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Nen

Full company profile

uuid000agim

Namestring
Nen
Legal namestring
NEN EVIDENCE BASED SOLUTIONS, S.L.
Websiteurl
nen.health
Company typeenum
Private
Founded yearint
2022
Descriptiontext

Nen is a Barcelona-based digital therapeutics company founded in 2022 that develops nendo, a gamified cognitive behavioral therapy (CBT) mobile application for pain management in pediatric oncology patients aged 7-12. The core platform delivers evidence-based behavioral techniques through interactive games and virtual companions to help children modulate pain, emotional regulation, and resilience during cancer treatment. A linked nendo parents companion app provides caregivers with educational content, support techniques, and tracking of their child's pain and mood progression. The company operates under a "buy one share one" social impact model where each app purchase subsidizes free access for an underserved child, distributed through the iOS App Store and Google Play.

Nen combines product-led consumer distribution with clinical evidence generation through academic and institutional partnerships. In February 2026, the company launched Proyecto ABRAZO, its first pediatric oncology clinical trial enrolling 150 patients in Puebla, Mexico, in collaboration with the University of Notre Dame, Harper Cancer Research Institute, Universidad Popular Autónoma del Estado de Puebla (UPAEP), and Una Nueva Esperanza. The product is not FDA-approved and is positioned as a support tool rather than a diagnostic or treatment device. Clinical advisors include specialists from Children's National, Weill Cornell Medicine, and Hospital Sant Joan de Déu.

The company is privately held and venture-backed, with board representation from 7WireVentures and Phs, and accelerator support from Plug and Play, CancerX, KidsX, EIT Health, Parkview Health/Matter, UNICEF Lab, and Accel-Ed. Leadership is led by founder and CEO Francesca Domenech Wuttke, PhD, a former Chief Digital Officer with 25+ years of pharmaceutical and digital health experience. Nen operates with 1-10 employees from its registered office in Sant Cugat del Vallès (Barcelona), Spain.

Short descriptiontext

Nen is a Barcelona-based digital therapeutics company that develops nendo, a gamified cognitive behavioral therapy mobile app for pain management in pediatric oncology patients aged 7-12, distributed via app stores alongside a companion app for parents and caregivers.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
1–10
akta.pro rankint
HeadquartersBarcelona, Spain
HQ citystring
Barcelona
HQ countrystring
Spain
HQ regionstring
Europe
Markets served

Serves global market

Offices2 records

Each record includes

City, Country, Type, Description, Source

Keyword5 values
pediatric pain management, digital therapeutics, cognitive behavioral therapy, mobile health apps, gamified health interventions
Industry1 code
1Behavioral Health & Neurocognitive Therapeutics (Digital)
CodeHLACANAIPrimaryYes
Product category
Digital Therapeutics
Social media profiles1 record
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model2 records
1App Sales (Buy One, Share One)
TypeOne Time License
Description

Revenue generated from direct consumer app sales through iOS App Store and Google Play. The company operates a social impact model where each purchase provides free access to another child in need, effectively subsidizing access for underserved populations through commercial sales.

nen.health
2Clinical Trial Partnerships
TypeProfessional Services
Description

Collaborative clinical trials with academic and clinical institutions generate clinical evidence to support product efficacy and potentially support future reimbursement or healthcare system adoption.

nen.health
Marketing channels5 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components4 values
Personnel, Technology or R&D, Marketing or Sales, Operations
Pricing details1 tier
1nendo app for children (iOS/Android)
ModelOne time/ perpetual licenseBilling cadenceMonthly
Notes

Available for download through iOS App Store and Google Play. Specific pricing not publicly disclosed on the company website.

nen.health
GTM typeB2C
B2C
Offering typeSoftware
Software
Core offering1 text field

Nen develops and sells nendo, a digital cognitive behavioral therapy platform delivered as a mobile app that uses gamification and behavioral techniques to help children aged 7-12 manage pain, particularly pain associated with cancer treatment. The company also offers nendo parents, a companion app providing caregivers with educational content, support techniques, and tracking of the child's pain and mood progression.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 value
  • Behavioral methods can lead to significant improvement in quality of life for children experiencing pain
Product overview1 text field

Nen offers a pediatric digital therapeutic platform comprising two companion mobile apps: nendo and nendo parents. nendo is the core digital program designed for children aged 7-12 that delivers behavioral techniques for pain management through gamified interactive games. nendo parents is the companion app for caregivers that provides educational support, tracks the child's pain and mood progression, and reinforces adaptive coping strategies. The platform leverages cognitive behavioral therapy (CBT) techniques and is specifically designed for pediatric oncology patients to help manage pain, emotional regulation, and resilience during cancer treatment.

