153 Supplementary file 4. Objectives and determinants for the Health Liteacy Communication Training of Kaper et al. Objective A. To inform and educate: Professionals know about health literacy problems, their impact, and interventions to tackle health literacy problems 1. Knowledge and awareness of health literacy • Definition and overview of health literacy [29–48] • Prevalence and risk factors of limited health literacy [29–32,34–36,40,48,49 • Relation of health literacy to health outcomes [29–35,46,49,50] • Cues to identify low health literacy [29–37,40,42,51] • Formal identifiers of health literacy [34,35,38,39,41,42,45,48,49] • Impact of limited health literacy on patients [29–32,34,36,39,41–45,49,50,52] Objective B. To teach skills: Professionals develop patient-centred communication skills to address problems with health literacy. 2. Gathering and providing information to address functional health literacy. Preference for intervention strategies related to communication about the kidneys, risks and self-management preparation Reads the cartoon about asking clarification to the doctor, but finds it too complicated. Could also have been explained in one picture. Doctor saying a difficult word. Patient responding with I don't get it. Is very interested in the A4 sheets with icons with symptoms. Also handy to have this at home so he can show to others what he has. A lot of misunderstanding in the environment. Card to fill in, he immediately puts it into practice. Starts writing and ticking. The advice side seems useful to him to show to his environment and not to forget what was said during a consultation. Recognition of determinants about preparing and maintaining selfmanagement at home and the approach of HCPs and network to support that From his story come many examples of the difficulty of self-management. Eating Chinese food, drinking beers, smoking, little exercise. Has difficulty with balancing having a nice life with lifestyle adherence, especially for diet. When a docor says he sometimes can live unhealthy, he does it probably too often. Also does not get the needed help from this network. Wants to walk with others, but, living in a sheltered home, he finds his supervisor stubborn and unhelpful. That makes him angry: they are there to help him with the things he finds difficult. He shares that he cannot come up with the solutions himself to problems he encounters. Preference for intervention strategies related to preparing and maintaining selfmanagement and the role of HCPs and the social network Is quite outspoken in what he needs. A walking buddy. Also thinks it can benefit from reminders, for example to be reminded about the advices or to help to find solutions. Via WhatsApp for example. Does use the Internet to search or do things, so would be comfortable with digital solutions as well. Additions No additional comments.
RkJQdWJsaXNoZXIy MTk4NDMw