Metting, Dr Esther
Esther Metting works as an assistant professor of eHealth at the University Medical Center Groningen (UMCG) and at the Faculty of Economics and Business. Metting has a background in psychology and epidemiology. Her research centres on the implementation of digital healthcare. Digital healthcare offers a wide range of possibilities: from simple applications, such as looking up information on Thuisarts.nl or using the patient portals of healthcare institutions, to complex solutions such as telemonitoring, where patients measure their own blood pressure and send the results to their healthcare provider.
DVHN Live: Behavioural expert and epidemiologist Esther Metting
Closing event NFU e-Health Programme - E. Metting
According to Metting, digital healthcare can make an important contribution to making healthcare more efficient. At the same time, a large group of citizens are unable to use this form of care. This applies to approximately 20% to 25% of the population. It’s not just about skills. Many people are afraid of using it, or don’t know what it is. This group does not have access to the most optimal care of the future. This problem is becoming increasingly important and significant.
Together with healthcare providers and patients, Metting is investigating how digitally illiterate people can still benefit from the health advantages of digital healthcare. She was awarded a Veni grant for this research. It is precisely this collaboration with patients, citizens, and interdisciplinary professionals that characterizes Metting’s work. Metting was also involved in various COVID-19 projects, including the evaluation of the CoronaMelder/CoronaCheck for the Ministry of Health, Welfare and Sport, and research into the CoronaCheck app.
Previously in the news (mostly in Dutch)
Contact and more information
2025
Bouwes,
W., & Metting, E. (2025). Digital
Health: General Concepts and Terminology. In
English (pp. 27-38). ( Health Informatics). Springer
International Publishing, Cham, Switzerland. https://doi.org/10.1007/978-3-031-71021-6_2
Ribeiro
Ferreira, V., O’Mahony, A., Metting,
E., & Gallo, V. (2025). eHealth tools
to assess the neurological function for research, in absence of the
neurologist: a systematic review, part II (hardware).
Journal of Neurology, 272(2),
Article 107. https://doi.org/10.1007/s00415-024-12857-5
Bouwes,
W., Scherpbier, N., Hage, E.,
Tjalma, L., & Metting, E. (2025). Support
Strategies and Interventions for eHealth Inclusion: Scoping
Review. Journal of Medical Internet
Research, 27, Article PMID: 41385715. https://doi.org/10.2196/79760
2024
Ferreira,
V. R., Brayne, C., Ragonese, P., Ketzoian, C., Piccioli, M.,
Tinti, L., Casali, C., di Lorenzo, C., Ramos, C., Azevedo, J.,
Gomes, A., Stewart, R., Haas, H., Hoppenbrouwer, S., Metting,
E., & Gallo, V. (2024). A Delphi
consensus to identify the key screening tests/questions for a
digital neurological examination for epidemiological
research. Journal of Neurology,
271, 2694–2703. https://doi.org/10.1007/s00415-024-12254-y
Ferreira,
V. R., Metting, E., Schauble, J.,
Seddighi, H., Beumeler, L., & Gallo,
V. (2024). Correction to: eHealth tools to assess the
neurological function for research, in absence of the neurologist
– a systematic review, part I (software) (Journal of
Neurology, (2024), 271, 1, (211-230),
10.1007/s00415-023-12012-6). Journal of
Neurology, 271(11), 7376. https://doi.org/10.1007/s00415-024-12558-z
Leung,
K. Y., Metting, E., Ebbers, W., Veldhuijzen, I.,
Andeweg, S. P., Luijben, G., de Bruin, M., Wallinga, J., &
Klinkenberg, D. (2024). Effectiveness of a COVID-19 contact
tracing app in a simulation model with indirect and informal
contact tracing. Epidemics,
46, Article 100735. https://doi.org/10.1016/j.epidem.2023.100735
Metting,
E., & Hage, E. (2024). Outside
the digital bubble: digital illiteracy is common and deserves more
attention when implementing eHealth. (Social Sciences
& Humanities Open). SSRN. https://doi.org/10.2139/ssrn.4246806
Metting,
E. I., & Hage, E. (2024). Outside the
digital bubble: Digital illiteracy is common and deserves more
attention when implementing eHealth. Social
Sciences and Humanities Open, 10, Article
101001. https://doi.org/10.1016/j.ssaho.2024.101001
2023
Ferreira,
V. R., Metting, E., Schauble, J.,
Seddighi, H., Beumeler, L., & Gallo,
V. (2024). eHealth tools to assess the neurological
function for research, in absence of the neurologist: a systematic
review, part I (software). Journal of
Neurology, 271, 211-230. https://doi.org/10.1007/s00415-023-12012-6
Wessels,
N. J., Ruiter, E. J., Hulshof, L.,
Loohuis, A. M. M., van Gemert-Pijnen, J. E. W.
