<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="brief-report" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.177575.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Brief Report</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Effect of Personalization in Children's Fables</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 1 approved, 2 approved with reservations]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Aschieri</surname>
                        <given-names>Filippo</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-1164-5926</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Cappelletti</surname>
                        <given-names>Matilde</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Cassera</surname>
                        <given-names>Luisa</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Consentino</surname>
                        <given-names>Arianna</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Martellucci</surname>
                        <given-names>Giulia</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Gervasoni</surname>
                        <given-names>Fabrizio</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                    <xref ref-type="aff" rid="a4">4</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Milesi</surname>
                        <given-names>Aurora</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0009-0004-9970-3036</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>European Center for Therapeutic Assessment, Milan, Italy, 20123, Italy</aff>
                <aff id="a2">
                    <label>2</label>Department pf Psychology, Universit&#x00e0; Cattolica del Sacro Cuore, Milan, Italy, 20123, Italy</aff>
                <aff id="a3">
                    <label>3</label>Home Care, ASST Fatebenefratelli Sacco, Milan, Italy</aff>
                <aff id="a4">
                    <label>4</label>Industrial Engineering PhD Program, Industrial Engineering Technologies for Sports Medicine and Rehabilitation, University of Rome Tor Vergata, Rome, Italy</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:aurora.milesi@unicatt.it">aurora.milesi@unicatt.it</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>19</day>
                <month>3</month>
                <year>2026</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2026</year>
            </pub-date>
            <volume>15</volume>
            <elocation-id>415</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>13</day>
                    <month>2</month>
                    <year>2026</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Aschieri F et al.</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/15-415/pdf"/>
            <abstract>
                <p>Therapeutic Assessment of families with children emphasize children&#x2019;s active involvement and the use of developmentally appropriate feedback formats. Narrative and metaphor-based approaches, such as therapeutic fables, have been proposed as effective tools to communicate assessment-related information in a way that is emotionally accessible and engaging for children. Personalization is assumed to be a key mechanism underlying their effectiveness; however, little is known about whether increasing levels of personalization yield incremental benefits.</p>
                <p>The present study examined the impact of different degrees of personalization in a therapeutic fable on children&#x2019;s appreciation of the narrative. A total of 222 children aged 9 to10 years were randomly assigned to one of four experimental conditions: non-personalized, minimally personalized, moderately personalized, or fully personalized fable. Following story exposure, children completed the Fable Appreciation Questionnaire assessing affective engagement and perceived narrative quality.</p>
                <p>Results indicated that personalized fable elicited significantly higher affective engagement compared to non-personalized narratives, whereas no differences emerged in other formal qualities. Importantly, minimal personalization was sufficient to enhance emotional engagement, with no additional gains observed for higher levels of personalization.</p>
                <p>These findings suggest that personalization primarily influences children&#x2019;s emotional involvement rather than their evaluation of narrative structure, supporting the use of even minimally personalized narratives as an efficient and developmentally sensitive feedback tool.</p>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Psychological Assessment</kwd>
                <kwd>Therapeutic Assessment</kwd>
                <kwd>Family Assessment</kwd>
                <kwd>Child Assessment.</kwd>
            </kwd-group>
            <funding-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec1" sec-type="intro">
            <title>Introduction</title>
            <p>Within contemporary models of psychological assessment, increasing emphasis has been placed on the active involvement of clients, with assessment increasingly conceptualized as a collaborative and meaning-making process rather than a unidirectional diagnostic procedure.
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>
                </sup> This perspective is central to the Therapeutic Assessment (TA
                <sup>
                    <xref ref-type="bibr" rid="ref1">1</xref>&#x2013;
                    <xref ref-type="bibr" rid="ref3">3</xref>
                </sup>) framework, which views assessment itself as a potential intervention fostering insight and emotional engagement through personalized feedback.
