1. bookVolume 7 (2020): Issue 1 (January 2020)
Journal Details
License
Format
Journal
eISSN
2055-3390
First Published
22 Dec 2017
Publication timeframe
1 time per year
Languages
English
access type Open Access

Pain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care

Published Online: 17 Oct 2020
Page range: 110 - 120
Journal Details
License
Format
Journal
eISSN
2055-3390
First Published
22 Dec 2017
Publication timeframe
1 time per year
Languages
English
AbstractBackground

Pain associated with bleeding disorders has been demonstrated to have an impact on patients’ and families’ quality of life. Both acute and chronic pain are common experiences and require attention by professionals working in haemophilia treatment centres (HTCs). The benefits of psychological pain management strategies such as cognitive behaviour therapy and self-management skills training are well documented; however, it is not well understood how Canadian social workers involved in haemophilia care perceive and provide pain management support to patients.

Aims

To explore the current understanding of pain management and practice as well as the education needs of members of Canadian Social Workers in Hemophilia Care (CSWHC).

Method

Twelve semi-structured qualitative interviews were conducted with members of CSWHC. Transcribed interviews were coded with NVivo software and thematically analysed.

Results

The four key themes reflecting the experiences of social workers are: 1) Limited comprehension of key issues related to pain; 2) Conditioning to push through pain; 3) Expanding pain knowledge to enhance practice; 4) How we practice social work and choose to step in.

Conclusion

The current practice of CSWHC members aligns with literature in three main areas including assessment, instrumental services, and counselling. Social workers support the development of pain education and practical resources for patients with haemophilia who experience pain. While formal education, advocacy, and policy development of pain assessment and management are recognised, these areas require further research and development.

Keywords

Participants in a study involving members of Canadian Social Workers in Hemophilia Care anticipate that improved knowledge of pain and pain management will have a positive impact on their practice within the multidisciplinary team, and increase their capacity to advocate for people with bleeding disorders.

Advances in recombinant factor replacement therapy in haemophilia care have increased life expectancy as well as quality of life (QoL); however, bleeds and missed treatments continue to influence acute and chronic pain among people with haemophilia (PwH) [1,2,3]. Due to the nature of chronic pain and the impact it has on QoL, social workers are uniquely situated to take an active role in pain assessment, treatment, and management [4,5]. Current literature exposes gaps in the use of validated pain and mental health assessment tools, advocacy, and policy development in social work practice [6].