C., Metting, E. I., Worp, H. V.
D., & Blanker, M. H. (2023). Care
provider views on app-based treatment for female urinary
incontinence: A mixed-methods study.
Continence, 6, Article 100584. https://doi.org/10.1016/j.cont.2023.100584
Noort,
B. A. C., Vaart, T. V. D., Maten, J. V.
D., Metting, E., & Ahaus, K. C. T. B. (2023).
Intensive out-of-hospital coaching for frequently
hospitalized COPD patients: a before-after feasibility
study. Frontiers in Medicine,
10, Article 1195481. https://doi.org/10.3389/fmed.2023.1195481
Metting,
E., Van Luenen, S., Baron, A. J., Tran,
A., Duinhoven, van, S., Chavannes, N. H.,
Hevink, M., Luers, J., & Kocks, J. W. H.
(2023). Overcoming the Digital Divide for Older Patients With
Respiratory Disease: Focus Group Study. JMIR
Formative Research, 7, Article e44028 . https://doi.org/10.2196/44028
van
Boxtel, J., Wessels, N. J., Ruiter, E.
J., Loohuis, A. M. M., Metting, E.
I., van der Worp, H., & Blanker, M.
H. (2023). Perspective of Dutch healthcare
professionals on care for female urinary incontinence: A
mixed-methods study. Continence,
6, Article 100585. https://doi.org/10.1016/j.cont.2023.100585
Hengst,
T. M., Lechner, L., Van der Laan, L. N., Hommersom, A., Dohmen ,
D., Hooft, L., Metting, E., Ebbers, W., & Bolman ,
C. A. W. (2023). The Adoption of a COVID-19 Contact-Tracing
App: Cluster Analysis. JMIR Formative
Research, 7, Article e41479 . https://doi.org/10.2196/41479
The
Citrien 2 Project Leaders and Steering Group, Gijsbers, H.,
Nurmohamed, A., van de Belt, T. H., & Schijven, M. (2023).
The National Coordinated Citrien eHealth Program to Scale Up
Telemonitoring: Protocol for a Before-and-After Evaluation
Study. JMIR research protocols,
12, Article e4520. https://doi.org/10.2196/45201
Citrien
2 Project Leaders/Steering Group, Gijsbers, H. J. H., Kleiss, J.,
Nurmohamed, S. A., van de Belt, T. H., & Schijven, M. P.
(2023). Upscaling telemonitoring in Dutch University Medical
Centres: A baseline measurement. International
Journal of Medical Informatics, 175, Article
105085. https://doi.org/10.1016/j.ijmedinf.2023.105085
2022
Ribeiro
Ferreira, V., Seddighi, H., Beumeler,
L., Metting, E., & Gallo, V.
(2022). eHealth tools to assess neurological function: a
systematic review protocol for a mapping exercise.
BMJ Open, 12(9), Article e062691. https://doi.org/10.1136/bmjopen-2022-062691
van
de Vijver, S., Hummel, D., van Dijk, A. H., Cox, J.,
van Dijk, O., Van den Broek, N., & Metting,
E. (2022). Evaluation of a Digital Self-management
Platform for Patients With Chronic Illness in Primary Care:
Qualitative Study of Stakeholders' Perspectives.
JMIR Formative Research, 6(8),
Article e38424. https://doi.org/10.2196/38424
Metting,
E. (2022, Jun 1). Maak digitale zorg voor iedereen
toegankelijk. ICT&Health. https://www.icthealth.nl/blog/maak-digitale-zorg-voor-iedereen-toegankelijk/
Rollema,
C., van Roon, E. N., van Boven, J. F.
