Marco Boonstra

84 STRATEGIES TO OPTIMIZE SELF-MANAGEMENT Comparison of the results of patients and HCPs yielded seven promising strategies to optimize self-management of patients with LHL. Table 3.3 gives a description of the identified strategies, the problem they aim to overcome, and their relation to the main- and subthemes. First, to improve the patients’ understanding, GPs need to inform patients earlier about CKD and selfmanagement. Second, a better use of visually attractive information, and third, stepwise guidance combined with teach-back, will help patients to understand the details of self-management better. To optimize the patients’ long-term self-management, HCPs need to employ new strategies, tailored to the needs of patients with LHL. The use of life aims, instead of health aims, to motivate patients, and an explicit focus on reducing barriers for self-management are a promising fourth and fifth strategy. Sixth, better cooperation with the social network is needed to optimize the chance of successful lifestyle improvements. Seventh, HCPs need training to identify LHL and acquire competencies and strategies to overcome self-management barriers.

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