Evidence Intelligence™
- ImpactScore™
- 100
- Very Positive
- EvidenceScore™
- 67
- Moderate
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Add to Evidence TrackerResumen de Investigación
Analyzed using Evidence Intelligence™
mHealth social support improves diabetes self-management
Última actualización 8 de julio de 2026
Key finding
Both groups showed significant HbA1c level improvements (combined group change=1.36%, SD 2.42% mg/dL; 95% CI 0.87-1.83; P <.001)
This study evaluated the effectiveness of a mobile health social support program for diabetes management in emergency department patients, finding significant improvements in HbA1c levels.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
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
This study evaluated the effectiveness of a mobile health social support program for diabetes management in emergency department patients, finding significant improvements in HbA1c levels.
Clinical relevance
Improving diabetes self-management is crucial for reducing complications and enhancing quality of life. This study suggests that mobile health interventions can be beneficial, especially for newly diagnosed patients, potentially guiding future diabetes care strategies.
Keep in mind
The study may lack generalizability due to its specific population in emergency departments. Effectiveness of the mHealth intervention remains unclear for the broader diabetes population. Potential unmeasured confounders could influence outcomes.
Published in
Referencia de la Revista
Publication details and source links for this paper.
Naomi C, Amit D, Cynthia B, et al. Social Support mHealth Intervention to Improve Diabetes Self-Management in Emergency Department Patients: A Randomized Phase-III Trial. JMIR Diabetes. 2025;10:e56934. doi:10.2196/56934
Efectos Principales
Both groups showed significant improvements in HbA1c levels (combined change=1.36%, p<0.001).
No significant group difference in HbA1c levels at 6 months (mean difference=0.14%, p=0.87).
Newly diagnosed patients in the mHealth group improved glycemic control more than the standard group (difference of 1.96%, p=0.04).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Peer-support lifestyle program and HbA1c, Improvement in glycemic control for newly diagnosed patients, Safety events.
This study contributes evidence to
Primary intervention
Peer-support lifestyle program
Primary outcomes
- HbA1c
- Improvement in glycemic control for newly diagnosed patients
- Safety events
Primary intervention
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
3
Evidence pairs
3
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
3
Evidence pairs
241
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 3 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
Relación de evidencia
Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c
Evidencia relacionada
Tema de evidencia
HbA1c Reduction
Seguir evidencia
Tema de evidencia
Diabetes Self-Management Education and Support
Seguir evidencia
Core evidence
Study findings
The primary outcomes reported in this study.
Improvement in glycemic control for newly diagnosed patients
Peer-support lifestyle program → Improvement in glycemic control for newly diagnosed patients
Peer-support lifestyle program → Improvement in glycemic control for newly diagnosed patients
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 TrackerSafety events
Peer-support lifestyle program → Safety events
Peer-support lifestyle program → Safety events
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
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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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La Evidencia Sugiere
- Significant HbA1c improvement of 1.36% in both groups.
- No significant difference in HbA1c at 6 months (0.14%, p=0.87).
- 1.96% greater improvement in glycemic control for newly diagnosed patients in the mHealth group.
A quién se aplica
- Patients with diabetes treated in emergency departments.
- Individuals newly diagnosed with diabetes.
Tener en Cuenta
- Results may not apply to all diabetes patients outside emergency settings.
- Further research is needed to clarify the long-term effectiveness of mHealth interventions.
- The study did not measure all potential confounding factors that could affect outcomes.
Entre Líneas
- The study may lack generalizability due to its specific population in emergency departments.
- Effectiveness of the mHealth intervention remains unclear for the broader diabetes population.
- Potential unmeasured confounders could influence outcomes.
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
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
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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 Improvement in glycemic control for newly diagnosed patients.
Relaciones de evidencia relacionadas
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) Programs → HbA1c
Behavioral & Lifestyle
Evidence Intelligence™
- ImpactScore™
- 100
- Very Positive
- EvidenceScore™
- 67
- Moderate
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) Programs → Improvement in glycemic control for newly diagnosed patients
Behavioral & Lifestyle
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
View evidenceIncluido en estas colecciones de evidencia
Curated evidence collections and hubs this study is part of.
Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
2 studies
intervention_hubContributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
HbA1c Evidence Hub
All studies measuring HbA1c
2 studies
outcome_hubMeasures HbA1c as a key outcome.
Improvement in glycemic control for newly diagnosed patients Evidence Hub
All studies measuring Improvement in glycemic control for newly diagnosed patients
1 studies
outcome_hubMeasures Improvement in glycemic control for newly diagnosed patients as a key outcome.
Recent Diabetes Research
Latest published studies
recency_collection
Published within the last 2 years.
Explora más en el archivo de evidencia
Jump to pre-filtered views in the evidence archive.
All studies on Peer-support lifestyle program and HbA1c
Intervention: Peer-support lifestyle programOutcome: HbA1c
2 results
All studies on Peer-support lifestyle program and Improvement in glycemic control for newly diagnosed patients
Intervention: Peer-support lifestyle programOutcome: Improvement in glycemic control for newly diagnosed patients
1 results
All studies on Peer-support lifestyle program
Intervention: Peer-support lifestyle program
2 results
All studies measuring HbA1c
Outcome: HbA1c
2 results
All studies measuring Improvement in glycemic control for newly diagnosed patients
Outcome: Improvement in glycemic control for newly diagnosed patients
1 results
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 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
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 67.5 | strong positive | ConsistencyScore™ Mixed | 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.
Does Peer-support lifestyle program improve improvement in glycemic control for newly diagnosed patients?
Emerging Evidence
Peer-support lifestyle program appears to improve Improvement in glycemic control for newly diagnosed patients.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Improvement in glycemic control for newly diagnosed patients
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.
Does Peer-support lifestyle program affect safety events?
Emerging Evidence
Current evidence does not show a clear benefit of Peer-support lifestyle program for Safety events.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Safety events
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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.
Next steps
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Related research
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Text Messaging Program Shows Little Effect on Diabetes Risk FactorsCommunity-Based Intervention Improves Diabetes Management in Low-Income AdultsmHealth program reduces diabetes risk in mothers with obesityPeer-support lifestyle program reduces diabetes risk factors but not diabetes incidence in high-risk IndiansHRS-7535 improves glycemic control in adults with type 2 diabetes
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