                <sup>
                    <xref ref-type="bibr" rid="ref4">4</xref>,
                    <xref ref-type="bibr" rid="ref5">5</xref>
                </sup>
            </p>
            <p>When assessment involves children, active involvement becomes particularly delicate. Traditionally, feedback has been addressed primarily to parents, with children as passive participants of the assessment process. However, children are increasingly recognized as active participants and legitimate recipients of feedback about their own experiences, emotions, and behaviors,
                <sup>
                    <xref ref-type="bibr" rid="ref6">6</xref>,
                    <xref ref-type="bibr" rid="ref7">7</xref>
                </sup> requiring developmentally appropriate formats that allow them to understand and emotionally process assessment findings.
                <sup>
                    <xref ref-type="bibr" rid="ref8">8</xref>
                </sup>
            </p>
            <p>Narrative and metaphor-based approaches have been proposed as especially suitable for this purpose. Therapeutic stories offer a symbolic and psychologically safe space in which children can recognize themselves through characters and plots that mirror their experiences.
                <sup>
                    <xref ref-type="bibr" rid="ref9">9</xref>
                </sup> Empirical research shows that narrative exposure supports emotional understanding, empathy, and broader socio-emotional functioning in childhood.
                <sup>
                    <xref ref-type="bibr" rid="ref10">10</xref>
                </sup>
            </p>
            <p>Preliminary evidence suggests that personalization may be a key active ingredient of therapeutic stories, enhancing engagement by increasing self-relevance.
                <sup>
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup> However, it still remains unclear whether increasing degrees of personalization can produce incremental benefits. In light of these considerations, the present study aimed to examine whether varying levels of personalization in a therapeutic story influence children&#x2019;s emotional engagement with the narrative and their perceptions of its overall quality. The study was guided by two primary hypotheses: (1) that increasing levels of personalization would be associated with higher affective engagement with the story, and (2) that personalization would not influence the perceived cognitive complexity or formal qualities of the narrative.</p>
        </sec>
        <sec id="sec2" sec-type="methods">
            <title>Methods</title>
            <sec id="sec3">
                <title>Sample</title>
                <p>The sample included a total of 222 children attending the fourth or fifth grade of primary school, recruited from public educational institutions in Northern and Central Italy, of which 97 were females (43.7%) and 125 were males (56.3%). Participants ranged in age from 9 to 10 years, with a mean age of 9.31 years (SD = 0.46); specifically, 154 children (69.4%) were 9 years old and 68 children (30.6%) were 10 years old. With respect to geographical distribution, 110 participants (49.5%) were recruited from schools located in central Italy, whereas 112 participants (50.5%) attended schools in northern Italy.</p>
                <p>Since reading comprehension represented an essential skill to read narrative material, inclusion criteria included the absence of known cognitive or linguistic impairments.</p>
                <p>Participation was voluntary, and written informed consent was obtained from parents or legal guardians.</p>
            </sec>
            <sec id="sec4">
                <title>Ethics</title>
                <p>The present study was approved by the Ethical Committee for Research in Psychology of Universit&#x00e0; Cattolica del Sacro Cuore of Milan (approval number: pr87_24). Written informed consent was obtained from parents or legal guardians prior to children&#x2019;s participation.</p>
            </sec>
            <sec id="sec5">
                <title>Procedures</title>
                <p>Data collection was conducted in collaboration with the recruited schools and followed a standardized administration protocol and was structured in two data collection phases conducted 5 to 7 days apart.</p>
                <p>During the first phase, each child individually completed the Personal Interests Questionnaire for Children (PIQ-C), a brief open-ended self-report designed to collect information relevant for narrative personalization, administered individually in a quiet room within the school setting. The PIQ-C was adapted from the Personal Interests Questionnaire for adults (PIQ
                    <sup>
                        <xref ref-type="bibr" rid="ref12">12</xref>
                    </sup>), originally developed to support individualized narrative feedback. To ensure developmental appropriateness for children aged 9 to 10 years, the questionnaire was translated into Italian and substantially revised. Revisions included reducing item length and linguistic complexity, removing content related to adult experiences (e.g., employment), and excluding prompts requiring abstract or highly reflective thinking that proved too demanding during pilot testing. Pilot testing also indicated that children had difficulty selecting single preferences; therefore, several items were reformulated to allow multiple responses. The final PIQ-C consists of eight open-ended items assessing identifying information, school preferences, admired figures, fears, perceived strengths, and physical self-description.</p>
                <p>In the second phase, children were again individually invited to a quiet room were presented the fable corresponding to their assigned experimental condition, differing in the degree of personalization of the fable used as feedback material: (a) a non-personalized version, (b) a minimally personalized version including the child&#x2019;s name and gender, (c) a moderately personalized version incorporating additional biographical elements (e.g., physical characteristics, a salient fear, and a personal strength), and (d) a fully personalized version that additionally reflected the child&#x2019;s peer context and an admired helper figure.</p>
