gms | German Medical Science

G-I-N Conference 2012

Guidelines International Network

22.08 - 25.08.2012, Berlin

Early analysis of the barriers to the implementation of the National Disease Management Guideline ‘Structured Training Programs in Diabetes’

Meeting Abstract

  • S. Conrad - Agency for Quality in Medicine, Berlin, Germany
  • B. Meyerrose - Agency for Quality in Medicine, Berlin, Germany
  • B. Weikert - Agency for Quality in Medicine, Berlin, Germany
  • S. Weinbrenner - Agency for Quality in Medicine, Berlin, Germany

Guidelines International Network. G-I-N Conference 2012. Berlin, 22.-25.08.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP138

doi: 10.3205/12gin250, urn:nbn:de:0183-12gin2501

Published: July 10, 2012

© 2012 Conrad et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Assessment and discussion of factors influencing the implementation of German Disease Management Guidelines (NDMG) are not systematically considered during development process. A former analysis discovered that specific barrier-questions are more effective than an open consultation and an early assessment can positively influence the guideline completion.

Objectives: Therefore we started to systematically assess potential implementation barriers for the NDMG ‘Structured training programs in Diabetes’ by specific questions at an earlier stage of development to be used in other NDMG projects, too.

Methods: Based on the review by Cabana et al. and a systematic research for barrier assessment tools a short questionnaire has been developed. It consists of 5 closed questions about mainly external barriers with answers coded using a 6-point Likert scale and two open questions. It has to be completed in the course of the consensus process by the NDMG penal experts.

Results: The complexity of this issue makes it difficult to predict outcomes. Experts’ considerations could improve applicability of NDMG and inform diabetes care organizations when planning implementation of ‘Structured Training Programs’. We expect further information for tailoring our implementation strategies.

Discussion: Current data about barriers for application of the NDMG recommendations are limited. However, results of our survey may provide an important step towards improved guideline implementation and quality of care.

Implications for guideline developers/users: In future experts of the target audiences need also to be interviewed concerning attitude and knowledge barriers.