<sec id="j_jhp00163_s_001_s_001_w2aab3b7c75b1b6b1ab1b2b1Aa"><div>Pain in bleeding disorders</div><p>Bleeding disorders are inherited and genetic conditions, including haemophilia A, haemophilia B, von Willebrand disease (VWD), and platelet function disorders. Patients with these diagnoses are at increased risk for bleeding into joints, muscles and internal organs, increasing the probability of long-term tissue damage and chronic pain <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa">3</a>,<a ref-type="bibr" href="#j_jhp00163_ref_007_w2aab3b7c75b1b6b1ab2b1b7Aa">7</a>,<a ref-type="bibr" href="#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa">8</a>]</sup>. Acute pain can result from bleeds, typically associated with swelling, heat and restricted movement, as well as pain from medical procedures including factor infusions <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa">3</a>,<a ref-type="bibr" href="#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa">8</a>,<a ref-type="bibr" href="#j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa">9</a>]</sup>. Chronic pain experienced from permanent joint impairment may arise from damage to the synovial lining or surgical interventions such as joint replacements or fusions <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa">3</a>,<a ref-type="bibr" href="#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa">8</a>,<a ref-type="bibr" href="#j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa">9</a>]</sup>. Endogenous pain modulation regulated by the central nervous system influences the pain experience <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_010_w2aab3b7c75b1b6b1ab2b1c10Aa">10</a>,<a ref-type="bibr" href="#j_jhp00163_ref_011_w2aab3b7c75b1b6b1ab2b1c11Aa">11</a>]</sup>. The experience of pain in bleeding disorder patients may be amplified by impaired endogenous pain modulation <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_012_w2aab3b7c75b1b6b1ab2b1c12Aa">12</a>]</sup>. Pain is a subjective experience including physical and psychological factors, yet there is support to define pain in purely psychological terms. Biro (2010), for example, moves beyond the strict biological view of pain and acknowledges that pain may exist in psychological form without physical tissue damage present <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_013_w2aab3b7c75b1b6b1ab2b1c13Aa">13</a>]</sup>. The biopsychosocial impacts of pain on QoL include relationships <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa">14</a>,<a ref-type="bibr" href="#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa">15</a>]</sup>, work/school, housing, health management <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa">15</a>,<a ref-type="bibr" href="#j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa">16</a>,<a ref-type="bibr" href="#j_jhp00163_ref_017_w2aab3b7c75b1b6b1ab2b1c17Aa">17</a>]</sup>, psychological concerns including depression/anxiety, fatigue or stress <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa">14</a>,<a ref-type="bibr" href="#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa">15</a>,<a ref-type="bibr" href="#j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa">16</a>,<a ref-type="bibr" href="#j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa">18</a>,<a ref-type="bibr" href="#j_jhp00163_ref_019_w2aab3b7c75b1b6b1ab2b1c19Aa">19</a>]</sup>, and finances (transportation/social services) <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa">14</a>,<a ref-type="bibr" href="#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa">15</a>,<a ref-type="bibr" href="#j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa">18</a>]</sup>.</p><p>The Haemophilia Experiences, Results and Opportunities (HERO) study included 675 adult PwH from ten countries who reported a high prevalence of comorbidities, including arthritis (49%), and psychological concerns such as stress, fatigue, depression/anxiety (47%), as well as chronic pain (43%) either related or unrelated to haemophilia <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_020_w2aab3b7c75b1b6b1ab2b1c20Aa">20</a>]</sup>. A national study in the US of 764 PwH found that 59% of participants rely on the haemophilia treatment centres (HTCs) for pain management, while 39% of participants indicated their pain was not well managed, suggesting that pain is a pervasive issue in this population <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa">21</a>]</sup>. These studies demonstrate the need for HTC care providers to be skilled in pain assessment and management to ensure appropriate treatment and referrals. Many PwH can find it challenging to distinguish between chronic pain and what could plausibly be an acute bleed <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa">21</a>]</sup>, suggesting a need for the professionals who work with them to assist PwH in developing knowledge of pain experiences and the language to describe them. Pain in PwH is widely recognised, and HTC social workers have the potential to provide support and skills to address these concerns.</p></sec><sec id="j_jhp00163_s_001_s_002_w2aab3b7c75b1b6b1ab1b2b2Aa"><div>Social work practice in haemophilia care and pain management</div><p>The predominant effort of the Canadian Hemophilia Society (CHS) has been to improve patient-centred care and QoL while supporting the search for a cure <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_022_w2aab3b7c75b1b6b1ab2b1c22Aa">22</a>]</sup>. The standard of practice for Canadian Social Workers in Hemophilia Care (CSWHC) includes psychosocial assessment, counselling/psychotherapy, advocacy, education and resources (patient, family and community), support and discharge planning <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_023_w2aab3b7c75b1b6b1ab2b1c23Aa">23</a>]</sup>.</p><p>Current literature on the role of social work in the management of chronic pain demonstrates its impact on QoL and the needs for appropriate intervention <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa">24</a>,<a ref-type="bibr" href="#j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa">25</a>,<a ref-type="bibr" href="#j_jhp00163_ref_026_w2aab3b7c75b1b6b1ab2b1c26Aa">26</a>]</sup>. Social workers routinely conduct psychosocial assessments in these areas and are well situated to assess the impact of pain on QoL and provide intervention services.</p><p>This paper explores the understanding and application of the role of members of CSHWC in pain management and the direction of future discipline-specific pain education.</p></sec></sec><sec id="j_jhp00163_s_002_w2aab3b7c75b1b6b1ab1b3Aa"><div>AIMS</div><p>As there is a need for PwH to receive adequate pain management from the HTC, it was important to explore the current understanding and practice of social work in pain management. The aim of this study was to determine the scope of pain knowledge and current practice in pain management among social workers in CSWHC, guided by two research questions: <list list-type="bullet"><list-item><p>What do social workers in CSWHC currently understand about pain and bleeding disorder care and their practice?</p></list-item><list-item><p>What specific pain knowledge and training is prioritised by social workers in CSWHC?</p></list-item></list></p></sec><sec id="j_jhp00163_s_003_w2aab3b7c75b1b6b1ab1b4Aa"><div>METHOD</div><p>The study was designed by a member of CSWHC and supported by the interest of its membership. A purposive sample was drawn from CSWHC membership (15–20 active members), who have specialised expertise in bleeding disorder care. Participants were recruited during CSWHC's 2018 annual general meeting, where an invitation poster and consent form were distributed, and via email. Twelve social workers agreed to participate in the study.</p><p>Semi-structured interviews were conducted with study participants to allow them to reflect on and share their professional experience. An interview guide (<a ref-type="app" href="#j_jhp00163_app_001_w2aab3b7c75b1b6b1ab2b2aAa">Appendix</a>) was developed through discussion of the research questions among the research team. The questions aimed to obtain an understanding of social workers’ current knowledge and experience around pain management. No pilot interviews were undertaken due to time restraints.</p><p>Participants were invited to interview via email. Interviews were conducted between September 2018 and February 2019 by a single interviewer (JK) in a private home office via Zoom.us and recorded, with participants’ consent, to a password-protected computer. Field notes were kept during and after each interview. The interviews were subsequently transcribed by a research service at the University of Saskatchewan and reviewed for accuracy.</p><p>Interview transcripts were emailed individually to each participant for review and asked to confirm consent for the transcript and to provide any further comments to clarify their interview.</p><sec id="j_jhp00163_s_003_s_001_w2aab3b7c75b1b6b1ab1b4b5Aa"><div>Ethics</div><p>The University of Saskatchewan Behavioral Ethics Board granted an exemption for this study.</p><p>As members of CSWHC, participants were involved in initial discussions about the research; however, they were not involved in finalising the research or in developing the interview questions. Participants signed and submitted informed consent to the interview (JK) in person at the 2018 CSWHC annual general meeting, or via fax or email. The consent form included the granting of permission to use quotes in publications. Participants received gift cards an honorarium for their time. This was approved through ethics and described in the consent form.</p></sec><sec id="j_jhp00163_s_003_s_002_w2aab3b7c75b1b6b1ab1b4b6Aa"><div>Data analysis</div><p>Funding to complete a scoping review and thematic analysis of the interviews was secured through the CHS and Novo Nordisk Psychosocial Research Grant in 2018.</p><p>NVivo software was used to manage and analyse data, including the organisation and arrangement of codes and themes. Field notes recorded during the interviews were read prior to the analysis. Clarifying comments received from participants following the receipt of interview transcripts were not included in the analysis.</p><p>Data analysis was conducted using a thematic approach. Four considerations were applied to the analysis <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa">27</a>,<a ref-type="bibr" href="#j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa">28</a>,<a ref-type="bibr" href="#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa">29</a>]</sup>: 1) inclusion of the entire data set in the analysis using a rich thematic description <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa">27</a>,<a ref-type="bibr" href="#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa">29</a>]</sup>: 2) inductive approach using a rich thematic description <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa">27</a>]</sup>: 3) utilising a shared meaning in the identification of themes <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa">27</a>,<a ref-type="bibr" href="#j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa">28</a>,<a ref-type="bibr" href="#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa">29</a>]</sup>: 4) using an essentialist approach to allow inference of theories or ideas from within the data set <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa">27</a>]</sup>.</p></sec></sec><sec id="j_jhp00163_s_004_w2aab3b7c75b1b6b1ab1b5Aa"><div>RESULTS</div><p>Interviews were conducted with 12 registered social workers, representing five provinces across Canada, with a range of age, education, and experience. The demographic characteristics of the sample appear in <a ref-type="table" href="#j_jhp00163_tab_001_w2aab3b7c75b1b6b1ab1b5b2Aa">Table 1</a>. All participants worked in an HTC at the time of the interviews. Two indicated that they worked in a combined adult and paediatric clinic, while five indicated working in paediatric clinics. The other five participants did not explicitly indicate the nature of the clinic in which they worked; however, based on the interviews, the research team inferred that they worked within the adult population.</p><table-wrap id="j_jhp00163_tab_001_w2aab3b7c75b1b6b1ab1b5b2Aa" position="float"><label>Table 1</label><caption><p>Participant demographic information (N=12)</p></caption><table rules="cols"><thead><tr><th align="left" valign="middle"><bold>CHARACTERISTIC</bold></th><th align="left" valign="middle"><bold>N</bold></th></tr><tr><th align="left" valign="top" colspan="2"/></tr></thead><tbody><tr><td align="left" valign="top"><bold>Gender</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Male</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">Female</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Age Range</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">20–29</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">30–39</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">40–49</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">50–59</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top">60–69</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Educational preparation</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">BSW</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">MSW</td><td align="left" valign="top">7</td></tr><tr><td align="left" valign="top">Additional degrees</td><td align="left" valign="top">4</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Years of practice</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">0–10</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">11–20</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">21–30</td><td align="left" valign="top">3</td></tr><tr><td align="left" valign="top">31–40</td><td align="left" valign="top">3</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Additional pain education</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Yes</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">No</td><td align="left" valign="top">9</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr></tbody></table></table-wrap><p>Four themes were identified in the analysis (see <a ref-type="fig" href="#j_jhp00163_fig_001_w2aab3b7c75b1b6b1ab1b5b4Aa">Figure 1</a>): 1) Limited comprehension of key issues related to pain; 2) Conditioned to push through pain; 3) Expanding pain knowledge to enhance practice; 4) How we practice social work and choose to step in.</p><figure id="j_jhp00163_fig_001_w2aab3b7c75b1b6b1ab1b5b4Aa" position="float" fig-type="figure"><h2>Figure 1</h2><img xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="graphic/j_jhp00163_fig_001.jpg" src="https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20220527T123900Z&X-Amz-SignedHeaders=host&X-Amz-Expires=18000&X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Signature=855d5cd05b9fa2d4fd3c9508c35c342bda5c39dded052611f24a07064a383ffe" class="mw-100"></img></figure><sec id="j_jhp00163_s_004_s_001_w2aab3b7c75b1b6b1ab1b5b5Aa"><label>1</label><div>Limited comprehension of key issues related to pain</div><p>This first theme emerged through the language social workers used to describe and differentiate between what they described as physical pain or emotional pain. The way in which participants articulated acute and chronic pain within bleeding disorders focused on tissue damage associated with physical injury. They established the connection of emotional pain with physical pain yet did not discuss the bidirectional effects or the influence of emotions on the pain experience. The development of this theme explored how social workers comprehend pain management, contributing to the analysis of both research questions. Examination of language used by participants provided the opportunity to explore gaps in their pain knowledge. When considered with the third theme, this helps to provide an understanding of the education required.</p><p>While four participants identified bleeds as a cause of pain, only one identified needles and procedures as a source of pain. One participant showed some uncertainty about how pain occurs from a bleed: <disp-quote><p><italic>“A joint bleed as an example of that which can result from trauma. Essentially blood, I believe, being released into the joints causing much pain.”</italic></p><attrib><italic>(P001)</italic></attrib></disp-quote></p><p>Also noted was the application of a pain intensity scale to differentiate between acute or chronic pain: <disp-quote><p><italic>“Chronic pain, in my opinion, is probably something that's above a six or seven on a one to ten rating of scale, but it can be higher… I see acute pain being the spike, so it goes from let's say a two to an eight back down to a two, right?”</italic></p><attrib><italic>(P002)</italic></attrib></disp-quote></p><p>Few participants identified joint damage due to recurrent bleeds, and there was no discussion of the specifics of how this occurs. The language participants used to describe chronic pain indicated a limited comprehension of pain language, for example: <disp-quote><p><italic>“Just the lack of relief from the pain. It's always there.”</italic></p><attrib><italic>(P011)</italic></attrib></disp-quote></p><p>Five participants went beyond physical pain and discussed the emotional response and impact of pain. Emotional pain was identified as a concern for participants: <disp-quote><p><italic>“Sometimes physical pain can also contribute to an emotional, psychosocial pain that, you know, once the physical pain has healed, there could be that psychological pain.”</italic></p><attrib><italic>(P010)</italic></attrib></disp-quote><disp-quote><p><italic>“The pain isn’t always physical; sometimes there's some emotional pain associated with this as well.”</italic></p><attrib><italic>(P011)</italic></attrib></disp-quote></p><p>Strong emotional words were used to describe chronic pain in bleeding disorder patients: <disp-quote><p><italic>“[…] persistent, always there. Constant reminder that I have an issue. Depressing, disappointing.”</italic></p><attrib><italic>(P004)</italic></attrib></disp-quote></p><p>Another participant articulated their lack of pain understanding: <disp-quote><p><italic>“I don’t know that I’ve ever heard us define it, so, therefore, I’m having trouble actually knowing if that is the correct definition of it.”</italic></p><attrib><italic>(P008)</italic></attrib></disp-quote></p><p>The social workers in our study also reported that their time dedicated to bleeding disorders care is limited, and that they cover other areas of the hospital away from their specific disease expertise.</p></sec><sec id="j_jhp00163_s_004_s_002_w2aab3b7c75b1b6b1ab1b5b6Aa"><label>2</label><div>Conditioned to push through pain</div><p>One of the interview questions asked about what messages participants hear about pain from society, patients, health care providers or their own families. Many participants spoke to their own experience growing up. One participant used the example of sports activity: <disp-quote><p><italic>“I was an athlete, so pain was always something that you – you suck it up.”</italic></p><attrib><italic>(P002)</italic></attrib></disp-quote></p><p>Specifically, the need to push through pain was discussed by two participants: <disp-quote><p><italic>“I think the other messaging within our family was, you sort of need to push through it.”</italic></p><attrib><italic>(P005).</italic></attrib></disp-quote></p><p>The perceived thoughts and attitudes of broader social and health care professionals were addressed: <disp-quote><p><italic>“I think for the hospital's perspective we really don’t like to see people in pain, so we treat their pain. I think that's a North American, or Western approach to pain, is that we want it to go away.”</italic></p><attrib><italic>(P007)</italic></attrib></disp-quote><disp-quote><p><italic>“As a North American society, we’re kind of dismissive of the impact of chronic pain and how that impacts a person's sense of self and just quality of life really.”</italic></p><attrib><italic>(P012)</italic></attrib></disp-quote></p><p>Participants used self-reflection during the interviews and identified the need to challenge this thinking when it comes to the messages they give to patients experiencing pain. They considered how these messages could impact how they relate to patients in pain through empathy and through providing patients with new messages on pain identification and management. This change and its impact on patients was explored by P005, who described the approach to pain in their upbringing: <disp-quote><p><italic>“You don’t surrender to pain, you push through, you keep going, you be tougher than it is. So, you know, I’ve had to re-learn what I would say to patients.”</italic></p><attrib><italic>(P005)</italic></attrib></disp-quote></p></sec><sec id="j_jhp00163_s_004_s_003_w2aab3b7c75b1b6b1ab1b5b7Aa"><label>3</label><div>Expanding pain knowledge to enhance practice</div><p>Participants noted how learning opportunities in pain management could benefit their patients, impact their practice, and strengthen their role in the multidisciplinary team (MDT). Learning about the specifics of bleeding disorders and pain management, and the development of resources for patient services, was of utmost interest. However, participants wanted to know whether this pain knowledge would transfer into other areas of hospital work, indicating the shared role they have among other specialities and a desire to make the most of educational opportunities.</p><p>A need for more specific information on diagnosis was identified: <disp-quote><p><italic>“to understand individually how the different severities in haemophilia A, haemophilia B, how that impacts each patient... really understanding that myself so that that education can be supported or provided in the patient.”</italic></p><attrib><italic>(P001)</italic></attrib></disp-quote></p><p>Knowledge of specific pain types within bleeding disorders was deemed necessary to assist in discerning potential outcomes and communicating these to patients. One participant suggested: <disp-quote><p><italic>“…some sort of in-service [training] or maybe some recommended readings, or that sort of thing, on what is pain in terms of haemophilia in patients…what are the solutions or things that will make it easier.”</italic></p><attrib><italic>(P009)</italic></attrib></disp-quote></p><p>The impact pain education might have on the role of social work within the multidisciplinary team was similarly reported: <disp-quote><p><italic>“If I had more knowledge around the whole pain assessment piece, I would be able to maybe assess or have input earlier on with the diagnosis.”</italic></p><attrib><italic>(P006)</italic></attrib></disp-quote><disp-quote><p><italic>“Right now, I usually leave it [pain] up to those areas, those disciplines, but I think if I had more knowledge, I would be more vocal and more active in reinforcing, I guess, maybe the treatment plans.”</italic></p><attrib><italic>(P006)</italic></attrib></disp-quote></p><p>Consideration was given to the type of pain education that would be helpful: <disp-quote><p><italic>“I think probably something that would give me an overall guide about pain, what is it, how medically it can be treated, what can we do to assist or lessen pain, how we can teach our patients to deal better with pain and our staff actually as well.”</italic></p><attrib><italic>(P004)</italic></attrib></disp-quote></p><p>Participants indicated they would like to have strategies and resources for their interactions with patients, which would benefit both social workers and patients: <disp-quote><p><italic>“More written resource information to perhaps give them, to expand their knowledge, and some additional tools that they can use themselves to help support themselves through that aspect of their haemophilia.”</italic></p><attrib><italic>(P005)</italic></attrib></disp-quote></p><p>Participants were asked to identify the area of pain knowledge that would be most helpful based on the International Association for the Study of Pain (IASP) Social Work Curriculum Outline <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa">4</a>]</sup>. Of the four learning categories suggested, the multidimensional nature of pain was the most requested (8 participants), followed by pain assessment and measurement (5 participants), and management of pain (2 participants). The fourth category, clinical conditions, was not identified as a useful learning area by any participants.</p><p>Participants believed they would benefit from specific pain education, but appeared to have difficulty in saying that it was necessary or crucial, instead stating it would “enhance” (P004), be “important” (P001; P003; P005; P007), they “would be interested” (P006), or it would be “beneficial” (P008; P012). One participant stated specifically that social work requires involvement with patient care “so that we can address that more psychological [aspects], underlying pain” (P010); no participants stated that this would not or should not be part of their role.</p><p>Participants reflected on the positive impact that pain education would have not only on patient care but also on their own role within the MDT. They anticipated how pain education could strengthen their role in patient care, specifically knowing how to talk about pain with patients and how to use the language of pain to advocate for them. This would also impact on their role in pain management in the comprehensive care team.</p></sec><sec id="j_jhp00163_s_004_s_004_w2aab3b7c75b1b6b1ab1b5b8Aa"><label>4</label><div>How we practice social work and choose to step in</div><p>Consistencies in social work roles across Canada were evident in the interviews. Participants did not hesitate when describing the role of social work and most agreed on the core aspects. Three capacities were identified in their scope of practice: assessor, facilitator of instrumental work, and counsellor/therapist. As discussed in the introduction, these roles align closely with those identified in a scoping review <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa">6</a>]</sup>.</p><p>Participants were unfamiliar with available assessments for pain, but maintain the routine use of psychosocial assessment. They explained their roles in terms of “completing a psychosocial assessment”, “ensuring they have connections to appropriate community resources”, and “counselling around any issues that might arise” (P005). The instrumental role also includes “medication coverage, sometimes accommodation, transportation needs”, “systems navigation, advocacy”, and “illness adjustment strategies for coping, difficulties that someone might have in the workplace, something that they might have at home, in their relationship” (007).</p><p>Participants identified that social workers could be more active in pain management. The instrumental role was described as being “a good advocate for the family to make sure that they’re understanding and making sure our team's doing appropriate education” (P008), but this advocacy requires looking into the areas that pain impacts.</p><disp-quote><p><italic>“It's not just pain, it's the effect on their [patients’] mental health that it has, it's the effect on their activities of daily living, it's the effect on their ability to hold and maintain employment or education… social work should play a larger role in that.”</italic></p><attrib><italic>(P009)</italic></attrib></disp-quote><p>Multidisciplinary or interdisciplinary teamwork were referred to. Understanding the role of each member in order to provide best practice in the team was the central interest: <disp-quote><p><italic>“I do have a different perspective and appreciate the perspective of the many other team members, so I think we end up complimenting each other in terms of our practice with our clients.”</italic></p><attrib><italic>(P011)</italic></attrib></disp-quote></p><p>Social workers anticipated future education to have a positive impact on their practice within the MDT, including their capacity for patient advocacy.</p></sec></sec><sec id="j_jhp00163_s_005_w2aab3b7c75b1b6b1ab1b6Aa"><div>DISCUSSION</div><p>Social workers in CSWHC were interested in and open to discussing the current position of pain knowledge and considerations in prioritising education. Reflecting on the research questions, we found in our thematic analysis that the participants interviewed have a limited comprehension of key issues related to pain. Participants’ partial discussion of bleeds and causes of muscle or joint pain, and their lack of identifying needles or procedures as pain-producing also evidenced their limited comprehension of pain in bleeding disorder care and came as a surprise to the researchers. The language used to describe acute or chronic pain and the use of pain rating scales indicated a requirement for further education, including the relationship of physical and emotional properties of pain.</p><p>Pain rating scales determine the subjective nature of pain in the moment and provide assessment for pain intensity and effect <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_030_w2aab3b7c75b1b6b1ab2b1c30Aa">30</a>]</sup> but cannot determine whether pain is chronic or acute. Pain scales and assessment of psychosocial functioning are suggested for the assessment of pain by professionals <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa">24</a>,<a ref-type="bibr" href="#j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa">25</a>,<a ref-type="bibr" href="#j_jhp00163_ref_031_w2aab3b7c75b1b6b1ab2b1c31Aa">31</a>]</sup>. Understanding the assessment of pain in acute and chronic conditions is required for comprehensive care. The disclosure by P008 showing lack of knowledge around pain definitions exposes a need to develop education and pain literacy for social workers working in bleeding disorders care. The literature supports this call for further education in pain knowledge for social workers <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_032_w2aab3b7c75b1b6b1ab2b1c32Aa">32</a>,<a ref-type="bibr" href="#j_jhp00163_ref_033_w2aab3b7c75b1b6b1ab2b1c33Aa">33</a>]</sup>. Also required is general knowledge of health reform and community health <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_034_w2aab3b7c75b1b6b1ab2b1c34Aa">34</a>]</sup>. Social workers must go beyond patient advocacy and make a call to universities and workplace management in order to fill this gap and provide superior care.</p><p>The second finding of this research is that the practice of social work in CSWHC aligns with the literature noted in the introduction of pain-specific interventions; these include assessment, instrumental services, and counselling. Participants were unaware of pain assessment tools and enquired about what was available, although they conducted psychosocial assessments and were clear on the necessity to apply them in practice. They spoke to the instrumental services and counselling services they can provide and expressed a desire to engage in best practices for their clients, also indicating a desire to learn. Participants also used self-reflection and past educational experiences to create changes in their pain beliefs to offer professional care. Allowing time for self-reflection on the messages we receive about pain and how these impact the care of patients is an important exercise in professionalism.</p><p>Our third theme, expanding pain knowledge to enhance practice, supported the need for further education for social workers on validated pain assessment tools and outcome measures. Participants recognised this and were clear on the potential benefits to their practice and their patients of education specific to pain, although social workers may find it challenging to advocate for their own educational needs, in part because of limited time, resources, and education funds. The IASP Curriculum Guideline for Social Workers <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa">4</a>]</sup> outlines several tools to support pain intervention. Alongside this, further educational outcomes could be identified through the findings of Theme 1, in which gaps in knowledge were determined based on descriptions of pain and management of pain management of pain in general and with bleeding disorders care in particular.</p><p>While the results of this study were encouraging, in that participants were knowledgeable about their role, interested in further education, and open to self-reflection, an unexpected finding arose: there was a lack of use of specific pain terms for bleeding disorders around joint or muscle bleeds, needle or procedural pain, and surgery for joint fusion or replacements. Two possible reasons for this are that social workers are not involved in these types of concerns by team referrals, or they have insufficient time to respond to these types of issues due to shared time with other specialties. Buckner et al. <sup>[<a ref-type="bibr" href="#j_jhp00163_ref_035_w2aab3b7c75b1b6b1ab2b1c35Aa">35</a>]</sup> recognised that patients identified a need for further pain education among care providers; in particular, education of non-pharmacologic treatments among bleeding disorder providers is required in order to meet the needs of persons with bleeding disorders.</p><sec id="j_jhp00163_s_005_s_001_w2aab3b7c75b1b6b1ab1b6b6Aa"><div>Future research</div><p>Participants acknowledged that an insufficient amount of education limited their understanding of pain in their social work practice; however, they are keen for this gap to be filled. This deficit of knowledge fundamentally begins within educational curricula, requiring further research on how targeted pain education would directly impact social work practice with individuals, families and societies, and the forward development of advocacy and policy change. Research and development of training programmes in universities are necessary as the impact of pain is far-reaching in QoL and seen in every area of health and social welfare.</p><p>The development of a specific pain course for CSWHC members, with research examining the full impact of such training on their professional work within HTCs for patient and comprehensive care teams, would be a next step for this particular project. This would support further advocacy and development of policy for social workers in pain management.</p></sec><sec id="j_jhp00163_s_005_s_002_w2aab3b7c75b1b6b1ab1b6b7Aa"><div>Strengths and limitations</div><p>CSWHC is a small group of social workers dedicated to serving patients in many areas including bleeding disorders. Using a qualitative study design enabled the contribution of valuable information to further the practice of social work. The small group allowed the researchers to interview all those interested in participating in the study, providing an opportunity to reflect on their beliefs and assess the research questions.</p><p>The sample for this study was drawn from a specialised group of social workers who work a modest full-time equivalency in their bleeding disorder role, potentially impacting on how they responded to questions specific to bleeding disorders. Due to the specific nature of the study and the limited number of participants, findings cannot be generalised to other areas of social work practice.</p></sec></sec><sec id="j_jhp00163_s_006_w2aab3b7c75b1b6b1ab1b7Aa"><div>CONCLUSION</div><p>The focus of this qualitative study using thematic analysis was to understand the current understanding of pain in bleeding disorder care among social workers in CSWHC, and to explore the type of pain education social workers would prioritise. Participants used the interviews as a time for self-reflection, allowing thoughtfulness towards how new pain education might change their beliefs and impact on their day-to-day practice. Social workers are looking for practical resources, including assessment tools, to support their instrumental work and elevate their contribution in pain management. To this end, we encourage further research and development of tools and knowledge to assist social workers working within comprehensive care teams.