Product and service2 records
1nendo
CategoryDigital therapeutic app
Description

A digital cognitive behavioral therapy platform for children aged 7-12, primarily those with cancer, that delivers behavioral techniques through gamified interactive games and virtual companions to help manage pain, emotional regulation, and resilience.

2nendo parents
CategoryCompanion app
Description

A companion app linked to nendo that provides parents and caregivers with educational services, support techniques, access to the child's pain progression data, and mood tracking to support their involvement in pain management.

Scale indicator3 records

Each record includes

Type, Value, Description, Source

Partnership9 partners
Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2026-02-17
Description

Academic research partner in Proyecto ABRAZO clinical trial, contributing to Harper Cancer Research Institute collaboration for pediatric oncology pain management research.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2026-02-17
Description

Research institute collaborating on the Proyecto ABRAZO clinical trial to evaluate digital CBT platform for pain management in pediatric oncology patients.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2026-02-17
Description

Academic partner in Mexico hosting the clinical trial enrollment site for 150 pediatric oncology patients and their caregivers in Puebla.

Strategic tierCoreTypeStrategic or Co-development PartnerAnnounced on2026-02-17
Description

Clinical partner in Mexico contributing to the Proyecto ABRAZO pediatric oncology clinical trial for digital therapeutic intervention.

Strategic tierMinorTypeGTM or Marketing Partner
Description

Selected as portfolio company for health innovation ecosystem and acceleration support.

Strategic tierMinorTypeGTM or Marketing Partner
Description

Selected for UNICEF Lab VI edition program supporting child-focused digital health innovation.

Strategic tierMinorTypeGTM or Marketing Partner
Description

Selected for 2023 KidsX Pediatric Accelerator, a program focused on accelerating pediatric digital health startups.

Strategic tierMinorTypeGTM or Marketing Partner
Description

Selected as semifinalist for EIT Health Catapult 2023-24, a European healthtech accelerator program.

Strategic tierMinorTypeGTM or Marketing Partner
Description

Selected as semifinalist for the Healthy Kids Healthy Future Pediatrics Accelerator.

Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
TypeOthers
Description

Non-profit social impact organization that develops evidence-based digital tools for the health of young people, including cancer-related fatigue interventions. Others peer because HopeLab operates with a similar mission-driven, evidence-based pediatric digital health model — even though it is non-profit and not directly commercial.

TypeDirect peer
Description

US-based prescription digital therapeutic company focused on cognitive/behavioral interventions, including pediatric ADHD (EndeavorRx). Direct peer because both build regulated digital therapeutics delivering cognitive/behavioral techniques to children via game-like interfaces.

TypeDirect peer
Description

Digital therapeutics company developing prescription CBT-based software for conditions including irritable bowel syndrome. Direct peer because both deliver evidence-based digital CBT through a software-as-medical-device model targeting a specific patient population.

TypeEmerging player
Description

AI-chatbot-based mental health support app with a specific pediatric configuration and clinical partnerships. Emerging player peer because Wysa is a digital behavioral health tool that has navigated pediatric mental health regulatory pathways and payer discussions similar to what Nen must pursue.

TypeEmerging player
Description

Develops VR-based digital therapeutics for mental health and chronic pain conditions. Emerging player peer because BehaVR applies immersive behavioral techniques to pain — overlapping therapeutic mechanism with Nen, but with a broader adult-leaning indication portfolio and VR delivery format.

TypeDirect peer
Description

Digital therapeutics company offering an AI-supported self-help platform for depression and anxiety. Direct peer because both are European-headquartered digital therapeutic platforms delivering evidence-based behavioral interventions at scale.

TypeDirect peer
Description

Develops VR-based digital interventions to reduce needle pain and anxiety in children undergoing medical procedures. Direct peer because Smileyscope targets pediatric procedural pain with non-pharmacological digital tools — same end user (children undergoing medical treatment) and same unmet need (pediatric pain management).

TypeBroad incumbent
Description

Pioneer in prescription digital therapeutics (reSET, reSET-O, Somryst) before winding down its commercial operations in 2023. Broad incumbent peer because Pear's playbook — clinical evidence generation, FDA clearance, payer reimbursement — defines the strategic pathway Nen is pursuing.

TypeBroad incumbent
Description

Mental health/wellness platform with a dedicated pediatric offering (Headspace for Kids) and Ginger integration. Broad incumbent peer because Headspace reaches children through digital channels with behavioral/wellness content, partially overlapping Nen's pediatric mental wellness positioning.

