# Self-management support from health care providers in Shared Medical Appointments: Didactic techniques, peer learning, group dynamics and motivation

## TL;DR

This study explores how healthcare providers support self-management in prenatal shared medical appointments through peer learning and group dynamics.

## Contribution

This is the first study to investigate self-management support in prenatal shared medical appointments.

## Key findings

- Self-management support in SMA is based on peer learning.
- Healthcare providers use practical and communication techniques to create an effective learning climate.
- Healthcare providers need leadership skills and certain personality traits to support self-management in SMA.

## Abstract

We investigated the support of self-management by health care providers (HCP) in prenatal Shared Medical Appointments (SMA).

on an topic list, semi-structured interviews were conducted. HCP who provided prenatal care in SMA in the last five years were recruited. Thematic analysis was used.

We conducted 15 interviews. Four research themes were defined: didactic techniques, peer learning, motivation and the health care providers. Self-management support in SMA is based on peer-learning and is influenced by group dynamics. HCP play a role in the creation of an effective learning climate by using practical and communication techniques. HCP motivate participants for self-management through peer learning and person centered care. HCP need certain personality traits and leadership skills.

Self-management support in SMA is based on peer-learning and is influenced by group dynamics. HCP create an effective learning climate using practical and communication techniques and motivate participants for self-management through peer learning and person-centered care.

This is the first study that gives insight in self-management support in SMA. HCP and medical schools should be aware of the fact that HCP in SMA need insight in didactic techniques, peer learning, group dynamics and leadership skills.

•Self-management support in SMA is based on peer learning.•Self-management support is influenced by group dynamics.•HCP contribute to an effective learning climate through practical and communication techniques.•HCP motivate for self-management through peer learning and person centered care.•HCP in SMA need personality traits and leadership skills.

Self-management support in SMA is based on peer learning.

Self-management support is influenced by group dynamics.

HCP contribute to an effective learning climate through practical and communication techniques.

HCP motivate for self-management through peer learning and person centered care.

HCP in SMA need personality traits and leadership skills.