M., Hagedoorn, P., Klemmeier, T., Kocks,
J. W. H., Metting, E. I., Elberink, J. N.
G. O., Peters, T. T. A., Giorgi, M. R. M.
S., & de Vries, T. W. (2022).
Pharmacology, particle deposition and drug administration
techniques of intranasal corticosteroids for treating allergic
rhinitis. Clinical and Experimental
Allergy, 52(11), 1247-1263. https://doi.org/10.1111/cea.14212
van
der Waal, N. E., de Wit, J., Bol, N., Ebbers, W., Hooft, L.,
Metting, E., & Van der Laan, L. N. (2022).
Predictors of contact tracing app adoption: Integrating the
UTAUT, HBM and contextual factors. Technology in
Society, 71, Article 102101. https://doi.org/10.1016/j.techsoc.2022.102101
Abdel-Aal,
A., Lisspers, K., Williams, S., Adab, P., Adams, R., Agarwal, D.,
Barnard, A., Bouloukaki, I., van Boven, J. F. M.,
Chavannes, N., Dickens, A. P., van Gemert, F.,
Escarrer, M., Haroon, S., Kayongo, A., Kirenga, B., Kocks, J.
W. H., Kotz, D., Newby, C., ... Jordan, R. E. (2022).
Prioritising primary care respiratory research needs: results
from the 2020 International Primary Care Respiratory Group (IPCRG)
global e-Delphi exercise. npj Primary Care
Respiratory Medicine, 32(1), 6. Article 6. https://doi.org/10.1038/s41533-021-00266-4
Verpaalen
, I. A. M., Holland, R. W., Ritter, S., van Hooff, M., Ebbers, W.,
't Hooft, L., Metting, E., & van der Laan, L. N.
(2022). Resistance to contact tracing applications: The
implementation process in a social context.
Computers in Human Behavior, 134,
Article 107299. https://doi.org/10.1016/j.chb.2022.107299
2021
Schipper,
N., Baron, A. J., Flokstra-De Blok, B. M.
J., Wouters, H., Metting, E. I.,
Van Heijst, E., Riemersma, R. A., Kerstjens, H. A.
M., & Kocks, J. W. H. (2021).
Adherence to medication advice through a remote electronic
asthma and COPD service. European Respiratory
Journal, 58(Suppl 65). https://doi.org/10.1183/13993003.congress-2021.PA3553
Bins,
J., Metting, E., Muilwijk-Kroes, J., Kocks,
J., & Veen, J. I. (2021). De
histamineprovocatietest voor astma kan ook in de eerste
lijn. Huisarts en Wetenschap,
64(10), 18-20. https://doi.org/10.1007/s12445-021-1265-1
Mariani,
S., Metting, E., Lahr, M. M. H., Vargiu,
E., & Zambonelli, F. (2021). Developing an ML pipeline
for asthma and COPD: The case of a Dutch primary care
service. International Journal of Intelligent
Systems, 36(11), 6763-6790. https://doi.org/10.1002/int.22568
Metting,
E. (2021, Jun 1). Doorlopende evaluatie
CoronaCheck. https://coronacheck.nl/media/Factsheet_doorlopende_evaluatie.pdf
Metting,
E. (2021). Doorlopende evaluatie CoronaCheck:
Tussenrapportage juli 2021 opgesteld door het onderzoeksteam onder
leiding van Prof. dr. Wolfgang Ebbers. (Rapportage
CoronaCheck). Augeo / Rijksoverheid. https://coronacheck.nl/media/Tussentijdse_rapportage_juli_2021.pdf
Metting,
E., Dassen, L., Aardoom, J., Versluis, A., & Chavannes,
N. (2021). Effectiveness of Telemonitoring for Respiratory
and Systemic Symptoms of Asthma and COPD: A Narrative
Review. Life, 11(11), Article
1215. https://doi.org/10.3390/life11111215
Ebbers,
W., Hooft, L., van der Laan , N., & Metting, E.
(2021). Evaluatie CoronaMelder: een overzicht na 9
maanden. Ministerie van Volksgezondheid, Welzijn en
Sport. https://www.rijksoverheid.nl/documenten/publicaties/2021/05/28/rapporten-evaluatie-coronamelder-9-maanden
Schreuder,
M. C., van der Worp, H., Metting, E.
I., & Blanker, M. H. (2021).
