Dorien Brouwer

49 Patient perspectives on health-related behavior change PART 1 is allowed and what is not allowed. In particular advices on healthy diet would be helpful according to three patients. “That you get a littlemore guidance. Whether it is from the specialist or from the doctor, is not important, only that you have a little more guidance, this is good and this is not good.” (3, M53) Two patients would like support, but had no idea which support could be effective in relation to stop smoking and increasing physical activity. “I would not know. I cannot imagine anything at all.” (4, V66) Patients would like to have professional support in changing behavior and healthy life­ style preservation mainly in improving physical activity. Three participants were currently receiving support from a physical therapist for physical activity. To maintain physical activity, one participant also received a training schedule from the physiotherapist to continue at home. Support of a sports instructor was also mentioned. “Yes and it is, also because it is in [place name], a small gym, there is only one man .. but if I go there at half past 12 or so then you have a personal trainer, then I am alone or there are two or so and then…he really thinks about it .. what exercise is good for you” (16, V64) Another participant also goes to a sports instructor for person-specific training schedules. “And then I get a schedule with pictures and I have to do that for six weeks, and after six weeks we evaluate that and then I get something else or you continue to see if the pace is increased, things like that. So a bit under supervision. That goes well in the gym.” (12, M68) One patient mentioned support of a GP by increasing physical activity. The doctor could give support by monitoring the blood pressure and the cholesterol level, so that the patient remains more motivated to keep it up. “Maybe the doctor, … actually the doctor has to regularly measure blood pressure and cholesterol. So, we also have agreements for that. Maybe the doctor could mean something in that. I think so, I think it will matter tome. But for the time being I will get up every morning and get on my bike.” (8, M66)