176 and underrepresentation of patients with very low health literacy, we suggest additional intervention research to evaluate the acceptance and effectiveness of the intervention in the most vulnerable groups. Our study also has implications for practice. Our intervention GoYK contains useful components to optimize CKD care for patients with LHL. We suggest care organizations apply similar strategies to optimize patients’ health, selfmanagement and consultations. Second, we advise incorporation of evidencebased health literacy trainings, like ours, in the agenda of healthcare studies and educational programs of care organizations. In conclusion, we showed that our intervention, targeting CKD patients and professionals simultaneously, improved hypertension and consultations. However, we did not find significant effects on self-management and patient activation. We suggest the development and testing of similar interventions, and more research to unravel by which mechanisms these interventions sort effect.
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