Self-management support in flemish primary care practice: the development of a preliminary conceptual model using a qualitative approach

Author:

Timmermans Lotte,Boeykens Dagje,Sirimsi Mustafa Muhammed,Decat Peter,Foulon Veerle,Van Hecke Ann,Vermandere Mieke,Schoenmakers Birgitte,Remmen Roy,Verté Emily,Sirimsi Muhammed Mustafa,Van Bogaert Peter,De Loof Hans,Van den Broeck Kris,Anthierens Sibyl,Huybrechts Ine,Raeymaeckers Peter,Buffel Veerle,Devroey Dirk,Aertgeerts Bert,Schoenmakers Birgitte,Timmermans Lotte,Foulon Veerle,Declerq Anja,Van de Velde Dominique,Boeckxstaens Pauline,De Sutter An,De Vriendt Patricia,Lahousse Lies,Pype Peter,Boeykens Dagje,Van Hecke Ann,Decat Peter,Roose Rudi,Martin Sandra,Rutten Erica,Pless Sam,Tuinstra Anouk,Gauwe Vanessa,Reynaert Didier,Van Landschoot Leen,Hartmann Maja Lopez,Claeys Tony,Vandenhoudt Hilde,De Vliegher Kristel,Op de Beeck Susanne,

Abstract

Abstract Background Coping with a chronic disease can be really challenging. Self-management represents a promising strategy to improve daily life experiences. The role of primary healthcare professionals cannot be underestimated in supporting self-management. Due to a shortage of theory, implementation of self-management support is hindered in primary care practice. The aim of this study is to create a conceptual model for self-management support by analysing patients’ care experiences towards self-management support. Methods An explorative-descriptive qualitative study was conducted in Flanders, Belgium. Semi-structured interviews were performed with 16 patients and their informal caregiver (dyads) using a purposive sampling strategy and processed by an inductive content analysis, according to Graneheim and Lundman. Results Interviews revealed in-depth insights into patients’ care experiences. A conceptual model was developed for primary care practice, including five fundamental tasks for healthcare professionals - Supporting, Involving, Listening, Coordinating and Questioning (SILCQ) – contributing to the support of self-management of chronic patients. Conclusions This qualitative paper emphasises the use of the SILCQ-model to develop optimal roadmaps and hands-on toolkits for healthcare professionals to support self-management. The model needs to be further explored by all stakeholders to support the development of self-management interventions in primary care practice.

Publisher

Springer Science and Business Media LLC

Subject

Family Practice

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