Expectations and Perceptions of Dutch Pharmacy Staff
Regarding a New Framework for Continence Care: A Focus Group
Study. Health Services Insights,
14. https://doi.org/10.1177/11786329211033263
Scheenhart,
N., Azdahic, A., & Metting, E. (2021).
Preventie: een taak van de huisarts?
Huisarts en Wetenschap, 64(2),
19-24. https://doi.org/10.1007/s12445-020-0966-1
Kooistra,
J., Metting, E., Dekhuijzen, R., Leendertse, A.,
Hagedoorn, P., & Janknegt, R. (2021). Rational
selection of inhalation devices in the treatment of asthma by means
of the system of objectified judgement analysis.
ACTA Scientific Pharmacology,
2(7).
Janknegt,
R., Kooistra, J., Metting, E., & Dekhuijzen, R.
(2021). Rational selection of inhalation devices in the
treatment of chronic obstructive pulmonary disease by means of the
System of Objectified Judgement Analysis (SOJA).
European Journal of Hospital Pharmacy: Science and
Practice, 28(2), Article e4. https://doi.org/10.1136/ejhpharm-2020-002229
2020
Hoekstra,
J., Leeflang, P. S. H., & Metting,
E. (2020). How COVID-19 changes human behaviour
and marketing decision-making: Connecting authentic brands with
people in times of crisis. Customer Insights
Center.
Abdel-Aal,
A., Jordan, R., Adab, P., Adam, R., Barnard, A., Bouloukaki,
I., Van Boven, J. F. M., Chavannes, N., Dickens,
A., Van Gemert, F., Escarrer, M., Haroon, S., Kayongo,
A., Kirenga, B., Kocks, J., Kotz, D., Lisspers, K.,
Newby, C., Mcnulty, C., ... Williams, S. (2020).
Identification of important respiratory research themes
relevant to primary care: qualitative analysis of round 1 of the
2020 International Primary Care Respiratory Group (IPCRG) Research
Prioritisation Exercise. European Respiratory
Journal, 56. https://doi.org/10.1183/13993003.congress-2020.4017
Metting,
E., Peters, M., Rollema, C., Van Boven,
J. F. M., & Sanderman, R. (2020).
Lack of knowledge regarding nasal inhaler technique in
allergic rhinitis: results from a mixed methods study.
European Respiratory Journal, 56. https://doi.org/10.1183/13993003.congress-2020.2701
Baron,
A. J., Flokstra-De Blok, B. M. J., Van Heijst,
E., Meijer, J. M., Metting, E. E.,
Riemersma, R. A., Kerstjens, H. A. M., &
Kocks, J. W. H. (2020). Patient characteristics that
guide medication advice for primary care COPD patients in an
electronic service: preliminary results. European
Respiratory Journal, 56(suppl 64). https://doi.org/10.1183/13993003.congress-2020.2421
Baron,
A. J., Flokstra-de Blok, B. M. J., van Heijst,
E., Riemersma, R. A., Sonnenschein-van der Voort, A. M. M.,
Metting, E., & Kocks, J. W. H. (2020).
Prevalence of Asthma Characteristics in COPD Patients in a
Dutch Well-Established Asthma/COPD Service for Primary Care.
International Journal of Chronic Obstructive Pulmonary
Disease, 15, 1601-1611. https://doi.org/10.2147/COPD.S247819
Peters-Geven,
M. M., Rollema, C., Metting, E.
I., van Roon, E. N., & de Vries, T. W.
(2020). The Quality of Instructional YouTube Videos for the
Administration of Intranasal Spray: Observational Study.
JMR Medical Education, 6(2), Article
e23668. https://doi.org/10.2196/23668
Bins,
J. E., Metting, E. I., Muilwijk-Kroes, J. B.,
Kocks, J. W. H., & In 't Veen, J. C. C. M. (2020).
The use of a direct bronchial challenge test in primary care
to diagnose asthma. Primary Care Respiratory
Medicine, 30(1), Article 45. https://doi.org/10.1038/s41533-020-00202-y
2019
Metting,
E. I., Verhallen, L., & De Jong,
C. (2019). Barriers and facilitators of developing and
implementing eHealth applications: a questionnaire study with
eHealth professionals. European Respiratory
Journal, 54. https://doi.org/10.1183/13993003.congress-2019.PA2239
Metting,
E., Baron, A.-J., Chavannes, N. H., Tran, A.,
Van Luenen, S., & De Jong, C. (2019).
