Fig. 1
![Fig. 1](http://media.springernature.com/full/springer-static/image/art%3A10.1186%2Fs12872-017-0477-6/MediaObjects/12872_2017_477_Fig1_HTML.gif)
Flowchart of the study design. KvL-H Kwaliteit van Leven bij Hartpatiënten, GAD-7 Generalized Anxiety Disorder, PHQ Patient Health Questionnaire, PAM Patient Activation Measure, SBSQ-D Set of Brief Screening Questions - Dutch, CQI Consumer Quality Index