Conclusions In summary, recent research has shown it can be difficult
for children with hemophilia and their parents to implement the recommendations of the healthcare team into their daily life. Challenges are even greater during the transition from parent-care to self-care. Parents' sys- tematic use of various communication strategies to help promote autonomy and appropriate self-care in young patients can be beneficial. Such strategies can help par ents promote autonomy in their child while maintaining necessary boundaries. As illustrated in Table 1, the self- determination approach provides tools to help promote self-motivation in children with hemophilia during the transition towards self care. We believe that understand- ing and using these communication principles can help caregivers better address the motivation challenges in self-care faced by children and adolescents with hemophilia. Future research initiatives should address the development of standardized caregiver training fol- lowing these principles and offer appropriate strategy to evaluate it.