239 CONCLUSION LHL is an important modifiable risk factor in the onset and development of diseases, such as CKD, diabetes and cardiovascular diseases. Hence, LHL contributes substantially to the overall burden of diseases. Among other risk factors, such as low socioeconomic status, health literacy offers a well-defined concept for practice oriented interventions. Despite this evidence, health literacy is often overlooked in clinical care and research. So far, there were no health literacy interventions targeting CKD patients with LHL and HCPs simultaneously. The research presented in this thesis shows that the health of patients with LHL can be improved, by targeting the competences of both patients and HCPs. Hopefully, our results encourage HCPs, governmental and health care organizations, health insurance companies, and researchers to take their responsibility in addressing health literacy in prevention and clinical care. Their combined efforts can yield a health literacy friendly environment for people who are less able to access, understand, appraise and communicate information. Together, they can ensure everyone is able to engage with the demands of different health contexts and to maintain good health across the life course. Are you on board?
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