147 to communicate with HCPs to optimize their self-management. Second, organizations need to build the capacities of HCPs to elucidate HL problems, in which our workshop and the work of Kaper et al. offer important objectives and strategies. Third, this study suggests developing more visual strategies, such as animations, to educate patients about the disease and treatment. Fourth, organizations need to be aware of the risks of digitalization of information and group education. Both strategies are commonly implemented to heighten care efficiency, but might disadvantage patients with LHL or inadequate digital skills. Fifth, to further refine and evaluate, it is relevant to implement HL interventions, such as Grip on your Kidneys, within different health contexts and settings CONCLUSIONS Supported by the IM protocol and co-creation methods, we developed a comprehensive intervention, Grip on your Kidneys, targeting both CKD patients with LHL and their HCPs. In interviews, we identified multiple important determinants for the intervention, related to communication between patients and HCPs and to needed competences for long-term self-management. A combination of visual strategies, strategies to optimize consultations and training of HCPs was preferred by the target groups to support their self-management. According to our evaluation, the intervention was useful, comprehensible, and meeting the needs of the target groups.
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