106 We now would like to discuss some other factors that might influence selfmanagement of patients. 19. What is the role of the social context of the patient? > Is that a topic during consultations? > What is lacking? 20. Do you have ideas what HCPs need or have to learn to take the social context into account? 21. Patients sometimes stated to have made enough adaptations in their lifes. Do you, as a HCP, believe that patients always need to change? > How do you determine? Is there flexibility in your approach? > How do you take the opinion of the patient into account? 22. Do you see room for improvement? > What do you think HCPs need or have to learn? Potential solutions 23. There are strategies to promote self-management in patients. What would be your strategy to promote self-management? We would like you to give a short opinion on the feasibility and realization of these strategies in daily practice: - Put health behaviors in a relationship to symptom reduction to show the benefits. - Stimulate problem-solving skills by formulating action plans. - Review action plans: Discuss behavioral strategies, questions and problems - Assess individual barriers regarding adherence. - Cooperate with the social network of the patients. 24. What do you consider as possibilities from these options and why? > What are the barriers to implement these in health care? > What do HCPs need or have to learn to adopt the solutions that patients suggested?
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