Table 1 Topic list for eliciting immigrant patients' explanatory model of hypertension1
Communication Determine how a patient wants to be addressed (formally or informally). Determine the patient's preferred language for speaking and reading (Dutch or another language). Use this information in your interaction with the patient. |
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Introduction It is often difficult for us (care providers) to give advice about hypertension and how to manage it if we are not familiar with the views and experiences of our patients. For that reason, I would like to ask you some questions to learn more about your own views on hypertension and its treatment. |
Topic list one: Elicit personal views on hypertension and its treatment |
Understanding What do you understand hypertension to mean? Causes What do you think has caused your hypertension? Why did it occur now/when it did; why to you? Meaning and symptoms What does it mean to you to have hypertension? Do you notice anything about your hypertension? How do you react in this case? Duration and consequences How do you think your hypertension will develop further? How severe is it? What consequences do you think your hypertension may have for you (physical, psychological, social)? Treatment What types of treatment do you think would be useful? What does the prescribed therapeutic measurement(s) mean to you? |
Topic list two: Elicit contextual influences on hypertension management |
Social Do you speak with family/community members about your hypertension? How do they react? Do family/community members help you or make it difficult for you to manage hypertension? Please explain. |
Culture/religion Are there any cultural issues/religious issues that may help you or make it difficult for you to manage hypertension? Please explain. |
Migration Are there any issues related to your position as an immigrant that make it difficult to you to manage hypertension? Please explain. |
Finance Are there any issues related to your financial situation that make it difficult for you to manage hypertension? Please explain. |