105 12. Who would like to respond? Do you recognize this stories from daily practice? 13. Do you have strategies to find out what are barriers for patients‘ selfmanagement? 14. These examples of patients show the importance of flexibility in HCP‘s communication strategies that are needed to optimize self-management, like listening carefully, providing feasible advices, having empathie, asking clarifying questions and solving barriers. How do you perceive your current competenties in communication with patients? > What is lacking? > What do you think HCPs need or have to learn to improve this situation? Patients also mentioned problems on the long-term with maintaining selfmanagement. Sometimes they started with hope, but under influence of temptations, negativity or social pressure, bad habits would return into their lifes. They also mentioned that for kidney disease it is difficult because the kidneys will never be better. It is hard to see the benefits. And once a patient feels he or she failed, it is difficult to start over and over again. Sometimes having perspective in the treatment, like a upcoming transplantation or life aims helped patients to self-manage better. 15. Do you recognize this stories from daily practice? 16. Do you have strategies to support patients with these self-management problems? > How do you signal these problems? 17. Do you encounter barriers when you try to support patients with these problems? 18. How do you perceive your current competenties in communication with patients? > What is lacking? > What do you think HCPs need or have to learn to improve this situation?
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