</p></sec></div></div></div></div><div id="pane-4" class="SeriesTab_card__26XnC SeriesTab_tab-pane__3pc7y card tab-pane" role="tabpanel" aria-labelledby="tab-4"><div class="SeriesTab_card-header__1DTAS card-header d-md-none pl-0" role="tab" id="heading-4"><h4 class="mb-0"><a data-toggle="collapse" href="#collapse-4" data-parent="#content" aria-expanded="true" aria-controls="collapse-4" style="padding:24px 0">Figures & Tables<svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-down" class="svg-inline--fa fa-chevron-down fa-w-14 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512"><path fill="currentColor" d="M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z"></path></svg></a></h4></div><div id="collapse-4" class="SeriesTab_seriesTabCollapse__2csiF collapse" role="tabpanel" aria-labelledby="heading-4" data-parent="#content"><div class="SeriesTab_series-tab-body__1tZ1H SeriesTab_card-body__31JEh card-body Article_figures-tables__2SC5X"><figure><h4 class="mb-4"></h4><img src="https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_002.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20220527T123900Z&X-Amz-SignedHeaders=host&X-Amz-Expires=18000&X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Signature=a19f27f5453a382c06b44b6075625ef5b329af81489a4cbe3a5a7322ec8abada" alt="Participants in a study involving members of Canadian Social Workers in Hemophilia Care anticipate that improved knowledge of pain and pain management will have a positive impact on their practice within the multidisciplinary team, and increase their capacity to advocate for people with bleeding disorders." class="mw-100"/><figcaption class="fw-500">Participants in a study involving members of Canadian Social Workers in Hemophilia Care anticipate that improved knowledge of pain and pain management will have a positive impact on their practice within the multidisciplinary team, and increase their capacity to advocate for people with bleeding disorders.</figcaption></figure><figure><h4 class="mb-4">Figure 1</h4><img src="https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20220527T123900Z&X-Amz-SignedHeaders=host&X-Amz-Expires=18000&X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request&X-Amz-Signature=855d5cd05b9fa2d4fd3c9508c35c342bda5c39dded052611f24a07064a383ffe" class="mw-100"/><figcaption class="fw-500"></figcaption></figure><h4 class="mb-4 mt-4">Participant demographic information (N=12)</h4><table rules="cols"><thead><tr><th align="left" valign="middle"><bold>CHARACTERISTIC</bold></th><th align="left" valign="middle"><bold>N</bold></th></tr><tr><th align="left" valign="top" colspan="2"/></tr></thead><tbody><tr><td align="left" valign="top"><bold>Gender</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Male</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">Female</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Age Range</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">20–29</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">30–39</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">40–49</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">50–59</td><td align="left" valign="top">5</td></tr><tr><td align="left" valign="top">60–69</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Educational preparation</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">BSW</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">MSW</td><td align="left" valign="top">7</td></tr><tr><td align="left" valign="top">Additional degrees</td><td align="left" valign="top">4</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Years of practice</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">0–10</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">11–20</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top">21–30</td><td align="left" valign="top">3</td></tr><tr><td align="left" valign="top">31–40</td><td align="left" valign="top">3</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr><tr><td align="left" valign="top" colspan="2"/></tr><tr><td align="left" valign="top"><bold>Additional pain education</bold></td><td align="left" valign="top"/></tr><tr><td align="left" valign="top">Yes</td><td align="left" valign="top">1</td></tr><tr><td align="left" valign="top">No</td><td align="left" valign="top">9</td></tr><tr><td align="left" valign="top">No response</td><td align="left" valign="top">2</td></tr></tbody></table></div></div></div><div id="reference" class="SeriesTab_card__26XnC SeriesTab_tab-pane__3pc7y card tab-pane" role="tabpanel" aria-labelledby="tab-5"><div class="SeriesTab_card-header__1DTAS card-header d-md-none pl-0" role="tab" id="heading-5"><h4 class="mb-0"><a data-toggle="collapse" href="#collapse-5" data-parent="#content" aria-expanded="true" aria-controls="collapse-5" style="padding:24px 0">References<svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-down" class="svg-inline--fa fa-chevron-down fa-w-14 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512"><path fill="currentColor" d="M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z"></path></svg></a></h4></div><div id="collapse-5" class="SeriesTab_seriesTabCollapse__2csiF collapse" role="tabpanel" aria-labelledby="heading-5" data-parent="#content"><div class="SeriesTab_series-tab-body__1tZ1H SeriesTab_card-body__31JEh card-body"><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_001_w2aab3b7c75b1b6b1ab2b1b1Aa"><label>1</label><mixed-citation>Lambing A, Nichols CD, Munn JE, Anderson TL, Tortella BJ, Witkop ML. Patient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders. <italic>Haemophilia</italic> 2017; 23: 852–60. doi: <pub-id pub-id-type="doi">10.1111/hae.13293</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Lambing</surname><given-names>A</given-names></name><name><surname>Nichols</surname><given-names>CD</given-names></name><name><surname>Munn</surname><given-names>JE</given-names></name><name><surname>Anderson</surname><given-names>TL</given-names></name><name><surname>Tortella</surname><given-names>BJ</given-names></name><name><surname>Witkop</surname><given-names>ML</given-names></name><article-title>Patient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders</article-title><source>Haemophilia</source><year>2017</year><volume>23</volume><fpage>852</fpage><lpage>60</lpage><pub-id pub-id-type="doi">10.1111/hae.13293</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">28806860</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/hae.13293" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Lambing A, Nichols CD, Munn JE, Anderson TL, Tortella BJ, Witkop ML. Patient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders. Haemophilia 2017; 23: 852–60. doi: 10.1111/hae.13293." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_002_w2aab3b7c75b1b6b1ab2b1b2Aa"><label>2</label><mixed-citation>McLaughlin JM, Witkop ML, Lambing A, Anderson TL, Munn J, Tortella B. Better adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia. <italic>Haemophilia</italic> 2014; 20: 506–12. doi: <pub-id pub-id-type="doi">10.1111/hae.12360</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>McLaughlin</surname><given-names>JM</given-names></name><name><surname>Witkop</surname><given-names>ML</given-names></name><name><surname>Lambing</surname><given-names>A</given-names></name><name><surname>Anderson</surname><given-names>TL</given-names></name><name><surname>Munn</surname><given-names>J</given-names></name><name><surname>Tortella</surname><given-names>B</given-names></name><article-title>Better adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia</article-title><source>Haemophilia</source><year>2014</year><volume>20</volume><fpage>506</fpage><lpage>12</lpage><pub-id pub-id-type="doi">10.1111/hae.12360</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">24517097</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/hae.12360" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=McLaughlin JM, Witkop ML, Lambing A, Anderson TL, Munn J, Tortella B. Better adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia. Haemophilia 2014; 20: 506–12. doi: 10.1111/hae.12360." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa"><label>3</label><mixed-citation>Young G, Tachdjian R, Baumann K, Panopoulos G. Comprehensive management of chronic pain in haemophilia. <italic>Haemophilia</italic> 2014; 20(2): 113–20. doi: <pub-id pub-id-type="doi">10.1111/hae.12349</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Young</surname><given-names>G</given-names></name><name><surname>Tachdjian</surname><given-names>R</given-names></name><name><surname>Baumann</surname><given-names>K</given-names></name><name><surname>Panopoulos</surname><given-names>G</given-names></name><article-title>Comprehensive management of chronic pain in haemophilia</article-title><source>Haemophilia</source><year>2014</year><volume>20</volume><issue>2</issue><fpage>113</fpage><lpage>20</lpage><pub-id pub-id-type="doi">10.1111/hae.12349</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">24372731</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/hae.12349" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Young G, Tachdjian R, Baumann K, Panopoulos G. Comprehensive management of chronic pain in haemophilia. Haemophilia 2014; 20(2): 113–20. doi: 10.1111/hae.12349." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa"><label>4</label><mixed-citation>International Association for the Study of Pain. IASP curriculum outline for pain in social work. 2018. Available from <italic><uri>https://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>International Association for the Study of Pain</collab><source>IASP curriculum outline for pain in social work</source><year>2018</year><comment>Available from <italic><uri>https://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=International Association for the Study of Pain. IASP curriculum outline for pain in social work. 2018. Available from https://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956 (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_005_w2aab3b7c75b1b6b1ab2b1b5Aa"><label>5</label><mixed-citation>National Association of Social Work. NASW statement on integrative pain management for the Integrative Pain Care Policy Congress. September 8, 2017. Available from <italic><uri>https://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d&portalid=0</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>National Association of Social Work</collab><source>NASW statement on integrative pain management for the Integrative Pain Care Policy Congress</source><month>September</month><day>8</day><year>2017</year><comment>Available from <italic><uri>https://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d&portalid=0</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=National Association of Social Work. NASW statement on integrative pain management for the Integrative Pain Care Policy Congress. September 8, 2017. Available from https://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d&portalid=0 (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa"><label>6</label><mixed-citation>King J, Fletcher K, Tupper S, Brose K, Goodridge D. The current practice of social work in pain management: a scoping review on chronic disease. 2020. Manuscript submitted for publication.</mixed-citation><element-citation publication-type="other"><name><surname>King</surname><given-names>J</given-names></name><name><surname>Fletcher</surname><given-names>K</given-names></name><name><surname>Tupper</surname><given-names>S</given-names></name><name><surname>Brose</surname><given-names>K</given-names></name><name><surname>Goodridge</surname><given-names>D</given-names></name><source>The current practice of social work in pain management: a scoping review on chronic disease</source><year>2020</year><comment>Manuscript submitted for publication</comment><dgdoi:pub-id xmlns:dgdoi="http://degruyter.com/resources/doi-from-crossref" pub-id-type="doi">10.1080/00981389.2021.1878318</dgdoi:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">33487135</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=King J, Fletcher K, Tupper S, Brose K, Goodridge D. The current practice of social work in pain management: a scoping review on chronic disease. 2020. Manuscript submitted for publication." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_007_w2aab3b7c75b1b6b1ab2b1b7Aa"><label>7</label><mixed-citation>Canadian Hemophilia Society. Bleeding disorders. Available from <italic><uri>https://www.hemophilia.ca/bleeding-disorders/</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>Canadian Hemophilia Society</collab><source>Bleeding disorders</source><comment>Available from <italic><uri>https://www.hemophilia.ca/bleeding-disorders/</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=Canadian Hemophilia Society. Bleeding disorders. Available from https://www.hemophilia.ca/bleeding-disorders/ (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa"><label>8</label><mixed-citation>Hemophilia Federation of America. Joint damage. Available from <italic><uri>https://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>Hemophilia Federation of America</collab><source>Joint damage</source><comment>Available from <italic><uri>https://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=Hemophilia Federation of America. Joint damage. Available from https://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/ (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa"><label>9</label><mixed-citation>Canadian Hemophilia Society. Joint damage. Available from <italic><uri>https://www.hemophilia.ca/joint-damage/</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>Canadian Hemophilia Society</collab><source>Joint damage</source><comment>Available from <italic><uri>https://www.hemophilia.ca/joint-damage/</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=Canadian Hemophilia Society. Joint damage. Available from https://www.hemophilia.ca/joint-damage/ (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_010_w2aab3b7c75b1b6b1ab2b1c10Aa"><label>10</label><mixed-citation>Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. <italic>J Clin Invest</italic> 2010; 120(11): 3779–87. doi: <pub-id pub-id-type="doi">10.1172/JCI43766</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Ossipov</surname><given-names>MH</given-names></name><name><surname>Dussor</surname><given-names>GO</given-names></name><name><surname>Porreca</surname><given-names>F</given-names></name><article-title>Central modulation of pain</article-title><source>J Clin Invest</source><year>2010</year><volume>120</volume><issue>11</issue><fpage>3779</fpage><lpage>87</lpage><pub-id pub-id-type="doi">10.1172/JCI43766</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">2964993</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">21041960</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1172/JCI43766" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. J Clin Invest 2010; 120(11): 3779–87. doi: 10.1172/JCI43766." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_011_w2aab3b7c75b1b6b1ab2b1c11Aa"><label>11</label><mixed-citation>Staud R. The important role of CNS facilitation and inhibition for chronic pain. <italic>Int J Clin Rheumtol</italic> 2013; 8(6): 639–46. doi: <pub-id pub-id-type="doi">10.2217/ijr.13.57</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Staud</surname><given-names>R</given-names></name><article-title>The important role of CNS facilitation and inhibition for chronic pain</article-title><source>Int J Clin Rheumtol</source><year>2013</year><volume>8</volume><issue>6</issue><fpage>639</fpage><lpage>46</lpage><pub-id pub-id-type="doi">10.2217/ijr.13.57</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">3904391</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">24489609</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.2217/ijr.13.57" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Staud R. The important role of CNS facilitation and inhibition for chronic pain. Int J Clin Rheumtol 2013; 8(6): 639–46. doi: 10.2217/ijr.13.57." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_012_w2aab3b7c75b1b6b1ab2b1c12Aa"><label>12</label><mixed-citation>Kruger S, Hilberg T. Understanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation. <italic>Haemophilia</italic> 2020; 26(2): 236–42. doi: <pub-id pub-id-type="doi">10.1111/hae.13939</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Kruger</surname><given-names>S</given-names></name><name><surname>Hilberg</surname><given-names>T</given-names></name><article-title>Understanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation</article-title><source>Haemophilia</source><year>2020</year><volume>26</volume><issue>2</issue><fpage>236</fpage><lpage>42</lpage><pub-id pub-id-type="doi">10.1111/hae.13939</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">32030862</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/hae.13939" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Kruger S, Hilberg T. Understanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation. Haemophilia 2020; 26(2): 236–42. doi: 10.1111/hae.13939." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_013_w2aab3b7c75b1b6b1ab2b1c13Aa"><label>13</label><mixed-citation>Biro D. Is there such a thing as psychological pain and why it matters. <italic>Cult Med Psychiatry</italic> 2010; 34: 658–67. doi: <pub-id pub-id-type="doi">10.1007/s11013-010-9190-y</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Biro</surname><given-names>D</given-names></name><article-title>Is there such a thing as psychological pain and why it matters</article-title><source>Cult Med Psychiatry</source><year>2010</year><volume>34</volume><fpage>658</fpage><lpage>67</lpage><pub-id pub-id-type="doi">10.1007/s11013-010-9190-y</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">2952112</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">20835887</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1007/s11013-010-9190-y" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Biro D. Is there such a thing as psychological pain and why it matters. Cult Med Psychiatry 2010; 34: 658–67. doi: 10.1007/s11013-010-9190-y." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa"><label>14</label><mixed-citation>MacDonald JE. A deconstructive turn in chronic pain treatment: a redefined role for social work. <italic>Health Soc Work</italic> 2000; 25(1): 51–8. doi: <pub-id pub-id-type="doi">10.1093/hsw/25.1.51</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>MacDonald</surname><given-names>JE</given-names></name><article-title>A deconstructive turn in chronic pain treatment: a redefined role for social work</article-title><source>Health Soc Work</source><year>2000</year><volume>25</volume><issue>1</issue><fpage>51</fpage><lpage>8</lpage><pub-id pub-id-type="doi">10.1093/hsw/25.1.51</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">10689603</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1093/hsw/25.1.51" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=MacDonald JE. A deconstructive turn in chronic pain treatment: a redefined role for social work. Health Soc Work 2000; 25(1): 51–8. doi: 10.1093/hsw/25.1.51." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa"><label>15</label><mixed-citation>Stensland M, Sanders S. “It has changed my whole life”: The systemic implications of chronic low back pain among older adults. <italic>J Gerontol Soc Work</italic> 2018; 61(2): 129–50. doi: <pub-id pub-id-type="doi">10.1080/01634372.2018.1427169</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Stensland</surname><given-names>M</given-names></name><name><surname>Sanders</surname><given-names>S</given-names></name><article-title>“It has changed my whole life”: The systemic implications of chronic low back pain among older adults</article-title><source>J Gerontol Soc Work</source><year>2018</year><volume>61</volume><issue>2</issue><fpage>129</fpage><lpage>50</lpage><pub-id pub-id-type="doi">10.1080/01634372.2018.1427169</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">29336694</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1080/01634372.2018.1427169" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Stensland M, Sanders S. “It has changed my whole life”: The systemic implications of chronic low back pain among older adults. J Gerontol Soc Work 2018; 61(2): 129–50. doi: 10.1080/01634372.2018.1427169." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa"><label>16</label><mixed-citation>Aho H, Kauppila T, Haanpaa M. Patients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome. <italic>Scand J Pain</italic> 2010; 1(4): 220–6. doi: <pub-id pub-id-type="doi">10.1016/j.sjpain.2010.09.009</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Aho</surname><given-names>H</given-names></name><name><surname>Kauppila</surname><given-names>T</given-names></name><name><surname>Haanpaa</surname><given-names>M</given-names></name><article-title>Patients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome</article-title><source>Scand J Pain</source><year>2010</year><volume>1</volume><issue>4</issue><fpage>220</fpage><lpage>6</lpage><pub-id pub-id-type="doi">10.1016/j.sjpain.2010.09.009</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">29913994</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1016/j.sjpain.2010.09.009" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Aho H, Kauppila T, Haanpaa M. Patients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome. Scand J Pain 2010; 1(4): 220–6. doi: 10.1016/j.sjpain.2010.09.009." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_017_w2aab3b7c75b1b6b1ab2b1c17Aa"><label>17</label><mixed-citation>McBee L, Westreich L, Likourezos A. A psychoeducational relaxation group for pain and stress management in the nursing home. <italic>J Soc Work Long Term Care</italic> 2004; 3(1): 15–28. doi: <pub-id pub-id-type="doi">10.1300/j181v03n01_03</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>McBee</surname><given-names>L</given-names></name><name><surname>Westreich</surname><given-names>L</given-names></name><name><surname>Likourezos</surname><given-names>A</given-names></name><article-title>A psychoeducational relaxation group for pain and stress management in the nursing home</article-title><source>J Soc Work Long Term Care</source><year>2004</year><volume>3</volume><issue>1</issue><fpage>15</fpage><lpage>28</lpage><pub-id pub-id-type="doi">10.1300/j181v03n01_03</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1300/j181v03n01_03" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=McBee L, Westreich L, Likourezos A. A psychoeducational relaxation group for pain and stress management in the nursing home. J Soc Work Long Term Care 2004; 3(1): 15–28. doi: 10.1300/j181v03n01_03." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa"><label>18</label><mixed-citation>Park J, Hirz CE, Manotas K, Hooyman N. Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators. <italic>J Gerontol Soc Work</italic> 2013; 56(6): 487–508. doi: <pub-id pub-id-type="doi">10.1080/01634372.2013.808725</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Park</surname><given-names>J</given-names></name><name><surname>Hirz</surname><given-names>CE</given-names></name><name><surname>Manotas</surname><given-names>K</given-names></name><name><surname>Hooyman</surname><given-names>N</given-names></name><article-title>Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators</article-title><source>J Gerontol Soc Work</source><year>2013</year><volume>56</volume><issue>6</issue><fpage>487</fpage><lpage>508</lpage><pub-id pub-id-type="doi">10.1080/01634372.2013.808725</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">23822640</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1080/01634372.2013.808725" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Park J, Hirz CE, Manotas K, Hooyman N. Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators. J Gerontol Soc Work 2013; 56(6): 487–508. doi: 10.1080/01634372.2013.808725." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_019_w2aab3b7c75b1b6b1ab2b1c19Aa"><label>19</label><mixed-citation>Works T, Jones S, Grady J, Andemariam B. Traumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease. <italic>Health Soc Work</italic> 2014; 41(1): 42–50. doi: <pub-id pub-id-type="doi">10.1093/hsw/hlv085</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Works</surname><given-names>T</given-names></name><name><surname>Jones</surname><given-names>S</given-names></name><name><surname>Grady</surname><given-names>J</given-names></name><name><surname>Andemariam</surname><given-names>B</given-names></name><article-title>Traumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease</article-title><source>Health Soc Work</source><year>2014</year><volume>41</volume><issue>1</issue><fpage>42</fpage><lpage>50</lpage><pub-id pub-id-type="doi">10.1093/hsw/hlv085</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">26946885</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1093/hsw/hlv085" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Works T, Jones S, Grady J, Andemariam B. Traumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease. Health Soc Work 2014; 41(1): 42–50. doi: 10.1093/hsw/hlv085." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_020_w2aab3b7c75b1b6b1ab2b1c20Aa"><label>20</label><mixed-citation>Forsyth AL, Gregory M, Nugent D, et al. Haemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics. <italic>Haemophilia</italic> 2013; 20(1): 44–51. doi: <pub-id pub-id-type="doi">10.1111/hae.12239</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Forsyth</surname><given-names>AL</given-names></name><name><surname>Gregory</surname><given-names>M</given-names></name><name><surname>Nugent</surname><given-names>D</given-names></name><etal/><article-title>Haemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics</article-title><source>Haemophilia</source><year>2013</year><volume>20</volume><issue>1</issue><fpage>44</fpage><lpage>51</lpage><pub-id pub-id-type="doi">10.1111/hae.12239</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">23902228</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/hae.12239" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Forsyth AL, Gregory M, Nugent D, et al. Haemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics. Haemophilia 2013; 20(1): 44–51. doi: 10.1111/hae.12239." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa"><label>21</label><mixed-citation>Witkop M, Lambing A, Divine G, Kachalsky E, Rushlow D, Dinnen J. A national study of pain in the bleeding disorders community: a description of haemophilia pain. <italic>Haemophilia</italic> 2012; 18(3): 115–9. doi: <pub-id pub-id-type="doi">10.1111/j.1365-2516.2011.02709.x</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Witkop</surname><given-names>M</given-names></name><name><surname>Lambing</surname><given-names>A</given-names></name><name><surname>Divine</surname><given-names>G</given-names></name><name><surname>Kachalsky</surname><given-names>E</given-names></name><name><surname>Rushlow</surname><given-names>D</given-names></name><name><surname>Dinnen</surname><given-names>J</given-names></name><article-title>A national study of pain in the bleeding disorders community: a description of haemophilia pain</article-title><source>Haemophilia</source><year>2012</year><volume>18</volume><issue>3</issue><fpage>115</fpage><lpage>9</lpage><pub-id pub-id-type="doi">10.1111/j.1365-2516.2011.02709.x</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">22171646</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1111/j.1365-2516.2011.02709.x" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Witkop M, Lambing A, Divine G, Kachalsky E, Rushlow D, Dinnen J. A national study of pain in the bleeding disorders community: a description of haemophilia pain. Haemophilia 2012; 18(3): 115–9. doi: 10.1111/j.1365-2516.2011.02709.x." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_022_w2aab3b7c75b1b6b1ab2b1c22Aa"><label>22</label><mixed-citation>Canadian Hemophilia Society. CHS History. Available from <italic><uri>https://www.hemophilia.ca/chs-history/</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>Canadian Hemophilia Society</collab><source>CHS History</source><comment>Available from <italic><uri>https://www.hemophilia.ca/chs-history/</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=Canadian Hemophilia Society. CHS History. Available from https://www.hemophilia.ca/chs-history/ (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_023_w2aab3b7c75b1b6b1ab2b1c23Aa"><label>23</label><mixed-citation>Canadian Hemophilia Society. Standards of practice. Available from <italic><uri>https://www.hemophilia.ca/standards-of-practice/</uri></italic> (accessed 23 April 2020).</mixed-citation><element-citation publication-type="web"><collab>Canadian Hemophilia Society</collab><source>Standards of practice</source><comment>Available from <italic><uri>https://www.hemophilia.ca/standards-of-practice/</uri></italic> (accessed 23 April 2020)</comment></element-citation></ref></span><span class="refLinks"><a href="https://scholar.google.com/scholar?q=Canadian Hemophilia Society. Standards of practice. Available from https://www.hemophilia.ca/standards-of-practice/ (accessed 23 April 2020)." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa"><label>24</label><mixed-citation>Turk DC, Audette J, Levy RM, MacKey SC, Stanos S. Assessment and treatment of psychosocial comorbidities in patients with neuropathic pain. <italic>Mayo Clin Proc</italic> 2010; 85(3): S42–50. doi: <pub-id pub-id-type="doi">10.4065/mcp.2009.0648</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Turk</surname><given-names>DC</given-names></name><name><surname>Audette</surname><given-names>J</given-names></name><name><surname>Levy</surname><given-names>RM</given-names></name><name><surname>MacKey</surname><given-names>SC</given-names></name><name><surname>Stanos</surname><given-names>S</given-names></name><article-title>Assessment and treatment of psychosocial comorbidities in patients with neuropathic pain</article-title><source>Mayo Clin Proc</source><year>2010</year><volume>85</volume><issue>3</issue><fpage>S42</fpage><lpage>50</lpage><pub-id pub-id-type="doi">10.4065/mcp.2009.0648</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">2844010</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">20194148</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.4065/mcp.2009.0648" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Turk DC, Audette J, Levy RM, MacKey SC, Stanos S. Assessment and treatment of psychosocial comorbidities in patients with neuropathic pain. Mayo Clin Proc 2010; 85(3): S42–50. doi: 10.4065/mcp.2009.0648." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa"><label>25</label><mixed-citation>Hruschak V, Cochran G. Psychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health. <italic>Soc Work Health Care</italic> 2017; 56(7): 573–87. doi: <pub-id pub-id-type="doi">10.1080/00981389.2017.1326074</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Hruschak</surname><given-names>V</given-names></name><name><surname>Cochran</surname><given-names>G</given-names></name><article-title>Psychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health</article-title><source>Soc Work Health Care</source><year>2017</year><volume>56</volume><issue>7</issue><fpage>573</fpage><lpage>87</lpage><pub-id pub-id-type="doi">10.1080/00981389.2017.1326074</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">28594600</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1080/00981389.2017.1326074" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Hruschak V, Cochran G. Psychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health. Soc Work Health Care 2017; 56(7): 573–87. doi: 10.1080/00981389.2017.1326074." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_026_w2aab3b7c75b1b6b1ab2b1c26Aa"><label>26</label><mixed-citation>Duenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. <italic>J Pain Res</italic> 2016; 9: 457–467. doi: <pub-id pub-id-type="doi">10.2147/JPR.S105892</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Duenas</surname><given-names>M</given-names></name><name><surname>Ojeda</surname><given-names>B</given-names></name><name><surname>Salazar</surname><given-names>A</given-names></name><name><surname>Mico</surname><given-names>JA</given-names></name><name><surname>Failde</surname><given-names>I</given-names></name><article-title>A review of chronic pain impact on patients, their social environment and the health care system</article-title><source>J Pain Res</source><year>2016</year><volume>9</volume><fpage>457</fpage><lpage>467</lpage><pub-id pub-id-type="doi">10.2147/JPR.S105892</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">4935027</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">27418853</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.2147/JPR.S105892" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Duenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res 2016; 9: 457–467. doi: 10.2147/JPR.S105892." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa"><label>27</label><mixed-citation>Braun V, Clarke V. Using thematic analysis in psychology. <italic>Qual Res Psychol</italic> 2006; 3: 77–101. doi: <pub-id pub-id-type="doi">10.1191/1478088706pq063oa</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Braun</surname><given-names>V</given-names></name><name><surname>Clarke</surname><given-names>V</given-names></name><article-title>Using thematic analysis in psychology</article-title><source>Qual Res Psychol</source><year>2006</year><volume>3</volume><fpage>77</fpage><lpage>101</lpage><pub-id pub-id-type="doi">10.1191/1478088706pq063oa</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1191/1478088706pq063oa" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101. doi: 10.1191/1478088706pq063oa." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa"><label>28</label><mixed-citation>Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P (ed.) <italic>Handbook of Research Methods in Health Social Sciences</italic>. Singapore: Springer, 2019: 843–860. doi: <pub-id pub-id-type="doi">10.1007/978-981-10-5251-4_103</pub-id>.</mixed-citation><element-citation publication-type="book" publication-format="print"><name><surname>Braun</surname><given-names>V</given-names></name><name><surname>Clarke</surname><given-names>V</given-names></name><name><surname>Hayfield</surname><given-names>N</given-names></name><name><surname>Terry</surname><given-names>G</given-names></name><article-title>Thematic analysis</article-title><comment>In:</comment><name><surname>Liamputtong</surname><given-names>P</given-names></name><comment>(ed.)</comment><source>Handbook of Research Methods in Health Social Sciences</source><publisher-loc>Singapore</publisher-loc><publisher-name>Springer</publisher-name><year>2019</year><fpage>843</fpage><lpage>860</lpage><pub-id pub-id-type="doi">10.1007/978-981-10-5251-4_103</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1007/978-981-10-5251-4_103" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P (ed.) Handbook of Research Methods in Health Social Sciences. Singapore: Springer, 2019: 843–860. doi: 10.1007/978-981-10-5251-4_103." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa"><label>29</label><mixed-citation>Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. <italic>Int J Qual Methods</italic> 2017; 16: 1–13. doi: <pub-id pub-id-type="doi">10.1177/1609406917733847</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Nowell</surname><given-names>LS</given-names></name><name><surname>Norris</surname><given-names>JM</given-names></name><name><surname>White</surname><given-names>DE</given-names></name><name><surname>Moules</surname><given-names>NJ</given-names></name><article-title>Thematic analysis: striving to meet the trustworthiness criteria</article-title><source>Int J Qual Methods</source><year>2017</year><volume>16</volume><fpage>1</fpage><lpage>13</lpage><pub-id pub-id-type="doi">10.1177/1609406917733847</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1177/1609406917733847" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods 2017; 16: 1–13. doi: 10.1177/1609406917733847." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_030_w2aab3b7c75b1b6b1ab2b1c30Aa"><label>30</label><mixed-citation>Haefeli M, Elfering A. Pain assessment. <italic>Eur Spine J</italic> 2006; 15: S17–S24. doi: <pub-id pub-id-type="doi">10.1007/s00586-005-1044-x</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Haefeli</surname><given-names>M</given-names></name><name><surname>Elfering</surname><given-names>A</given-names></name><article-title>Pain assessment</article-title><source>Eur Spine J</source><year>2006</year><volume>15</volume><fpage>S17</fpage><lpage>S24</lpage><pub-id pub-id-type="doi">10.1007/s00586-005-1044-x</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">3454549</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">16320034</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1007/s00586-005-1044-x" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Haefeli M, Elfering A. Pain assessment. Eur Spine J 2006; 15: S17–S24. doi: 10.1007/s00586-005-1044-x." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_031_w2aab3b7c75b1b6b1ab2b1c31Aa"><label>31</label><mixed-citation>Fillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of chronic pain: domains, methods and mechanisms. <italic>J Pain</italic> 2016; 17(9): T10–T20. doi: <pub-id pub-id-type="doi">10.1016/j.pain.2015.08.010</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Fillingim</surname><given-names>RB</given-names></name><name><surname>Loeser</surname><given-names>JD</given-names></name><name><surname>Baron</surname><given-names>R</given-names></name><name><surname>Edwards</surname><given-names>RR</given-names></name><article-title>Assessment of chronic pain: domains, methods and mechanisms</article-title><source>J Pain</source><year>2016</year><volume>17</volume><issue>9</issue><fpage>T10</fpage><lpage>T20</lpage><pub-id pub-id-type="doi">10.1016/j.pain.2015.08.010</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1016/j.pain.2015.08.010" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Fillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of chronic pain: domains, methods and mechanisms. J Pain 2016; 17(9): T10–T20. doi: 10.1016/j.pain.2015.08.010." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_032_w2aab3b7c75b1b6b1ab2b1c32Aa"><label>32</label><mixed-citation>MacDonald JE. Anti-oppressive practices with chronic pain suffers. <italic>Soc Work Health Care</italic> 2008; 47(2): 135–56. doi: <pub-id pub-id-type="doi">10.1080/00981380801970285</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>MacDonald</surname><given-names>JE</given-names></name><article-title>Anti-oppressive practices with chronic pain suffers</article-title><source>Soc Work Health Care</source><year>2008</year><volume>47</volume><issue>2</issue><fpage>135</fpage><lpage>56</lpage><pub-id pub-id-type="doi">10.1080/00981380801970285</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">18956505</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1080/00981380801970285" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=MacDonald JE. Anti-oppressive practices with chronic pain suffers. Soc Work Health Care 2008; 47(2): 135–56. doi: 10.1080/00981380801970285." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_033_w2aab3b7c75b1b6b1ab2b1c33Aa"><label>33</label><mixed-citation>Sieppert J. Attitudes toward and knowledge of chronic pain: a survey of medical social workers. <italic>Health Soc Work</italic> 1996; 21(2): 122–30. doi: <pub-id pub-id-type="doi">10.1093/hsw/21.2.122</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Sieppert</surname><given-names>J</given-names></name><article-title>Attitudes toward and knowledge of chronic pain: a survey of medical social workers</article-title><source>Health Soc Work</source><year>1996</year><volume>21</volume><issue>2</issue><fpage>122</fpage><lpage>30</lpage><pub-id pub-id-type="doi">10.1093/hsw/21.2.122</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">8722139</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1093/hsw/21.2.122" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Sieppert J. Attitudes toward and knowledge of chronic pain: a survey of medical social workers. Health Soc Work 1996; 21(2): 122–30. doi: 10.1093/hsw/21.2.122." target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_034_w2aab3b7c75b1b6b1ab2b1c34Aa"><label>34</label><mixed-citation>Browne T, Keefe RH, Ruth BJ, Cox H, Maramaldi P, Rishel C, et al. Advancing social work education for health impact. <italic>Am J Public Health</italic> 2017; 107(Suppl 3): S229–S235. doi: <pub-id pub-id-type="doi">10.2105/AJPH.2017.304054</pub-id></mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Browne</surname><given-names>T</given-names></name><name><surname>Keefe</surname><given-names>RH</given-names></name><name><surname>Ruth</surname><given-names>BJ</given-names></name><name><surname>Cox</surname><given-names>H</given-names></name><name><surname>Maramaldi</surname><given-names>P</given-names></name><name><surname>Rishel</surname><given-names>C</given-names></name><etal/><article-title>Advancing social work education for health impact</article-title><source>Am J Public Health</source><year>2017</year><volume>107</volume><issue>Suppl 3</issue><fpage>S229</fpage><lpage>S235</lpage><pub-id pub-id-type="doi">10.2105/AJPH.2017.304054</pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmcid">5731074</dgpm:pub-id><dgpm:pub-id xmlns:dgpm="http://degruyter.com/resources/fetched-pubmed-id" pub-id-type="pmid">29236540</dgpm:pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.2105/AJPH.2017.304054" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Browne T, Keefe RH, Ruth BJ, Cox H, Maramaldi P, Rishel C, et al. Advancing social work education for health impact. Am J Public Health 2017; 107(Suppl 3): S229–S235. doi: 10.2105/AJPH.2017.304054" target="_blank">Search in Google Scholar</a></span></p><p class="Article_refData__1fofs"><span class="Article_d-block__2MPqH"><ref id="j_jhp00163_ref_035_w2aab3b7c75b1b6b1ab2b1c35Aa"><label>35</label><mixed-citation>Buckner TW, Durben N, Humphrey C, et al. Pain in the bleeding disorders community: patient and caregiver perspectives. <italic>Blood</italic> 2016; 128(22): 2591. doi: <pub-id pub-id-type="doi">10.1182/blood.V128.22.2591.2591</pub-id>.</mixed-citation><element-citation publication-type="journal" publication-format="print"><name><surname>Buckner</surname><given-names>TW</given-names></name><name><surname>Durben</surname><given-names>N</given-names></name><name><surname>Humphrey</surname><given-names>C</given-names></name><etal/><article-title>Pain in the bleeding disorders community: patient and caregiver perspectives</article-title><source>Blood</source><year>2016</year><volume>128</volume><issue>22</issue><fpage>2591</fpage><pub-id pub-id-type="doi">10.1182/blood.V128.22.2591.2591</pub-id></element-citation></ref></span><span class="refLinks"><a class="pr-5" href="https://doi.org/10.1182/blood.V128.22.2591.2591" target="_blank">Open DOI</a><a href="https://scholar.google.com/scholar?q=Buckner TW, Durben N, Humphrey C, et al. Pain in the bleeding disorders community: patient and caregiver perspectives. Blood 2016; 128(22): 2591. doi: 10.1182/blood.V128.22.2591.2591." target="_blank">Search in Google Scholar</a></span></p></div></div></div><div id="pane-6" class="SeriesTab_card__26XnC SeriesTab_tab-pane__3pc7y card tab-pane" role="tabpanel" aria-labelledby="tab-6"><div class="SeriesTab_card-header__1DTAS card-header d-md-none pl-0" role="tab" id="heading-6"><h4 class="mb-0"><a data-toggle="collapse" href="#collapse-6" data-parent="#content" aria-expanded="true" aria-controls="collapse-6" style="padding:24px 0">Recent Articles<svg aria-hidden="true" focusable="false" data-prefix="fas" data-icon="chevron-down" class="svg-inline--fa fa-chevron-down fa-w-14 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512"><path fill="currentColor" d="M207.029 381.476L12.686 187.132c-9.373-9.373-9.373-24.569 0-33.941l22.667-22.667c9.357-9.357 24.522-9.375 33.901-.04L224 284.505l154.745-154.021c9.379-9.335 24.544-9.317 33.901.04l22.667 22.667c9.373 9.373 9.373 24.569 0 33.941L240.971 381.476c-9.373 9.372-24.569 9.372-33.942 0z"></path></svg></a></h4></div><div id="collapse-6" class="SeriesTab_seriesTabCollapse__2csiF collapse" role="tabpanel" aria-labelledby="heading-6" data-parent="#content"><div class="SeriesTab_series-tab-body__1tZ1H SeriesTab_card-body__31JEh card-body"><ul class="list-unstyled text-left"><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0006"><article-title>Discrete choice experiments: An overview of experience to date in haemophilia</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0005"><article-title>Osseous bilateral pseudotumour of the thumb in severe haemophilia A – A case report</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0008"><article-title>Point of care ultrasonography in patients with haemophilia and acute haemarthrosis: a physiotherapist and sonographer inter-professional agreement pilot study</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0007"><article-title>Development of decision-making considerations to support equitable patient selection in paediatric haemophilia trials</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0002"><article-title>Key challenges for patient registries – A report from the 1<sup>st</sup> workshop of the EHC Think Tank Workstream on Registries</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0001"><article-title>New challenges for an expanding generation of older persons with haemophilia</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0004"><article-title>Patient agency: key questions and challenges – A report from the 1st workshop of the EHC Think Tank Workstream on Patient Agency</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0003"><article-title>Key challenges for hub and spoke models of care – A report from the 1st workshop of the EHC Think Tank on Hub and Spoke Treatment Models</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0010"><article-title>Treatment of a patient with severe haemophilia A presenting with left extra pleural haematoma and diagnosed with inhibitors – case report</article-title></a></h4></li><li class="Article_issue-tile__FvHGW mb-3 border-0 p-0"><h4 class="PTSerifCaption-Regular"><a href="/article/10.2478/jhp-2022-0009"><article-title>Processes and experiences of satellite haemophilia clinic set-ups in Uganda – a short report</article-title></a></h4></li></ul></div></div></div></div></div><div style="margin-top:60px;font-weight:bold">Recommended articles from Trend MD</div><div style="margin-top:10px" id="trendmd-suggestions"></div></div></div><div class="PlanRemoteConference_seriesFindMoreBox__18Ul8"><h2>Plan your remote conference with Sciendo<!-- --> </h2><div><button>Find out more</button></div></div></div></div></div><footer class="Footer_footer__31YtZ"><div class="Footer_footer-border__3LAUc"><div class="Footer_footer-upper__g1GoF custom-container text-left"><div class="row my-4"><div class="col-md-4"><a style="padding:12px 0" href="/"><img src="/navbar/logo.svg" alt="Sciendo" class="Footer_footer-sciendo-logo__2QHd2"/></a><p class="Footer_siadgc___WjQ_D fw-400 PTSerifCaption-Regular">Sciendo is a De Gruyter company</p></div><div class="col-md-4"><ul class="Footer_sitemap__2FrpO p-0 list-unstyled anchor-unstyled"><li><a href="/publish">Publish with us</a></li><li><a href="/news/all">Latest News</a></li><li><a href="/about">About Sciendo</a></li><li><a href="/contact">Contacts</a></li><li><a href="/terms">Terms</a></li><li><a href="/privacy">Privacy</a></li><li><a href="/publishingAndEthicalPolicies">Publishing and Ethical Policies</a></li></ul></div><div class="Footer__footer_contact_details__1vVfy col-md-4"><dl><dt class="Footer__fcttl__1ycmk fw-500">Contact</dt><dd><address class="fw-400"><span>De Gruyter Poland Sp. z o.o.<br/> Bogumila Zuga 32a<br/> 01-811 Warsaw, Poland</span><br/><a href="mailto:info@sciendo.com" class="Footer_footer-links__3JxR8 lh-35" style="padding:15px 0">info@sciendo.com</a><br/><a href="tel:+48227015015" class="Footer_footer-links__3JxR8 Footer__fcttl__1ycmk lh-35" style="padding:12px 0;display:inline-block">+48 22 701 50 15</a></address></dd></dl><div class="Footer_social-links__29g4I"><a href="https://twitter.com/sciendo_" target="_blank"><svg aria-hidden="true" focusable="false" data-prefix="fab" data-icon="twitter" class="svg-inline--fa fa-twitter fa-w-16 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 512 512"><path fill="currentColor" d="M459.37 151.716c.325 4.548.325 9.097.325 13.645 0 138.72-105.583 298.558-298.558 298.558-59.452 0-114.68-17.219-161.137-47.106 8.447.974 16.568 1.299 25.34 1.299 49.055 0 94.213-16.568 130.274-44.832-46.132-.975-84.792-31.188-98.112-72.772 6.498.974 12.995 1.624 19.818 1.624 9.421 0 18.843-1.3 27.614-3.573-48.081-9.747-84.143-51.98-84.143-102.985v-1.299c13.969 7.797 30.214 12.67 47.431 13.319-28.264-18.843-46.781-51.005-46.781-87.391 0-19.492 5.197-37.36 14.294-52.954 51.655 63.675 129.3 105.258 216.365 109.807-1.624-7.797-2.599-15.918-2.599-24.04 0-57.828 46.782-104.934 104.934-104.934 30.213 0 57.502 12.67 76.67 33.137 23.715-4.548 46.456-13.32 66.599-25.34-7.798 24.366-24.366 44.833-46.132 57.827 21.117-2.273 41.584-8.122 60.426-16.243-14.292 20.791-32.161 39.308-52.628 54.253z"></path></svg></a><a href="https://www.linkedin.com/company/sciendo-publishing-services/" target="_blank"><svg aria-hidden="true" focusable="false" data-prefix="fab" data-icon="linkedin" class="svg-inline--fa fa-linkedin fa-w-14 " role="img" xmlns="http://www.w3.org/2000/svg" viewBox="0 0 448 512"><path fill="currentColor" d="M416 32H31.9C14.3 32 0 46.5 0 64.3v383.4C0 465.5 14.3 480 31.9 480H416c17.6 0 32-14.5 32-32.3V64.3c0-17.8-14.4-32.3-32-32.3zM135.4 416H69V202.2h66.5V416zm-33.2-243c-21.3 0-38.5-17.3-38.5-38.5S80.9 96 102.2 96c21.2 0 38.5 17.3 38.5 38.5 0 21.3-17.2 38.5-38.5 38.5zm282.1 243h-66.4V312c0-24.8-.5-56.7-34.5-56.7-34.6 0-39.9 27-39.9 54.9V416h-66.4V202.2h63.7v29.2h.9c8.9-16.8 30.6-34.5 62.9-34.5 67.2 0 79.7 44.3 79.7 101.9V416z"></path></svg></a></div></div></div><div class="row text-center"><div class="Footer__our_partners_logos__9om7h col-lg-2 col-sm-12 col-md-12 col-xs-12 d-lg-inline-flex align-items-center">Our partners:</div><div class="col-lg-10 col-12"></div></div><div class="row"><div class="col-lg-12 col-sm-12 col-md-12 col-xs-12 d-lg-inline-flex align-items-center"><div class="Footer_logo_alignment__3fHn7 row"><div class="col-lg-3 col-sm-6 col-md-6 col-xs-6"><a href="https://www.crossref.org/" target="_blank"><img src="/partners/crossref.png" height="74" width="132" alt="Crossref"/></a></div><div class="col-lg-3 col-sm-6 col-md-6 col-xs-6"><a href="https://www.ariessys.com/" target="_blank"><img src="/partners/aries.png" height="74" width="132" alt="Aries"/></a></div><div class="col-lg-3 col-sm-6 col-md-6 col-xs-6"><a href="https://clarivate.com/" target="_blank"><img src="/partners/clarivate.png" height="74" width="132" alt="Clarivate"/></a></div><div class="col-lg-3 col-sm-6 col-md-6 col-xs-6"><a href="https://www.converia.de/en/" target="_blank"><img src="/partners/converia.png" height="74" width="132" alt="Converia"/></a></div></div></div></div></div></div><div class="Footer_footer-lower__EZq-l custom-container"><div class="row"><div class="col-md-6 col-sm-12 text-md-left text-sm-center"> Copyright<!-- -->: © 2021 Sciendo</div><div class="col-md-6 col-sm-12 text-md-right text-sm-center">Website by<!-- --> <a href="https://northerncomfort.co.uk/" target="_blank" style="padding:15px 0">Northern Comfort</a></div></div></div></footer><div class="Toastify"></div></div><script id="__NEXT_DATA__" type="application/json">{"props":{"pageProps":{"product":{"id":"61e5997779920c7e2803d90f","mayBuildBookPdf":null,"name":null,"nameText":null,"doi":null,"fileName":"/tmp/feeds_JHP-7-1_2610482147884367029.zip","packageId":null,"content":null,"packageType":"article","productDescription":"Journal","license":{"type":"OpenAccess","creativeCommonsLicense":"by-nc-nd 4.0"},"impactFactors":"","doiOrder":{"NoSubject":[],"Professional Development":["10.17225/jhp00150","10.17225/jhp00163"],"Case Study":["10.17225/jhp00154"],"Clinical Practice":["10.17225/jhp00155","10.17225/jhp00153","10.17225/jhp00156","10.17225/jhp00157","10.17225/jhp00165","10.17225/jhp00162"],"Clinical Research":["10.17225/jhp00159","10.17225/jhp00160","10.17225/jhp00152","10.17225/jhp00158","10.17225/jhp00166","10.17225/jhp00161"],"Community Focus":["10.17225/jhp00151","10.17225/jhp00135","10.17225/jhp00164","10.17225/jhp00167","10.17225/jhp00168","10.17225/jhp00169","10.17225/jhp00170"]},"descriptions":[{"text":[{"type":"abstracting-and-indexing","language":"English","textformat":null,"content":"\u003cP\u003e\u003cEM\u003eThe Journal of Haemophilia Practice\u003c/EM\u003e is covered by the following services:\u003c/P\u003e \u003cUL\u003e \u003cLI\u003eBaidu Scholar\u003c/LI\u003e \u003cLI\u003eCabell's Whitelist \u003c/LI\u003e \u003cLI\u003eCNKI Scholar (China National Knowledge Infrastructure)\u003c/LI\u003e \u003cLI\u003eCNPIEC - cnpLINKer\u003c/LI\u003e \u003cLI\u003eDimensions\u003c/LI\u003e \u003cLI\u003eEBSCO Discovery Service\u003c/LI\u003e \u003cLI\u003eGoogle Scholar\u003c/LI\u003e \u003cLI\u003eJ-Gate\u003c/LI\u003e \u003cLI\u003eJournalTOCs\u003c/LI\u003e \u003cLI\u003eKESLI-NDSL (Korean National Discovery for Science Leaders)\u003c/LI\u003e \u003cLI\u003eMyScienceWork\u003c/LI\u003e \u003cLI\u003eNaver Academic\u003c/LI\u003e \u003cLI\u003eNaviga (Softweco)\u003c/LI\u003e \u003cLI\u003ePrimo Central (ExLibris)\u003c/LI\u003e \u003cLI\u003eQOAM (Quality Open Access Market)\u003c/LI\u003e \u003cLI\u003eReadCube\u003c/LI\u003e \u003cLI\u003eSemantic Scholar\u003c/LI\u003e \u003cLI\u003eSummon (ProQuest)\u003c/LI\u003e \u003cLI\u003eTDNet\u003c/LI\u003e \u003cLI\u003eWorldCat (OCLC)\u003c/LI\u003e\u003c/UL\u003e"},{"type":"abstracting-and-indexing","language":"German","textformat":null,"content":"\u003cP\u003e\u003cEM\u003eThe Journal of Haemophilia Practice\u003c/EM\u003e ist in den folgenden Services indiziert:\u003c/P\u003e \u003cUL\u003e \u003cLI\u003eBaidu Scholar\u003c/LI\u003e \u003cLI\u003eCabell's Whitelist \u003c/LI\u003e \u003cLI\u003eCNKI Scholar (China National Knowledge Infrastructure)\u003c/LI\u003e \u003cLI\u003eCNPIEC - cnpLINKer\u003c/LI\u003e \u003cLI\u003eDimensions\u003c/LI\u003e \u003cLI\u003eEBSCO Discovery Service\u003c/LI\u003e \u003cLI\u003eGoogle Scholar\u003c/LI\u003e \u003cLI\u003eJ-Gate\u003c/LI\u003e \u003cLI\u003eJournalTOCs\u003c/LI\u003e \u003cLI\u003eKESLI-NDSL (Korean National Discovery for Science Leaders)\u003c/LI\u003e \u003cLI\u003eMyScienceWork\u003c/LI\u003e \u003cLI\u003eNaver Academic\u003c/LI\u003e \u003cLI\u003eNaviga (Softweco)\u003c/LI\u003e \u003cLI\u003ePrimo Central (ExLibris)\u003c/LI\u003e \u003cLI\u003eQOAM (Quality Open Access Market)\u003c/LI\u003e \u003cLI\u003eReadCube\u003c/LI\u003e \u003cLI\u003eSemantic Scholar\u003c/LI\u003e \u003cLI\u003eSummon (ProQuest)\u003c/LI\u003e \u003cLI\u003eTDNet\u003c/LI\u003e \u003cLI\u003eWorldCat (OCLC)\u003c/LI\u003e\u003c/UL\u003e"},{"type":"editorial","language":"English","textformat":null,"content":"\u003cP\u003e\u003cSTRONG\u003eEditor-in-Chief\u003c/STRONG\u003e\u003cBR\u003eDr Kate Khair, Great Ormond Street Hospital, London, UK \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eManaging Editor\u003cBR\u003e\u003c/STRONG\u003eMike Holland, Haemnet, UK \u003cBR\u003e\u003cA href=\"mailto:mike@haemnet.com\"\u003emike@haemnet.com\u003c/A\u003e \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eEditorial Advisory Board\u003cBR\u003e\u003c/STRONG\u003eTami Barazani-Brutman, Sheba Medical Center at Sheba, Tel Hashomer Hospital, Israel\u003cBR\u003ePaul Batty, Queen Mary University of London, UK, and Queen’s University, Ontario, Canada\u003cBR\u003eGreig Blamey, Health Sciences Center, University of Alberta, Canada\u003cBR\u003eErica Crilly, British Columbia Children's Hospital, Vancouver, Canada\u003cBR\u003eJanine Furmedge, The Royal Children’s Hospital Haemophilia Centre, Melbourne, Australia\u003cBR\u003eRich Gorman, Brighton and Sussex Medical School, UK\u003cBR\u003eChris Guelcher, Children’s National Hospital, Washington, USA\u003cBR\u003eChris Harrington, Royal Free Hospital, London, UK\u003cBR\u003eCathy Harrison, Sheffield Haemophilia \u0026amp; Thrombosis Centre, Royal Hallamshire Hospital, Sheffield, UK\u003cBR\u003eDan Hart, The Royal London Hospital and Barts Health NHS Trust, London, UK\u003cBR\u003eAdam Jones, University of Sunderland, UK\u003cBR\u003eRadek Kaczmarek, Indiana University School of Medicine, USA\u003cBR\u003eSebastien Lobet, Cliniques Universitaires Saint-Luc, Brussels, Belgium\u003cBR\u003ePaul McLaughlin, Royal Free Hospital, London, UK\u003cBR\u003eGreta Mulders, Erasmus University Medical Center, Rotterdam, The Netherlands\u003cBR\u003eJames Munn, University of Michigan Hemophilia and Coagulation Disorders Program, Michigan, USA\u003cBR\u003eDeclan Noone, European Haemophilia Association, Brussels\u003cBR\u003eJamie O'Hara, University of Chester, Cheshire, UK\u003cBR\u003eDebra Pollard, Royal Free Hospital, London, UK\u003cBR\u003eBJ Ramsay, Wellington Haemophilia Centre, Wellington, New Zealand\u003cBR\u003eDakota J. Rosenfelt, PharmD, Missouri, US\u003cBR\u003eSylvia von Mackensen, Institute of Medical Psychology at the University Medical Centre, Hamburg, Germany\u003cBR\u003eLinda Myrin Westesson, Sahlgrenska University Hospital, Gothenburg, Sweden\u003cBR\u003eMichelle Witkop, National Hemophilia Foundation, USA \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eTechnical Editor\u003cBR\u003e\u003c/STRONG\u003eKathryn Jenner, Haemnet, UK \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003ePublisher\u003c/STRONG\u003e\u003cBR\u003eDe Gruyter Poland\u003cBR\u003eBogumiła Zuga 32A Str.\u003cBR\u003e01-811 Warsaw, Poland\u003cBR\u003eT: +48 22 701 50 15 \u003c/P\u003e"},{"type":"submission","language":"English","textformat":null,"content":"\u003cDIV align=left\u003e \u003cP\u003eManuscripts should be submitted via the journal’s Scholar One Manuscripts site: \u003cA href=\"http://mc04.manuscriptcentral.com/jhaempract\"\u003emc04.manuscriptcentral.com/jhaempract\u003c/A\u003e. \u003c/P\u003e \u003cP\u003eYou will need to log in. If you are using Scholar One for the first time, use the ‘Create an Account’ link. \u003c/P\u003e \u003cP\u003eOne you have logged in, select the ‘Author’ tab. You should then follow the on-screen instructions – the system will guide you through the process of manuscript submission. Alongside the manuscript, accompanying figures and tables, and general information about the manuscript, you will be asked to provide: \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eThe names of suggested reviewers (optional) \u003c/LI\u003e \u003cLI\u003eA cover letter signed on behalf of all co-authors by the corresponding author \u003c/LI\u003e \u003cLI\u003eAn Open Access License agreement, completed by the corresponding author on behalf of all co-authors (available via the ‘Instructions and Forms’ tab on the journal’s Scholar One Manuscripts site: \u003cA href=\"http://mc04.manuscriptcentral.com/jhaempract\"\u003emc04.manuscriptcentral.com/jhaempract\u003c/A\u003e) \u003c/LI\u003e \u003cLI\u003eDetails of any conflicts of interest \u003c/LI\u003e \u003cLI\u003eConfirmation that informed consent has been obtained where appropriate. \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003eAfter submitting your manuscript, you will receive a confirmation email. \u003c/P\u003e \u003cP\u003eYou can check on the status of your manuscript at any time by logging in to your Scholar One account. \u003c/P\u003e \u003cP\u003eThe journal will notify you by email when a decision has been made on your manuscript. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eManuscript types\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003eThe Journal of Haemophilia Practice accepts \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eOriginal research \u003c/LI\u003e \u003cLI\u003eCase reports \u003c/LI\u003e \u003cLI\u003eCase series \u003c/LI\u003e \u003cLI\u003eReviews in any field of bleeding disorders of relevance to current clinical practice \u003c/LI\u003e \u003cLI\u003eClinical Updates that describe current advances in any clinical field related to bleeding disorders \u003c/LI\u003e \u003cLI\u003eEditorials that address a particular topic of current interest. \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003ePlease note that case reports should meet the standards outlined in the \u003cA href=\"https://www.care-statement.org/\"\u003eCARE Case Report Guidelines\u003c/A\u003e. Authors submitting case reports are advised to consult the \u003cA href=\"https://www.care-statement.org/checklist\"\u003eCARE Checklist\u003c/A\u003e. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eManuscript format\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003e\u003cU\u003eWordcount\u003c/U\u003e \u003c/P\u003e \u003cP\u003eAlthough we do not specify wordcounts for articles, we recommend the following: \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eFor shorter papers, e.g. case reports and small cohort studies: 1,000–3,000 words \u003c/LI\u003e \u003cLI\u003eFor reviews, larger studies and qualitative studies, which require explanation of methodologies: 3,000–7,000 words. \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003e\u003cU\u003eTitle\u003c/U\u003e \u003c/P\u003e \u003cP\u003eThe title should be short and informative. For case reports, the words ‘case report’ should be included in the title. \u003c/P\u003e \u003cP\u003e\u003cU\u003eAuthors\u003c/U\u003e \u003c/P\u003e \u003cP\u003eFull author names and affiliation should be given. An ORCID iD for each author should be provided where available. \u003c/P\u003e \u003cP\u003e\u003cU\u003eAbstract\u003c/U\u003e \u003c/P\u003e \u003cP\u003eFor original articles, a short abstract should be provided using the following headings: Background or Introduction, Aims, Methods, Results, Conclusion. \u003c/P\u003e \u003cP\u003e\u003cU\u003eKeywords\u003c/U\u003e \u003c/P\u003e \u003cP\u003eSubmissions should include 3–6 keywords for indexing purposes. \u003c/P\u003e \u003cP\u003e\u003cU\u003eReference style\u003c/U\u003e \u003c/P\u003e \u003cP\u003eJournal titles should be abbreviated according to the style of Index Medicus and spelled out in full if not listed in Index Medicus. These can be looked up in the \u003cA href=\"https://www.ncbi.nlm.nih.gov/nlmcatalog/journals\"\u003eNLM Catalog\u003c/A\u003e. \u003c/P\u003e \u003cP\u003eThe DOI (digital object identifier) associated with journal articles should be provided where available. \u003c/P\u003e \u003cP\u003eWhere there are six or more authors associated with a reference, the first three should be listed, followed by ‘et al.’ \u003c/P\u003e \u003cP\u003eDatasets should be cited using the format outlined by the \u003cA href=\"https://www.force11.org/datacitationprinciples\"\u003eJoint Declaration of Data Citation Principles\u003c/A\u003e: Authors; Year; Dataset title; Data repository/archive; Version (if relevant); Persistent identifier, e.g. DOI (if available). \u003c/P\u003e \u003cP\u003e\u003cEM\u003eReference style examples:\u003c/EM\u003e \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eReference to an article: \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003eKhair K, Klukowska A, Myrin Westesson L, et al. The burden of bleeds and other clinical determinants on caregivers of children with haemophilia (the BBC Study). Haemophilia 2019; 25(3): 416-423. doi: 10.1111/hae.13736. \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eReference to a book: \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003eJones P. Living with Haemophilia. 2002. Oxford: Oxford University Press. \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eReference to a chapter in a book: \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003eEscobar MA, Roberts HR. Less common congenital disorders of hemostasis. In: Kitchens CS, ed. Consultative Hemostasis and Thrombosis, 3rd edn. 2013. Philadelphia, PA: W.B. Saunders Company. \u003c/P\u003e \u003cUL\u003e \u003cLI\u003eReference to a webpage/online resource: \u003c/LI\u003e\u003c/UL\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003eEuropean Medicines Agency (EMA). European Public Assessment Report (EPAR) NovoSeven Summary for the Public. 2009. Available from http://www.ema.europa.eu/ema/index.jsp?curl=pages/medicines/human/medicines/000074/human_med_000936.jsp\u0026amp;mid=WC0b01ac058001d124 (accessed 9 September 2013). \u003c/P\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003e\u003cU\u003eFigures and tables\u003c/U\u003e \u003c/P\u003e \u003cP\u003ePlease provide tables and figures at the end of the manuscript or as a separate file. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eInformed consent\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003ePeople who are reported in studies have a right to privacy that should not be violated without informed consent. Identifying information, including names, initials, dates of birth or hospital numbers, should not be published in written descriptions, photographs or pedigrees unless the information is essential for scientific purposes and the person (or parent or guardian) gives written informed consent for publication. \u003c/P\u003e \u003cP\u003eInformed consent for this purpose requires that an identifiable person be shown the manuscript to be submitted for publication. Authors should disclose to these participants whether any potential identifiable material might be available via the internet or in print after publication. \u003c/P\u003e \u003cP\u003eEach implicated individual’s consent should be written and archived with the authors. If the patient is a minor or lacks capacity to consent, the written informed consent of a parent or guardian must be given. If the person in the case study is deceased, written consent must be sought from a relative. Without consent, a case report may be considered for publication if the patient is sufficiently anonymised according to \u003cA href=\"http://www.icmje.org/recommendations/\"\u003eICMJE guidelines\u003c/A\u003e. Nonessential identifying details should always be omitted. Informed consent should be obtained if there is any doubt that anonymity can be maintained. For example, masking the eye region in photographs of patients is inadequate protection of anonymity. \u003c/P\u003e \u003cP\u003eConsent must be mentioned in the manuscript. We reserve the right to request copies of consent documentation. The Editor will make the final determination of what constitutes personally identifiable information on a case-by-case basis. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eOpen Access Statement\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003eThe journal is an Open Access journal that allows a free unlimited access to all its contents without any restrictions upon publication to all users. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003e\u003cA href=\"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/JHP/Open_Access_License.pdf\"\u003eOpen Access License\u003c/A\u003e\u003c/STRONG\u003e \u003c/P\u003e\u003c/DIV\u003e"},{"type":"advantages","language":"English","textformat":null,"content":"\u003cP\u003e\u003cSTRONG\u003eThe Journal of Haemophilia Practice\u003c/STRONG\u003e is an international, open-access, peer-reviewed journal that accepts papers from all members of the multidisciplinary bleeding disorders care team.\u003cBR\u003eAny manuscript that is relevant to current haemophilia practice will be considered for publication by our editorial review team. To this end, we positively welcome: \u003c/P\u003e \u003cUL\u003e \u003cUL\u003e \u003cP\u003e\u003c/P\u003e\u003c/UL\u003e \u003cLI\u003eOriginal research \u003c/LI\u003e \u003cLI\u003eCase reports \u003c/LI\u003e \u003cLI\u003eCase Series \u003c/LI\u003e \u003cLI\u003eReviews in any field of bleeding disorders that are of relevance to current clinical practice \u003c/LI\u003e \u003cLI\u003eClinical Updates that describe current advances in any clinical field related to bleeding disorders \u003c/LI\u003e \u003cLI\u003eEditorials that address a particular topic of current interest. \u003c/LI\u003e \u003cUL\u003e \u003cP\u003e\u003c/P\u003e\u003c/UL\u003e\u003c/UL\u003e \u003cP\u003eAll manuscripts submitted to The Journal of Haemophilia Practice will first be subject to a technical review, including a quality check of all the files submitted, including tables, figures and references. This will include a plagiarism check (see below). Manuscripts will then be reviewed by the Editor-in-Chief, who will decide whether or not to proceed to peer-review by members of our editorial board and invited experts. The identity of the reviewers will not be disclosed to the authors. The review procedure will result in one of three decisions: \u003c/P\u003e \u003cUL\u003e \u003cUL\u003e \u003cP\u003e\u003c/P\u003e\u003c/UL\u003e \u003cLI\u003eAccept \u003c/LI\u003e \u003cLI\u003eAccept subject to revision \u003c/LI\u003e \u003cLI\u003eReject \u003c/LI\u003e \u003cUL\u003e \u003cP\u003e\u003c/P\u003e\u003c/UL\u003e\u003c/UL\u003e \u003cP\u003eThe editorial decision will be communicated to the authors as soon as the review process has been finalized. In case of revisions, the revised article will be sent to the reviewers who will decide on a new recommendation for revision, acceptance or rejection. \u003c/P\u003e \u003cP\u003eThe estimated time from the submission to first decision is approximately 4-6 weeks, and from the final revision to acceptance is approximately 2 weeks. Prior to publication, the corresponding author will receive a proof of their article in order to confirm the accuracy of the text or suggest modifications. \u003c/P\u003e \u003cP\u003e“The Journal of Haemophilia Practice” is a double-blind peer reviewed journal. The journal has no article processing charges (APCs) nor article submission charges. \u003c/P\u003e \u003cP\u003e\u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003eArchiving\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003eSciendo archives the contents of this journal in \u003cA href=\"https://www.portico.org/\"\u003ePortico\u003c/A\u003e - digital long-term preservation service of scholarly books, journals and collections. \u003c/P\u003e \u003cP\u003e\u003cSTRONG\u003ePlagiarism Policy\u003c/STRONG\u003e \u003c/P\u003e \u003cP\u003eThe editorial board is participating in a growing community of \u003cA href=\"https://www.crossref.org/services/similarity-check/\"\u003eSimilarity Check System's\u003c/A\u003e users in order to ensure that the content published is original and trustworthy. Similarity Check is a medium that allows for comprehensive manuscripts screening, aimed to eliminate plagiarism and provide a high standard and quality peer-review process. \u003c/P\u003e"}]}],"metrics":"","pricing":null,"publicationFrequency":{"frequency":"1","period":"YEAR"},"permissions":null,"contributors":"","serial":null,"publishMonth":"1","publishYear":"2020","tableCount":null,"figureCount":null,"refCount":null,"keywords":[],"figures":null,"tables":null,"planPubDates":[],"epubLink":null,"pdfLink":null,"coverImage":"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/cover-image.jpg","coverImageOriginal":"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/cover-image-original.jpg","pdfFiles":[],"parentObjectId":"6005d1c4e797941b18f283e8","isParentConference":false,"relatedTitles":null,"forAuthors":null,"nextPackageId":"61e5997f79920c7e2803d91c","prevPackageId":"61e5998479920c7e2803d923","parentName":"Volume 7 (2020): Issue 1 (January 2020)","grandParentId":"6005b891e797941b18f24f3f","grandParentName":"The Journal of Haemophilia Practice","isGrandParentConference":false,"publisherName":"Sciendo","publisherLocation":null,"nextMap":{"id":{"timestamp":1642436988,"date":"2022-01-17T16:29:48.000+00:00"},"doi":"10.17225/jhp00164"},"prevMap":{"id":{"timestamp":1642436993,"date":"2022-01-17T16:29:53.000+00:00"},"doi":"10.17225/jhp00162"},"counter":0,"apaString":"King,J.,Fletcher,K.,Tupper,S.,Brose,K. \u0026 Goodridge,D.