Resumen de Investigación
Analyzed using Evidence Intelligence™

mHealth intervention reduces diabetes distress in families

Última actualización 8 de julio de 2026

Key finding

Significant pre-post reductions in PPAID scores (p = 0.026)

This study evaluated the effectiveness of the Remedy to Diabetes Distress (R2D2) intervention for families of children with Type 1 Diabetes, finding significant reductions in diabetes distress for parents and children.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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

This study evaluated the effectiveness of the Remedy to Diabetes Distress (R2D2) intervention for families of children with Type 1 Diabetes, finding significant reductions in diabetes distress for parents and children.

Clinical relevance

Reducing diabetes distress is crucial for families managing Type 1 Diabetes, as it can lead to better emotional well-being and potentially improve diabetes management. The high satisfaction scores indicate that the R2D2 intervention may be a valuable tool for supporting families, highlighting the importance of addressing psychological aspects alongside medical treatment.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population No significant changes in HbA1c levels

Published in

Referencia de la Revista

Publication details and source links for this paper.

Susana RP, Jessica SP, Nicole K, et al. Initial Outcomes of a New mHealth Intervention to Reduce Diabetes Distress in Families of School-Age Children Living with Type 1 Diabetes. Children. 2024;11(10):1169. doi:10.3390/children11101169

Efectos Principales

Significant reduction in Parent PPAID scores (-5.1, p = 0.026)

Significant reduction in Child PAID scores (-3.7, p = 0.026)

High parent satisfaction scores (3.75)

High child satisfaction scores (3.23)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to mHealth diabetes support intervention and Child satisfaction score regarding diabetes intervention, Diabetes-related misconceptions, HbA1c, and 2 more.

Primary intervention

mHealth diabetes support intervention

Primary outcomes

  • Child satisfaction score regarding diabetes intervention
  • Diabetes-related misconceptions
  • HbA1c

Evidence relationships

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

5
Evidence pairs
5
Relationships
1
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: 59

1

Related topics

5

Evidence pairs

310

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

mHealth Diabetes Support Interventions and HbA1c

Evidencia relacionada

Tema de evidencia

HbA1c Reduction

Guardar evidencia

Intervención

mHealth Diabetes Support Interventions

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Child satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Child satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Child satisfaction score regarding diabetes intervention

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Diabetes-related misconceptions

mHealth diabetes support intervention → Diabetes-related misconceptions

mHealth diabetes support intervention → Diabetes-related misconceptions

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HbA1c

mHealth diabetes support intervention → HbA1c

mHealth diabetes support intervention → HbA1c

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
58
Slightly Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Parent satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Parent satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Parent satisfaction score regarding diabetes intervention

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Reduction in child-reported diabetes distress as measured by the PAID score

mHealth diabetes support intervention → Reduction in child-reported diabetes distress as measured by the PAID score

mHealth diabetes support intervention → Reduction in child-reported diabetes distress as measured by the PAID score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

La Evidencia Sugiere

  • Parent PPAID scores decreased significantly by 5.1 points (p = 0.026).
  • Child PAID scores decreased significantly by 3.7 points (p = 0.026).
  • Both parents and children reported high satisfaction with the intervention.
who this applies

A quién se aplica

  • Families with school-age children diagnosed with Type 1 Diabetes
  • Parents experiencing diabetes distress
keep in mind

Tener en Cuenta

  • Results may not apply to families outside the study population.
  • Effectiveness for some outcomes remains unclear.
  • Further research needed to assess long-term impacts on HbA1c levels.
between the lines

Entre Líneas

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population
  • No significant changes in HbA1c levels

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on mHealth Diabetes Support Interventions and HbA1c, mHealth Diabetes Support Interventions and Reduction in child-reported diabetes distress as measured by the PAID score.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

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

Incluido en estas colecciones de evidencia

Curated evidence collections and hubs this study is part of.

Explora más en Evidence Explorer

Jump to pre-filtered views in Evidence Explorer.

Questions answered by this study

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

Does mHealth Diabetes Support Interventions improve HbA1c?

Strong Evidence

mHealth Diabetes Support Interventions may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does mHealth diabetes support intervention improve child satisfaction score regarding diabetes intervention?

Emerging Evidence

mHealth diabetes support intervention appears to improve Child satisfaction score regarding diabetes intervention.

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

Ranked evidence signals

  1. 1

    Child satisfaction score regarding diabetes intervention

    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 mHealth diabetes support intervention improve diabetes-related misconceptions?

Emerging Evidence

mHealth diabetes support intervention appears to improve Diabetes-related misconceptions.

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

Ranked evidence signals

  1. 1

    Diabetes-related misconceptions

    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 mHealth diabetes support intervention improve parent satisfaction score regarding diabetes intervention?

Emerging Evidence

mHealth diabetes support intervention appears to improve Parent satisfaction score regarding diabetes intervention.

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

Ranked evidence signals

  1. 1

    Parent satisfaction score regarding diabetes intervention

    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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