[Barriers and facilitators of two pilot projects of telemonitoring aimed at patients with diabetes

Objective: To characterize the implementation process, barriers, and facilitators of two pilot telemonitoring projects targeting patients with type 2 diabetes Methods: This qualitative case study included 22 participants: health directors, managers, professionals, and technicians involved in the intervention. Data was collected through semi-structured interviews and document review. The information was analyzed using content and thematic analysis guided by the Consolidated Framework for Implementation Research. Ethical considerations outlined by E. Emanuel were followed. Results: The main barriers included lack of involvement in decision-making, poor planning, process complexity, limited resources, poor connectivity, insufficient integration between electronic devices, and an unfriendly platform. Facilitators were centered on positive attitudes toward the intervention and the perceived usefulness for managing chronic conditions. Conclusions: The primary barriers identified were related to the management of the implementation process and technological aspects, while the most notable facilitators were attitudinal. This information could serve as a reference for future studies aiming to implement digital tools in various healthcare settings.