131 and to help patients to maintain self-management behaviors on the long-term. Six determinants were reformulated to better reflect the patient’s experiences. The final objectives and determinants were aligned and combined with the results of step 2 of the HCP intervention into a final logic model of change, which is found in paragraph 3.3. Step 3: Program design Theory-based approach In the literature, we encountered different models to reach behavior change[40,41], but the Stages of Change Model (SoCM), suited the experiences of step 2 best and was used to start our intervention development. The SoCM states individuals move through different stages before reaching behavior change: precontemplation, contemplation, preparation, action, and maintenance[42]. After discussion, we decided upon four components for the intervention. The first component aims to improve CKD awareness and knowledge – (pre) contemplation stage. The second intends to improve motivation for and preparation of self-management – preparation stage. The third aims to teach competences to maintain self-management on the long-term – action and maintenance stage. The fourth component targets the HCPs to develop their competences to support patients with LHL. As our intervention does not target the social network, we divided the determinants related to strengthening the social network over the other components, to ensure the intervention enabled patients and HCPs to involve the network in the treatment and selfmanagement. We enriched the final logic model of change in paragraph 3.3 with these additions.
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