                <p>All fables were developed according to theoretical principles of individualized feedback within the Therapeutic Assessment framework for children and shared the same narrative structure, plot, and moral message, differing only in the degree of personalization embedded in the text.</p>
                <p>Immediately after reading the fable, participants completed post-test questionnaires assessing emotional engagement with the story and perceived narrative quality. Sessions lasted approximately 15 to 20 minutes and were conducted by trained researchers using a standardized script. No debriefing or interpretative discussion was provided to avoid influencing children&#x2019;s spontaneous evaluations of the narrative material.</p>
                <p>

                    <bold>

                        <italic toggle="yes">Experimental condition: The Fable</italic>
</bold>
                </p>
                <p>A fable was developed for each participant, with varying levels of personalization based on information provided in the PIQ-C. Each story featured a child protagonist characterized by specific personal strengths who was required to face a significant fear in a peer context to avoid shame or humiliation. During the narrative, the protagonist encountered an admired figure who encouraged the use of these personal qualities to cope with the challenging situation. The moral, conveyed in the final lines, emphasized that the solution adopted by the protagonist was shared with peers and met with curiosity and acceptance, highlighting that situations perceived as challenging are often common among children. The story concluded by conveying the message that facing difficult situations through self-expression, rather than excessive concern about others&#x2019; judgments, is generally the most adaptive response.</p>
                <p>Four experimental versions of the fable were created, corresponding to four levels of personalization. All versions shared the same narrative structure, plot progression, and moral message, differing only in the degree and type of personalized elements embedded in the text. In the non-personalized condition, the story contained no individualized references, including gender. The minimally personalized version included the child&#x2019;s name, gender, and age. The moderately personalized version additionally incorporated references to physical characteristics, a salient fear, and a personal strength identified in the PIQ-C. The fully personalized version further included explicit references to the child&#x2019;s peer group and an admired helper figure identified by the child.</p>
                <p>Children assigned to the non-personalized condition received a moderately personalized version of the fable after completion of data collection.</p>
            </sec>
            <sec id="sec6">
                <title>Measures</title>
                <p>

                    <bold>

                        <italic toggle="yes">Fable Appreciation Questionnaire (FAQ)</italic>
</bold>
                </p>
                <p>Children&#x2019;s appreciation of the fable was assessed using the Fable Appreciation Questionnaire (FAQ), a post-test self-report measure specifically developed for this study to evaluate emotional engagement with the narrative and perceived formal qualities of the story.</p>
                <p>The FAQ was derived from selected items adapted from two established therapeutic alliance measures. Two items were adapted from the Children&#x2019;s Alliance Questionnaire (CAQ
                    <sup>
                        <xref ref-type="bibr" rid="ref13">13</xref>
                    </sup>), and three items from the Vanderbilt Therapeutic Alliance Scale-Revised, Short Form (VTAS-R
                    <sup>
                        <xref ref-type="bibr" rid="ref14">14</xref>
                    </sup>). Original items referring to the therapeutic relationship were conceptually reframed to assess the child&#x2019;s relationship with the fable, replacing references to the therapist or mentor with references to the narrative. Item wording and syntax were simplified to ensure develpmental appropriateness for children aged 9 to 10.</p>
                <p>Two additional items assessing formal aspects of the narrative (perceived readability and length) were included to capture potential structural differences across conditions. The final questionnaire consisted of seven items assessing overall liking of the story, desire to keep it, perceived emotional understanding and support, perceived usefulness of the solution presented, reading difficulty, and perceived length. Responses were provided on a 5-point Likert scale illustrated with emoticons.</p>
                <p>Exploratory factor analysis supported a two-factor structure: Affective Engagement with the Fable (four items: e.g., &#x201c;
                    <italic toggle="yes">I like the fable I received</italic>&#x201d;; &#x201c;
                    <italic toggle="yes">I would like to keep the fable</italic>&#x201d;; 30% of variance; Cronbach&#x2019;s &#x03b1; = .74) and Formal Qualities of the Fable (two items: &#x201c;
                    <italic toggle="yes">The fable was easy to read</italic>&#x201d;, &#x201c;
                    <italic toggle="yes">The fable was too long</italic>&#x201d;; 7% of variance; Cronbach&#x2019;s &#x03b1; = .35).</p>
            </sec>
        </sec>
        <sec id="sec7">
            <title>Analysis</title>
            <p>Data analyses were conducted using IBM SPSS Statistics (version 31.0.0). To address the first research aim, independent-samples t tests were performed to compare children who received a non-personalized fable with those who received a personalized version (minimal, moderate, or full personalization) on affective engagement with the fable and perceived formal qualities (readability and length).</p>