(2020).\u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e. The Journal of Haemophilia Practice,7(1) 110-120. \u003ca href='https://doi.org/10.17225/jhp00163'\u003ehttps://doi.org/10.17225/jhp00163\u003c/a\u003e","mlaString":"King, Jennifer, Fletcher, Kara, Tupper, Susan M., Brose, Kelsey and Goodridge, Donna. \"\u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e\" The Journal of Haemophilia Practice, vol.7, no.1, 2020, pp.110-120. \u003ca href='https://doi.org/10.17225/jhp00163'\u003ehttps://doi.org/10.17225/jhp00163\u003c/a\u003e","harvardString":"King J.,Fletcher K.,Tupper S.,Brose K. and Goodridge D. (2020) \u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e. The Journal of Haemophilia Practice, Vol.7 (Issue 1), pp. 110-120. \u003ca href='https://doi.org/10.17225/jhp00163'\u003ehttps://doi.org/10.17225/jhp00163\u003c/a\u003e","chicagoString":"KingJennifer, FletcherKara, TupperSusan M., BroseKelsey and GoodridgeDonna. \u0026quot;\u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e\u0026quot; \u003ci\u003eThe Journal of Haemophilia Practice\u003c/i\u003e 7, no.1 (2020): 110-120. \u003ca href='https://doi.org/10.17225/jhp00163'\u003ehttps://doi.org/10.17225/jhp00163\u003c/a\u003e","vancouverString":"King J, Fletcher K, Tupper S, Brose K, Goodridge D. \u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e. The Journal of Haemophilia Practice. 2020;7(1): 110-120. \u003ca href='https://doi.org/10.17225/jhp00163'\u003ehttps://doi.org/10.17225/jhp00163\u003c/a\u003e","journalKey":"JHP","journalPublisherId":"jhp","journalCode":"JHP","journalDOICode":"jhp","journalTitle":"The Journal of Haemophilia Practice","abbrevJournalTitle":null,"isOpenIssue":null,"issueId":"jhp.2019.7.issue-1","isSpecialIssue":null,"isAOPIssue":null,"volume":"7","issue":"1","sortedIssueList":[],"articles":[],"issuesList":{},"journalMetric":null,"journalOwners":null,"highlightArticles":[],"articleData":{"id":null,"articleType":"research-article","publisherId":"jhp00163","doi":"10.17225/jhp00163","name":"\u003carticle-title\u003ePain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\u003c/article-title\u003e","nameText":"Pain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care","contribGroup":{"contrib":[{"name":{"surname":"King","prefix":null,"suffix":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"xml:lang":null,"given-names":"Jennifer","name-style":null},"emailAddress":"jls989@mail.usask.ca","contrib-type":"author","deceased":null,"equal-contrib":null,"id":null,"rid":null,"specific-use ":null,"xlink:actuate":null,"xlink:href":null,"xlink:role":null,"xlink:show":null,"xlink:title":null,"xlink:type":null,"xlink:base":null,"xref":{"rid":"j_jhp00163_aff_001_w2aab3b7c75b1b6b1aab1b4b5Aa","ref-type":"aff"},"corresp":"yes","ext-link":null,"contrib-id":{"authenticated":true,"contrib-id-type":"orcid","content":"https://orcid.org/0000-0001-8045-8019"},"anonymous":null,"collab":null,"collab-alternatives":null,"name-alternatives":null,"string-name":null,"address":null,"aff":null,"aff-alternatives":null,"author-comment":null,"on-behalf-of":null,"email":{"xlink:href":"mailto:jls989@mail.usask.ca","content":"jls989@mail.usask.ca"},"degrees":null,"bio":null,"uri":null,"role":null},{"name":{"surname":"Fletcher","prefix":null,"suffix":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"xml:lang":null,"given-names":"Kara","name-style":null},"emailAddress":null,"contrib-type":"author","deceased":null,"equal-contrib":null,"id":null,"rid":null,"specific-use ":null,"xlink:actuate":null,"xlink:href":null,"xlink:role":null,"xlink:show":null,"xlink:title":null,"xlink:type":null,"xlink:base":null,"xref":{"rid":"j_jhp00163_aff_002_w2aab3b7c75b1b6b1aab1b4b6Aa","ref-type":"aff"},"corresp":null,"ext-link":null,"contrib-id":{"authenticated":true,"contrib-id-type":"orcid","content":"https://orcid.org/0000-0002-6409-7476"},"anonymous":null,"collab":null,"collab-alternatives":null,"name-alternatives":null,"string-name":null,"address":null,"aff":null,"aff-alternatives":null,"author-comment":null,"on-behalf-of":null,"email":null,"degrees":null,"bio":null,"uri":null,"role":null},{"name":{"surname":"Tupper","prefix":null,"suffix":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"xml:lang":null,"given-names":"Susan M.","name-style":null},"emailAddress":null,"contrib-type":"author","deceased":null,"equal-contrib":null,"id":null,"rid":null,"specific-use ":null,"xlink:actuate":null,"xlink:href":null,"xlink:role":null,"xlink:show":null,"xlink:title":null,"xlink:type":null,"xlink:base":null,"xref":{"rid":"j_jhp00163_aff_003_w2aab3b7c75b1b6b1aab1b4b7Aa","ref-type":"aff"},"corresp":null,"ext-link":null,"contrib-id":{"authenticated":true,"contrib-id-type":"orcid","content":"https://orcid.org/0000-0003-3736-357X"},"anonymous":null,"collab":null,"collab-alternatives":null,"name-alternatives":null,"string-name":null,"address":null,"aff":null,"aff-alternatives":null,"author-comment":null,"on-behalf-of":null,"email":null,"degrees":null,"bio":null,"uri":null,"role":null},{"name":{"surname":"Brose","prefix":null,"suffix":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"xml:lang":null,"given-names":"Kelsey","name-style":null},"emailAddress":null,"contrib-type":"author","deceased":null,"equal-contrib":null,"id":null,"rid":null,"specific-use ":null,"xlink:actuate":null,"xlink:href":null,"xlink:role":null,"xlink:show":null,"xlink:title":null,"xlink:type":null,"xlink:base":null,"xref":{"rid":"j_jhp00163_aff_004_w2aab3b7c75b1b6b1aab1b4b8Aa","ref-type":"aff"},"corresp":null,"ext-link":null,"contrib-id":{"authenticated":true,"contrib-id-type":"orcid","content":"https://orcid.org/0000-0001-6995-5444"},"anonymous":null,"collab":null,"collab-alternatives":null,"name-alternatives":null,"string-name":null,"address":null,"aff":null,"aff-alternatives":null,"author-comment":null,"on-behalf-of":null,"email":null,"degrees":null,"bio":null,"uri":null,"role":null},{"name":{"surname":"Goodridge","prefix":null,"suffix":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"xml:lang":null,"given-names":"Donna","name-style":null},"emailAddress":null,"contrib-type":"author","deceased":null,"equal-contrib":null,"id":null,"rid":null,"specific-use ":null,"xlink:actuate":null,"xlink:href":null,"xlink:role":null,"xlink:show":null,"xlink:title":null,"xlink:type":null,"xlink:base":null,"xref":{"rid":"j_jhp00163_aff_005_w2aab3b7c75b1b6b1aab1b4b9Aa","ref-type":"aff"},"corresp":null,"ext-link":null,"contrib-id":{"authenticated":true,"contrib-id-type":"orcid","content":"https://orcid.org/0000-0002-8680-8646"},"anonymous":null,"collab":null,"collab-alternatives":null,"name-alternatives":null,"string-name":null,"address":null,"aff":null,"aff-alternatives":null,"author-comment":null,"on-behalf-of":null,"email":null,"degrees":null,"bio":null,"uri":null,"role":null}],"aff":[{"institution":["Health Sciences, College of Medicine",{"content-type":"university","content":"University of Saskatchewan"},"Saskatchewan Health Authority"],"country":{"country":"CA","content":"Canada"},"city":["Saskatoon","Saskatoon"],"id":"j_jhp00163_aff_001_w2aab3b7c75b1b6b1aab1b4b5Aa","content":[",",",",";",",",",","."]},{"institution":[{"content-type":"university","content":"Faculty of Social Work, University of Regina"},{"content-type":"private"}],"country":{"country":"CA","content":"Canada"},"city":"Saskatoon","id":"j_jhp00163_aff_002_w2aab3b7c75b1b6b1aab1b4b6Aa","content":[",",","]},{"institution":"Saskatchewan Health Authority","country":{"country":"CA","content":"Canada"},"city":"Saskatoon","id":"j_jhp00163_aff_003_w2aab3b7c75b1b6b1aab1b4b7Aa","content":[",",","]},{"institution":["College of Medicine",{"content-type":"university","content":"University of Saskatchewan"},"Saskatchewan Cancer Agency"],"country":{"country":"CA","content":"Canada"},"city":["Saskatoon","Saskatoon"],"id":"j_jhp00163_aff_004_w2aab3b7c75b1b6b1aab1b4b8Aa","content":[",",",",";",",",","]},{"institution":["College of Medicine",{"content-type":"university","content":"University of Saskatchewan"}],"country":{"country":"CA","content":"Canada"},"city":"Saskatoon","id":"j_jhp00163_aff_005_w2aab3b7c75b1b6b1aab1b4b9Aa","content":[",",",",","]}],"aff-alternatives":null,"author-comment":null,"email":null,"on-behalf-of":null,"role":null,"uri":null,"xref":null,"content-type":null,"id":null,"specific-use":null,"xml:base":null,"bio":null,"ext-link":null},"eISSN":"2055-3390","pISSN":null,"volume":"7","issue":"1","fPage":"110","lPage":"120","permissions":{"license":{"license-type":"open-access","license-p":"This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.","specific-use":"rights-object-archive-dnb","xlink:href":"http://creativecommons.org/licenses/by-nc-nd/3.0","xlink:role":"specific-use:rights-object-archive-dnb"},"copyright-statement":"© 2020 Jennifer King et al., published by Sciendo","copyright-year":"2020","copyright-holder":null,"ali:free_to_read":null,"xml:base":null,"id":null},"isAccessible":true,"pageCount":11,"referenceList":[{"refId":"j_jhp00163_ref_001_w2aab3b7c75b1b6b1ab2b1b1Aa","citeString":"Lambing A, Nichols CD, Munn JE, Anderson TL, Tortella BJ, Witkop ML. Patient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders. Haemophilia 2017; 23: 852–60. doi: 10.1111/hae.13293.","doi":"10.1111/hae.13293","mixed-citation":"\u003cref id=\"j_jhp00163_ref_001_w2aab3b7c75b1b6b1ab2b1b1Aa\"\u003e\u003clabel\u003e1\u003c/label\u003e\u003cmixed-citation\u003eLambing A, Nichols CD, Munn JE, Anderson TL, Tortella BJ, Witkop ML. Patient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2017; 23: 852–60. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.13293\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eLambing\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eNichols\u003c/surname\u003e\u003cgiven-names\u003eCD\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMunn\u003c/surname\u003e\u003cgiven-names\u003eJE\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eAnderson\u003c/surname\u003e\u003cgiven-names\u003eTL\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eTortella\u003c/surname\u003e\u003cgiven-names\u003eBJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eWitkop\u003c/surname\u003e\u003cgiven-names\u003eML\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003ePatient, caregiver, and provider perceptions of pain and pain management in adolescents and young adults with bleeding disorders\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2017\u003c/year\u003e\u003cvolume\u003e23\u003c/volume\u003e\u003cfpage\u003e852\u003c/fpage\u003e\u003clpage\u003e60\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.13293\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e28806860\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_002_w2aab3b7c75b1b6b1ab2b1b2Aa","citeString":"McLaughlin JM, Witkop ML, Lambing A, Anderson TL, Munn J, Tortella B. Better adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia. Haemophilia 2014; 20: 506–12. doi: 10.1111/hae.12360.","doi":"10.1111/hae.12360","mixed-citation":"\u003cref id=\"j_jhp00163_ref_002_w2aab3b7c75b1b6b1ab2b1b2Aa\"\u003e\u003clabel\u003e2\u003c/label\u003e\u003cmixed-citation\u003eMcLaughlin JM, Witkop ML, Lambing A, Anderson TL, Munn J, Tortella B. Better adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2014; 20: 506–12. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12360\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eMcLaughlin\u003c/surname\u003e\u003cgiven-names\u003eJM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eWitkop\u003c/surname\u003e\u003cgiven-names\u003eML\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eLambing\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eAnderson\u003c/surname\u003e\u003cgiven-names\u003eTL\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMunn\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eTortella\u003c/surname\u003e\u003cgiven-names\u003eB\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eBetter adherence to prescribed treatment regimen is related to less chronic pain among adolescents and young adults with moderate or severe haemophilia\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2014\u003c/year\u003e\u003cvolume\u003e20\u003c/volume\u003e\u003cfpage\u003e506\u003c/fpage\u003e\u003clpage\u003e12\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12360\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e24517097\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa","citeString":"Young G, Tachdjian R, Baumann K, Panopoulos G. Comprehensive management of chronic pain in haemophilia. Haemophilia 2014; 20(2): 113–20. doi: 10.1111/hae.12349.","doi":"10.1111/hae.12349","mixed-citation":"\u003cref id=\"j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa\"\u003e\u003clabel\u003e3\u003c/label\u003e\u003cmixed-citation\u003eYoung G, Tachdjian R, Baumann K, Panopoulos G. Comprehensive management of chronic pain in haemophilia. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2014; 20(2): 113–20. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12349\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eYoung\u003c/surname\u003e\u003cgiven-names\u003eG\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eTachdjian\u003c/surname\u003e\u003cgiven-names\u003eR\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eBaumann\u003c/surname\u003e\u003cgiven-names\u003eK\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003ePanopoulos\u003c/surname\u003e\u003cgiven-names\u003eG\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eComprehensive management of chronic pain in haemophilia\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2014\u003c/year\u003e\u003cvolume\u003e20\u003c/volume\u003e\u003cissue\u003e2\u003c/issue\u003e\u003cfpage\u003e113\u003c/fpage\u003e\u003clpage\u003e20\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12349\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e24372731\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa","citeString":"International Association for the Study of Pain. IASP curriculum outline for pain in social work. 2018. Available from https://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956 (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa\"\u003e\u003clabel\u003e4\u003c/label\u003e\u003cmixed-citation\u003eInternational Association for the Study of Pain. IASP curriculum outline for pain in social work. 2018. Available from \u003citalic\u003e\u003curi\u003ehttps://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eInternational Association for the Study of Pain\u003c/collab\u003e\u003csource\u003eIASP curriculum outline for pain in social work\u003c/source\u003e\u003cyear\u003e2018\u003c/year\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.iasp-pain.org/Education/CurriculumDetail.aspx?ItemNumber=4956\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_005_w2aab3b7c75b1b6b1ab2b1b5Aa","citeString":"National Association of Social Work. NASW statement on integrative pain management for the Integrative Pain Care Policy Congress. September 8, 2017. Available from https://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d\u0026portalid=0 (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_005_w2aab3b7c75b1b6b1ab2b1b5Aa\"\u003e\u003clabel\u003e5\u003c/label\u003e\u003cmixed-citation\u003eNational Association of Social Work. NASW statement on integrative pain management for the Integrative Pain Care Policy Congress. September 8, 2017. Available from \u003citalic\u003e\u003curi\u003ehttps://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d\u0026amp;portalid=0\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eNational Association of Social Work\u003c/collab\u003e\u003csource\u003eNASW statement on integrative pain management for the Integrative Pain Care Policy Congress\u003c/source\u003e\u003cmonth\u003eSeptember\u003c/month\u003e\u003cday\u003e8\u003c/day\u003e\u003cyear\u003e2017\u003c/year\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.socialworkers.org/LinkClick.aspx?fileticket=uj5ApiqwXas%3d\u0026amp;portalid=0\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa","citeString":"King J, Fletcher K, Tupper S, Brose K, Goodridge D. The current practice of social work in pain management: a scoping review on chronic disease. 2020. Manuscript submitted for publication.","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa\"\u003e\u003clabel\u003e6\u003c/label\u003e\u003cmixed-citation\u003eKing J, Fletcher K, Tupper S, Brose K, Goodridge D. The current practice of social work in pain management: a scoping review on chronic disease. 2020. Manuscript submitted for publication.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"other\"\u003e\u003cname\u003e\u003csurname\u003eKing\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eFletcher\u003c/surname\u003e\u003cgiven-names\u003eK\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eTupper\u003c/surname\u003e\u003cgiven-names\u003eS\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eBrose\u003c/surname\u003e\u003cgiven-names\u003eK\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eGoodridge\u003c/surname\u003e\u003cgiven-names\u003eD\u003c/given-names\u003e\u003c/name\u003e\u003csource\u003eThe current practice of social work in pain management: a scoping review on chronic disease\u003c/source\u003e\u003cyear\u003e2020\u003c/year\u003e\u003ccomment\u003eManuscript submitted for publication\u003c/comment\u003e\u003cdgdoi:pub-id xmlns:dgdoi=\"http://degruyter.com/resources/doi-from-crossref\" pub-id-type=\"doi\"\u003e10.1080/00981389.2021.1878318\u003c/dgdoi:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e33487135\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_007_w2aab3b7c75b1b6b1ab2b1b7Aa","citeString":"Canadian Hemophilia Society. Bleeding disorders. Available from https://www.hemophilia.ca/bleeding-disorders/ (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_007_w2aab3b7c75b1b6b1ab2b1b7Aa\"\u003e\u003clabel\u003e7\u003c/label\u003e\u003cmixed-citation\u003eCanadian Hemophilia Society. Bleeding disorders. Available from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/bleeding-disorders/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eCanadian Hemophilia Society\u003c/collab\u003e\u003csource\u003eBleeding disorders\u003c/source\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/bleeding-disorders/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa","citeString":"Hemophilia Federation of America. Joint damage. Available from https://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/ (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa\"\u003e\u003clabel\u003e8\u003c/label\u003e\u003cmixed-citation\u003eHemophilia Federation of America. Joint damage. Available from \u003citalic\u003e\u003curi\u003ehttps://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eHemophilia Federation of America\u003c/collab\u003e\u003csource\u003eJoint damage\u003c/source\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.hemophiliafed.org/understanding-bleeding-disorders/complications/joint-damage/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa","citeString":"Canadian Hemophilia Society. Joint damage. Available from https://www.hemophilia.ca/joint-damage/ (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa\"\u003e\u003clabel\u003e9\u003c/label\u003e\u003cmixed-citation\u003eCanadian Hemophilia Society. Joint damage. Available from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/joint-damage/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eCanadian Hemophilia Society\u003c/collab\u003e\u003csource\u003eJoint damage\u003c/source\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/joint-damage/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_010_w2aab3b7c75b1b6b1ab2b1c10Aa","citeString":"Ossipov MH, Dussor GO, Porreca F. Central modulation of pain. J Clin Invest 2010; 120(11): 3779–87. doi: 10.1172/JCI43766.","doi":"10.1172/JCI43766","mixed-citation":"\u003cref id=\"j_jhp00163_ref_010_w2aab3b7c75b1b6b1ab2b1c10Aa\"\u003e\u003clabel\u003e10\u003c/label\u003e\u003cmixed-citation\u003eOssipov MH, Dussor GO, Porreca F. Central modulation of pain. \u003citalic\u003eJ Clin Invest\u003c/italic\u003e 2010; 120(11): 3779–87. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1172/JCI43766\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eOssipov\u003c/surname\u003e\u003cgiven-names\u003eMH\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eDussor\u003c/surname\u003e\u003cgiven-names\u003eGO\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003ePorreca\u003c/surname\u003e\u003cgiven-names\u003eF\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eCentral modulation of pain\u003c/article-title\u003e\u003csource\u003eJ Clin Invest\u003c/source\u003e\u003cyear\u003e2010\u003c/year\u003e\u003cvolume\u003e120\u003c/volume\u003e\u003cissue\u003e11\u003c/issue\u003e\u003cfpage\u003e3779\u003c/fpage\u003e\u003clpage\u003e87\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1172/JCI43766\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e2964993\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e21041960\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_011_w2aab3b7c75b1b6b1ab2b1c11Aa","citeString":"Staud R. The important role of CNS facilitation and inhibition for chronic pain. Int J Clin Rheumtol 2013; 8(6): 639–46. doi: 10.2217/ijr.13.57.","doi":"10.2217/ijr.13.57","mixed-citation":"\u003cref id=\"j_jhp00163_ref_011_w2aab3b7c75b1b6b1ab2b1c11Aa\"\u003e\u003clabel\u003e11\u003c/label\u003e\u003cmixed-citation\u003eStaud R. The important role of CNS facilitation and inhibition for chronic pain. \u003citalic\u003eInt J Clin Rheumtol\u003c/italic\u003e 2013; 8(6): 639–46. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.2217/ijr.13.57\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eStaud\u003c/surname\u003e\u003cgiven-names\u003eR\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eThe important role of CNS facilitation and inhibition for chronic pain\u003c/article-title\u003e\u003csource\u003eInt J Clin Rheumtol\u003c/source\u003e\u003cyear\u003e2013\u003c/year\u003e\u003cvolume\u003e8\u003c/volume\u003e\u003cissue\u003e6\u003c/issue\u003e\u003cfpage\u003e639\u003c/fpage\u003e\u003clpage\u003e46\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.2217/ijr.13.57\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e3904391\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e24489609\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_012_w2aab3b7c75b1b6b1ab2b1c12Aa","citeString":"Kruger S, Hilberg T. Understanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation. Haemophilia 2020; 26(2): 236–42. doi: 10.1111/hae.13939.","doi":"10.1111/hae.13939","mixed-citation":"\u003cref id=\"j_jhp00163_ref_012_w2aab3b7c75b1b6b1ab2b1c12Aa\"\u003e\u003clabel\u003e12\u003c/label\u003e\u003cmixed-citation\u003eKruger S, Hilberg T. Understanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2020; 26(2): 236–42. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.13939\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eKruger\u003c/surname\u003e\u003cgiven-names\u003eS\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHilberg\u003c/surname\u003e\u003cgiven-names\u003eT\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eUnderstanding the pain profile in patients with haemophilia: impaired descending pain inhibition as measured by conditioned pain modulation\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2020\u003c/year\u003e\u003cvolume\u003e26\u003c/volume\u003e\u003cissue\u003e2\u003c/issue\u003e\u003cfpage\u003e236\u003c/fpage\u003e\u003clpage\u003e42\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.13939\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e32030862\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_013_w2aab3b7c75b1b6b1ab2b1c13Aa","citeString":"Biro D. Is there such a thing as psychological pain and why it matters. Cult Med Psychiatry 2010; 34: 658–67. doi: 10.1007/s11013-010-9190-y.","doi":"10.1007/s11013-010-9190-y","mixed-citation":"\u003cref id=\"j_jhp00163_ref_013_w2aab3b7c75b1b6b1ab2b1c13Aa\"\u003e\u003clabel\u003e13\u003c/label\u003e\u003cmixed-citation\u003eBiro D. Is there such a thing as psychological pain and why it matters. \u003citalic\u003eCult Med Psychiatry\u003c/italic\u003e 2010; 34: 658–67. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1007/s11013-010-9190-y\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eBiro\u003c/surname\u003e\u003cgiven-names\u003eD\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eIs there such a thing as psychological pain and why it matters\u003c/article-title\u003e\u003csource\u003eCult Med Psychiatry\u003c/source\u003e\u003cyear\u003e2010\u003c/year\u003e\u003cvolume\u003e34\u003c/volume\u003e\u003cfpage\u003e658\u003c/fpage\u003e\u003clpage\u003e67\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1007/s11013-010-9190-y\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e2952112\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e20835887\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa","citeString":"MacDonald JE. A deconstructive turn in chronic pain treatment: a redefined role for social work. Health Soc Work 2000; 25(1): 51–8. doi: 10.1093/hsw/25.1.51.","doi":"10.1093/hsw/25.1.51","mixed-citation":"\u003cref id=\"j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa\"\u003e\u003clabel\u003e14\u003c/label\u003e\u003cmixed-citation\u003eMacDonald JE. A deconstructive turn in chronic pain treatment: a redefined role for social work. \u003citalic\u003eHealth Soc Work\u003c/italic\u003e 2000; 25(1): 51–8. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/25.1.51\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eMacDonald\u003c/surname\u003e\u003cgiven-names\u003eJE\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eA deconstructive turn in chronic pain treatment: a redefined role for social work\u003c/article-title\u003e\u003csource\u003eHealth Soc Work\u003c/source\u003e\u003cyear\u003e2000\u003c/year\u003e\u003cvolume\u003e25\u003c/volume\u003e\u003cissue\u003e1\u003c/issue\u003e\u003cfpage\u003e51\u003c/fpage\u003e\u003clpage\u003e8\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/25.1.51\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e10689603\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa","citeString":"Stensland M, Sanders S. “It has changed my whole life”: The systemic implications of chronic low back pain among older adults. J Gerontol Soc Work 2018; 61(2): 129–50. doi: 10.1080/01634372.2018.1427169.","doi":"10.1080/01634372.2018.1427169","mixed-citation":"\u003cref id=\"j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa\"\u003e\u003clabel\u003e15\u003c/label\u003e\u003cmixed-citation\u003eStensland M, Sanders S. “It has changed my whole life”: The systemic implications of chronic low back pain among older adults. \u003citalic\u003eJ Gerontol Soc Work\u003c/italic\u003e 2018; 61(2): 129–50. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1080/01634372.2018.1427169\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eStensland\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eSanders\u003c/surname\u003e\u003cgiven-names\u003eS\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003e“It has changed my whole life”: The systemic implications of chronic low back pain among older adults\u003c/article-title\u003e\u003csource\u003eJ Gerontol Soc Work\u003c/source\u003e\u003cyear\u003e2018\u003c/year\u003e\u003cvolume\u003e61\u003c/volume\u003e\u003cissue\u003e2\u003c/issue\u003e\u003cfpage\u003e129\u003c/fpage\u003e\u003clpage\u003e50\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1080/01634372.2018.1427169\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e29336694\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa","citeString":"Aho H, Kauppila T, Haanpaa M. Patients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome. Scand J Pain 2010; 1(4): 220–6. doi: 10.1016/j.sjpain.2010.09.009.","doi":"10.1016/j.sjpain.2010.09.009","mixed-citation":"\u003cref id=\"j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa\"\u003e\u003clabel\u003e16\u003c/label\u003e\u003cmixed-citation\u003eAho H, Kauppila T, Haanpaa M. Patients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome. \u003citalic\u003eScand J Pain\u003c/italic\u003e 2010; 1(4): 220–6. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1016/j.sjpain.2010.09.009\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eAho\u003c/surname\u003e\u003cgiven-names\u003eH\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eKauppila\u003c/surname\u003e\u003cgiven-names\u003eT\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHaanpaa\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003ePatients referred from a multidisciplinary pain clinic to the social worker, their general health, pain condition, treatment and outcome\u003c/article-title\u003e\u003csource\u003eScand J Pain\u003c/source\u003e\u003cyear\u003e2010\u003c/year\u003e\u003cvolume\u003e1\u003c/volume\u003e\u003cissue\u003e4\u003c/issue\u003e\u003cfpage\u003e220\u003c/fpage\u003e\u003clpage\u003e6\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1016/j.sjpain.2010.09.009\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e29913994\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_017_w2aab3b7c75b1b6b1ab2b1c17Aa","citeString":"McBee L, Westreich L, Likourezos A. A psychoeducational relaxation group for pain and stress management in the nursing home. J Soc Work Long Term Care 2004; 3(1): 15–28. doi: 10.1300/j181v03n01_03.","doi":"10.1300/j181v03n01_03","mixed-citation":"\u003cref id=\"j_jhp00163_ref_017_w2aab3b7c75b1b6b1ab2b1c17Aa\"\u003e\u003clabel\u003e17\u003c/label\u003e\u003cmixed-citation\u003eMcBee L, Westreich L, Likourezos A. A psychoeducational relaxation group for pain and stress management in the nursing home. \u003citalic\u003eJ Soc Work Long Term Care\u003c/italic\u003e 2004; 3(1): 15–28. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1300/j181v03n01_03\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eMcBee\u003c/surname\u003e\u003cgiven-names\u003eL\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eWestreich\u003c/surname\u003e\u003cgiven-names\u003eL\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eLikourezos\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eA psychoeducational relaxation group for pain and stress management in the nursing home\u003c/article-title\u003e\u003csource\u003eJ Soc Work Long Term Care\u003c/source\u003e\u003cyear\u003e2004\u003c/year\u003e\u003cvolume\u003e3\u003c/volume\u003e\u003cissue\u003e1\u003c/issue\u003e\u003cfpage\u003e15\u003c/fpage\u003e\u003clpage\u003e28\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1300/j181v03n01_03\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa","citeString":"Park J, Hirz CE, Manotas K, Hooyman N. Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators. J Gerontol Soc Work 2013; 56(6): 487–508. doi: 10.1080/01634372.2013.808725.","doi":"10.1080/01634372.2013.808725","mixed-citation":"\u003cref id=\"j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa\"\u003e\u003clabel\u003e18\u003c/label\u003e\u003cmixed-citation\u003ePark J, Hirz CE, Manotas K, Hooyman N. Nonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators. \u003citalic\u003eJ Gerontol Soc Work\u003c/italic\u003e 2013; 56(6): 487–508. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1080/01634372.2013.808725\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003ePark\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHirz\u003c/surname\u003e\u003cgiven-names\u003eCE\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eManotas\u003c/surname\u003e\u003cgiven-names\u003eK\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHooyman\u003c/surname\u003e\u003cgiven-names\u003eN\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eNonpharmacological pain management by ethnically diverse older adults with chronic pain: barriers and facilitators\u003c/article-title\u003e\u003csource\u003eJ Gerontol Soc Work\u003c/source\u003e\u003cyear\u003e2013\u003c/year\u003e\u003cvolume\u003e56\u003c/volume\u003e\u003cissue\u003e6\u003c/issue\u003e\u003cfpage\u003e487\u003c/fpage\u003e\u003clpage\u003e508\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1080/01634372.2013.808725\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e23822640\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_019_w2aab3b7c75b1b6b1ab2b1c19Aa","citeString":"Works T, Jones S, Grady J, Andemariam B. Traumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease. Health Soc Work 2014; 41(1): 42–50. doi: 10.1093/hsw/hlv085.","doi":"10.1093/hsw/hlv085","mixed-citation":"\u003cref id=\"j_jhp00163_ref_019_w2aab3b7c75b1b6b1ab2b1c19Aa\"\u003e\u003clabel\u003e19\u003c/label\u003e\u003cmixed-citation\u003eWorks T, Jones S, Grady J, Andemariam B. Traumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease. \u003citalic\u003eHealth Soc Work\u003c/italic\u003e 2014; 41(1): 42–50. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/hlv085\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eWorks\u003c/surname\u003e\u003cgiven-names\u003eT\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eJones\u003c/surname\u003e\u003cgiven-names\u003eS\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eGrady\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eAndemariam\u003c/surname\u003e\u003cgiven-names\u003eB\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eTraumatic exposure history as a risk factor for chronic pain in adult patients with sickle cell disease\u003c/article-title\u003e\u003csource\u003eHealth Soc Work\u003c/source\u003e\u003cyear\u003e2014\u003c/year\u003e\u003cvolume\u003e41\u003c/volume\u003e\u003cissue\u003e1\u003c/issue\u003e\u003cfpage\u003e42\u003c/fpage\u003e\u003clpage\u003e50\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/hlv085\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e26946885\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_020_w2aab3b7c75b1b6b1ab2b1c20Aa","citeString":"Forsyth AL, Gregory M, Nugent D, et al. Haemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics. Haemophilia 2013; 20(1): 44–51. doi: 10.1111/hae.12239.","doi":"10.1111/hae.12239","mixed-citation":"\u003cref id=\"j_jhp00163_ref_020_w2aab3b7c75b1b6b1ab2b1c20Aa\"\u003e\u003clabel\u003e20\u003c/label\u003e\u003cmixed-citation\u003eForsyth AL, Gregory M, Nugent D, et al. Haemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2013; 20(1): 44–51. