Caregiving and work compress her time and bandwidth. As a single parent in a demanding role, her days are largely spoken for — which is why the plan is deliberately low-burden, asynchronous, and evidence-led rather than session-heavy.
Determinants
Social determinants captured at intake
Single parent, primary caregiver. Limited respite and little discretionary time.
Manager in a public-health agency, Toulouse — real responsibility and pressure.
Coco, her dog — a daily routine anchor and dependable connection on hard days.
Urban. Good access to care; lab collection is straightforward.
Not yet recorded.
Analytic and motivated. Engages when given the reasoning and treated as a peer.
How context shapes care
The operating constraints
Keep total load low. Time — not motivation — is the binding constraint.
burdenPrefer asynchronous and in-the-moment. Nudges and self-paced practice fit better than fixed appointments.
deliveryLead with evidence, not reassurance. Transparency builds trust; cheerleading erodes it.
communicationUse existing routines as anchors — Coco's walks, the workday rhythm.
habit