious games and game-based learning","volume":"125","author":"Krath","year":"2021","journal-title":"Comput. Hum. Behav."},{"key":"ref_50","unstructured":"Chou, Y. (2015). Actionable Gamification: Beyond Points, Badges and Leaderboards, Packt Publishing Ltd."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Van Boxtel, W., Jerkovi\u0107-\u0106osi\u0107, K., Schoonmade, L.J., and Chinapaw, M.J.M. (2024). Health literacy in the context of child health promotion: A scoping review of conceptualizations and descriptions. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-17955-7"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Haible, S., Volk, C., Demetriou, Y., H\u00f6ner, O., Thiel, A., and Sudeck, G. (2019). Physical Activity-Related Health Competence, Physical Activity, and Physical Fitness: Analysis of Control Competence for the Self-Directed Exercise of Adolescents. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17010039"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"271","DOI":"10.17269\/s41997-024-00872-y","article-title":"A health promotion perspective on One Health","volume":"115","author":"Kickbusch","year":"2024","journal-title":"Can. J. Public Health"},{"key":"ref_54","first-page":"260","article-title":"One Health: A Holistic Approach to Tackling Global Health Issues","volume":"49","author":"Danasekaran","year":"2024","journal-title":"Indian J. Community Med. Off. Publ. Indian Assoc. Prev. Soc. Med."},{"key":"ref_55","doi-asserted-by":"crossref","unstructured":"Asari, A.A., Birhanu, Z., and Godesso, A. (2025). Adolescents\u2019 health literacy perspectives and implications. BMC Public Health, 25.","DOI":"10.1186\/s12889-025-22341-y"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.jadohealth.2024.02.029","article-title":"Positive Impacts of Adolescent Involvement in Health Research: An Umbrella Review","volume":"75","author":"Warraitch","year":"2024","journal-title":"J. Adolesc. Health Off. Publ. Soc. Adolesc. Med."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"e22189","DOI":"10.2196\/22189","article-title":"One Digital Health: A Unified Framework for Future Health Ecosystems","volume":"23","author":"Benis","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1055\/s-0043-1768718","article-title":"One Health in a Digital World: Technology, Data, Information and Knowledge","volume":"32","author":"Scott","year":"2023","journal-title":"Yearb. Med. Inform."},{"key":"ref_59","unstructured":"EU Commission (2025, November 25). Topic HORIZON-HLTH-2026-01-STAYHLTH-02. Available online: https:\/\/promisalute.it\/horizon-europe-draft-wp-2026-2027."},{"key":"ref_60","unstructured":"United Nations (2025, November 11). Youth2030: The United Nations Strategy on Youth. Available online: https:\/\/www.un.org\/youthenvoy\/youth-un."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"103993","DOI":"10.1016\/j.nepr.2024.103993","article-title":"Rising gamification in health education: A bibliometric study","volume":"78","author":"Yildiz","year":"2024","journal-title":"Nurse Educ. Pract."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/3\/328\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T11:13:10Z","timestamp":1772795590000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/3\/328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,6]]},"references-count":61,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["ijerph23030328"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23030328","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,6]]}}}