Evaluation of a pharmacy based personal health record by
elderly respiratory patients. European Respiratory
Journal, 54. https://doi.org/10.1183/13993003.congress-2019.PA748
Baron,
A. J., Flokstra-De Blok, B. M. J., Heijst, V.
E., Riemersma, R. A., Sonnenschein-Van der Voort, A. M. M.,
Metting, E. I., & Kocks, J. W. H. (2019).
Prevalence of asthma characteristics in COPD patients in a
Dutch well-established asthma/COPD service for primary care.
European Respiratory Journal, 54. https://doi.org/10.1183/13993003.congress-2019.OA256
Román-Rodríguez,
M., Metting, E., Gacía-Pardo, M.,
Kocks, J., & van der Molen, T. (2019).
Wrong inhalation technique is associated to poor asthma
clinical outcomes. Is there room for improvement?
Current Opinion in Pulmonary Medicine,
25(1), 18-26. https://doi.org/10.1097/MCP.0000000000000540
2018
Metting,
E., Schrage, A. J., Kocks, J.
W., Sanderman, R., & van der Molen,
T. (2018). Assessing the Needs and Perspectives of
Patients With Asthma and Chronic Obstructive Pulmonary Disease on
Patient Web Portals: Focus Group Study. JMIR
Formative Research, 2(2), Article e22. https://doi.org/10.2196/formative.8822
Metting,
E. I. (2018). Development of patient centered
management of asthma and COPD in primary care. [Thesis
fully internal (DIV), University of Groningen]. Rijksuniversiteit
Groningen.
Kocks,
J., Van Dijk, L., Luers, J., Messlaki, H. E., Jaarsveld, X.
V., & Metting, E. (2018). Inhaler
preferences and satisfaction of asthma and COPD
patients. Poster session presented at 28th
International Congress of the European-Respiratory-Society (ERS),
Paris, France. https://doi.org/10.1183/13993003.congress-2018.PA1009
Metting,
E. I., Hagedoorn, P., Schokker, S., Van Heijst,
E., Klemmeier, T., Steurs, M., Ettema, R., Burger, K.,
Rodriguez, M. R., Tsiligianni, I., Van der Molen,
T., & Kocks, J. (2018). Towards a new
inhaler instruction method based on based findings from the Inhaler
Research Workgroup study. European Respiratory
Journal, 52. https://doi.org/10.1183/13993003.congress-2018.PA4203
2017
Westerik,
J. A. M., Metting, E. I., van Boven, J. F.
M., Tiersma, W., Kocks, J. W. H., &
Schermer, T. R. J. (2017). Associations between chronic
comorbidity and exacerbation risk in primary care patients with
COPD. Respiratory Research,
18(31). https://doi.org/10.1186/s12931-017-0512-2
Metting,
E., Lieshout, M., Hagedoorn, P.,
Schokker, S., van Heijst, E., Klemmeier, T., Roman-Rodriguez,
M., Tsilligianni, I., van der Molen, T.,
& Kocks, J. (2017). Asthma and COPD patient
characteristics and illness perceptions related to inhaler
technique. European Respiratory
Journal, 50(Suppl. 61). https://doi.org/10.1183/1393003.congress-2017.PA1613
Metting,
E., Kocks, J. W. H., & Schrage,
A. (2017, Dec 1). Social problemen bij astma en
COPD.
Metting,
E., Hagedoorn, P., Schokker, S., Van Heijst,
E., Klemmeier, T., Lieshout, M., Hoving, H.,
Otermann, V., Tameling, M., Postma, W., Ettema,
R., Roman-Rodriguez, M., Tsilligiani, I., Van
der Molen, T., Kocks, J., & Burger, K.
(2017). The curious incident of the inhaler using dog and
other remarkable inhaler technique stories from real-life clinical
practice. An IRW study. European Respiratory
Journal, 50(Suppl. 61). https://doi.org/10.1183/1393003.congress-2017.PA3888
2016
Metting,
E. I., In 't Veen, J. C. C. M., Dekhuijzen, P. N. R., van
Heijst, E., Kocks, J. W. H., Muilwijk-Kroes, J. B.,
Chavannes, N. H., & van der Molen, T. (2016).
