Results: The results show that the lifestyle discussions could enable self-determination in the process of lifestyle
change but that certain conditions were required. Mutual interaction between the patient and the nurse that
contributes to a sense of well-being in the patients was a necessary condition for the lifestyle discussion to be
helpful. When the discussion resulted in a new way of thinking about lifestyle and when patient initiative was
encouraged, the discussion could contribute to change. The patient’s free will to make a lifestyle change and the
nurse’s sensitivity in the discussions created fertile soil for change