95 4. Do you also see other barriers hindering patients with LHL in their selfmanagement? a. What is the role of the social network? b. What is the role of life events / socio-economic factors? 5. In treatment of patients with LHL, do you experience other barriers? If so, what kind of barriers are those? Closing question: 6. Based on this interview, do you have suggestions which barriers of patients with LHL need to be supported? a. What do you need to learn / improve? Supplementary file 1B: Focus group discussions Below you find questions for the focus group discussions with HCPs during the second phase of the research, which aimed to identify the experiences with applied and potential strategies to support patients with LHL. Barriers in the care for patients with LHL were explored. Opening question: 1. Could you first please describe what you think of when you hear ‘patient with low health literacy’? Feel free to share every thought you have. Recognizing Limited Health Literacy First, we showed the definition of limited health literacy and then we asked: 2. Within your team, do you pay attention to health literacy and how? 3. What are your experiences in recognizing / identifying patients with limited health literacy? a. What is your approach? b. Where do you pay attention to? Then we showed some examples of strategies to recognize limited health
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