            <p>To address the second research aim, one-way analyses of variance (ANOVAs) were conducted to examine differences across the four personalization conditions (non-personalized, minimally personalized, moderately personalized, and fully personalized) on affective engagement and perceived formal qualities of the fables.</p>
        </sec>
        <sec id="sec8" sec-type="results">
            <title>Results</title>
            <p>An independent-samples 
                <italic toggle="yes">t</italic> test was conducted to compare children who received a non-personalized fable (n = 39) with those who received a personalized fable (n = 131).</p>
            <p>Results indicated children in the personalized fable group showed higher affective engagement scores (
                <italic toggle="yes">Affective Engagement with the Fable</italic> factor
                <italic toggle="yes">;</italic> M = 34.24, SD = 5.40) than those who read the non-personalized fable (M = 29.56, SD = 7.80; t(167) = -4.26, 
                <italic toggle="yes">p</italic> &lt; .001), with a moderate effect size (
                <italic toggle="yes">d</italic> = 0.41).</p>
            <p>Conversely, no significant group differences emerged for the perceived quality of the fable who received the non-personalized fable (
                <italic toggle="yes">Formal Qualities of the Fable</italic> factor
                <italic toggle="yes">; M</italic> = 12.90, 
                <italic toggle="yes">SD</italic> = 2.40) did not significantly differ from those who received a personalized fable (
                <italic toggle="yes">M</italic> = 13.29, 
                <italic toggle="yes">SD</italic> = 2.10, 
                <italic toggle="yes">t</italic>(168) = - 0.998, 
                <italic toggle="yes">p</italic> = .497).</p>
            <p>A one-way analysis of variance (ANOVA) was conducted to examine differences in affective engagement with the fable across the four levels of personalization. The analysis revealed a statistically significant effect of personalization level (F(3) = 227.32; 
                <italic toggle="yes">p</italic> &lt; .001), with a moderate effect size (&#x03b7;
                <sup>2</sup> = .10).</p>
            <p>Post hoc comparisons showed that children who received the non-personalized fable reported significantly lower levels of affective engagement (M = 29.56, SD = 7.80) compared with children who received a minimally personalized (M = 34.78, SD = 5.33; 
                <italic toggle="yes">p</italic> = .004), moderately personalized (M = 34.78, SD = 4.70; 
                <italic toggle="yes">p</italic> &lt;.001), or fully personalized fable (M = 33.71, SD = 6.10; 
                <italic toggle="yes">p</italic> = .013). Conversely, no significant differences emerged among the three personalized conditions (
                <xref ref-type="table" rid="T1">
Table 1</xref>).</p>
            <table-wrap id="T1" orientation="portrait" position="float">
                <label>
Table 1. </label>
                <caption>
                    <title>Affective engagement with the fable among personalization conditions.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Condition</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">M</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">SD</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Non-personalized
</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Minimal personalization</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Moderate personalization</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Full personalization</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Non-personalized
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">29.56</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">7.80</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.004*</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">&lt;.001**</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.013</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Minimal personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">34.78</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">5.33</td>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.968</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.984</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Moderate personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">34.78</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">4.70</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.841</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Full personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">33.71</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">6.10</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <p>Concerning perceived quality of the fable, no significant differences were found between the four personalization conditions (F(3)= .540; p =.655) (
                <xref ref-type="table" rid="T2">
Table 2</xref>).</p>
            <table-wrap id="T2" orientation="portrait" position="float">
                <label>
Table 2. </label>
                <caption>
                    <title>Perceived quality of the fable among personalization conditions.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Condition</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">M</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">SD</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Non-personalized
</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Minimal personalization</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Moderate personalization</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Full personalization</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Non-personalized
