Resumen de Investigación
Analyzed using Evidence Intelligence™

Nurse-led program improves diabetes management and mental health

Última actualización 12 de julio de 2026

Key finding

Time in range increased significantly from baseline to 1 and 3 months in the intervention group.

The Diabself-care Program, a nurse-led diabetes self-management intervention, significantly improved self-management adherence and reduced anxiety and depression scores in participants.

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

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 Diabself-care Program, a nurse-led diabetes self-management intervention, significantly improved self-management adherence and reduced anxiety and depression scores in participants.

Clinical relevance

Improving self-management in diabetes patients is crucial for better health outcomes. The Diabself-care Program not only enhances diabetes control but also addresses mental health aspects, which are often overlooked. This dual benefit can lead to improved quality of life for individuals with diabetes.

Keep in mind

The effectiveness of the intervention remains unclear due to limited evidence data. The study's generalizability may be limited by the specific population characteristics. Potential confounding factors were not fully accounted for in the analysis.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Rocío R, Manuel P, Shakira K, José AP, Daniele G. The Diabself-care Program: A Nurse-Led Structured Diabetes Self-Management Intervention. Healthcare. 2025;13(24):3197. doi:10.3390/healthcare13243197

Efectos Principales

Time in range increased significantly from baseline to 1 and 3 months in the intervention group.

Self-management adherence improved significantly in the intervention group (p < 0.001).

Anxiety scores decreased significantly in the intervention group at 1 and 3 months.

Depression scores decreased significantly in the intervention group at 1 and 3 months.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Instructional WhatsApp group for diabetes self-care and Anxiety score, Depression score, Diabetes self-management behaviors, and 1 more.

Primary intervention

Instructional WhatsApp group for diabetes self-care

Primary outcomes

  • Anxiety score
  • Depression score
  • Diabetes self-management behaviors

Evidence relationships

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

4
Evidence pairs
4
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

4

Evidence pairs

579

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 4 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

Tema de evidencia

Diabetes Self-Management Education

matched_intervention_and_outcome

Evidencia relacionada

Tema de evidencia

Diabetes Technology

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Anxiety score

Instructional WhatsApp group for diabetes self-care → Anxiety score

Instructional WhatsApp group for diabetes self-care → Anxiety 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

Depression score

Instructional WhatsApp group for diabetes self-care → Depression score

Instructional WhatsApp group for diabetes self-care → Depression score

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
75
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Diabetes self-management behaviors

Instructional WhatsApp group for diabetes self-care → Diabetes self-management behaviors

Instructional WhatsApp group for diabetes self-care → Diabetes self-management behaviors

Evidence Intelligence™
EvidenceScore™
76
Strong
ImpactScore™
89
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 4 estudios
Add to Evidence Tracker

Time in range

Instructional WhatsApp group for diabetes self-care → Time in range

Instructional WhatsApp group for diabetes self-care → Time in range

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

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evidence suggest

La Evidencia Sugiere

  • Self-management adherence improved significantly (p < 0.001).
  • Anxiety scores decreased significantly (p < 0.001).
  • Depression scores decreased significantly (p < 0.001).
who this applies

A quién se aplica

  • Individuals with diabetes seeking to improve self-management.
  • Patients experiencing anxiety and depression related to diabetes.
keep in mind

Tener en Cuenta

  • Results are based on a specific population and may not apply to all diabetes patients.
  • The study design limits the ability to draw definitive conclusions about long-term effects.
  • Further research is needed to explore the program's effectiveness in diverse populations.
between the lines

Entre Líneas

  • The effectiveness of the intervention remains unclear due to limited evidence data.
  • The study's generalizability may be limited by the specific population characteristics.
  • Potential confounding factors were not fully accounted for in the analysis.

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 Instructional WhatsApp group for diabetes self-care and Diabetes Management Self-Efficacy, Instructional WhatsApp group for diabetes self-care and Mental Health.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

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 Instructional WhatsApp group for diabetes self-care improve diabetes self-management behaviors?

Strong Evidence

Instructional WhatsApp group for diabetes self-care appears to improve Diabetes self-management behaviors.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Strong | EvidenceScore™ 75.6 | strong positive | ConsistencyScore™ 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 Instructional WhatsApp group for diabetes self-care improve depression score?

Moderate Evidence

Instructional WhatsApp group for diabetes self-care may improve Depression score.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Depression score

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

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

Does Instructional WhatsApp group for diabetes self-care improve anxiety score?

Emerging Evidence

Instructional WhatsApp group for diabetes self-care appears to improve Anxiety score.

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

Ranked evidence signals

  1. 1

    Anxiety score

    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 Instructional WhatsApp group for diabetes self-care improve time in range?

Emerging Evidence

Instructional WhatsApp group for diabetes self-care appears to improve Time in range.

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

Ranked evidence signals

  1. 1

    Time in range

    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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