Children with thalassemia suffer physiologically (acute and
chronic hemolytic anemia, infections, deformed bones,
hepatospleenomegaly, growth retardation, iron induced heart
failure), psychologically (low self-image from bullying by
peer groups), socially (isolated and absent from school), and
spiritually (powerlessness, hopelessness, and worthlessness)
due to the severity of thalassemia, long-term treatments, and
the level of care that families are able to provide for their
children (Issaragrisil et al., 2001; Weatherall, 2005). Family
caregivers often lack information about advanced effective
treatments and thalassemia management, experience defi-
cient support from other family members and healthcare
professionals, have financial difficulties, and must manage
with inefficient healthcare services