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12239\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eForsyth\u003c/surname\u003e\u003cgiven-names\u003eAL\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eGregory\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eNugent\u003c/surname\u003e\u003cgiven-names\u003eD\u003c/given-names\u003e\u003c/name\u003e\u003cetal/\u003e\u003carticle-title\u003eHaemophilia Experiences, Results and Opportunities (HERO) study: survey methodology and population demographics\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2013\u003c/year\u003e\u003cvolume\u003e20\u003c/volume\u003e\u003cissue\u003e1\u003c/issue\u003e\u003cfpage\u003e44\u003c/fpage\u003e\u003clpage\u003e51\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/hae.12239\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e23902228\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa","citeString":"Witkop M, Lambing A, Divine G, Kachalsky E, Rushlow D, Dinnen J. A national study of pain in the bleeding disorders community: a description of haemophilia pain. Haemophilia 2012; 18(3): 115–9. doi: 10.1111/j.1365-2516.2011.02709.x.","doi":"10.1111/j.1365-2516.2011.02709.x","mixed-citation":"\u003cref id=\"j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa\"\u003e\u003clabel\u003e21\u003c/label\u003e\u003cmixed-citation\u003eWitkop M, Lambing A, Divine G, Kachalsky E, Rushlow D, Dinnen J. A national study of pain in the bleeding disorders community: a description of haemophilia pain. \u003citalic\u003eHaemophilia\u003c/italic\u003e 2012; 18(3): 115–9. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1111/j.1365-2516.2011.02709.x\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eWitkop\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eLambing\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eDivine\u003c/surname\u003e\u003cgiven-names\u003eG\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eKachalsky\u003c/surname\u003e\u003cgiven-names\u003eE\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eRushlow\u003c/surname\u003e\u003cgiven-names\u003eD\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eDinnen\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eA national study of pain in the bleeding disorders community: a description of haemophilia pain\u003c/article-title\u003e\u003csource\u003eHaemophilia\u003c/source\u003e\u003cyear\u003e2012\u003c/year\u003e\u003cvolume\u003e18\u003c/volume\u003e\u003cissue\u003e3\u003c/issue\u003e\u003cfpage\u003e115\u003c/fpage\u003e\u003clpage\u003e9\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1111/j.1365-2516.2011.02709.x\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e22171646\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_022_w2aab3b7c75b1b6b1ab2b1c22Aa","citeString":"Canadian Hemophilia Society. CHS History. Available from https://www.hemophilia.ca/chs-history/ (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_022_w2aab3b7c75b1b6b1ab2b1c22Aa\"\u003e\u003clabel\u003e22\u003c/label\u003e\u003cmixed-citation\u003eCanadian Hemophilia Society. CHS History. Available from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/chs-history/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eCanadian Hemophilia Society\u003c/collab\u003e\u003csource\u003eCHS History\u003c/source\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/chs-history/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_023_w2aab3b7c75b1b6b1ab2b1c23Aa","citeString":"Canadian Hemophilia Society. Standards of practice. Available from https://www.hemophilia.ca/standards-of-practice/ (accessed 23 April 2020).","doi":null,"mixed-citation":"\u003cref id=\"j_jhp00163_ref_023_w2aab3b7c75b1b6b1ab2b1c23Aa\"\u003e\u003clabel\u003e23\u003c/label\u003e\u003cmixed-citation\u003eCanadian Hemophilia Society. Standards of practice. Available from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/standards-of-practice/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020).\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"web\"\u003e\u003ccollab\u003eCanadian Hemophilia Society\u003c/collab\u003e\u003csource\u003eStandards of practice\u003c/source\u003e\u003ccomment\u003eAvailable from \u003citalic\u003e\u003curi\u003ehttps://www.hemophilia.ca/standards-of-practice/\u003c/uri\u003e\u003c/italic\u003e (accessed 23 April 2020)\u003c/comment\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa","citeString":"Turk DC, Audette J, Levy RM, MacKey SC, Stanos S. Assessment and treatment of psychosocial comorbidities in patients with neuropathic pain. Mayo Clin Proc 2010; 85(3): S42–50. doi: 10.4065/mcp.2009.0648.","doi":"10.4065/mcp.2009.0648","mixed-citation":"\u003cref id=\"j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa\"\u003e\u003clabel\u003e24\u003c/label\u003e\u003cmixed-citation\u003eTurk DC, Audette J, Levy RM, MacKey SC, Stanos S. Assessment and treatment of psychosocial comorbidities in patients with neuropathic pain. \u003citalic\u003eMayo Clin Proc\u003c/italic\u003e 2010; 85(3): S42–50. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.4065/mcp.2009.0648\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eTurk\u003c/surname\u003e\u003cgiven-names\u003eDC\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eAudette\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eLevy\u003c/surname\u003e\u003cgiven-names\u003eRM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMacKey\u003c/surname\u003e\u003cgiven-names\u003eSC\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eStanos\u003c/surname\u003e\u003cgiven-names\u003eS\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eAssessment and treatment of psychosocial comorbidities in patients with neuropathic pain\u003c/article-title\u003e\u003csource\u003eMayo Clin Proc\u003c/source\u003e\u003cyear\u003e2010\u003c/year\u003e\u003cvolume\u003e85\u003c/volume\u003e\u003cissue\u003e3\u003c/issue\u003e\u003cfpage\u003eS42\u003c/fpage\u003e\u003clpage\u003e50\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.4065/mcp.2009.0648\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e2844010\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e20194148\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa","citeString":"Hruschak V, Cochran G. Psychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health. Soc Work Health Care 2017; 56(7): 573–87. doi: 10.1080/00981389.2017.1326074.","doi":"10.1080/00981389.2017.1326074","mixed-citation":"\u003cref id=\"j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa\"\u003e\u003clabel\u003e25\u003c/label\u003e\u003cmixed-citation\u003eHruschak V, Cochran G. Psychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health. \u003citalic\u003eSoc Work Health Care\u003c/italic\u003e 2017; 56(7): 573–87. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1080/00981389.2017.1326074\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eHruschak\u003c/surname\u003e\u003cgiven-names\u003eV\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eCochran\u003c/surname\u003e\u003cgiven-names\u003eG\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003ePsychosocial and environmental factors in the prognosis of individuals with chronic pain and comorbid mental health\u003c/article-title\u003e\u003csource\u003eSoc Work Health Care\u003c/source\u003e\u003cyear\u003e2017\u003c/year\u003e\u003cvolume\u003e56\u003c/volume\u003e\u003cissue\u003e7\u003c/issue\u003e\u003cfpage\u003e573\u003c/fpage\u003e\u003clpage\u003e87\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1080/00981389.2017.1326074\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e28594600\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_026_w2aab3b7c75b1b6b1ab2b1c26Aa","citeString":"Duenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J Pain Res 2016; 9: 457–467. doi: 10.2147/JPR.S105892.","doi":"10.2147/JPR.S105892","mixed-citation":"\u003cref id=\"j_jhp00163_ref_026_w2aab3b7c75b1b6b1ab2b1c26Aa\"\u003e\u003clabel\u003e26\u003c/label\u003e\u003cmixed-citation\u003eDuenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. \u003citalic\u003eJ Pain Res\u003c/italic\u003e 2016; 9: 457–467. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.2147/JPR.S105892\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eDuenas\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eOjeda\u003c/surname\u003e\u003cgiven-names\u003eB\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eSalazar\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMico\u003c/surname\u003e\u003cgiven-names\u003eJA\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eFailde\u003c/surname\u003e\u003cgiven-names\u003eI\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eA review of chronic pain impact on patients, their social environment and the health care system\u003c/article-title\u003e\u003csource\u003eJ Pain Res\u003c/source\u003e\u003cyear\u003e2016\u003c/year\u003e\u003cvolume\u003e9\u003c/volume\u003e\u003cfpage\u003e457\u003c/fpage\u003e\u003clpage\u003e467\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.2147/JPR.S105892\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e4935027\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e27418853\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa","citeString":"Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006; 3: 77–101. doi: 10.1191/1478088706pq063oa.","doi":"10.1191/1478088706pq063oa","mixed-citation":"\u003cref id=\"j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e\u003clabel\u003e27\u003c/label\u003e\u003cmixed-citation\u003eBraun V, Clarke V. Using thematic analysis in psychology. \u003citalic\u003eQual Res Psychol\u003c/italic\u003e 2006; 3: 77–101. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1191/1478088706pq063oa\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eBraun\u003c/surname\u003e\u003cgiven-names\u003eV\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eClarke\u003c/surname\u003e\u003cgiven-names\u003eV\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eUsing thematic analysis in psychology\u003c/article-title\u003e\u003csource\u003eQual Res Psychol\u003c/source\u003e\u003cyear\u003e2006\u003c/year\u003e\u003cvolume\u003e3\u003c/volume\u003e\u003cfpage\u003e77\u003c/fpage\u003e\u003clpage\u003e101\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1191/1478088706pq063oa\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa","citeString":"Braun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P (ed.) Handbook of Research Methods in Health Social Sciences. Singapore: Springer, 2019: 843–860. doi: 10.1007/978-981-10-5251-4_103.","doi":"10.1007/978-981-10-5251-4_103","mixed-citation":"\u003cref id=\"j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa\"\u003e\u003clabel\u003e28\u003c/label\u003e\u003cmixed-citation\u003eBraun V, Clarke V, Hayfield N, Terry G. Thematic analysis. In: Liamputtong P (ed.) \u003citalic\u003eHandbook of Research Methods in Health Social Sciences\u003c/italic\u003e. Singapore: Springer, 2019: 843–860. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1007/978-981-10-5251-4_103\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"book\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eBraun\u003c/surname\u003e\u003cgiven-names\u003eV\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eClarke\u003c/surname\u003e\u003cgiven-names\u003eV\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHayfield\u003c/surname\u003e\u003cgiven-names\u003eN\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eTerry\u003c/surname\u003e\u003cgiven-names\u003eG\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eThematic analysis\u003c/article-title\u003e\u003ccomment\u003eIn:\u003c/comment\u003e\u003cname\u003e\u003csurname\u003eLiamputtong\u003c/surname\u003e\u003cgiven-names\u003eP\u003c/given-names\u003e\u003c/name\u003e\u003ccomment\u003e(ed.)\u003c/comment\u003e\u003csource\u003eHandbook of Research Methods in Health Social Sciences\u003c/source\u003e\u003cpublisher-loc\u003eSingapore\u003c/publisher-loc\u003e\u003cpublisher-name\u003eSpringer\u003c/publisher-name\u003e\u003cyear\u003e2019\u003c/year\u003e\u003cfpage\u003e843\u003c/fpage\u003e\u003clpage\u003e860\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1007/978-981-10-5251-4_103\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa","citeString":"Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. Int J Qual Methods 2017; 16: 1–13. doi: 10.1177/1609406917733847.","doi":"10.1177/1609406917733847","mixed-citation":"\u003cref id=\"j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa\"\u003e\u003clabel\u003e29\u003c/label\u003e\u003cmixed-citation\u003eNowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: striving to meet the trustworthiness criteria. \u003citalic\u003eInt J Qual Methods\u003c/italic\u003e 2017; 16: 1–13. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1177/1609406917733847\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eNowell\u003c/surname\u003e\u003cgiven-names\u003eLS\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eNorris\u003c/surname\u003e\u003cgiven-names\u003eJM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eWhite\u003c/surname\u003e\u003cgiven-names\u003eDE\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMoules\u003c/surname\u003e\u003cgiven-names\u003eNJ\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eThematic analysis: striving to meet the trustworthiness criteria\u003c/article-title\u003e\u003csource\u003eInt J Qual Methods\u003c/source\u003e\u003cyear\u003e2017\u003c/year\u003e\u003cvolume\u003e16\u003c/volume\u003e\u003cfpage\u003e1\u003c/fpage\u003e\u003clpage\u003e13\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1177/1609406917733847\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_030_w2aab3b7c75b1b6b1ab2b1c30Aa","citeString":"Haefeli M, Elfering A. Pain assessment. Eur Spine J 2006; 15: S17–S24. doi: 10.1007/s00586-005-1044-x.","doi":"10.1007/s00586-005-1044-x","mixed-citation":"\u003cref id=\"j_jhp00163_ref_030_w2aab3b7c75b1b6b1ab2b1c30Aa\"\u003e\u003clabel\u003e30\u003c/label\u003e\u003cmixed-citation\u003eHaefeli M, Elfering A. Pain assessment. \u003citalic\u003eEur Spine J\u003c/italic\u003e 2006; 15: S17–S24. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1007/s00586-005-1044-x\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eHaefeli\u003c/surname\u003e\u003cgiven-names\u003eM\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eElfering\u003c/surname\u003e\u003cgiven-names\u003eA\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003ePain assessment\u003c/article-title\u003e\u003csource\u003eEur Spine J\u003c/source\u003e\u003cyear\u003e2006\u003c/year\u003e\u003cvolume\u003e15\u003c/volume\u003e\u003cfpage\u003eS17\u003c/fpage\u003e\u003clpage\u003eS24\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1007/s00586-005-1044-x\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e3454549\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e16320034\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_031_w2aab3b7c75b1b6b1ab2b1c31Aa","citeString":"Fillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of chronic pain: domains, methods and mechanisms. J Pain 2016; 17(9): T10–T20. doi: 10.1016/j.pain.2015.08.010.","doi":"10.1016/j.pain.2015.08.010","mixed-citation":"\u003cref id=\"j_jhp00163_ref_031_w2aab3b7c75b1b6b1ab2b1c31Aa\"\u003e\u003clabel\u003e31\u003c/label\u003e\u003cmixed-citation\u003eFillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of chronic pain: domains, methods and mechanisms. \u003citalic\u003eJ Pain\u003c/italic\u003e 2016; 17(9): T10–T20. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1016/j.pain.2015.08.010\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eFillingim\u003c/surname\u003e\u003cgiven-names\u003eRB\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eLoeser\u003c/surname\u003e\u003cgiven-names\u003eJD\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eBaron\u003c/surname\u003e\u003cgiven-names\u003eR\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eEdwards\u003c/surname\u003e\u003cgiven-names\u003eRR\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eAssessment of chronic pain: domains, methods and mechanisms\u003c/article-title\u003e\u003csource\u003eJ Pain\u003c/source\u003e\u003cyear\u003e2016\u003c/year\u003e\u003cvolume\u003e17\u003c/volume\u003e\u003cissue\u003e9\u003c/issue\u003e\u003cfpage\u003eT10\u003c/fpage\u003e\u003clpage\u003eT20\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1016/j.pain.2015.08.010\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_032_w2aab3b7c75b1b6b1ab2b1c32Aa","citeString":"MacDonald JE. Anti-oppressive practices with chronic pain suffers. Soc Work Health Care 2008; 47(2): 135–56. doi: 10.1080/00981380801970285.","doi":"10.1080/00981380801970285","mixed-citation":"\u003cref id=\"j_jhp00163_ref_032_w2aab3b7c75b1b6b1ab2b1c32Aa\"\u003e\u003clabel\u003e32\u003c/label\u003e\u003cmixed-citation\u003eMacDonald JE. Anti-oppressive practices with chronic pain suffers. \u003citalic\u003eSoc Work Health Care\u003c/italic\u003e 2008; 47(2): 135–56. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1080/00981380801970285\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eMacDonald\u003c/surname\u003e\u003cgiven-names\u003eJE\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eAnti-oppressive practices with chronic pain suffers\u003c/article-title\u003e\u003csource\u003eSoc Work Health Care\u003c/source\u003e\u003cyear\u003e2008\u003c/year\u003e\u003cvolume\u003e47\u003c/volume\u003e\u003cissue\u003e2\u003c/issue\u003e\u003cfpage\u003e135\u003c/fpage\u003e\u003clpage\u003e56\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1080/00981380801970285\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e18956505\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_033_w2aab3b7c75b1b6b1ab2b1c33Aa","citeString":"Sieppert J. Attitudes toward and knowledge of chronic pain: a survey of medical social workers. Health Soc Work 1996; 21(2): 122–30. doi: 10.1093/hsw/21.2.122.","doi":"10.1093/hsw/21.2.122","mixed-citation":"\u003cref id=\"j_jhp00163_ref_033_w2aab3b7c75b1b6b1ab2b1c33Aa\"\u003e\u003clabel\u003e33\u003c/label\u003e\u003cmixed-citation\u003eSieppert J. Attitudes toward and knowledge of chronic pain: a survey of medical social workers. \u003citalic\u003eHealth Soc Work\u003c/italic\u003e 1996; 21(2): 122–30. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/21.2.122\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eSieppert\u003c/surname\u003e\u003cgiven-names\u003eJ\u003c/given-names\u003e\u003c/name\u003e\u003carticle-title\u003eAttitudes toward and knowledge of chronic pain: a survey of medical social workers\u003c/article-title\u003e\u003csource\u003eHealth Soc Work\u003c/source\u003e\u003cyear\u003e1996\u003c/year\u003e\u003cvolume\u003e21\u003c/volume\u003e\u003cissue\u003e2\u003c/issue\u003e\u003cfpage\u003e122\u003c/fpage\u003e\u003clpage\u003e30\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1093/hsw/21.2.122\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e8722139\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_034_w2aab3b7c75b1b6b1ab2b1c34Aa","citeString":"Browne T, Keefe RH, Ruth BJ, Cox H, Maramaldi P, Rishel C, et al. Advancing social work education for health impact. Am J Public Health 2017; 107(Suppl 3): S229–S235. doi: 10.2105/AJPH.2017.304054","doi":"10.2105/AJPH.2017.304054","mixed-citation":"\u003cref id=\"j_jhp00163_ref_034_w2aab3b7c75b1b6b1ab2b1c34Aa\"\u003e\u003clabel\u003e34\u003c/label\u003e\u003cmixed-citation\u003eBrowne T, Keefe RH, Ruth BJ, Cox H, Maramaldi P, Rishel C, et al. Advancing social work education for health impact. \u003citalic\u003eAm J Public Health\u003c/italic\u003e 2017; 107(Suppl 3): S229–S235. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.2105/AJPH.2017.304054\u003c/pub-id\u003e\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eBrowne\u003c/surname\u003e\u003cgiven-names\u003eT\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eKeefe\u003c/surname\u003e\u003cgiven-names\u003eRH\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eRuth\u003c/surname\u003e\u003cgiven-names\u003eBJ\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eCox\u003c/surname\u003e\u003cgiven-names\u003eH\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eMaramaldi\u003c/surname\u003e\u003cgiven-names\u003eP\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eRishel\u003c/surname\u003e\u003cgiven-names\u003eC\u003c/given-names\u003e\u003c/name\u003e\u003cetal/\u003e\u003carticle-title\u003eAdvancing social work education for health impact\u003c/article-title\u003e\u003csource\u003eAm J Public Health\u003c/source\u003e\u003cyear\u003e2017\u003c/year\u003e\u003cvolume\u003e107\u003c/volume\u003e\u003cissue\u003eSuppl 3\u003c/issue\u003e\u003cfpage\u003eS229\u003c/fpage\u003e\u003clpage\u003eS235\u003c/lpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.2105/AJPH.2017.304054\u003c/pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmcid\"\u003e5731074\u003c/dgpm:pub-id\u003e\u003cdgpm:pub-id xmlns:dgpm=\"http://degruyter.com/resources/fetched-pubmed-id\" pub-id-type=\"pmid\"\u003e29236540\u003c/dgpm:pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"},{"refId":"j_jhp00163_ref_035_w2aab3b7c75b1b6b1ab2b1c35Aa","citeString":"Buckner TW, Durben N, Humphrey C, et al. Pain in the bleeding disorders community: patient and caregiver perspectives. Blood 2016; 128(22): 2591. doi: 10.1182/blood.V128.22.2591.2591.","doi":"10.1182/blood.V128.22.2591.2591","mixed-citation":"\u003cref id=\"j_jhp00163_ref_035_w2aab3b7c75b1b6b1ab2b1c35Aa\"\u003e\u003clabel\u003e35\u003c/label\u003e\u003cmixed-citation\u003eBuckner TW, Durben N, Humphrey C, et al. Pain in the bleeding disorders community: patient and caregiver perspectives. \u003citalic\u003eBlood\u003c/italic\u003e 2016; 128(22): 2591. doi: \u003cpub-id pub-id-type=\"doi\"\u003e10.1182/blood.V128.22.2591.2591\u003c/pub-id\u003e.\u003c/mixed-citation\u003e\u003celement-citation publication-type=\"journal\" publication-format=\"print\"\u003e\u003cname\u003e\u003csurname\u003eBuckner\u003c/surname\u003e\u003cgiven-names\u003eTW\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eDurben\u003c/surname\u003e\u003cgiven-names\u003eN\u003c/given-names\u003e\u003c/name\u003e\u003cname\u003e\u003csurname\u003eHumphrey\u003c/surname\u003e\u003cgiven-names\u003eC\u003c/given-names\u003e\u003c/name\u003e\u003cetal/\u003e\u003carticle-title\u003ePain in the bleeding disorders community: patient and caregiver perspectives\u003c/article-title\u003e\u003csource\u003eBlood\u003c/source\u003e\u003cyear\u003e2016\u003c/year\u003e\u003cvolume\u003e128\u003c/volume\u003e\u003cissue\u003e22\u003c/issue\u003e\u003cfpage\u003e2591\u003c/fpage\u003e\u003cpub-id pub-id-type=\"doi\"\u003e10.1182/blood.V128.22.2591.2591\u003c/pub-id\u003e\u003c/element-citation\u003e\u003c/ref\u003e"}],"pdfUrl":"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/10.17225_jhp00163.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256\u0026X-Amz-Date=20220527T123900Z\u0026X-Amz-SignedHeaders=host\u0026X-Amz-Expires=17999\u0026X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request\u0026X-Amz-Signature=bd567e0c38816e479e72409dfda2999ec0a6ebafd94a7eb56e6f3ae78f8d13be","authorNotes":null,"publishMonth":"10","publishYear":"2020","receivedDate":null,"acceptedDate":null,"ePubDate":"2020-10-17T00:00:00.000+00:00","ePubDateText":"17 October 2020","pPubDate":null,"pPubDateText":null,"issueDate":"2020-01-01T00:00:00.000+00:00","coverDate":"2020-01-01T00:00:00.000+00:00","tableCount":null,"figureCount":null,"refCount":null,"articleCategories":"{\"subj-group\":{\"subject\":\"Professional Development\"}}","titleGroup":"{\"article-title\":\"Pain management in bleeding disorders care: perspectives of Canadian Social Workers in Hemophilia Care\"}","fundingGroup":null,"abstractContent":[{"title":"Abstract","language":"English","content":"\u003cabstract\u003e\u003ctitle style='display:none'\u003eAbstract\u003c/title\u003e\u003csec\u003e\u003ctitle style='display:none'\u003eBackground\u003c/title\u003e\u003cp\u003ePain associated with bleeding disorders has been demonstrated to have an impact on patients’ and families’ quality of life. Both acute and chronic pain are common experiences and require attention by professionals working in haemophilia treatment centres (HTCs). The benefits of psychological pain management strategies such as cognitive behaviour therapy and self-management skills training are well documented; however, it is not well understood how Canadian social workers involved in haemophilia care perceive and provide pain management support to patients.\u003c/p\u003e\u003c/sec\u003e\u003csec\u003e\u003ctitle style='display:none'\u003eAims\u003c/title\u003e\u003cp\u003eTo explore the current understanding of pain management and practice as well as the education needs of members of Canadian Social Workers in Hemophilia Care (CSWHC).\u003c/p\u003e\u003c/sec\u003e\u003csec\u003e\u003ctitle style='display:none'\u003eMethod\u003c/title\u003e\u003cp\u003eTwelve semi-structured qualitative interviews were conducted with members of CSWHC. Transcribed interviews were coded with NVivo software and thematically analysed.\u003c/p\u003e\u003c/sec\u003e\u003csec\u003e\u003ctitle style='display:none'\u003eResults\u003c/title\u003e\u003cp\u003eThe four key themes reflecting the experiences of social workers are: 1) Limited comprehension of key issues related to pain; 2) Conditioning to push through pain; 3) Expanding pain knowledge to enhance practice; 4) How we practice social work and choose to step in.\u003c/p\u003e\u003c/sec\u003e\u003csec\u003e\u003ctitle style='display:none'\u003eConclusion\u003c/title\u003e\u003cp\u003eThe current practice of CSWHC members aligns with literature in three main areas including assessment, instrumental services, and counselling. Social workers support the development of pain education and practical resources for patients with haemophilia who experience pain. While formal education, advocacy, and policy development of pain assessment and management are recognised, these areas require further research and development.\u003c/p\u003e\u003c/sec\u003e\u003c/abstract\u003e"}],"figures":[{"label":null,"caption":"Participants in a study involving members of Canadian Social Workers in Hemophilia Care anticipate that improved knowledge of pain and pain management will have a positive impact on their practice within the multidisciplinary team, and increase their capacity to advocate for people with bleeding disorders.","imageLink":"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_002.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256\u0026X-Amz-Date=20220527T123900Z\u0026X-Amz-SignedHeaders=host\u0026X-Amz-Expires=18000\u0026X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request\u0026X-Amz-Signature=a19f27f5453a382c06b44b6075625ef5b329af81489a4cbe3a5a7322ec8abada"},{"label":"Figure 1","caption":null,"imageLink":"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256\u0026X-Amz-Date=20220527T123900Z\u0026X-Amz-SignedHeaders=host\u0026X-Amz-Expires=18000\u0026X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request\u0026X-Amz-Signature=855d5cd05b9fa2d4fd3c9508c35c342bda5c39dded052611f24a07064a383ffe"}],"tableContent":{"Participant demographic information (N=12)":"\u003ctable rules=\"cols\"\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" valign=\"middle\"\u003e\u003cbold\u003eCHARACTERISTIC\u003c/bold\u003e\u003c/th\u003e\u003cth align=\"left\" valign=\"middle\"\u003e\u003cbold\u003eN\u003c/bold\u003e\u003c/th\u003e\u003c/tr\u003e\u003ctr\u003e\u003cth align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eGender\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eMale\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eFemale\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eAge Range\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e20–29\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e30–39\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e40–49\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e50–59\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e60–69\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eEducational preparation\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eBSW\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eMSW\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e7\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eAdditional degrees\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e4\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eYears of practice\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e0–10\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e11–20\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e21–30\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e3\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e31–40\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e3\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eAdditional pain education\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eYes\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e9\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e"},"tables":null,"articleContent":"\n\u003cdiv\u003e\u003cfigure id=\"j_jhp00163_fig_002_w2aab3b7c75b1b6b1ab1aAa\" position=\"float\" fig-type=\"figure\"\u003e\u003cfigCaption\u003e\u003cp\u003eParticipants in a study involving members of Canadian Social Workers in Hemophilia Care anticipate that improved knowledge of pain and pain management will have a positive impact on their practice within the multidisciplinary team, and increase their capacity to advocate for people with bleeding disorders.\u003c/p\u003e\u003c/figCaption\u003e\u003cimg xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"graphic/j_jhp00163_fig_002.jpg\" src=\"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_002.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256\u0026amp;X-Amz-Date=20220527T123900Z\u0026amp;X-Amz-SignedHeaders=host\u0026amp;X-Amz-Expires=18000\u0026amp;X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request\u0026amp;X-Amz-Signature=a19f27f5453a382c06b44b6075625ef5b329af81489a4cbe3a5a7322ec8abada\" class=\"mw-100\"\u003e\u003c/img\u003e\u003c/figure\u003e\u003cp\u003eAdvances in recombinant factor replacement therapy in haemophilia care have increased life expectancy as well as quality of life (QoL); however, bleeds and missed treatments continue to influence acute and chronic pain among people with haemophilia (PwH) \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_001_w2aab3b7c75b1b6b1ab2b1b1Aa\"\u003e1\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_002_w2aab3b7c75b1b6b1ab2b1b2Aa\"\u003e2\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa\"\u003e3\u003c/a\u003e]\u003c/sup\u003e. Due to the nature of chronic pain and the impact it has on QoL, social workers are uniquely situated to take an active role in pain assessment, treatment, and management \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa\"\u003e4\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_005_w2aab3b7c75b1b6b1ab2b1b5Aa\"\u003e5\u003c/a\u003e]\u003c/sup\u003e. Current literature exposes gaps in the use of validated pain and mental health assessment tools, advocacy, and policy development in social work practice \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa\"\u003e6\u003c/a\u003e]\u003c/sup\u003e.\u003c/p\u003e\u003csec id=\"j_jhp00163_s_001_w2aab3b7c75b1b6b1ab1b2Aa\"\u003e\u003ctitle/\u003e\u003csec id=\"j_jhp00163_s_001_s_001_w2aab3b7c75b1b6b1ab1b2b1Aa\"\u003e\u003cdiv\u003ePain in bleeding disorders\u003c/div\u003e\u003cp\u003eBleeding disorders are inherited and genetic conditions, including haemophilia A, haemophilia B, von Willebrand disease (VWD), and platelet function disorders. Patients with these diagnoses are at increased risk for bleeding into joints, muscles and internal organs, increasing the probability of long-term tissue damage and chronic pain \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa\"\u003e3\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_007_w2aab3b7c75b1b6b1ab2b1b7Aa\"\u003e7\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa\"\u003e8\u003c/a\u003e]\u003c/sup\u003e. Acute pain can result from bleeds, typically associated with swelling, heat and restricted movement, as well as pain from medical procedures including factor infusions \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa\"\u003e3\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa\"\u003e8\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa\"\u003e9\u003c/a\u003e]\u003c/sup\u003e. Chronic pain experienced from permanent joint impairment may arise from damage to the synovial lining or surgical interventions such as joint replacements or fusions \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_003_w2aab3b7c75b1b6b1ab2b1b3Aa\"\u003e3\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_008_w2aab3b7c75b1b6b1ab2b1b8Aa\"\u003e8\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_009_w2aab3b7c75b1b6b1ab2b1b9Aa\"\u003e9\u003c/a\u003e]\u003c/sup\u003e. Endogenous pain modulation regulated by the central nervous system influences the pain experience \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_010_w2aab3b7c75b1b6b1ab2b1c10Aa\"\u003e10\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_011_w2aab3b7c75b1b6b1ab2b1c11Aa\"\u003e11\u003c/a\u003e]\u003c/sup\u003e. The experience of pain in bleeding disorder patients may be amplified by impaired endogenous pain modulation \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_012_w2aab3b7c75b1b6b1ab2b1c12Aa\"\u003e12\u003c/a\u003e]\u003c/sup\u003e. Pain is a subjective experience including physical and psychological factors, yet there is support to define pain in purely psychological terms. Biro (2010), for example, moves beyond the strict biological view of pain and acknowledges that pain may exist in psychological form without physical tissue damage present \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_013_w2aab3b7c75b1b6b1ab2b1c13Aa\"\u003e13\u003c/a\u003e]\u003c/sup\u003e. The biopsychosocial impacts of pain on QoL include relationships \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa\"\u003e14\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa\"\u003e15\u003c/a\u003e]\u003c/sup\u003e, work/school, housing, health management \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa\"\u003e15\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa\"\u003e16\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_017_w2aab3b7c75b1b6b1ab2b1c17Aa\"\u003e17\u003c/a\u003e]\u003c/sup\u003e, psychological concerns including depression/anxiety, fatigue or stress \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa\"\u003e14\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa\"\u003e15\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_016_w2aab3b7c75b1b6b1ab2b1c16Aa\"\u003e16\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa\"\u003e18\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_019_w2aab3b7c75b1b6b1ab2b1c19Aa\"\u003e19\u003c/a\u003e]\u003c/sup\u003e, and finances (transportation/social services) \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_014_w2aab3b7c75b1b6b1ab2b1c14Aa\"\u003e14\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_015_w2aab3b7c75b1b6b1ab2b1c15Aa\"\u003e15\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_018_w2aab3b7c75b1b6b1ab2b1c18Aa\"\u003e18\u003c/a\u003e]\u003c/sup\u003e.