“…In addition to teachers/educators, caregivers, and providers should be aware of the psychosocial context of adolescents with NBPP and that by encouraging personal development and fulfillment SDet can improve, despite physical/functional differences. Studies show that children with persistent conditions develop coping strategies or "survivor sense" that could ultimately increase their SDet [19,[28][29][30]. During daily activities, children with NBPP might encounter physical challenges, and these challenges could cause frustration, stress, or even social difficulties [19].…”