Marco Boonstra

7 Contents Chapter 1. General Introduction 8 Chapter 2. How to tackle health literacy problems in chronic kidney disease patients? A systematic review to identify promising intervention targets and strategies 30 Chapter 3. A longitudinal qualitative study to explore and optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: perspectives of patients and health care professionals 62 Chapter 4. Co-creation of a multi-component health literacy intervention targeting both patients with mild to severe chronic kidney disease and health care professionals 92 Chapter 5. Effectiveness of a health literacy intervention targeting both chronic kidney disease patients and health care professionals in primary and secondary care: a quasi-experimental study 126 Chapter 6. A health literacy intervention targeting both chronic kidney disease patients and healthcare professionals is cost-saving: findings from the Netherlands 150 Chapter 7. General discussion 170 Appendices 198 Summary 200 Samenvatting 206 Dankwoord 213 About the author 220 Other publications by the author 221 optimize self-management in mild to end stage chronic kidney disease patients with limited health literacy: perspectives of patients and health care professionals 66 118 targeting both chronic kidney disease patients and health care professionals in primary and secondary care: a quasi-experimental study 156 chronic kidney disease patients and healthcare professionals is cost-saving: findings from the Netherlands 190 216 244 246 252 259 266 267 Financiering proefschrift 270

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