Table 2.

Chronic Disease Self-Management Program sections and corresponding adaptations based on visual analytic results

Self-Management sections and specific activity and topic	Examples of adapting the activity using a stroke case vignette to guide the discussion	Visual Analytic cluster color and co-morbidities that our case vignette stroke survivor also was experiencing
Session 1, Activity 4: Getting a good night sleep	In this case vignette, the stroke survivor has hemiparesis. The suggestion includes taking a water pill/diuretic (which was prescribed by her doctor because of the hypertension) during the day, so that the person will not be interrupted at night because of the need for frequent urination.	Blue cluster, hypertension and lung fibrosis
Session 2, Activity 3: Physical exercise brainstorm	In this case vignette, the stroke survivor has difficulty thinking clearly and remembering things. The suggestion includes exercising with friends, keep the exercises scheduled in her calendar, use reminders in her cell phone, and keep the exercises routine the same time of day.	Blue cluster, pneumonia and chronic obstructive pulmonary disorder
Session 3, Activity 3: Pain and fatigue	In this case vignette, the stroke survivor cannot independently walk or complete self-care tasks because of weakness. The suggestion is to mix activity with rest, and use relaxation and meditation techniques when in bed, first thing in the morning.	Purple cluster, cancer and anxiety
Session 4, Activity 3: Healthy eating	In this case vignette, the stroke survivor lives alone and also has double vision. The suggestion is to use an online meal service or online food delivery, this way she can check the food labels by enlarging the font, using techniques to reduce the double vision, in order to make healthy choices.	Pink cluster, morbid obesity and diabetes mellitus
Session 5, Activity 5: Dealing with depression	In this case vignette, the stroke survivor has vertigo from the stroke. The suggestion to how she can feel less depressed would be to call a friend, ask her doctor if home counseling sessions would be appropriate, complete deep breathing/meditation exercises, or even have a friend visit her in her home and do manicures.	Orange cluster, depression and osteoporosis
Session 6, Activity 2: Working with your healthcare provider and having good communication	In this case vignette, the stroke survivor has a spastic hand because of the stroke. The suggestion included the person using technology such as an iPad to write questions, because he could use the speak command option, instead of writing and make the font larger.	Yellow cluster, legally blind and Parkinson’s