Marco Boonstra

140 SYNTHESIS OF THE RESULTS Final logic model of change Based on the combined results of steps 2 and 3 for both patients and HCPs, we created the final logic model of change. The preliminary objectives aiming to improve outcomes for patients were organized according to the SoCM into three intervention objectives to improve the patients’ 1) awareness and knowledge, 2) motivation and preparation, and 3) competences to maintain self-management on the long-term. Within these objectives, we formulated determinants for the patients and HCPs, as they both contribute to the expected outcomes. One objective explicitly targets the support by HCPs, by improving their knowledge on HL and effective strategies to recognize and support patients with LHL. Table 4.4 shows this model with the final objectives and determinants, and the expected outcomes to improve. Final multi-component intervention Figure 4.2 gives an overview of the strategies and planning of the final fourcomponent intervention, Grip on your Kidneys. The different components, based on the logic model of change, were planned in detail. The results from steps 4 and 5 provided important input. Patients have 8-12 weeks to use either the website or brochure, and then prepare the consultation. At the same time, HCPs follow an e-learning and workshop. After the consultation, where the card is used by both the patient and the HCP, patients use the topic-based brochures to learn the practical competences needed for self-management and strategies to maintain self-management on the long-term.

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