Table 5.

Quotes from the online surveys with healthcare providers (from Phase 2) and individual interviews with patients with DM2, COPD, and/or CVD (from Phase 3).

Quote	Quote	Participant
Healthcare providers
Q1	‘The holistic view and thinking does not put curing as the highest priority but rather well-being and functioning as desired. A pleasant way for both the caregiver and the patient.’	212
Q2	‘The integral approach can be more time consuming, but will eventually lead to more time, less frustration and more satisfaction.’	201
Q3	‘… giving people back the feeling of control.’	317
Q4	‘It takes a lot of time. Not every healthcare professional is able to do this; not every patient wants to do this.’	324
Q5	‘It will be difficult for patients with limited health skills, while the conversation about integral health status is so important, especially for them.’	206
Q6	‘[Assessment of integral health status] will possibly reveal particular subjects or triggers, which have a negative impact on a patient’s health and would otherwise not have been revealed. For example, financial problems or loneliness.’	319
Q7	‘Some patients might think … some domains are too personal and this might cause resistance in the patient.’	410
Q8	‘Possibly the goals can improve therapy compliance, because the motivation is better.’	207
Q9	‘[Personal goals] can be far away from treatment goals. With high blood pressure, high HbA1c and many cigarettes, it is perfectly possible to take care of grandchildren.’	204
Q10	‘I think it is too detailed, and therefore maybe not usable in practice.’	311
Q11	‘… In addition, it is clear for other involved healthcare professionals what the goals of the patient are and how they want to achieve them. Care can be co-ordinated better.’	306
Q12	‘It could lead to medicalisation of problems which do not originate in the somatic corner. It is quite a lot of work to write it.’	315
Q13	‘Evaluate what worked, also especially what made it work, what didn’t work and what could help to make it work … with a non-judgmental attitude.’	416
Patients with DM2, COPD and/or CVD
Q14	‘Let’s be honest, you can’t do anything in ten minutes. […] This plan here, […] the practice nurse having half an hour with you, that’s a luxury.’	7
Q15	“You could say to yourself that you are doing alright, but I think that when you have to fill in a questionnaire like that it would make you wonder. How am I really doing?”	8
Q16	“I think that people like myself […] benefit from filling out the questionnaire again after a while and seeing what changes there are, both positive and negative.”	8
Q17	“Some people don’t or don’t want to understand what they are told, because [optimal treatment] means changing their lifestyle, and taking medication may be easier.”	12
Q18	“The more involved your partner is, the better, […] not just for your own support, but also for theirs. They struggle too, sometimes more than you. That is an aspect that is often overlooked.”	7
Q19	“[…]practice nurse, you have to be understanding towards patients that don’t require those strict guidelines.”	12

COPD: chronic obstructive pulmonary disease; CVD: cardiovascular disease; DM2: diabetes mellitus type 2; Q: quote.