</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">12.89</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2.39</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.978</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.632</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.836</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Minimal personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13.09</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2.02</td>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.857</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.971</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Moderate personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13.46</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">1.65</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">.987</td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Full personalization</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13.30</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">2.70</td>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td colspan="1" rowspan="1"/>
                            <td align="left" colspan="1" rowspan="1" valign="top">-</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
        </sec>
        <sec id="sec9" sec-type="discussion">
            <title>Discussion</title>
            <p>The present study examined whether different levels of personalization in a therapeutic fable influence children&#x2019;s appreciation of the narrative, with a specific focus on affective engagement and perceived formal qualities. Overall, the findings support the hypothesis that personalization enhances children&#x2019;s emotional involvement with the story, while having no substantial impact on perceived quality-related features.</p>
            <p>Consistent with the first hypothesis, children who received a personalized fable reported significantly higher levels of affective engagement than those who received a non-personalized version. Exposure to any degree of personalization was associated with greater emotional involvement, perceived understanding, and perceived support conveyed by the story. These findings are consistent with previous research indicating that personalized narrative and feedback materials enhance emotional engagement by increasing personal relevance and fostering a sense of being recognized and mirrored.
                <sup>
                    <xref ref-type="bibr" rid="ref9">9</xref>,
                    <xref ref-type="bibr" rid="ref11">11</xref>
                </sup>
            </p>
            <p>Importantly, even minimal personalization was sufficient to enhance affective engagement, with no significant differences among the minimally, moderately, and fully personalized conditions, suggesting a possible &#x201c;threshold effect.&#x201d; Once basic individualized elements - such as the child&#x2019;s name or gender - were included, the story appeared to be experienced as personally relevant, and further personalization did not yield additional benefits.</p>
            <p>In contrast, personalization did not influence children&#x2019;s evaluations of the fable&#x2019;s formal qualities, such as readability and length. This indicates that personalization selectively affects emotional and relational dimensions of children&#x2019;s experience, rather than cognitive or structural aspects of the narrative. From a theoretical perspective, personalized fables may function as symbolic mirrors that allow children to recognize aspects of themselves within a psychologically safe narrative space, fostering a sense of being seen and understood.</p>
            <sec id="sec10">
                <title>Limitations</title>
                <p>Several limitations of the present study should be acknowledged. First, the sample was limited to children aged 9 to 10 years, which restricts the generalizability of the findings to other developmental stages. Future studies should examine whether similar effects of personalization emerge in younger children or early adolescents, for whom narrative comprehension, emotional engagement, and sensitivity to personalization may differ.</p>
                <p>Second, the study was conducted in a non-clinical context. While this design allowed for a controlled investigation of the effects of personalization on narrative engagement, responses to different levels of personalization may be more pronounced in clinical settings, particularly when therapeutic stories are used to communicate assessment feedback or emotionally salient information. Research conducted in applied and clinical contexts is therefore needed to evaluate the ecological validity and clinical relevance of the present findings.</p>
            </sec>
        </sec>
        <sec id="sec11">
            <title>Clinical implications</title>
            <p>The present findings suggest that personalized fables can enhance children&#x2019;s emotional engagement and sense of being understood, even when personalization is minimal. Clinically, personalized narratives offer a developmentally sensitive way to communicate complex or emotionally salient information to children. By fostering a sense of being seen and recognized, this approach may strengthen openness to feedback and the therapeutic relationship.</p>
        </sec>
        <sec id="sec12">
            <title>Ethical approval statement</title>
            <p>The study was approved by the Ethical Committee for Research in Psychology of Universit&#x00e0; Cattolica del Sacro Cuore, Milan, Italy (approval number: pr87_24). All procedures were conducted in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.</p>
        </sec>
    </body>
    <back>
        <sec id="sec16" sec-type="data-availability">
            <title>Data availability statement</title>
            <sec id="sec17">
                <title>Underlying data</title>
                <p>

                    <list list-type="bullet">
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Repository name: OSF. Effects of Personalization in Children&#x2019;s Fables. 
