{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T18:03:44Z","timestamp":1787508224627,"version":"build-2736575974"},"reference-count":34,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,27]],"date-time":"2019-12-27T00:00:00Z","timestamp":1577404800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006662","name":"National Institute on Handicapped Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006662","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["Award Number 20380"],"award-info":[{"award-number":["Award Number 20380"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000341","name":"Arthritis Research UK","doi-asserted-by":"publisher","award":["20385"],"award-info":[{"award-number":["20385"]}],"id":[{"id":"10.13039\/501100000341","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2020,1]]},"abstract":"\n Objective<\/jats:title>\n \n Reducing pain is one of the main health priorities for children and young people with juvenile idiopathic arthritis (\n JIA<\/jats:styled-content>\n ); however, some studies indicate that pain is not routinely assessed in this patient group. The aim of this study was to explore health care professionals\u2019 (\n HCP<\/jats:styled-content>\n s) beliefs about the role of pain and the prioritization of its assessment in children and young people with\n JIA<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Semi\u2010structured interviews were conducted with\n HCP<\/jats:styled-content>\n s who manage children and young people with\n JIA<\/jats:styled-content>\n in the\n UK<\/jats:styled-content>\n (including consultant and trainee pediatric rheumatologists, nurses, physical therapists, and occupational therapists). Data were analyzed qualitatively following a framework analysis approach.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Twenty\u2010one\n HCP<\/jats:styled-content>\n s participated. Analyses of the data identified 6 themes, including lack of training and low confidence in pain assessment, reluctance to engage in pain discussions, low prioritization of pain assessment, specific beliefs about the nature of pain in\n JIA<\/jats:styled-content>\n , treatment of pain in\n JIA<\/jats:styled-content>\n , and undervaluing pain reports. Assessment of pain symptoms was regarded as a low priority and some\n HCP<\/jats:styled-content>\n s actively avoided conversations about pain.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n These findings indicate that the assessment of pain in children and young people with\n JIA<\/jats:styled-content>\n may be limited by knowledge, skills, and attitudinal factors.\n HCP<\/jats:styled-content>\n s\u2019 accounts of their beliefs about pain in\n JIA<\/jats:styled-content>\n and their low prioritization of pain in clinical practice suggest that a shift in perceptions about pain management may be helpful for professionals managing children and young people with this condition.\n <\/jats:p>\n 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