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Table 1 Key features of the self-management program for seniors with dual sensory impairment

From: Effectiveness of a self-management program for dual sensory impaired seniors in aged care settings: study protocol for a cluster randomized controlled trial

Steps Senior actions Nurse support
   Key questions Ideal support Pitfalls
1 Problem identification Mentions problem. Decides to take action You mentioned that you have a problem with…Would you like to do something about it? Name the problem using the senior’s own words. If the senior does not want to take action, do not interfere Ask for an explanation, take on the problem, insistence
2 Collecting alternatives Collects a minimum of three alternatives: either by themselves, or by asking others for help What could you do about this? Stimulate the senior to answer. In cases where the senior does not come up with enough alternatives, provide information. Leave the choice to the senior Impose solutions, make judgments, provide advice
Are there other options?
3 Choice and planning Selects an alternative that he/she will act on. Plans actions How do you think you will manage this? If the senior has difficulties planning, then apply the key question 2 procedure Take over the choice/planning; provide coercive advice
4 Execution Executes action   Lets the senior execute the action Execute action for the senior
5 Reflection Reflects on own action, mentions what went well What was the result? What are you happy about: about what you could do on your own? What would you do differently the next time? Ask What, When, How questions Ask for an explanation