Development of a diagnostic decision tree for obstructive
pulmonary diseases based on real-life data. ERJ
Open Research, 2(1), Article 00077-2015. https://doi.org/10.1183/23120541.00077-2015
Metting,
E. I., Riemersma, R. A., Kocks, J.-W. H.,
Piersma-Wichers, M. G., Sanderman, R., & van
der Molen, T. (2016). Een astma/COPD-dienst voor de
huisartsenpraktijk. Nederlands Tijdschrift voor
Geneeskunde, 160(27), Article D281. https://www.ntvg.nl/artikelen/een-astmacopd-dienst-voor-de-huisartsenpraktijk
Westerik,
J. A. M., Metting, E., van Boven, J. FM.,
Tiersma, W., Kocks, J. W. H., & Schermer, T. R. J.
(2016). Impact of chronic comorbidity on the occurrence of
exacerbations in primary care patients with COPD: preliminary
results from a real-life cohort database study.
European Respiratory Journal,
48(S60), Article PA871.
Metting,
E., Van Der Molen, T., & Kocks,
J. (2016). Loneliness and lack of social support
severely influences patients' quality of life. Secondary findings
from our focusgroup study in asthma and COPD patients.
European Respiratory Journal,
48(Supplement 60), Article PA729. https://doi.org/10.1183/13993003.congress-2016.PA729
Tsiligianni,
I., Metting, E., van der Molen, T.,
Chavannes, N., & Kocks, J. (2016). Morning
and night symptoms in primary care COPD patients: a cross-sectional
and longitudinal study. An UNLOCK study from the IPCRG.
Primary Care Respiratory Medicine,
26, Article 16040. https://doi.org/10.1038/npjpcrm.2016.40
Metting,
E., Van Den Berg, J., Van Heijst, E., Kocks,
J., & Van Der Molen, T. (2016). We
provided patients with patients oriented diagnosis and treatment
advice from their lung assessments using an algorithm. It was
feasible and in general well appreciated by our patients.
European Respiratory Journal,
48(Supplement 60), Article PA3934. https://doi.org/10.1183/13993003.congress-2016.PA3934
2015
Metting,
E. I., Kocks, J. W. H., & Van Der
Molen, T. (2015). Combination therapy versus separate
therapy in real-life primary care asthma patients.
European Respiratory Journal, 46,
Article PA1244. https://doi.org/10.1183/13993003.congress-2015.PA1244
Metting,
E. I., Riemersma, R. A., Kocks, J. H.,
Piersma-Wichers, M. G., Sanderman, R., & van
der Molen, T. (2015). Feasibility and effectiveness of
an Asthma/COPD service for primary care: A cross-sectional baseline
description and longitudinal results. Primary Care
Respiratory Medicine, 25, Article 14101. https://doi.org/10.1038/npjpcrm.2014.101
2014
Metting,
E., Schrage, T., Wennemars, J. W., Riemersma,
R., Kocks, J., Sanderman, R., &
Van Der Molen, T. (2014). How do asthma and COPD
patients think about a patient web portal? Results from a
focusgroup study. P3031. Abstract from
European-Respiratory-Society (ERS) International Congress, Milan,
Italy. http://erj.ersjournals.com/content/44/Suppl_58/P3031
Kocks,
J. W. H., Weatherall, M., Metting, E. I.,
Riemersma, R. A., Fingleton, J., Van Der Molen, T.,
& Beasley, R. (2014). Phenotyping airways disease by
cluster analysis in primary care: 6 distinct clusters
identified. European Respiratory
Journal, 44(suppl 58), Article 1977.
2013
Metting,
E., Riemersma, R., Sanderman, R., Van Der
Molen, T., & Kocks, J. (2013).
Favorable results from a Dutch asthma/COPD service for
primary care. P277. Abstract from European Respiratory
Society Annual Congress 2013, Barcelona, Spain. http://erj.ersjournals.com/content/42/Suppl_57/P277
2010
Metting,
E. (2010). Pilotonderzoek behandeltraject
constitutioneel eczeem. s.n.
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