                                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17605/OSF.IO/NPEXD">https://doi.org/10.17605/OSF.IO/NPEXD</ext-link> [97].</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>The project contains the following underlying data: Data.sav (Anonymized participant-level data used for the statistical analyses reported in the article).</p>
                        </list-item>
                    </list>
                </p>
            </sec>
            <sec id="sec18">
                <title>Extended data</title>
                <p>

                    <list list-type="bullet">
                        <list-item>
                            <label>&#x2022;</label>
                            <p>Repository name: OSF. Effects of Personalization in Children&#x2019;s Fables. 
                                <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.17605/OSF.IO/NPEXD">https://doi.org/10.17605/OSF.IO/NPEXD</ext-link> [97].</p>
                        </list-item>
                        <list-item>
                            <label>&#x2022;</label>
                            <p>This project contains the following extended data: Appendix.docx (Reporting full original versions in Italian of the questionnaires used in the study).</p>
                        </list-item>
                    </list>
                </p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International</ext-link> (CC-BY 4.0) licence.</p>
            </sec>
        </sec>
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    <sub-article article-type="reviewer-report" id="report492547">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.195814.r492547</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Mazza</surname>
                        <given-names>Cristina</given-names>
                    </name>
                    <xref ref-type="aff" rid="r492547a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r492547a1">
                    <label>1</label>Sapienza University of Rome, Rome, Italy</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>6</day>
                <month>7</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Mazza C</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport492547" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.177575.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This study examined whether different levels of personalization in therapeutic fables influence children&#x2019;s appreciation of the narrative. Findings showed that even minimal personalization increased children&#x2019;s affective engagement, whereas higher levels of personalization did not further improve children&#x2019;s evaluation of the fable&#x2019;s formal qualities. 
                <list list-type="bullet">
                    <list-item>
                        <p>Please clarify what is meant by the expression &#x201c;therapeutic stories.&#x201d;</p>
                    </list-item>
                    <list-item>
                        <p>In the sentence &#x201c;However, it still remains unclear whether increasing degrees of personalization can produce incremental benefits,&#x201d; please better explain what is meant by &#x201c;incremental benefits.&#x201d;</p>
                    </list-item>
                    <list-item>
                        <p>In the sentence &#x201c;Since reading comprehension represented an essential skill to read narrative material, inclusion criteria included the absence of known cognitive or linguistic impairments,&#x201d; please specify whether the absence of cognitive or linguistic impairments was based on self-reported absence of diagnosis or was assessed through standardized instruments.</p>
                    </list-item>
                    <list-item>
                        <p>Please provide further details on the pilot testing of the PIQ-C.</p>
                    </list-item>
                    <list-item>
                        <p>In the sentence &#x201c;Children assigned to the non-personalized condition received a moderately personalized version of the fable after completion of data collection,&#x201d; please clarify what the neutral version consisted of and explain the meaning of this statement.</p>
                    </list-item>
                    <list-item>
                        <p>In light of the discussion, please refer only to &#x201c;qualities&#x201d; in the hypotheses, specifying in parentheses which qualities are intended, and avoid using the expression &#x201c;cognitive complexity.&#x201d;</p>
                    </list-item>
                    <list-item>
                        <p>Please provide more detailed statistical information on the factor analyses that were conducted.</p>
                    </list-item>
                </list> </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Partly</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Clinical Psychology, assessment and evaluation</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report492549">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.195814.r492549</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Winter</surname>
                        <given-names>Emily L.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r492549a2">2</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-2818-684X</uri>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Rotolo</surname>
                        <given-names>Maria</given-names>
                    </name>
                    <xref ref-type="aff" rid="r492549a1">1</xref>
                    <role>Co-referee</role>
                </contrib>
                <aff id="r492549a1">
                    <label>1</label>Clinical Psychology, Touro University, New York, New York, USA</aff>
                <aff id="r492549a2">
                    <label>2</label>Touro University, New York City, New York, USA</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>19</day>
