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Getting in control: towards optimal self-management support for chronically ill patients with limited health literacy.

Gaag, M. van der. Getting in control: towards optimal self-management support for chronically ill patients with limited health literacy. Utrecht: Nivel, 2023. 161 p.
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Currently there is too little attention in health care and self-management support for individuals with limited health literacy, while limited health literacy is an important barrier for adequately dealing with chronic diseases. This thesis focusses on the self-management of patients with limited health literacy, the problems they encounter, and their needs regarding self-management support. To investigate how patients with limited health literacy can be optimally supported, we defined the following research questions:

1. Which patient groups are vulnerable regarding health literacy in the Netherlands?
2. What difficulties do patients with limited health literacy face in relation to self-management and what are their needs with respect to self-management support?
3. Which self-management interventions (SMIs) are available for chronically ill patients with limited health literacy, and do they match the needs of these patients?
4. What recommendation can we make regarding development, design, and implementation of SMIs for chronically ill patients with limited health literacy?