\u003c/p\u003e\u003cp\u003eThe Haemophilia Experiences, Results and Opportunities (HERO) study included 675 adult PwH from ten countries who reported a high prevalence of comorbidities, including arthritis (49%), and psychological concerns such as stress, fatigue, depression/anxiety (47%), as well as chronic pain (43%) either related or unrelated to haemophilia \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_020_w2aab3b7c75b1b6b1ab2b1c20Aa\"\u003e20\u003c/a\u003e]\u003c/sup\u003e. A national study in the US of 764 PwH found that 59% of participants rely on the haemophilia treatment centres (HTCs) for pain management, while 39% of participants indicated their pain was not well managed, suggesting that pain is a pervasive issue in this population \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa\"\u003e21\u003c/a\u003e]\u003c/sup\u003e. These studies demonstrate the need for HTC care providers to be skilled in pain assessment and management to ensure appropriate treatment and referrals. Many PwH can find it challenging to distinguish between chronic pain and what could plausibly be an acute bleed \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_021_w2aab3b7c75b1b6b1ab2b1c21Aa\"\u003e21\u003c/a\u003e]\u003c/sup\u003e, suggesting a need for the professionals who work with them to assist PwH in developing knowledge of pain experiences and the language to describe them. Pain in PwH is widely recognised, and HTC social workers have the potential to provide support and skills to address these concerns.\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_001_s_002_w2aab3b7c75b1b6b1ab1b2b2Aa\"\u003e\u003cdiv\u003eSocial work practice in haemophilia care and pain management\u003c/div\u003e\u003cp\u003eThe predominant effort of the Canadian Hemophilia Society (CHS) has been to improve patient-centred care and QoL while supporting the search for a cure \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_022_w2aab3b7c75b1b6b1ab2b1c22Aa\"\u003e22\u003c/a\u003e]\u003c/sup\u003e. The standard of practice for Canadian Social Workers in Hemophilia Care (CSWHC) includes psychosocial assessment, counselling/psychotherapy, advocacy, education and resources (patient, family and community), support and discharge planning \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_023_w2aab3b7c75b1b6b1ab2b1c23Aa\"\u003e23\u003c/a\u003e]\u003c/sup\u003e.\u003c/p\u003e\u003cp\u003eCurrent literature on the role of social work in the management of chronic pain demonstrates its impact on QoL and the needs for appropriate intervention \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa\"\u003e24\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa\"\u003e25\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_026_w2aab3b7c75b1b6b1ab2b1c26Aa\"\u003e26\u003c/a\u003e]\u003c/sup\u003e. Social workers routinely conduct psychosocial assessments in these areas and are well situated to assess the impact of pain on QoL and provide intervention services.\u003c/p\u003e\u003cp\u003eThis paper explores the understanding and application of the role of members of CSHWC in pain management and the direction of future discipline-specific pain education.\u003c/p\u003e\u003c/sec\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_002_w2aab3b7c75b1b6b1ab1b3Aa\"\u003e\u003cdiv\u003eAIMS\u003c/div\u003e\u003cp\u003eAs there is a need for PwH to receive adequate pain management from the HTC, it was important to explore the current understanding and practice of social work in pain management. The aim of this study was to determine the scope of pain knowledge and current practice in pain management among social workers in CSWHC, guided by two research questions:\n\u003clist list-type=\"bullet\"\u003e\u003clist-item\u003e\u003cp\u003eWhat do social workers in CSWHC currently understand about pain and bleeding disorder care and their practice?\u003c/p\u003e\u003c/list-item\u003e\u003clist-item\u003e\u003cp\u003eWhat specific pain knowledge and training is prioritised by social workers in CSWHC?\u003c/p\u003e\u003c/list-item\u003e\u003c/list\u003e\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_003_w2aab3b7c75b1b6b1ab1b4Aa\"\u003e\u003cdiv\u003eMETHOD\u003c/div\u003e\u003cp\u003eThe study was designed by a member of CSWHC and supported by the interest of its membership. A purposive sample was drawn from CSWHC membership (15–20 active members), who have specialised expertise in bleeding disorder care. Participants were recruited during CSWHC's 2018 annual general meeting, where an invitation poster and consent form were distributed, and via email. Twelve social workers agreed to participate in the study.\u003c/p\u003e\u003cp\u003eSemi-structured interviews were conducted with study participants to allow them to reflect on and share their professional experience. An interview guide (\u003ca ref-type=\"app\" href=\"#j_jhp00163_app_001_w2aab3b7c75b1b6b1ab2b2aAa\"\u003eAppendix\u003c/a\u003e) was developed through discussion of the research questions among the research team. The questions aimed to obtain an understanding of social workers’ current knowledge and experience around pain management. No pilot interviews were undertaken due to time restraints.\u003c/p\u003e\u003cp\u003eParticipants were invited to interview via email. Interviews were conducted between September 2018 and February 2019 by a single interviewer (JK) in a private home office via Zoom.us and recorded, with participants’ consent, to a password-protected computer. Field notes were kept during and after each interview. The interviews were subsequently transcribed by a research service at the University of Saskatchewan and reviewed for accuracy.\u003c/p\u003e\u003cp\u003eInterview transcripts were emailed individually to each participant for review and asked to confirm consent for the transcript and to provide any further comments to clarify their interview.\u003c/p\u003e\u003csec id=\"j_jhp00163_s_003_s_001_w2aab3b7c75b1b6b1ab1b4b5Aa\"\u003e\u003cdiv\u003eEthics\u003c/div\u003e\u003cp\u003eThe University of Saskatchewan Behavioral Ethics Board granted an exemption for this study.\u003c/p\u003e\u003cp\u003eAs members of CSWHC, participants were involved in initial discussions about the research; however, they were not involved in finalising the research or in developing the interview questions. Participants signed and submitted informed consent to the interview (JK) in person at the 2018 CSWHC annual general meeting, or via fax or email. The consent form included the granting of permission to use quotes in publications. Participants received gift cards an honorarium for their time. This was approved through ethics and described in the consent form.\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_003_s_002_w2aab3b7c75b1b6b1ab1b4b6Aa\"\u003e\u003cdiv\u003eData analysis\u003c/div\u003e\u003cp\u003eFunding to complete a scoping review and thematic analysis of the interviews was secured through the CHS and Novo Nordisk Psychosocial Research Grant in 2018.\u003c/p\u003e\u003cp\u003eNVivo software was used to manage and analyse data, including the organisation and arrangement of codes and themes. Field notes recorded during the interviews were read prior to the analysis. Clarifying comments received from participants following the receipt of interview transcripts were not included in the analysis.\u003c/p\u003e\u003cp\u003eData analysis was conducted using a thematic approach. Four considerations were applied to the analysis \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e27\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa\"\u003e28\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa\"\u003e29\u003c/a\u003e]\u003c/sup\u003e: 1) inclusion of the entire data set in the analysis using a rich thematic description \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e27\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa\"\u003e29\u003c/a\u003e]\u003c/sup\u003e: 2) inductive approach using a rich thematic description \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e27\u003c/a\u003e]\u003c/sup\u003e: 3) utilising a shared meaning in the identification of themes \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e27\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_028_w2aab3b7c75b1b6b1ab2b1c28Aa\"\u003e28\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_029_w2aab3b7c75b1b6b1ab2b1c29Aa\"\u003e29\u003c/a\u003e]\u003c/sup\u003e: 4) using an essentialist approach to allow inference of theories or ideas from within the data set \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_027_w2aab3b7c75b1b6b1ab2b1c27Aa\"\u003e27\u003c/a\u003e]\u003c/sup\u003e.\u003c/p\u003e\u003c/sec\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_004_w2aab3b7c75b1b6b1ab1b5Aa\"\u003e\u003cdiv\u003eRESULTS\u003c/div\u003e\u003cp\u003eInterviews were conducted with 12 registered social workers, representing five provinces across Canada, with a range of age, education, and experience. The demographic characteristics of the sample appear in \u003ca ref-type=\"table\" href=\"#j_jhp00163_tab_001_w2aab3b7c75b1b6b1ab1b5b2Aa\"\u003eTable 1\u003c/a\u003e. All participants worked in an HTC at the time of the interviews. Two indicated that they worked in a combined adult and paediatric clinic, while five indicated working in paediatric clinics. The other five participants did not explicitly indicate the nature of the clinic in which they worked; however, based on the interviews, the research team inferred that they worked within the adult population.\u003c/p\u003e\u003ctable-wrap id=\"j_jhp00163_tab_001_w2aab3b7c75b1b6b1ab1b5b2Aa\" position=\"float\"\u003e\u003clabel\u003eTable 1\u003c/label\u003e\u003ccaption\u003e\u003cp\u003eParticipant demographic information (N=12)\u003c/p\u003e\u003c/caption\u003e\u003ctable rules=\"cols\"\u003e\u003cthead\u003e\u003ctr\u003e\u003cth align=\"left\" valign=\"middle\"\u003e\u003cbold\u003eCHARACTERISTIC\u003c/bold\u003e\u003c/th\u003e\u003cth align=\"left\" valign=\"middle\"\u003e\u003cbold\u003eN\u003c/bold\u003e\u003c/th\u003e\u003c/tr\u003e\u003ctr\u003e\u003cth align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003c/thead\u003e\u003ctbody\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eGender\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eMale\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eFemale\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eAge Range\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e20–29\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e30–39\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e40–49\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e50–59\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e5\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e60–69\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eEducational preparation\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eBSW\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eMSW\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e7\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eAdditional degrees\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e4\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eYears of practice\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e0–10\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e11–20\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e21–30\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e3\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e31–40\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e3\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\" colspan=\"2\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003e\u003cbold\u003eAdditional pain education\u003c/bold\u003e\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eYes\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e1\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e9\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd align=\"left\" valign=\"top\"\u003eNo response\u003c/td\u003e\u003ctd align=\"left\" valign=\"top\"\u003e2\u003c/td\u003e\u003c/tr\u003e\u003c/tbody\u003e\u003c/table\u003e\u003c/table-wrap\u003e\u003cp\u003eFour themes were identified in the analysis (see \u003ca ref-type=\"fig\" href=\"#j_jhp00163_fig_001_w2aab3b7c75b1b6b1ab1b5b4Aa\"\u003eFigure 1\u003c/a\u003e): 1) Limited comprehension of key issues related to pain; 2) Conditioned to push through pain; 3) Expanding pain knowledge to enhance practice; 4) How we practice social work and choose to step in.\u003c/p\u003e\u003cfigure id=\"j_jhp00163_fig_001_w2aab3b7c75b1b6b1ab1b5b4Aa\" position=\"float\" fig-type=\"figure\"\u003e\u003ch2\u003eFigure 1\u003c/h2\u003e\u003cimg xmlns:xlink=\"http://www.w3.org/1999/xlink\" xlink:href=\"graphic/j_jhp00163_fig_001.jpg\" src=\"https://sciendo-parsed-data-feed.s3.eu-central-1.amazonaws.com/6005d1c4e797941b18f283e8/j_jhp00163_fig_001.jpg?X-Amz-Algorithm=AWS4-HMAC-SHA256\u0026amp;X-Amz-Date=20220527T123900Z\u0026amp;X-Amz-SignedHeaders=host\u0026amp;X-Amz-Expires=18000\u0026amp;X-Amz-Credential=AKIA6AP2G7AKDOZOEZ7H%2F20220527%2Feu-central-1%2Fs3%2Faws4_request\u0026amp;X-Amz-Signature=855d5cd05b9fa2d4fd3c9508c35c342bda5c39dded052611f24a07064a383ffe\" class=\"mw-100\"\u003e\u003c/img\u003e\u003c/figure\u003e\u003csec id=\"j_jhp00163_s_004_s_001_w2aab3b7c75b1b6b1ab1b5b5Aa\"\u003e\u003clabel\u003e1\u003c/label\u003e\u003cdiv\u003eLimited comprehension of key issues related to pain\u003c/div\u003e\u003cp\u003eThis first theme emerged through the language social workers used to describe and differentiate between what they described as physical pain or emotional pain. The way in which participants articulated acute and chronic pain within bleeding disorders focused on tissue damage associated with physical injury. They established the connection of emotional pain with physical pain yet did not discuss the bidirectional effects or the influence of emotions on the pain experience. The development of this theme explored how social workers comprehend pain management, contributing to the analysis of both research questions. Examination of language used by participants provided the opportunity to explore gaps in their pain knowledge. When considered with the third theme, this helps to provide an understanding of the education required.\u003c/p\u003e\u003cp\u003eWhile four participants identified bleeds as a cause of pain, only one identified needles and procedures as a source of pain. One participant showed some uncertainty about how pain occurs from a bleed:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“A joint bleed as an example of that which can result from trauma. Essentially blood, I believe, being released into the joints causing much pain.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P001)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eAlso noted was the application of a pain intensity scale to differentiate between acute or chronic pain:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“Chronic pain, in my opinion, is probably something that's above a six or seven on a one to ten rating of scale, but it can be higher… I see acute pain being the spike, so it goes from let's say a two to an eight back down to a two, right?”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P002)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eFew participants identified joint damage due to recurrent bleeds, and there was no discussion of the specifics of how this occurs. The language participants used to describe chronic pain indicated a limited comprehension of pain language, for example:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“Just the lack of relief from the pain. It's always there.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P011)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eFive participants went beyond physical pain and discussed the emotional response and impact of pain. Emotional pain was identified as a concern for participants:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“Sometimes physical pain can also contribute to an emotional, psychosocial pain that, you know, once the physical pain has healed, there could be that psychological pain.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P010)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“The pain isn’t always physical; sometimes there's some emotional pain associated with this as well.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P011)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eStrong emotional words were used to describe chronic pain in bleeding disorder patients:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“[…] persistent, always there. Constant reminder that I have an issue. Depressing, disappointing.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P004)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eAnother participant articulated their lack of pain understanding:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I don’t know that I’ve ever heard us define it, so, therefore, I’m having trouble actually knowing if that is the correct definition of it.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P008)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eThe social workers in our study also reported that their time dedicated to bleeding disorders care is limited, and that they cover other areas of the hospital away from their specific disease expertise.\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_004_s_002_w2aab3b7c75b1b6b1ab1b5b6Aa\"\u003e\u003clabel\u003e2\u003c/label\u003e\u003cdiv\u003eConditioned to push through pain\u003c/div\u003e\u003cp\u003eOne of the interview questions asked about what messages participants hear about pain from society, patients, health care providers or their own families. Many participants spoke to their own experience growing up. One participant used the example of sports activity:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I was an athlete, so pain was always something that you – you suck it up.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P002)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eSpecifically, the need to push through pain was discussed by two participants:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I think the other messaging within our family was, you sort of need to push through it.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P005).\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eThe perceived thoughts and attitudes of broader social and health care professionals were addressed:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I think for the hospital's perspective we really don’t like to see people in pain, so we treat their pain. I think that's a North American, or Western approach to pain, is that we want it to go away.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P007)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“As a North American society, we’re kind of dismissive of the impact of chronic pain and how that impacts a person's sense of self and just quality of life really.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P012)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eParticipants used self-reflection during the interviews and identified the need to challenge this thinking when it comes to the messages they give to patients experiencing pain. They considered how these messages could impact how they relate to patients in pain through empathy and through providing patients with new messages on pain identification and management. This change and its impact on patients was explored by P005, who described the approach to pain in their upbringing:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“You don’t surrender to pain, you push through, you keep going, you be tougher than it is. So, you know, I’ve had to re-learn what I would say to patients.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P005)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_004_s_003_w2aab3b7c75b1b6b1ab1b5b7Aa\"\u003e\u003clabel\u003e3\u003c/label\u003e\u003cdiv\u003eExpanding pain knowledge to enhance practice\u003c/div\u003e\u003cp\u003eParticipants noted how learning opportunities in pain management could benefit their patients, impact their practice, and strengthen their role in the multidisciplinary team (MDT). Learning about the specifics of bleeding disorders and pain management, and the development of resources for patient services, was of utmost interest. However, participants wanted to know whether this pain knowledge would transfer into other areas of hospital work, indicating the shared role they have among other specialities and a desire to make the most of educational opportunities.\u003c/p\u003e\u003cp\u003eA need for more specific information on diagnosis was identified:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“to understand individually how the different severities in haemophilia A, haemophilia B, how that impacts each patient... really understanding that myself so that that education can be supported or provided in the patient.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P001)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eKnowledge of specific pain types within bleeding disorders was deemed necessary to assist in discerning potential outcomes and communicating these to patients. One participant suggested:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“…some sort of in-service [training] or maybe some recommended readings, or that sort of thing, on what is pain in terms of haemophilia in patients…what are the solutions or things that will make it easier.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P009)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eThe impact pain education might have on the role of social work within the multidisciplinary team was similarly reported:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“If I had more knowledge around the whole pain assessment piece, I would be able to maybe assess or have input earlier on with the diagnosis.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P006)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“Right now, I usually leave it [pain] up to those areas, those disciplines, but I think if I had more knowledge, I would be more vocal and more active in reinforcing, I guess, maybe the treatment plans.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P006)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eConsideration was given to the type of pain education that would be helpful:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I think probably something that would give me an overall guide about pain, what is it, how medically it can be treated, what can we do to assist or lessen pain, how we can teach our patients to deal better with pain and our staff actually as well.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P004)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eParticipants indicated they would like to have strategies and resources for their interactions with patients, which would benefit both social workers and patients:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“More written resource information to perhaps give them, to expand their knowledge, and some additional tools that they can use themselves to help support themselves through that aspect of their haemophilia.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P005)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eParticipants were asked to identify the area of pain knowledge that would be most helpful based on the International Association for the Study of Pain (IASP) Social Work Curriculum Outline \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa\"\u003e4\u003c/a\u003e]\u003c/sup\u003e. Of the four learning categories suggested, the multidimensional nature of pain was the most requested (8 participants), followed by pain assessment and measurement (5 participants), and management of pain (2 participants). The fourth category, clinical conditions, was not identified as a useful learning area by any participants.\u003c/p\u003e\u003cp\u003eParticipants believed they would benefit from specific pain education, but appeared to have difficulty in saying that it was necessary or crucial, instead stating it would “enhance” (P004), be “important” (P001; P003; P005; P007), they “would be interested” (P006), or it would be “beneficial” (P008; P012). One participant stated specifically that social work requires involvement with patient care “so that we can address that more psychological [aspects], underlying pain” (P010); no participants stated that this would not or should not be part of their role.\u003c/p\u003e\u003cp\u003eParticipants reflected on the positive impact that pain education would have not only on patient care but also on their own role within the MDT. They anticipated how pain education could strengthen their role in patient care, specifically knowing how to talk about pain with patients and how to use the language of pain to advocate for them. This would also impact on their role in pain management in the comprehensive care team.\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_004_s_004_w2aab3b7c75b1b6b1ab1b5b8Aa\"\u003e\u003clabel\u003e4\u003c/label\u003e\u003cdiv\u003eHow we practice social work and choose to step in\u003c/div\u003e\u003cp\u003eConsistencies in social work roles across Canada were evident in the interviews. Participants did not hesitate when describing the role of social work and most agreed on the core aspects. Three capacities were identified in their scope of practice: assessor, facilitator of instrumental work, and counsellor/therapist. As discussed in the introduction, these roles align closely with those identified in a scoping review \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_006_w2aab3b7c75b1b6b1ab2b1b6Aa\"\u003e6\u003c/a\u003e]\u003c/sup\u003e.\u003c/p\u003e\u003cp\u003eParticipants were unfamiliar with available assessments for pain, but maintain the routine use of psychosocial assessment. They explained their roles in terms of “completing a psychosocial assessment”, “ensuring they have connections to appropriate community resources”, and “counselling around any issues that might arise” (P005). The instrumental role also includes “medication coverage, sometimes accommodation, transportation needs”, “systems navigation, advocacy”, and “illness adjustment strategies for coping, difficulties that someone might have in the workplace, something that they might have at home, in their relationship” (007).\u003c/p\u003e\u003cp\u003eParticipants identified that social workers could be more active in pain management. The instrumental role was described as being “a good advocate for the family to make sure that they’re understanding and making sure our team's doing appropriate education” (P008), but this advocacy requires looking into the areas that pain impacts.\u003c/p\u003e\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“It's not just pain, it's the effect on their [patients’] mental health that it has, it's the effect on their activities of daily living, it's the effect on their ability to hold and maintain employment or education… social work should play a larger role in that.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P009)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003cp\u003eMultidisciplinary or interdisciplinary teamwork were referred to. Understanding the role of each member in order to provide best practice in the team was the central interest:\n\u003cdisp-quote\u003e\u003cp\u003e\u003citalic\u003e“I do have a different perspective and appreciate the perspective of the many other team members, so I think we end up complimenting each other in terms of our practice with our clients.”\u003c/italic\u003e\u003c/p\u003e\u003cattrib\u003e\u003citalic\u003e(P011)\u003c/italic\u003e\u003c/attrib\u003e\u003c/disp-quote\u003e\u003c/p\u003e\u003cp\u003eSocial workers anticipated future education to have a positive impact on their practice within the MDT, including their capacity for patient advocacy.\u003c/p\u003e\u003c/sec\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_005_w2aab3b7c75b1b6b1ab1b6Aa\"\u003e\u003cdiv\u003eDISCUSSION\u003c/div\u003e\u003cp\u003eSocial workers in CSWHC were interested in and open to discussing the current position of pain knowledge and considerations in prioritising education. Reflecting on the research questions, we found in our thematic analysis that the participants interviewed have a limited comprehension of key issues related to pain. Participants’ partial discussion of bleeds and causes of muscle or joint pain, and their lack of identifying needles or procedures as pain-producing also evidenced their limited comprehension of pain in bleeding disorder care and came as a surprise to the researchers. The language used to describe acute or chronic pain and the use of pain rating scales indicated a requirement for further education, including the relationship of physical and emotional properties of pain.\u003c/p\u003e\u003cp\u003ePain rating scales determine the subjective nature of pain in the moment and provide assessment for pain intensity and effect \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_030_w2aab3b7c75b1b6b1ab2b1c30Aa\"\u003e30\u003c/a\u003e]\u003c/sup\u003e but cannot determine whether pain is chronic or acute. Pain scales and assessment of psychosocial functioning are suggested for the assessment of pain by professionals \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_024_w2aab3b7c75b1b6b1ab2b1c24Aa\"\u003e24\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_025_w2aab3b7c75b1b6b1ab2b1c25Aa\"\u003e25\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_031_w2aab3b7c75b1b6b1ab2b1c31Aa\"\u003e31\u003c/a\u003e]\u003c/sup\u003e. Understanding the assessment of pain in acute and chronic conditions is required for comprehensive care. The disclosure by P008 showing lack of knowledge around pain definitions exposes a need to develop education and pain literacy for social workers working in bleeding disorders care. The literature supports this call for further education in pain knowledge for social workers \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_032_w2aab3b7c75b1b6b1ab2b1c32Aa\"\u003e32\u003c/a\u003e,\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_033_w2aab3b7c75b1b6b1ab2b1c33Aa\"\u003e33\u003c/a\u003e]\u003c/sup\u003e. Also required is general knowledge of health reform and community health \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_034_w2aab3b7c75b1b6b1ab2b1c34Aa\"\u003e34\u003c/a\u003e]\u003c/sup\u003e. Social workers must go beyond patient advocacy and make a call to universities and workplace management in order to fill this gap and provide superior care.\u003c/p\u003e\u003cp\u003eThe second finding of this research is that the practice of social work in CSWHC aligns with the literature noted in the introduction of pain-specific interventions; these include assessment, instrumental services, and counselling. Participants were unaware of pain assessment tools and enquired about what was available, although they conducted psychosocial assessments and were clear on the necessity to apply them in practice. They spoke to the instrumental services and counselling services they can provide and expressed a desire to engage in best practices for their clients, also indicating a desire to learn. Participants also used self-reflection and past educational experiences to create changes in their pain beliefs to offer professional care. Allowing time for self-reflection on the messages we receive about pain and how these impact the care of patients is an important exercise in professionalism.\u003c/p\u003e\u003cp\u003eOur third theme, expanding pain knowledge to enhance practice, supported the need for further education for social workers on validated pain assessment tools and outcome measures. Participants recognised this and were clear on the potential benefits to their practice and their patients of education specific to pain, although social workers may find it challenging to advocate for their own educational needs, in part because of limited time, resources, and education funds. The IASP Curriculum Guideline for Social Workers \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_004_w2aab3b7c75b1b6b1ab2b1b4Aa\"\u003e4\u003c/a\u003e]\u003c/sup\u003e outlines several tools to support pain intervention. Alongside this, further educational outcomes could be identified through the findings of Theme 1, in which gaps in knowledge were determined based on descriptions of pain and management of pain management of pain in general and with bleeding disorders care in particular.\u003c/p\u003e\u003cp\u003eWhile the results of this study were encouraging, in that participants were knowledgeable about their role, interested in further education, and open to self-reflection, an unexpected finding arose: there was a lack of use of specific pain terms for bleeding disorders around joint or muscle bleeds, needle or procedural pain, and surgery for joint fusion or replacements. Two possible reasons for this are that social workers are not involved in these types of concerns by team referrals, or they have insufficient time to respond to these types of issues due to shared time with other specialties. Buckner et al. \u003csup\u003e[\u003ca ref-type=\"bibr\" href=\"#j_jhp00163_ref_035_w2aab3b7c75b1b6b1ab2b1c35Aa\"\u003e35\u003c/a\u003e]\u003c/sup\u003e recognised that patients identified a need for further pain education among care providers; in particular, education of non-pharmacologic treatments among bleeding disorder providers is required in order to meet the needs of persons with bleeding disorders.\u003c/p\u003e\u003csec id=\"j_jhp00163_s_005_s_001_w2aab3b7c75b1b6b1ab1b6b6Aa\"\u003e\u003cdiv\u003eFuture research\u003c/div\u003e\u003cp\u003eParticipants acknowledged that an insufficient amount of education limited their understanding of pain in their social work practice; however, they are keen for this gap to be filled. This deficit of knowledge fundamentally begins within educational curricula, requiring further research on how targeted pain education would directly impact social work practice with individuals, families and societies, and the forward development of advocacy and policy change. Research and development of training programmes in universities are necessary as the impact of pain is far-reaching in QoL and seen in every area of health and social welfare.\u003c/p\u003e\u003cp\u003eThe development of a specific pain course for CSWHC members, with research examining the full impact of such training on their professional work within HTCs for patient and comprehensive care teams, would be a next step for this particular project. This would support further advocacy and development of policy for social workers in pain management.\u003c/p\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_005_s_002_w2aab3b7c75b1b6b1ab1b6b7Aa\"\u003e\u003cdiv\u003eStrengths and limitations\u003c/div\u003e\u003cp\u003eCSWHC is a small group of social workers dedicated to serving patients in many areas including bleeding disorders. Using a qualitative study design enabled the contribution of valuable information to further the practice of social work. The small group allowed the researchers to interview all those interested in participating in the study, providing an opportunity to reflect on their beliefs and assess the research questions.\u003c/p\u003e\u003cp\u003eThe sample for this study was drawn from a specialised group of social workers who work a modest full-time equivalency in their bleeding disorder role, potentially impacting on how they responded to questions specific to bleeding disorders. Due to the specific nature of the study and the limited number of participants, findings cannot be generalised to other areas of social work practice.