141 Objective Determinants Outcome Expectations SocM # Improve awareness and knowledge on CKD selfmanagement HCPs know strategies to create CKD awareness in patients with LHL. HCPs inform CKD patients in simple language and with visual strategies. HCPs check the CKD patient’s understanding. Patients are aware of having CKD and what this diagnosis means (*). Patients understand (symptoms of) CKD and the long-term risks of CKD (*). Patients know important risk factors for developing more severe CKD (+). Patients know how self-management can stabilize kidney function (+). Patients ask for clarification and questions during consultations if needed. Patients are more aware of CKD. Patients understand CKD better. Patients understand self-management of CKD better. Patients understand the long-term risks of CKD better. Patients feel more urgency to prevent further kidney deterioration. Patients discuss CKD better during consultations with HCPs. Precontemplation and contemplation Improve motivation and preparation of selfmanagement HCPs use health or life aims in goalsetting to motivate themselves to self-manage(+). HCPs apply shared decision making to decide on aims and self-management. Patients see the rewards of self-management for CKD and quality of life (*). Patients share their personal needs regarding self-management with HCPs. Patients prepare consultations to better discuss self-management (+). Patients feel confident to follow up self-management advice at home (+). Patients involve their social network in their self-management (*). Patients know the exact goals of selfmanagement of CKD. Patients contribute to decisions on selfmanagement of CKD. Self-management goals are tailored to the patients’ needs. Patients are more confident to improve self-management. Patients are better able to adopt selfmanagement in daily life. The social network helps to adopt selfmanagement changes. Preparation Improve practical competences for selfmanagement and to maintain behaviors on the long-term HCPs translate general self-management advice into action points. HCPs ask about and respond to self-management barriers of the patient (+). HCPs seek solutions to barriers using shared decision making. Patients have the practical competences to improve lifestyle and medication adherence. Patients share their doubts regarding advice given by HCPs (+). Patients share their barriers and relapses with HCPs (+). Patients know strategies to prevent relapse of self-management changes. Patients recognize and solve barriers that negatively influence self-management (such as negative emotions, feasibility problems, relapse) (*). Patients seek additional help if they experience self-management barriers (+). Patients gain practical skills for selfmanagement of CKD. Patients are better at discussing barriers for self-management. Patients overcome barriers for maintenance of self-management. Patients maitain self-management changes in the long term. Patients deal better with emotions, infeasibility of advice and relapse. The social network supports patients in maintaining changes. Action and maintenance Table 4.4 Final logic model of change with the four components of our intervention in different colors, and final objectives, determinants and outcome expectations.
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