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

Primary Care Academy, Lotte Timmermans, Dagje Boeykens, Mustafa Muhammed Sirimsi, Peter Decat, Veerle Foulon, Ann Van Hecke, Mieke Vermandere, Birgitte Schoenmakers, Patricia De Vriendt, Veerle Buffel

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
2 Downloads (Pure)


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.

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.

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.

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.

Original languageEnglish
Article number63
Pages (from-to)1-13
Number of pages13
JournalBMC primary care
Issue number1
Publication statusPublished - 31 Mar 2022

Bibliographical note

© 2022. The Author(s).


  • Adaptation, Psychological
  • Caregivers
  • Humans
  • Primary Health Care
  • Qualitative Research
  • Self-Management


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