TypeBroad incumbent
Description

Digital therapeutics company offering Sleepio (insomnia) and Daylight (anxiety), marketed through employer/payer channels. Broad incumbent peer because Big Health has scaled CBT-based digital therapeutics commercially and demonstrates the payer/provider channel strategy Nen likely needs.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat4 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers1 record

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment3 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Feature4 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles6 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
Compliance2 records

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds2 records

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors2 records

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Nen

Digital Therapeuticsnen.health

Nen is a Barcelona-based digital therapeutics company that develops nendo, a gamified cognitive behavioral therapy mobile app for pain management in pediatric oncology patients aged 7-12, distributed via app stores alongside a companion app for parents and caregivers.

What Nen does

Nen is a Barcelona-based digital therapeutics company founded in 2022 that develops nendo, a gamified cognitive behavioral therapy (CBT) mobile application for pain management in pediatric oncology patients aged 7-12. The core platform delivers evidence-based behavioral techniques through interactive games and virtual companions to help children modulate pain, emotional regulation, and resilience during cancer treatment. A linked nendo parents companion app provides caregivers with educational content, support techniques, and tracking of their child's pain and mood progression. The company operates under a "buy one share one" social impact model where each app purchase subsidizes free access for an underserved child, distributed through the iOS App Store and Google Play.

Nen combines product-led consumer distribution with clinical evidence generation through academic and institutional partnerships. In February 2026, the company launched Proyecto ABRAZO, its first pediatric oncology clinical trial enrolling 150 patients in Puebla, Mexico, in collaboration with the University of Notre Dame, Harper Cancer Research Institute, Universidad Popular Autónoma del Estado de Puebla (UPAEP), and Una Nueva Esperanza. The product is not FDA-approved and is positioned as a support tool rather than a diagnostic or treatment device. Clinical advisors include specialists from Children's National, Weill Cornell Medicine, and Hospital Sant Joan de Déu.

The company is privately held and venture-backed, with board representation from 7WireVentures and Phs, and accelerator support from Plug and Play, CancerX, KidsX, EIT Health, Parkview Health/Matter, UNICEF Lab, and Accel-Ed. Leadership is led by founder and CEO Francesca Domenech Wuttke, PhD, a former Chief Digital Officer with 25+ years of pharmaceutical and digital health experience. Nen operates with 1-10 employees from its registered office in Sant Cugat del Vallès (Barcelona), Spain.

Nen firmographics

Firmographics
Name
Nen
Legal name
NEN EVIDENCE BASED SOLUTIONS, S.L.
Website
https://nen.health
Company type
Private
Founded year
2022
Operating status
Operating
Headcount range
1–10 employees
Short description
Nen is a Barcelona-based digital therapeutics company that develops nendo, a gamified cognitive behavioral therapy mobile app for pain management in pediatric oncology patients aged 7-12, distributed via app stores alongside a companion app for parents and caregivers.
Ownership category
akta.pro rank

Nen industry classification

Industry
Product category
Digital Therapeutics
akta.pro primary industry
Behavioral Health & Neurocognitive Therapeutics (Digital) (HLACANAI)

Keywords

  • Pediatric pain management
  • Digital therapeutics
  • Cognitive behavioral therapy
  • Mobile health apps
  • Gamified health interventions

Where Nen is headquartered

Location

Headquarters

HQ city
Barcelona
HQ country
Spain
HQ region
Europe

Offices2 records

Markets served

Nen business model

Business model
GTM type
B2C
Offering type
Software
Cost components
Personnel, Technology or R&D, Marketing or Sales, Operations

Revenue model

  1. App Sales (Buy One, Share One): Revenue generated from direct consumer app sales through iOS App Store and Google Play. The company operates a social impact model where each purchase provides free access to another child in need, effectively subsidizing access for underserved populations through commercial sales.
  2. Clinical Trial Partnerships: Collaborative clinical trials with academic and clinical institutions generate clinical evidence to support product efficacy and potentially support future reimbursement or healthcare system adoption.

Pricing tiers

ModelBillingPrice
One time/ perpetual licenseMonthlynendo app for children (iOS/Android)

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Nen product offering

Product offering

Core offering

Nen develops and sells nendo, a digital cognitive behavioral therapy platform delivered as a mobile app that uses gamification and behavioral techniques to help children aged 7-12 manage pain, particularly pain associated with cancer treatment. The company also offers nendo parents, a companion app providing caregivers with educational content, support techniques, and tracking of the child's pain and mood progression.