                <month>6</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Rotolo M and Winter EL</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport492549" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.177575.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>Thank you for the opportunity to review &#x201c;Effect of Personalization in Children's Fables&#x201d; for consideration in F1000 Research. Please note that this review was co-completed by a psychology faculty member and a doctoral student in psychology. The present piece discusses the involvement of children in the testing/therapeutic processes. This topic is quite relevant and salient given the push in clinical and research for therapeutic assessment and client-centered approaches. Fables have been explored in the literature, and certainly, more research is needed to understand the mechanisms for how to approach the fables.</p>
            <p> </p>
            <p> Based on the review, we recommend the following:</p>
            <p> </p>
            <p> Introduction 
                <list list-type="bullet">
                    <list-item>
                        <p>Add more details of what the therapeutic stories looked like in the introduction section</p>
                    </list-item>
                    <list-item>
                        <p>Perhaps provide an example of what a fable might look like, either in the text or in an appendix</p>
                    </list-item>
                    <list-item>
                        <p>Please add research questions in addition to the hypotheses</p>
                    </list-item>
                    <list-item>
                        <p>More details about therapeutic assessment: a background of what this is, and the general principles 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Maybe a figure of what TA encompasses could be assistive</p>
                                </list-item>
                                <list-item>
                                    <p>Link to the TA website for people to learn more as a resource</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>Additional citations and references needed in the literature review; this section feels under-cited and would benefit from further explanation</p>
                    </list-item>
                </list> </p>
            <p> Method 
                <list list-type="bullet">
                    <list-item>
                        <p>How did the researchers assess for known cognitive or linguistic impairments?</p>
                    </list-item>
                    <list-item>
                        <p>Was child assent collected? If yes, please document, and if not, please add in this as a limitation and why this was not completed</p>
                    </list-item>
                    <list-item>
                        <p>Tense feels off in this sentence: &#x201c;The final PIQ-C consists of eight open-ended items assessing identifying information, school preferences, admired figures, fears, perceived strengths, and physical self-description.&#x201d;</p>
                    </list-item>
                    <list-item>
                        <p>What are the psychometrics for the PIQ-C, such as evidence of reliability and validity? 
                            <list list-type="bullet">
                                <list-item>
                                    <p>It stated that the fables were translated and substantially revised to meet developmental needs. It is important to note if this affects the evidence of validity/reliability of the testing instruments being used.</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>Please provide samples of each degree of personalization in an appendix to more clearly illustrate these nuances</p>
                    </list-item>
                    <list-item>
                        <p>Should the PIQ-C be added to the measures section? More details on how these data were used and any output from those results. Provide sample questions of what this measure looks like.</p>
                    </list-item>
                    <list-item>
                        <p>What are the psychometrics for the FAQ such as evidence of reliability and validity?</p>
                    </list-item>
                    <list-item>
                        <p>Provide example questions</p>
                    </list-item>
                    <list-item>
                        <p>Please provide an example of the scale with the emoticons as a figure.</p>
                    </list-item>
                    <list-item>
                        <p>Statistics need to be italicized: 
                            <italic>SD, M, n, F</italic>
                        </p>
                    </list-item>
                    <list-item>
                        <p>Please include in-text qualitative tables of the children&#x2019;s responses to the fables and group responses by themes, if possible</p>
                    </list-item>
                    <list-item>
                        <p>More descriptions of the children who voluntarily participated in the research, such as SES, any pre-existing diagnoses, cognitive abilities, race/ethnicity, and schooling experience 
                            <list list-type="bullet">
                                <list-item>
                                    <p>It also may be interesting to see a comparison of children from Northern and Central Italy by region and by gender, and also note why Southern Italy was not included in the study.</p>
                                </list-item>
                                <list-item>
                                    <p>If any of these data were not collected, please add this to the limitations section</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                </list> </p>
            <p> Discussion 
                <list list-type="bullet">
