Resumen de Investigación
Analyzed using Evidence Intelligence™

CHIP improves health outcomes in adults with type 2 diabetes

Última actualización 11 de julio de 2026

Key finding

At 6 months, change in HbA1c was -0.46% [95% CI -0.93, 0.01] for the intervention group.

The study evaluated the Complete Health Improvement Program (CHIP) against usual care in a randomized-controlled trial. Results indicated improvements in HbA1c and waist circumference for the intervention group.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

The study evaluated the Complete Health Improvement Program (CHIP) against usual care in a randomized-controlled trial. Results indicated improvements in HbA1c and waist circumference for the intervention group.

Clinical relevance

These findings suggest that the Complete Health Improvement Program (CHIP) may be an effective intervention for improving health markers related to diabetes and obesity. By demonstrating significant reductions in HbA1c and waist circumference, CHIP could play a crucial role in managing diabetes and promoting healthier lifestyles, ultimately reducing the risk of complications associated with these conditions.

Keep in mind

Unclear effectiveness for some outcomes due to overlapping confidence intervals. Limited generalizability as the study population may not represent all demographics. Potential biases in self-reported lifestyle survey results.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Thomas M, Ryan M, Erin V, et al. Randomized-controlled trials of the Complete Health Improvement Program (CHIP). Pilot and Feasibility Studies. 2026;12:80. doi:10.1186/s40814-026-01828-4

Efectos Principales

Intervention group showed a decrease in HbA1c by -0.46% [95% CI -0.93, 0.01].

Control group showed a decrease in HbA1c by -0.58% [95% CI -0.95, -0.22].

Intervention group had a reduction in waist circumference of -4.65 inches [95% CI -9.71, 0.41].

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Complete Health Improvement Program (CHIP), Usual care and HbA1c, Lifestyle Survey Results, Waist circumference.

Primary intervention

Complete Health Improvement Program (CHIP)

Primary outcomes

  • HbA1c
  • Lifestyle Survey Results
  • Waist circumference

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

2

Related topics

6

Evidence pairs

293

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

HbA1c Reduction

matched_outcome

Evidencia relacionada

Tema de evidencia

Weight Loss

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Complete Health Improvement Program (CHIP) → HbA1c

Complete Health Improvement Program (CHIP) → HbA1c

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Lifestyle Survey Results

Complete Health Improvement Program (CHIP) → Lifestyle Survey Results

Complete Health Improvement Program (CHIP) → Lifestyle Survey Results

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Waist circumference

Complete Health Improvement Program (CHIP) → Waist circumference

Complete Health Improvement Program (CHIP) → Waist circumference

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Usual care → HbA1c

Usual care → HbA1c

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Lifestyle Survey Results

Usual care → Lifestyle Survey Results

Usual care → Lifestyle Survey Results

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Waist circumference

Usual care → Waist circumference

Usual care → Waist circumference

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Today's Activity

Your Evidence Workspace

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • CHIP led to a significant decrease in HbA1c by -0.46% at 6 months.
  • Waist circumference reduced by -4.65 inches in the intervention group.
  • No significant lifestyle changes were reported in the control group.
who this applies

A quién se aplica

  • Adults with elevated HbA1c levels.
  • Individuals seeking lifestyle interventions for weight management.
  • Patients with type 2 diabetes.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study demographics.
  • The study duration was only 6 months, limiting long-term conclusions.
  • Self-reported data may introduce bias in lifestyle changes reported.
between the lines

Entre Líneas

  • Unclear effectiveness for some outcomes due to overlapping confidence intervals.
  • Limited generalizability as the study population may not represent all demographics.
  • Potential biases in self-reported lifestyle survey results.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

Free account

Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

Coming Soon

Weekly Evidence Digest

Coming Soon

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Usual care and HbA1c, Complete Health Improvement Program (CHIP) and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Behavioral & Lifestyle
Detailed evidence

Usual care → HbA1c

Behavioral & Lifestyle

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
View evidence

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Usual care improve HbA1c?

Strong Evidence

Usual care may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Complete Health Improvement Program (CHIP) improve HbA1c?

Emerging Evidence

Complete Health Improvement Program (CHIP) appears to improve HbA1c.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Complete Health Improvement Program (CHIP) improve lifestyle survey results?

Emerging Evidence

Complete Health Improvement Program (CHIP) appears to improve Lifestyle Survey Results.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Lifestyle Survey Results

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Complete Health Improvement Program (CHIP) affect waist circumference?

Emerging Evidence

Complete Health Improvement Program (CHIP) appears to improve Waist circumference.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Waist circumference

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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