Product overview

Nen offers a pediatric digital therapeutic platform comprising two companion mobile apps: nendo and nendo parents. nendo is the core digital program designed for children aged 7-12 that delivers behavioral techniques for pain management through gamified interactive games. nendo parents is the companion app for caregivers that provides educational support, tracks the child's pain and mood progression, and reinforces adaptive coping strategies. The platform leverages cognitive behavioral therapy (CBT) techniques and is specifically designed for pediatric oncology patients to help manage pain, emotional regulation, and resilience during cancer treatment.

Differentiator

Problem solved

Functional benefit

Products and services

  • nendo A digital cognitive behavioral therapy platform for children aged 7-12, primarily those with cancer, that delivers behavioral techniques through gamified interactive games and virtual companions to help manage pain, emotional regulation, and resilience.
  • nendo parents A companion app linked to nendo that provides parents and caregivers with educational services, support techniques, access to the child's pain progression data, and mood tracking to support their involvement in pain management.

Quantifiable outcome

  • Behavioral methods can lead to significant improvement in quality of life for children experiencing pain

Companies that use Nen

Customer profile

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Nen technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Feature4 records

Nen partnerships and signals

Strategic signal

Partnerships

Nine partnerships are on record, tiered core and minor.

  • University of Notre DamecoreStrategic or Co-development Partner · 17 February 2026Academic research partner in Proyecto ABRAZO clinical trial, contributing to Harper Cancer Research Institute collaboration for pediatric oncology pain management research.
  • Harper Cancer Research InstitutecoreStrategic or Co-development Partner · 17 February 2026Research institute collaborating on the Proyecto ABRAZO clinical trial to evaluate digital CBT platform for pain management in pediatric oncology patients.
  • Universidad Popular Autónoma del Estado de Puebla (UPAEP)coreStrategic or Co-development Partner · 17 February 2026Academic partner in Mexico hosting the clinical trial enrollment site for 150 pediatric oncology patients and their caregivers in Puebla.
  • Una Nueva EsperanzacoreStrategic or Co-development Partner · 17 February 2026Clinical partner in Mexico contributing to the Proyecto ABRAZO pediatric oncology clinical trial for digital therapeutic intervention.
  • Plug and PlayminorGTM or Marketing PartnerSelected as portfolio company for health innovation ecosystem and acceleration support.
  • UNICEF LabminorGTM or Marketing PartnerSelected for UNICEF Lab VI edition program supporting child-focused digital health innovation.
  • KidsXminorGTM or Marketing PartnerSelected for 2023 KidsX Pediatric Accelerator, a program focused on accelerating pediatric digital health startups.
  • EIT HealthminorGTM or Marketing PartnerSelected as semifinalist for EIT Health Catapult 2023-24, a European healthtech accelerator program.
  • Parkview Health and MatterminorGTM or Marketing PartnerSelected as semifinalist for the Healthy Kids Healthy Future Pediatrics Accelerator.

Scale indicators3 records

Recent moves6 records

Expansion highlights6 records

Nen competitors and assessment

Company assessment

Others

  • HopeLab: Non-profit social impact organization that develops evidence-based digital tools for the health of young people, including cancer-related fatigue interventions. Others peer because HopeLab operates with a similar mission-driven, evidence-based pediatric digital health model — even though it is non-profit and not directly commercial.

Direct peers

  • Akili Interactive: US-based prescription digital therapeutic company focused on cognitive/behavioral interventions, including pediatric ADHD (EndeavorRx). Direct peer because both build regulated digital therapeutics delivering cognitive/behavioral techniques to children via game-like interfaces.
  • Mahana Therapeutics: Digital therapeutics company developing prescription CBT-based software for conditions including irritable bowel syndrome. Direct peer because both deliver evidence-based digital CBT through a software-as-medical-device model targeting a specific patient population.
  • Limbic: Digital therapeutics company offering an AI-supported self-help platform for depression and anxiety. Direct peer because both are European-headquartered digital therapeutic platforms delivering evidence-based behavioral interventions at scale.
  • Smileyscope: Develops VR-based digital interventions to reduce needle pain and anxiety in children undergoing medical procedures. Direct peer because Smileyscope targets pediatric procedural pain with non-pharmacological digital tools — same end user (children undergoing medical treatment) and same unmet need (pediatric pain management).

