Última actualización 8 de julio de 2026
Key finding
FANS group experienced a reduction of 1.04 visits during the intervention.
This study evaluated the impact of mHealth-augmented social support on healthcare use among diabetes patients, finding reductions in acute care visits for the intervention group.
Quick read
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
A plain-language read of the study's main message and where it applies.
Study focus
This study evaluated the impact of mHealth-augmented social support on healthcare use among diabetes patients, finding reductions in acute care visits for the intervention group.
These findings suggest that integrating mobile health technologies with social support can effectively reduce the need for emergency care in diabetes patients, potentially improving patient outcomes and reducing healthcare costs. This approach may enhance patient engagement and self-management, which are crucial for chronic disease management.
Effectiveness of interventions remains unclear due to limited data. Statistical significance for hospitalizations was only observed in the pamphlet group. The study may not be generalizable to all diabetes populations.
Published in
Publication details and source links for this paper.
Danielle H, Liza R, Elizabeth B, Naomi C, Taiane C. Impact of mHealth-Augmented Social Support on Health Care Use Among Patients with Diabetes: A Secondary Analysis of the TExT-MED+FANS Trial. Interactive Journal of Medical Research. 2026;15:e65113. doi:10.2196/65113
FANS group reduced acute unscheduled care visits by 1.04 during the intervention (p=0.001).
FANS group reduced acute unscheduled care visits by 1.10 postintervention (p=0.001).
Clinic visits increased by 1.78 in the FANS group during the intervention.
Mailed pamphlet group reduced acute unscheduled care visits by 1.47 during the intervention (p=0.001).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Control (Usual Activity), SMS text messaging behavioral intervention for health promotion and Hospitalizations, Increase in clinic visits during intervention phase, Reduction in acute unscheduled care visits during intervention phase, and 1 more.
This study contributes evidence to
Primary intervention
Control (Usual Activity)
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
2
Related topics
8
Evidence pairs
136
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Evidencia principal
Tema de evidencia
matched_intervention
Evidencia relacionada
Tema de evidencia
Seguir evidencia
Core evidence
The primary outcomes reported in this study.
Control (Usual Activity) → Hospitalizations
Control (Usual Activity) → Hospitalizations
Control (Usual Activity) → Increase in clinic visits during intervention phase
Control (Usual Activity) → Increase in clinic visits during intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits during intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits during intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits post-intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits post-intervention phase
SMS text messaging behavioral intervention for health promotion → Hospitalizations
SMS text messaging behavioral intervention for health promotion → Hospitalizations
SMS text messaging behavioral intervention for health promotion → Increase in clinic visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Increase in clinic visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits post-intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits post-intervention phase
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12 tracked topics
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Today's Activity
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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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Control (Usual Activity) and Reduction in acute unscheduled care visits during intervention phase, Control (Usual Activity) and Reduction in acute unscheduled care visits post-intervention phase.
This study contributes to the evidence on the following intervention-outcome relationships.
Control
Control
Curated evidence collections and hubs this study is part of.
All studies on Control (Usual Activity)
Contributes to Control (Usual Activity) evidence base.
All studies measuring Reduction in acute unscheduled care visits during intervention phase
Measures Reduction in acute unscheduled care visits during intervention phase as a key outcome.
All studies measuring Reduction in acute unscheduled care visits post-intervention phase
Measures Reduction in acute unscheduled care visits post-intervention phase as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Control (Usual Activity) appears to improve Increase in clinic visits during intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Increase in clinic visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Control (Usual Activity) appears to improve Reduction in acute unscheduled care visits during intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in acute unscheduled care visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Control (Usual Activity) appears to improve Reduction in acute unscheduled care visits post-intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in acute unscheduled care visits post-intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Increase in clinic visits during intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Increase in clinic visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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