\u003c/p\u003e\u003c/sec\u003e\u003c/sec\u003e\u003csec id=\"j_jhp00163_s_006_w2aab3b7c75b1b6b1ab1b7Aa\"\u003e\u003cdiv\u003eCONCLUSION\u003c/div\u003e\u003cp\u003eThe focus of this qualitative study using thematic analysis was to understand the current understanding of pain in bleeding disorder care among social workers in CSWHC, and to explore the type of pain education social workers would prioritise. Participants used the interviews as a time for self-reflection, allowing thoughtfulness towards how new pain education might change their beliefs and impact on their day-to-day practice. Social workers are looking for practical resources, including assessment tools, to support their instrumental work and elevate their contribution in pain management. To this end, we encourage further research and development of tools and knowledge to assist social workers working within comprehensive care teams.\u003c/p\u003e\u003c/sec\u003e\u003c/div\u003e","keywords":[{"title":"Keywords","language":null,"keywords":["psychosocial pain management","social workers","bleeding disorders","Canada"]}],"recentIssues":{"10.2478/jhp-2022-0006":"\u003carticle-title\u003eDiscrete choice experiments: An overview of experience to date in haemophilia\u003c/article-title\u003e","10.2478/jhp-2022-0005":"\u003carticle-title\u003eOsseous bilateral pseudotumour of the thumb in severe haemophilia A – A case report\u003c/article-title\u003e","10.2478/jhp-2022-0008":"\u003carticle-title\u003ePoint of care ultrasonography in patients with haemophilia and acute haemarthrosis: a physiotherapist and sonographer inter-professional agreement pilot study\u003c/article-title\u003e","10.2478/jhp-2022-0007":"\u003carticle-title\u003eDevelopment of decision-making considerations to support equitable patient selection in paediatric haemophilia trials\u003c/article-title\u003e","10.2478/jhp-2022-0002":"\u003carticle-title\u003eKey challenges for patient registries – A report from the 1\u003csup\u003est\u003c/sup\u003e workshop of the EHC Think Tank Workstream on Registries\u003c/article-title\u003e","10.2478/jhp-2022-0001":"\u003carticle-title\u003eNew challenges for an expanding generation of older persons with haemophilia\u003c/article-title\u003e","10.2478/jhp-2022-0004":"\u003carticle-title\u003ePatient agency: key questions and challenges – A report from the 1st workshop of the EHC Think Tank Workstream on Patient Agency\u003c/article-title\u003e","10.2478/jhp-2022-0003":"\u003carticle-title\u003eKey challenges for hub and spoke models of care – A report from the 1st workshop of the EHC Think Tank on Hub and Spoke Treatment Models\u003c/article-title\u003e","10.2478/jhp-2022-0010":"\u003carticle-title\u003eTreatment of a patient with severe haemophilia A presenting with left extra pleural haematoma and diagnosed with inhibitors – case report\u003c/article-title\u003e","10.2478/jhp-2022-0009":"\u003carticle-title\u003eProcesses and experiences of satellite haemophilia clinic set-ups in Uganda – a short report\u003c/article-title\u003e"},"supplement":[],"apaString":null,"mlaString":null,"harvardString":null,"chicagoString":null,"vancouverString":null,"citBIBUrl":null,"citRISUrl":null,"citENDNOTEUrl":null},"seriesKey":null,"chapters":[],"chapterData":null,"bookList":{},"bookListForBirkha":{},"bookCategories":null,"bookTitleGroup":null,"bookVolumes":null,"flyerUrl":null,"pressReleaseUrl":null,"citBIBUrl":"/article/download/cite/BIBTEXT?doi=10.17225/jhp00163","citRISUrl":"/article/download/cite/RIS?doi=10.17225/jhp00163","citENDNOTEUrl":"/article/download/cite/ENDNOTE?doi=10.17225/jhp00163","trendMDCode":"65477\r","interview":null,"lookInsideLink":null,"isNew":false,"isConference":false,"pissn":null,"eissn":"2055-3390","epubDate":"2020-01-01T00:00:00.000+00:00","ppubDate":null,"eisbn":null,"epubDateText":"01 January 2020","ppubDateText":"01 January 2020","pisbn":null,"planned_pub_date":null,"RecordReference":"JE-JHP-1","NotificationType":"03","ProductIdentifier":[{"ProductIDType":"01","IDTypeName":"product_order_number","IDValue":"JHP/1"},{"ProductIDType":"01","IDTypeName":"journal_key","IDValue":"JHP"},{"ProductIDType":"01","IDTypeName":"ISSN","IDValue":"20553390"}],"DescriptiveDetail":{"ProductComposition":"00","ProductForm":null,"TitleDetail":[{"TitleType":"01","TitleElement":{"titleText":"The Journal of Haemophilia Practice","TitleElementLevel":"01","TitleText":"The Journal of Haemophilia Practice","Subtitle":null}},{"TitleType":"05","TitleElement":{"titleText":"The J. of Haemoph Pract ONL","TitleElementLevel":"01","TitleText":"The J. of Haemoph Pract ONL","Subtitle":null}}],"Contributor":null,"Language":[{"language":"English","LanguageRole":"01","LanguageCode":"eng"}],"Subject":[{"id":null,"imageName":null,"subjectEn":null,"subjectDe":null,"subjectName":null,"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":"20","SubjectCode":null,"SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Medicine.png","subjectEn":"Medicine","subjectDe":"Medizin","subjectName":{"en":"Medicine","de":"Medizin","es":"Medicina","fr":"Médecine","it":"Medicina","pl":"Medycyna"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD","SubjectHeadingText":null},{"id":{"timestamp":1649340672,"date":"2022-04-07T14:11:12.000+00:00"},"imageName":"Medicine.png","subjectEn":"Basic Medical Science","subjectDe":"Vorklinische Medizin, Grundlagenmedizin","subjectName":{"en":"Basic Medical Science","de":"Vorklinische Medizin, Grundlagenmedizin","es":"Ciencias médicas básicas","fr":"Sciences médicales de base","it":"Scienze medicali di base","pl":"Podstawowe nauki medyczne"},"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD-03","SubjectHeadingText":null},{"id":{"timestamp":1649340672,"date":"2022-04-07T14:11:12.000+00:00"},"imageName":"Medicine.png","subjectEn":"Basic Medical Science, other","subjectDe":"Vorklinische Medizin, Grundlagenmedizin, andere","subjectName":{"en":"Basic Medical Science, other","de":"Vorklinische Medizin, Grundlagenmedizin, andere","es":"Ciencias médicas básicas, otros","fr":"Sciences médicales de base, autres","it":"Scienze medicali di base, altro","pl":"Podstawowe nauki medyczne, inne"},"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD-03-01","SubjectHeadingText":null},{"id":{"timestamp":1649340672,"date":"2022-04-07T14:11:12.000+00:00"},"imageName":"Medicine.png","subjectEn":"Clinical Medicine","subjectDe":"Klinische Medizin","subjectName":{"en":"Clinical Medicine","de":"Klinische Medizin","es":"Medicina Clínica","fr":"Médecine clinique","it":"Medicina clinica","pl":"Medycyna kliniczna"},"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD-04","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Medicine.png","subjectEn":"Clinical Medicine, other","subjectDe":"Klinische Medizin, andere","subjectName":{"en":"Clinical Medicine, other","de":"Klinische Medizin, andere","es":"Medicina Clínica, otros","fr":"Médecine clinique, autres","it":"Medicina clinica, altro","pl":"Medycyna kliniczna, inne"},"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD-04-01","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Pharmacy.png","subjectEn":"Pharmacy","subjectDe":"Pharmazie","subjectName":{"en":"Pharmacy","de":"Pharmazie","es":"Farmacia","fr":"Pharmacie","it":"Farmacia","pl":"Farmacja"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"PM","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Pharmacy.png","subjectEn":"Pharmacology","subjectDe":"Pharmakologie","subjectName":{"en":"Pharmacology","de":"Pharmakologie","es":"Farmacología","fr":"Pharmacologie","it":"Farmacologia","pl":"Farmakologia"},"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"PM-03","SubjectHeadingText":null},{"id":null,"imageName":null,"subjectEn":null,"subjectDe":null,"subjectName":null,"isMaster":false,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":"20","SubjectCode":null,"SubjectHeadingText":null}],"Audience":null,"Extent":null,"AncillaryContent":null,"EditionStatement":null},"CollateralDetail":{"TextContent":{"TextType":"03","ContentAudience":"00","Text":null}},"PublishingDetail":{"PublishingStatus":"04","PublishingDate":{"publishDate":"2017-12-22T00:00:00.000+00:00","PublishingDateRole":"11","Date":{"dateformat":"00","content":20171222}},"CopyrightStatement":null},"ProductSupply":[{"isbnForFormat":null,"formatType":"PDF","licenseType":null,"license":null,"publishingDetail":null,"planPubDate":null,"SupplyDetail":{"Supplier":{"SupplierRole":"09","SupplierName":"Sciendo"},"ProductAvailability":"20","Price":null}}],"is_retracted":null},"subjects":[{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Architecture \u0026 Design.png","subjectEn":"Architecture and Design","subjectDe":"Architektur und Design","subjectName":{"en":"Architecture and Design","de":"Architektur und Design","es":"Arquitectura y diseño","fr":"Architecture et design","it":"Architettura e design","pl":"Architektura i projektowanie"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"AD","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Arts.png","subjectEn":"Arts","subjectDe":"Kunst","subjectName":{"en":"Arts","de":"Kunst","es":"Arte","fr":"Art","it":"Arte","pl":"Sztuka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"AR","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Chemistery.png","subjectEn":"Chemistry","subjectDe":"Chemie","subjectName":{"en":"Chemistry","de":"Chemie","es":"Química","fr":"Chimie","it":"Chimica","pl":"Chemia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"CH","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Classical Ancient Near Eastern Studies.png","subjectEn":"Classical and Ancient Near Eastern Studies","subjectDe":"Altertumswissenschaften","subjectName":{"en":"Classical and Ancient Near Eastern Studies","de":"Altertumswissenschaften","es":"Estudios clásicos y antiguos del Oriente Próximo","fr":"Études classiques et du Proche-Orient ancien","it":"Studi classici e del Medio Oriente antico","pl":"Klasyczne i starożytne studia bliskowschodnie"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"CL","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Computer Sciences.png","subjectEn":"Computer Sciences","subjectDe":"Informatik","subjectName":{"en":"Computer Sciences","de":"Informatik","es":"Informática","fr":"Informatique","it":"Informatica","pl":"Informatyka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"CO","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Cultural Studies.png","subjectEn":"Cultural Studies","subjectDe":"Kulturwissenschaften","subjectName":{"en":"Cultural Studies","de":"Kulturwissenschaften","es":"Estudios culturales","fr":"Études culturelles","it":"Studi culturali","pl":"Kulturoznawstwo"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"CS","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Bussiness \u0026 Economics.png","subjectEn":"Business and Economics","subjectDe":"Wirtschaftswissenschaften","subjectName":{"en":"Business and Economics","de":"Wirtschaftswissenschaften","es":"Negocios y Economía","fr":"Affaires et économie","it":"Economia e business","pl":"Biznes i ekonomia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"EC","SubjectHeadingText":null},{"id":{"timestamp":1649340670,"date":"2022-04-07T14:11:10.000+00:00"},"imageName":"Engineering.png","subjectEn":"Engineering","subjectDe":"Technik","subjectName":{"en":"Engineering","de":"Technik","es":"Ingeniería","fr":"Ingénierie","it":"Ingegneria","pl":"Inżynieria"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"EN","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"General Interest.png","subjectEn":"General Interest","subjectDe":"Allgemein","subjectName":{"en":"General Interest","de":"Allgemein","es":"Conocimientos generales","fr":"Intérêt général","it":"Interesse generale","pl":"Wiedza ogólna"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"GL","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Geosciences.png","subjectEn":"Geosciences","subjectDe":"Geowissenschaften","subjectName":{"en":"Geosciences","de":"Geowissenschaften","es":"Geociencias","fr":"Géosciences","it":"Geoscienze","pl":"Nauki o Ziemi"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"GS","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"History.png","subjectEn":"History","subjectDe":"Geschichte","subjectName":{"en":"History","de":"Geschichte","es":"Historia","fr":"Histoire","it":"Storia","pl":"Historia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"HI","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Industrial Chemistery.png","subjectEn":"Industrial Chemistry","subjectDe":"Industrielle Chemie","subjectName":{"en":"Industrial Chemistry","de":"Industrielle Chemie","es":"Química Industrial","fr":"Chimie industrielle","it":"Chimica idustriale","pl":"Chemia przemysłowa"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"IC","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Jewish Studies.png","subjectEn":"Jewish Studies","subjectDe":"Jüdische Studien","subjectName":{"en":"Jewish Studies","de":"Jüdische Studien","es":"Estudios judíos","fr":"Études juives","it":"Studi ebraici","pl":"Studia żydowskie"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"JS","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Law.png","subjectEn":"Law","subjectDe":"Rechtswissenschaften","subjectName":{"en":"Law","de":"Rechtswissenschaften","es":"Derecho","fr":"Droit","it":"Legge","pl":"Prawo"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"LA","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Library Information \u0026 Science, Book Studies.png","subjectEn":"Library and Information Science, Book Studies","subjectDe":"Bibliotheks- und Informationswissenschaft, Buchwissenschaft","subjectName":{"en":"Library and Information Science, Book Studies","de":"Bibliotheks- und Informationswissenschaft, Buchwissenschaft","es":"Bibliotecología y ciencias de la información, estudios de libros","fr":"Bibliothéconomie et sciences de l'information, études du livre","it":"Biblioteconomia ed informazione scientifica, bibliologia","pl":"Bibliotekoznawstwo i informacja naukowa, bibliologia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"LB","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Life Sciences.png","subjectEn":"Life Sciences","subjectDe":"Biologie","subjectName":{"en":"Life Sciences","de":"Biologie","es":"Ciencias de la vida","fr":"Sciences de la vie","it":"Scienze biologiche","pl":"Nauki biologiczne"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"LF","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Lingustics \u0026 Semiostics.png","subjectEn":"Linguistics and Semiotics","subjectDe":"Linguistik und Semiotik","subjectName":{"en":"Linguistics and Semiotics","de":"Linguistik und Semiotik","es":"Lingüística y semiótica","fr":"Linguistique et sémiotique","it":"Linguistica e semiotica","pl":"Lingwistyka i semiotyka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"LS","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Literary Studies.png","subjectEn":"Literary Studies","subjectDe":"Literaturwissenschaft","subjectName":{"en":"Literary Studies","de":"Literaturwissenschaft","es":"Estudios literarios","fr":"Études littéraires","it":"Studi letterari","pl":"Studia literackie"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"LT","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Medicine.png","subjectEn":"Medicine","subjectDe":"Medizin","subjectName":{"en":"Medicine","de":"Medizin","es":"Medicina","fr":"Médecine","it":"Medicina","pl":"Medycyna"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MD","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Material Sciences.png","subjectEn":"Materials Sciences","subjectDe":"Materialwissenschaft","subjectName":{"en":"Materials Sciences","de":"Materialwissenschaft","es":"Ciencia de los materiales","fr":"Sciences des matériaux","it":"Scienze materiali","pl":"Nauka o materiałach"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MS","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Mathematics.png","subjectEn":"Mathematics","subjectDe":"Mathematik","subjectName":{"en":"Mathematics","de":"Mathematik","es":"Matemáticas","fr":"Mathématiques","it":"Matematica","pl":"Matematyka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MT","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Music.png","subjectEn":"Music","subjectDe":"Musik","subjectName":{"en":"Music","de":"Musik","es":"Música","fr":"Musique","it":"Musica","pl":"Muzyka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"MU","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Philosophy.png","subjectEn":"Philosophy","subjectDe":"Philosophie","subjectName":{"en":"Philosophy","de":"Philosophie","es":"Filosofía","fr":"Philosophie","it":"Filosofia","pl":"Filozofia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"PL","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Pharmacy.png","subjectEn":"Pharmacy","subjectDe":"Pharmazie","subjectName":{"en":"Pharmacy","de":"Pharmazie","es":"Farmacia","fr":"Pharmacie","it":"Farmacia","pl":"Farmacja"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"PM","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Physics.png","subjectEn":"Physics","subjectDe":"Physik","subjectName":{"en":"Physics","de":"Physik","es":"Física","fr":"Physique","it":"Fisica","pl":"Fizyka"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"PY","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Social Sciences.png","subjectEn":"Social Sciences","subjectDe":"Sozialwissenschaften","subjectName":{"en":"Social Sciences","de":"Sozialwissenschaften","es":"Ciencias sociales","fr":"Sciences sociales","it":"Scienze sociali","pl":"Nauki społeczne"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"SN","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Sports \u0026 Recreation.png","subjectEn":"Sports and Recreation","subjectDe":"Sport und Freizeit","subjectName":{"en":"Sports and Recreation","de":"Sport und Freizeit","es":"Deportes y recreación","fr":"Sports et loisirs","it":"Sport e ricreazione","pl":"Sport i rekreacja"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"SR","SubjectHeadingText":null},{"id":{"timestamp":1649340671,"date":"2022-04-07T14:11:11.000+00:00"},"imageName":"Theology \u0026 Religion.png","subjectEn":"Theology and Religion","subjectDe":"Theologie und Religion","subjectName":{"en":"Theology and Religion","de":"Theologie und Religion","es":"Teología y religión","fr":"Théologie et religion","it":"Teologia e religione","pl":"Teologia i religia"},"isMaster":true,"partner":null,"selectedPackages":null,"SubjectSchemeIdentifier":null,"SubjectCode":"TL","SubjectHeadingText":null}],"citationPdfUrl":"https://sciendo.com/pdf/10.17225/jhp00163","coverBg":"/subjectImages/Medicine.jpg","_nextI18Next":{"initialI18nStore":{"en":{"common":{"Search for a journal, book, proceeding or author…":"Search for a journal, book, proceeding or author...","aboutSciendo":"About Sciendo","ourBrochures":"Our Brochures","Journal":"Journal","Journal \u0026 Issue Details":"Journal \u0026 Issue Details","Abstract":"Abstract","Article":"Article","PDF Preview":"PDF Preview","Figures \u0026 Tables":"Figures \u0026 Tables","References":"References","Supplement":"Supplement","Supplementary Material Details":"Supplementary Material Details","Recent Articles":"Recent Articles","Journal \u0026 Issues":"Journal \u0026 Issues","Published Online":"Published Online","Recieved":"Received","Accepted":"Accepted","Download PDF":"Download PDF","Format":"Format","firstPublished":" First Published","publicationTimeframe":" Publication timeframe","Languages":" Languages","Copyright":" Copyright","home":"Home","Details":"Details","First Published":"First Published","Pages":"Pages","Illustration":"Illustration","PaperBack":"PaperBack","Book Subjects":"Book Subjects","Books":"Books","Details \u0026 Formats":"Details \u0026 Formats","Overview":"Overview","Authors":" Authors ","Table of Contents":" Table of Contents ","Download Chapter PDF":" Download Chapter PDF ","Download Book PDF":" Download Book PDF ","Download ePub":" Download ePub ","Chapter":"Chapter","Book Details":" Book Details ","Published Online on":"Published Online on","publishWithUs":"Publish with us","latestNews":"Latest News","contacts":"Contacts","terms":"Terms","privacy":"Privacy","contact":"Contact","footer_deGruyter":"Sciendo is a De Gruyter company","ourPartners":"Our partners:","home.title":"Your publishing needs met","subjects":"Subjects","selectedJournalAndBook":"Selected journals and books","selectedJournalAndBooks":"\u003c0\u003eSelected journals and books\u003c/0\u003e","Journal Details":" Journal Details ","Publication timeframe":" Publication timeframe ","Search":" Search ","Search within Journal..":" Search within Journal.. ","Download Cover":" Download Cover","Articles":" Articles ","Details, Metrics \u0026 Owners":" Details, Metrics \u0026 Owners ","Aims \u0026 Scope":" Aims \u0026 Scope ","Editorial Board":" Editorial Board ","Abstracting \u0026 Indexing":" Abstracting \u0026 Indexing ","Issues":" Issues ","Submit":" Submit ","Journal Metrics":" Journal Metrics ","Impact Factor":" Impact Factor ","Five Year Impact Factor":" Five Year Impact Factor ","Cite Score":" Cite Score","Journal Owners":" Journal Owners ","Editor-in-Chief":" Editor-in-Chief ","news":"News","profile":"Profile","signOut":"Sign Out","login":"Login","createAccount":"Create Account","about":"About","aboutUs":"About","cart":"Cart","standard":"Standard","classic":"Classic","premier":"Premier","hostingPlatform":"Hosting platform","onlineSubmissionSystem":"Online submission system","typesetting":"Typesetting and proofreading","XMLpublication":"Fulltext XML publication","copyediting":"Copyediting (heavy edit)","wideElectronicDistribution":"Wide electronic distribution","contentAndJournalIndexing":"Content and journal indexing","marketingExtraPackage":"Marketing Extra Package","consulting":"Consulting","accountManagement":"Account management","bookLayout":"Book layout, cover design","ePubVersion":"ePub version","printOnDemand":"Print on demand and delivery","contentAndBookIndexing":"Content and book indexing","journals.first":"Sciendo publishes academic journals that belong to universities, research institutes, academies of sciences, learned societies and other organizations. We can publish them both in the Open Access and in traditional ( paid access) models. We currently publish journals in the English, German, French, Spanish, Italian and Polish languages.","journals.second":"We have a special offer for universities and other organizations to publish their journals, books and other publications. \u003c1\u003eSee more here.\u003c/1\u003e","journals.third":" Please download the \u003c1\u003ebrochure\u003c/1\u003e for more information. Please contact our representative for your territory, to meet and discuss the terms.","journals.fourth":"The content is available here \u003c1\u003ehttps://content.sciendo.com/\u003c/1\u003e","journals.fifth":"\u003c0\u003eIMPACT FACTORS 2019\u003c/0\u003e","books.first":"Sciendo can meet all publishing needs for authors of academic and professional books in the English language. We publish monographs, textbooks, edited volumes, and other book types. Our customers have the choice between offering the Open Access for the electronic version of their books, or for the book to be distributed via traditional commercial methods.","books.second":"\u003c0\u003eWe also publish books for institutions. \u003c1\u003eSee more here.\u003c/1\u003e\u003c/0\u003e","books.third":"\u003c0\u003eFor Self-Publishing Books, \u003c1\u003eclick here.\u003c/1\u003e\u003c/0\u003e","books.fourth":"\u003c0\u003eFor Full-Publishing Books, \u003c1\u003eclick here.\u003c/1\u003e\u003c/0\u003e","selfPublishingContent.first":"Often authors (and sometimes organizations too) would like to be able to publish their books their way. They do not want a publisher's editor to impose any changes in the text or to organize the text differently. They want the layout and the font to be a certain way. They have their own vision of the book cover. And — if they believe the book can sell well — they would like to receive a significant part of the sales revenues.","selfPublishingContent.second":"If you supply a ready-made publishable eBook file, we can host, distribute, sell and promote your book free of any charge. \u003c1\u003eYou will receive 70% of net revenues from the book sales.\u003c/1\u003e In addition, you have the option of choosing some of our paid services, including eBook formatting.","selfPublishingContent.third":"To see the complete list of publishing services and solutions that Sciendo offers to Self-publishing authors, as well as the relevant fees, \u003c1\u003eregister here\u003c/1\u003e","selfPublishingContent.fourth":"To learn more about these services, please contact Magdalena Cal, Customer Service Manager at \u003c1\u003emagdalena.cal@sciendo.com\u003c/1\u003e","selfPublishingContent.fifth":"You can also \u003c1\u003edownload the Self-Publishing brochure\u003c/1\u003e for more information.","fullPublishingContent.first":"Sciendo publishes books from universities, research institutes, academies of sciences, learned societies and other organizations. We offer both the Open Access and traditional (paid access) models. The following rules also apply to individual authors whose institutions are willing to pay the publishing fees for the publication of their books.","fullPublishingContent.second":"\u003c0\u003eWe have a special offer for universities and other organizations to publish all or some of their English language journals, books and other publications. \u003c1\u003eSee more here.\u003c/1\u003e\u003c/0\u003e","fullPublishingContent.third":"The services and solutions that we offer are bundled into three packages: Standard, Classic and Premier. These packages range from standard components required for publication to a full-service package and a hybrid between “basic” and “full-service”. We charge for each book published, the charge is dependent on the package and any additional services and solutions are chosen.","fullPublishingContent.fourth":"The table shows the key components of each package. Sciendo would be delighted to offer the services shown in the chart below to books whose publication is financed by institutions.","fullPublishingContent.fifth":"Institutions and authors interested in learning more about the services and relevant charges should \u003c1\u003econtact our representative\u003c/1\u003e for their territory, to meet and discuss the terms.","conferenceServices.first":"If you would like to learn more about these services, please contact Sales \u0026 Publishing Specialist — Services for conference organizers: \u003c1\u003ealexandru.vlad@sciendo.com\u003c/1\u003e or call directly \u003c3\u003e+44 2086388130\u003c/3\u003e.","conferenceServices.second":"Sciendo is the only company in the world that meets the two most important needs of an academic conference organizer. As well as publishing conference proceedings, we can also provide the organizer with one of the world's best event management systems. We have partnered with Cvent and Converia.","conferenceServices.third":"We can publish your conference proceedings and optionally provide you with the event management systems. We publish conference proceedings online using the Open Access model. Printed copies can be bought online. We currently publish proceedings in English language only.","conferenceServices.fourth":"The services and solutions that we offer for conference proceedings are bundled into three packages: \u003c1\u003eStandard\u003c/1\u003e, \u003c3\u003eClassic\u003c/3\u003e and \u003c5\u003ePremier\u003c/5\u003e. We charge for each paper published and the charge depends on the package and any additional services and solutions you choose.","conferenceServices.fifth":"The diagram shows the key components of each package.","conferenceServices.sixth":"Sciendo would be delighted to publish your conference proceedings and provide event management systems for your conference. Please refer to the services shown in the chart above and \u003c1\u003edownload the brochure\u003c/1\u003e for more information.","whiteLabelContent.first":"Sciendo has a special offer for universities and other organizations that are seeking a partner to publish all or some of their English, German, French, Spanish, Italian and Polish languages journals, books and other publications. This applies to new publications and to previously published books and back journal volumes. We publish monographs, textbooks, edited volumes, and other categories.","whiteLabelContent.second":"The university can decide if a given journal or book is published using the Open Access or paid access model. All books and journal articles bear both the university and the Sciendo logos.","whiteLabelContent.third":"At no cost to the university, Sciendo will design, produce and manage the website of this publishing house. The role of the university is to select and channel books and book proposals for this publishing co-operation, as well as to promote this publishing opportunity to its faculty.","whiteLabelContent.fourth":"The university can decide which package of services applies to each journal and book. Such packages are described in the pages for \u003c1\u003ejournals\u003c/1\u003e and \u003c3\u003ebooks\u003c/3\u003e. \u003c5\u003eIf the value of the contract exceeds an agreed amount, the university can enjoy discounts up to 60% on standard fees.\u003c/5\u003e","whiteLabelContent.fifth":"Please \u003c1\u003econtact our representative\u003c/1\u003e for your territory to meet and discuss the terms of the White Label Publishing House offer.","publish_solution":"Publishing solutions for Journals,\u003c1\u003e\u003c/1\u003eBooks and Conference proceedings","sortBy":"Sort By","filterBy":"Filter By","filters":"Filters","Book Keywords":"Book Keywords","Series":"Series","series":"series","pageRange":"Page range:","forAuthors":"For Authors","articleAbstract":"Abstract","Add to cart":"Add to cart","Alerts":"Alerts","Copied":"Copied","Copy to clipboard":"Copy to clipboard","ProCite RefWorks Reference Manager":"ProCite RefWorks Reference Manager","Download":"Download","Downloading. Please Wait.":"Downloading... Please Wait.","Formats":"Formats","Additional Material":"Additional Material","Deleted Bookshelf":"Deleted Bookshelf","Deleted Bookmark":"Deleted Bookmark","Save":"Save","Undo":"Undo","Bookmark":"Bookmark","Save to Bookshelf":"Save to Bookshelf","share":"Share","Orcid profile":"Orcid profile","Author":"Author","Next":"Next","Plan your remote conference with Sciendo":"Plan your remote conference with Sciendo","Find out more":"Find out more","Previous":"Previous","publishingAndEthicalPolicies":"Publishing and Ethical Policies","Volume":"Volume","Issue":"Issue","Article Preview":"Article Preview","Highlight articles":"Highlight articles","Read more":"Read more","English":"English","German":"German","Logout":"Logout","More":"More","Preview not available":"Preview not available","Sort By Title":"Sort By Title","Sort By Publish Date":"Sort By Publish Date","Sort By Page No":"Sort By Page No","Conference":"Conference","times per year":"times per year","time per year":"time per year","Open DOI":"Open DOI","Search in Google Scholar":"Search in Google Scholar","Recommended articles from Trend MD":"Recommended articles from Trend MD","People Also Read":"People Also Read","Requires Authentication":"Requires Authentication","How can we help you?":"How can we help you?","Search Within The Issue":"Search Within The Issue","Top Articles":"Top Articles","Sort By":"Sort By","Open Access":"Open Access","Journal RSS Feed":"Journal RSS Feed","Other news articles":"Other news articles","No Result Found!":"No Result Found!","News":"News","Load More":"Load More","Privacy Policy":"Privacy Policy","Publishing and Ethical Policies":"Publishing and Ethical Policies","of":"of","results":"results","Clear":"Clear","Apply":"Apply","All":"All","Journals":"Journals","New Titles":" New Titles","Browse all":"Browse all","titles":"titles","Show More":"Show More","RSS Feed":"RSS Feed","Terms of Service":"Terms of Service","Authorizing Your Request":"Authorizing Your Request","Conference Keywords":"Conference Keywords","Conference Subjects":"Conference Subjects","Accessible":"Accessible","Conference Metrics":"Conference Metrics","Conference Owners":"Conference Owners","Conference \u0026 Issues":"Conference \u0026 Issues","Search Within The Conference":"Search Within The Conference","Search Within The Journal":"Search Within The Journal","Type":"Type","Subject":"Subject","Date":"Date","Language":"Language","article":"article","journal":"journal","chapter":"chapter","book":"book","Book":"Book","conference":"conference","French":"French","Polish":"Polish","Spanish":"Spanish","Italian":"Italian","issues":"issues","Sciendo is a":"Sciendo is a","De Gruyter company":"De Gruyter company","Tables":"Tables","Book Series Subjects":"Book Series Subjects"}}},"initialLocale":"en","userConfig":{"i18n":{"defaultLocale":"en","locales":["en","de","es","fr","it","pl"],"localeDetection":false},"default":{"i18n":{"defaultLocale":"en","locales":["en","de","es","fr","it","pl"],"localeDetection":false}}}}},"__N_SSP":true},"page":"/article/[...doi]","query":{"doi":["10.17225","jhp00163"]},"buildId":"c_Eam36Sh1hRM-irOGOmV","isFallback":false,"gssp":true,"locale":"en","locales":["en","de","es","fr","it","pl"],"defaultLocale":"en"}</script><script nomodule="" src="/_next/static/chunks/polyfills-1d35978633ab688e2c2a.js"></script><script src="/_next/static/chunks/webpack-5197e7fdefc2290443cc.js" async=""></script><script src="/_next/static/chunks/framework.f18e6f416ebc8f9cfbb1.js" async=""></script><script src="/_next/static/chunks/c0ae04b0a331d87aa7bd312dce18271c42ad2cee.e68d9f399ff1b2de7c49.js" async=""></script><script src="/_next/static/chunks/main-81e1ca819a6b99e1229b.js" async=""></script><script src="/_next/static/chunks/b637e9a5.5b45cde39c1bd4ceb419.js" async=""></script><script src="/_next/static/chunks/a9a7754c.2766e981db78845a8ae5.js" async=""></script><script src="/_next/static/chunks/a028bde0.8507eabb49fbf1273205.js" async=""></script><script src="/_next/static/chunks/3ce06bbd82ccf251f12c47c1406d58c8b589fcd4.576a231ff8744d7a99ff.js" async=""></script><script src="/_next/static/chunks/37861ec07db1a0b618309ceaaff6633972c9173e.3fa9b901f3fbfcfd4ea0.js" async=""></script><script src="/_next/static/chunks/b13c5e897de6557b7ac8d4c3438f37ae3ccc17fc.86a27310274559246d0d.js" async=""></script><script src="/_next/static/chunks/429fff9eb9da3f2b1cecf966827c027c3b5c125e.01965b926a081d9473a6.js" async=""></script><script src="/_next/static/chunks/c537d5680584a2b16163a12bc2a0e7d1d08911eb.e08b1208df9e8979d434.js" async=""></script><script src="/_next/static/chunks/c537d5680584a2b16163a12bc2a0e7d1d08911eb_CSS.eaf58be72fcea85e662f.js" async=""></script><script src="/_next/static/chunks/868eb1556b7a72a3b49da50beede216ac4ae65f0.925fda4b5486a832a53d.js" async=""></script><script src="/_next/static/chunks/71247caf95475e3ea7f9a0f8a30beb258b23d005.a2872007762b79e23967.js" async=""></script><script src="/_next/static/chunks/pages/_app-1bc2d74cbed8c53e0636.js" async=""></script><script src="/_next/static/chunks/cb1608f2.94818b11991096c955f6.js" async=""></script><script src="/_next/static/chunks/2b7b2d2a.4dfe512e5b1bbaa4c827.js" async=""></script><script src="/_next/static/chunks/4f99d1a16b8238c9c6c0cb91264329cdd1e529c4.ae1f8a7462fc5c802966.js" async=""></script><script src="/_next/static/chunks/06ef58ab7e327a0da280c9e4c70534d67bb6a90c.19535add81236d2a1f23.js" async=""></script><script src="/_next/static/chunks/fd2d50deffd5690b148bcf5680bb9b48aa5d5e71.59045cf1a1220ffebe64.js" async=""></script><script src="/_next/static/chunks/3bb66764d34920fcd1d2bc04b02770f3496e1125.eee6f7016d6bf98746e3.js" async=""></script><script src="/_next/static/chunks/d5a2976f96529438ab356eb322041e6bea74f6be.5b94af2adb21794db8d2.js" async=""></script><script src="/_next/static/chunks/60ed41671579f03a9c543c8d7be986199ee19d13_CSS.bfe05610e589bd2b752d.js" async=""></script><script src="/_next/static/chunks/pages/article/%5B...doi%5D-5841c5e14211cc07c417.js" async=""></script><script src="/_next/static/c_Eam36Sh1hRM-irOGOmV/_buildManifest.js" async=""></script><script src="/_next/static/c_Eam36Sh1hRM-irOGOmV/_ssgManifest.js" async=""></script></body></html>