Emerging players

  • Wysa: AI-chatbot-based mental health support app with a specific pediatric configuration and clinical partnerships. Emerging player peer because Wysa is a digital behavioral health tool that has navigated pediatric mental health regulatory pathways and payer discussions similar to what Nen must pursue.
  • BehaVR: Develops VR-based digital therapeutics for mental health and chronic pain conditions. Emerging player peer because BehaVR applies immersive behavioral techniques to pain — overlapping therapeutic mechanism with Nen, but with a broader adult-leaning indication portfolio and VR delivery format.

Broad incumbents

  • Pear Therapeutics (legacy / re-emerging assets): Pioneer in prescription digital therapeutics (reSET, reSET-O, Somryst) before winding down its commercial operations in 2023. Broad incumbent peer because Pear's playbook — clinical evidence generation, FDA clearance, payer reimbursement — defines the strategic pathway Nen is pursuing.
  • Headspace Health: Mental health/wellness platform with a dedicated pediatric offering (Headspace for Kids) and Ginger integration. Broad incumbent peer because Headspace reaches children through digital channels with behavioral/wellness content, partially overlapping Nen's pediatric mental wellness positioning.
  • Big Health: Digital therapeutics company offering Sleepio (insomnia) and Daylight (anxiety), marketed through employer/payer channels. Broad incumbent peer because Big Health has scaled CBT-based digital therapeutics commercially and demonstrates the payer/provider channel strategy Nen likely needs.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights6 records

Customer concentration

Nen social profiles

Digital presence

Nen compliance and trust

Trust signal

Compliance2 records

Nen financial estimates

Financial estimate

Revenue estimate

Valuation estimate

Nen leadership team

Management profile

Number of profiles

Profiles6 records

Nen funding detail

Funding detail

Funding overview

Funding rounds2 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

Nen M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Nen

What does Nen do?

Nen develops and sells nendo, a digital cognitive behavioral therapy platform delivered as a mobile app that uses gamification and behavioral techniques to help children aged 7-12 manage pain, particularly pain associated with cancer treatment. The company also offers nendo parents, a companion app providing caregivers with educational content, support techniques, and tracking of the child's pain and mood progression.

Is Nen a public or private company?

Nen is a private company. It is classified as venture growth investor backed and is currently operating.

When was Nen founded?

Nen was founded in 2022. It employs 1 to 10 people.

Where is Nen based?

Nen is headquartered in Barcelona, Spain, in the Europe region.

How does Nen make money?

Two revenue lines are on record. App Sales (Buy One, Share One) is the primary driver. The others are clinical Trial Partnerships.

Who are Nen's main competitors?

HopeLab is listed as an others. Direct peers are Akili Interactive, Mahana Therapeutics, Limbic and Smileyscope. Emerging players are Wysa and BehaVR. Broad incumbents are Pear Therapeutics (legacy / re-emerging assets), Headspace Health and Big Health.

Does Nen have an API?

No public API is recorded for Nen.

What industry is Nen in?

Nen's product category is Digital Therapeutics. Its primary akta.pro industry code is HLACANAI, Behavioral Health & Neurocognitive Therapeutics (Digital).

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Live signals
The Desert Sunnen Launches First Pediatric Oncology Pain Management Clinical Trial with International Academic and Clinical PartnersNen, a pediatric digital solutions company based in Barcelona, Spain, announced the launch of its first pediatric oncology clinical trial, Proyecto ABRAZO, which evaluates the company's digital cognitive behavioral therapy platform for pain management, emotional regulation, and resilience in children undergoing cancer treatment. The study will enroll 150 pediatric oncology patients and their caregivers in Puebla, Mexico, in collaboration with academic and clinical institutions including the University of Notre Dame, Harper Cancer Research Institute, Una Nueva Esperanza, and Universidad Popular Autónoma del Estado de Puebla. The trial aims to generate clinical evidence on whether a digital therapeutic approach can expand access to evidence-based psychological care for pediatric oncology patients.EIN Presswirenen Launches First Pediatric Oncology Pain Management Clinical Trial with International Academic and Clinical PartnersNen, a Barcelona-based pediatric digital solutions company, announced the launch of its first pediatric oncology clinical trial, Proyecto ABRAZO, which will evaluate the company's digital cognitive behavioral therapy (CBT) platform for pain management, emotional regulation, and resilience in children undergoing cancer treatment. The trial will enroll 150 pediatric oncology patients and their caregivers in Puebla, Mexico, in collaboration with University of Notre Dame, Harper Cancer Research Institute, Una Nueva Esperanza, and Universidad Popular Autónoma del Estado de Puebla (UPAEP). The study aims to generate clinical evidence for scalable, non-pharmacological interventions to address persistent gaps in pediatric oncology pain and mental health care.