Resumen de Investigación
Analyzed using Evidence Intelligence™

Digital health intervention may improve engagement in prediabetes management

Última actualización 8 de julio de 2026

Key finding

Intervention A led to a small, nonsignificant reduction in HbA1c levels compared to the control group (β=−0.05, 95% CI −0.21 to 0.10; P =.50)

The study evaluated the effectiveness of the PREDIABETEXT digital health intervention for managing prediabetes. It found a nonsignificant reduction in HbA1c levels.

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

Some Concerns

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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 effectiveness of the PREDIABETEXT digital health intervention for managing prediabetes. It found a nonsignificant reduction in HbA1c levels.

Clinical relevance

Understanding the effectiveness of digital health interventions like PREDIABETEXT is crucial as they offer accessible methods for managing prediabetes. While the intervention did not show significant clinical improvements in HbA1c levels, the positive patient feedback suggests that such programs may enhance engagement and adherence to dietary recommendations, which are vital for preventing type 2 diabetes.

Keep in mind

The reduction in HbA1c was not statistically significant. No substantial differences in secondary outcomes limit the intervention's perceived effectiveness. The study's population may not be generalizable to all individuals with prediabetes.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Naomi C, Robert M, Neeladri M, et al. Effectiveness of PREDIABETEXT Digital Health Intervention for Prediabetes Management. Journal of Medical Internet Research. 2025;27:e70981. doi:10.2196/70981

Efectos Principales

Intervention A led to a small, nonsignificant reduction in HbA1c levels (β=−0.05, P =.50).

No substantial differences were observed in secondary clinical outcomes.

Patient interviews revealed positive feedback regarding the intervention's dietary messages.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to SMS text messaging behavioral intervention for health promotion and Fasting Plasma Glucose (FPG), HbA1c, Patient engagement.

Primary intervention

SMS text messaging behavioral intervention for health promotion

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • HbA1c
  • Patient engagement

Evidence relationships

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

3
Evidence pairs
3
Relationships
4
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: 72

4

Related topics

3

Evidence pairs

455

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose

Evidencia relacionada

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Seguir evidencia

Tema de evidencia

Glycemic Control

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

SMS text messaging behavioral intervention for health promotion → Fasting Plasma Glucose (FPG)

SMS text messaging behavioral intervention for health promotion → Fasting Plasma Glucose (FPG)

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

HbA1c

SMS text messaging behavioral intervention for health promotion → HbA1c

SMS text messaging behavioral intervention for health promotion → HbA1c

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
83
Strong
ConsistencyScore™
60
generally_consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Patient engagement

SMS text messaging behavioral intervention for health promotion → Patient engagement

SMS text messaging behavioral intervention for health promotion → Patient engagement

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

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Today's Activity

Your Evidence Workspace

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Saved this study

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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

  • The intervention resulted in a nonsignificant HbA1c reduction of -0.05 percentage points.
  • Patient engagement was positively rated, particularly regarding dietary messages.
  • No significant differences in secondary clinical outcomes were found.
who this applies

A quién se aplica

  • Individuals diagnosed with prediabetes.
  • Patients interested in digital health interventions for diabetes prevention.
keep in mind

Tener en Cuenta

  • The findings may not apply to all demographics of prediabetic patients.
  • The lack of significant HbA1c reduction suggests limited clinical impact.
  • Patient feedback, while positive, does not equate to clinical effectiveness.
between the lines

Entre Líneas

  • The reduction in HbA1c was not statistically significant.
  • No substantial differences in secondary outcomes limit the intervention's perceived effectiveness.
  • The study's population may not be generalizable to all individuals with prediabetes.

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 Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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

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Questions answered by this study

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

Does Diabetes Self-Management Education and Support (DSMES) Programs improve fasting glucose?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 8 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
8 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 83.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 28 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
28 supporting studiesUpdated: Jul 2026

Does SMS text messaging behavioral intervention for health promotion improve patient engagement?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Patient engagement.

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

Ranked evidence signals

  1. 1

    Patient engagement

    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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