                    <list-item>
                        <p>What does &#x201c;mirrored&#x201d; mean? Further exploration of this term</p>
                    </list-item>
                    <list-item>
                        <p>There were three ethical approval statements in the document. Please condense.</p>
                    </list-item>
                    <list-item>
                        <p>What are the best practices for administering the fables in clinical work? Please add this to the clinical implications</p>
                    </list-item>
                    <list-item>
                        <p>Add a limitation about the lack of parents&#x2019; perspective</p>
                    </list-item>
                    <list-item>
                        <p>What are the future directions for the work?</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Cognitive assessment, developmental assessment, eating disorders</p>
            <p>We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however we have significant reservations, as outlined above.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report469221">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.195814.r469221</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Wilkinson-Smith</surname>
                        <given-names>Alison</given-names>
                    </name>
                    <xref ref-type="aff" rid="r469221a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-8282-7586</uri>
                </contrib>
                <aff id="r469221a1">
                    <label>1</label>Psychiatry, The University of Texas Southwestern Medical Center, Dallas, TX, USA</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>7</day>
                <month>4</month>
                <year>2026</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2026 Wilkinson-Smith A</copyright-statement>
                <copyright-year>2026</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport469221" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.177575.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This brief report by Aschieri 
                <italic>et al.&#x00a0;</italic>provides a unique perspective on the use of therapeutic fables with children. As a frequent user of this technique myself, I am pleased to see efforts towards demonstrating its effectiveness. The ways in which typically developing children respond to therapeutic fables could represent a sort of minimum baseline that could inform how children who are vulnerable or struggling in some way might respond. The choice to specifically examine emotional engagement in contrast to a more general positive response is a thoughtful one which directly addresses the goal of therapeutic fables. Overall, my suggestions below are aimed at improving the ability of the reader to generalize these findings. I think this study has direct implications for clinical practice as well as for future research, so I'd like the applications to be even clearer.&#x00a0;</p>
            <p> </p>
            <p> I found I had the most questions regarding the description of the sample. Given that Therapeutic Assessment has found an international audience, more information about the participants could help the reader compare them to children in other locations. I am particularly curious about: 
                <list list-type="bullet">
                    <list-item>
                        <p>Racial and ethnic makeup of the sample</p>
                    </list-item>
                    <list-item>
                        <p>Socioeconomic diversity (or lack thereof)</p>
                    </list-item>
                    <list-item>
                        <p>Implications of geographic distribution as described</p>
                    </list-item>
                </list> It would be helpful for the authors to include this information or acknowledge its lack of availability as a limitation. I am also curious if the authors looked for differences in affective engagement in males vs. females, or in central vs. northern location, as potential confounds.&#x00a0;</p>
            <p> </p>
            <p> Regarding inclusion criteria, I would like to know: 
                <list list-type="bullet">
                    <list-item>
                        <p>How was the absence of known cognitive or linguistic impairments assessed?</p>
                    </list-item>
                    <list-item>
                        <p>Were any other learning, developmental, or psychological conditions screened for?</p>
                    </list-item>
                </list> Again, I recommend that the authors include this information in a brief statement or acknowledge it in the limitations.</p>
            <p> </p>
            <p> My final suggestion is to make the fable templates included in the appendix a bit clearer. Perhaps use samples instead of templates or clarify what wording would be changed according to the parenthetical reference. I am also unclear why some parenthetical insertions are numbers only. I surmise that those numbers refer to the relevant item of the questionnaire, but these details are not altered in that version of the story. If so, perhaps they need not be included.</p>
            <p> </p>
            <p> I am very appreciative of the opportunity to provide feedback on this brief report. I hope my suggestions will make this manuscript even stronger. Reading this article caused me to reflect immediately on the implications for my own practice, and I hope other readers will be similarly inspired whether they currently use therapeutic fables or not. I look forward to additional research to extend these findings to other groups of children.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Yes</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>Therapeutic Assessment of children and families</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
</article>
