Implementation of the Diameter App in Primary Diabetes Care: Perspectives of Patients and Healthcare Professionals

Eclaire Hietbrink*, Annemieke Konijnendijk, Eva van 't Hul, Anouk Middelweerd, Miriam Vollenbroek-Hutten, Goos Laverman

*Corresponding author for this work

Research output: Contribution to conferenceAbstract

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Background: In primary care, lifestyle changes are the cornerstone of treatment for people with Type 2 Diabetes (T2D), as a healthy lifestyle can contribute to the reversion or remission of T2D. eHealth applications that support lifestyle changes can be of added value in supporting healthcare. The Diameter app offers lifestyle support through monitoring and coaching of physical activity, nutrition and blood glucose. This study explored the perspectives of people with T2D and healthcare professionals regarding the implementation of the Diameter in primary care.

Methods: A qualitative design was used to explore motivations, facilitators and barriers to implement the Diameter in primary care from the perspective of people with T2D and healthcare professionals. From April 21 to June 8 2021, 18 semi-structured interviews were conducted based on the Consolidated Framework for Implementation Research (CFIR). All interviews were audio-recorded, transcribed verbatim, and coded applying inductive thematic analysis.

Results: Eight main themes with accompanying sub codes emerged. Motives for using the Diameter were found in the provision of insight for the patient and healthcare professional, the diversity of the patient population, and the implementation setting. The main motivation for implementing the Diameter was the insight that it can provide into the relationship between lifestyle and glucose levels for people with newly diagnosed or poorly controlled diabetes. Facilitators for implementing the Diameter were related to the adoption of the Diameter in the region and the potential to improve efficient working. Important barriers converged around the characteristics of the patient population, interoperability with IT systems, and reimbursement from the health insurer.

Discussion: People with T2D and a diverse group of healthcare professionals both see the potential added value of the Diameter in primary diabetes care, provided that the main conditions and barriers for use and implementation are taken into account.
Original languageEnglish
Number of pages1
Publication statusPublished - 9 May 2022
EventSupporting Health by Technology 2022 - Martini Plaza, Groningen, Netherlands
Duration: 12 May 202213 May 2022


ConferenceSupporting Health by Technology 2022
Abbreviated titleHealth by Tech
Internet address


  • eHealth
  • type 2 diabetes mellitus
  • lifestyle monitoring
  • lifestyle coaching
  • blended-care
  • implementation


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