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Resumen de Investigación
Analyzed using Evidence Intelligence™

Scalable diabetes education improves care coordination

Desarrollado con el marco Evidence Intelligence™ de Dediabetes

Última actualización 8 de julio de 2026

Key finding

Mean difference at 12-month; -0.1% (-0.4 to 0.1) for nurse-led.

This study evaluated the effectiveness of scalable diabetes self-management education and support models in adults with Type 2 Diabetes. Results showed no significant changes in key health outcomes.

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

This study evaluated the effectiveness of scalable diabetes self-management education and support models in adults with Type 2 Diabetes. Results showed no significant changes in key health outcomes.

Clinical relevance

Understanding the effectiveness of diabetes self-management education is crucial for developing effective interventions. This study highlights the challenges in achieving significant health improvements through scalable education models, which can inform future program designs and resource allocation.

Keep in mind

The study did not demonstrate significant effectiveness of the interventions. Sample size and participant characteristics may limit generalizability. Outcomes measured may not capture all aspects of diabetes management.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Piyachon A, Iliatha PN, Poppy ACM, et al. Effectiveness of Scalable Models of Diabetes Self-Management Education and Support in Adults with Type 2 Diabetes. The Lancet Regional Health - Southeast Asia. 2026;49:100778. doi:10.1016/j.lansea.2026.100778

View DOIView on PubMedView on PMC

Efectos Principales

Nurse-led intervention showed a mean HbA1c difference of -0.1% (p=0.45), indicating no significant change.

Peer-assisted intervention showed a mean HbA1c difference of 0.1% (p=0.85), indicating no significant change.

No significant differences were found in BMI, waist circumference, or other metabolic markers.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DSMES and BMI, Diastolic blood pressure, Difference in Thai-CV risk score at 12 months compared to routine care, and 8 more.

This study contributes evidence to

Intervention

DSMES

Outcome

BMI

Evidence topic

Weight Loss

Primary intervention

DSMES

Primary outcomes

  • BMI
  • Diastolic blood pressure
  • Difference in Thai-CV risk score at 12 months compared to routine care

Evidence topics

Weight LossGlycemic ControlHbA1c ReductionDiabetes Self-Management Education and Support

Primary intervention

DSMES

Primary outcomes

BMIDiastolic blood pressureDifference in Thai-CV risk score at 12 months compared to routine care

Evidence relationships

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

11
Evidence pairs
11
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

11

Evidence pairs

1170

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 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

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 Body Mass Index

Guardar evidencia

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Blood Pressure

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

DSMES → BMI

DSMES → BMI

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Diastolic blood pressure

DSMES → Diastolic blood pressure

DSMES → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fasting blood sugar (FBS)

DSMES → Fasting blood sugar (FBS)

DSMES → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

HbA1c

DSMES → HbA1c

DSMES → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
70
Positive
ConsistencyScore™
64
generally_consistent
Estudios de apoyo: Basado en 11 estudios
Add to Evidence Tracker

HDL cholesterol

DSMES → HDL cholesterol

DSMES → HDL cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

LDL cholesterol

DSMES → LDL cholesterol

DSMES → LDL cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Systolic blood pressure

DSMES → Systolic blood pressure

DSMES → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Total cholesterol

DSMES → Total cholesterol

DSMES → Total cholesterol

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

Triglycerides

DSMES → Triglycerides

DSMES → Triglycerides

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

Waist circumference

DSMES → Waist circumference

DSMES → Waist circumference

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
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

  • Nurse-led intervention resulted in a -0.1% change in HbA1c, not statistically significant.
  • Peer-assisted intervention showed a 0.1% change in HbA1c, also not statistically significant.
  • No significant differences in metabolic markers like BMI and cholesterol levels.
who this applies

A quién se aplica

  • Adults diagnosed with Type 2 Diabetes.
  • Participants seeking scalable diabetes education and support.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study sample.
  • Interventions did not show clinically meaningful changes in health outcomes.
  • Future studies may need to explore different approaches or larger sample sizes.
between the lines

Entre Líneas

  • The study did not demonstrate significant effectiveness of the interventions.
  • Sample size and participant characteristics may limit generalizability.
  • Outcomes measured may not capture all aspects of diabetes management.

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.

Desarrollado con el marco Evidence Intelligence™ de Dediabetes

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 Body Mass Index.

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.

Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub

All studies on Diabetes Self-Management Education and Support (DSMES) Programs

11 studies
intervention_hub

Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.

HbA1c Evidence Hub

All studies measuring HbA1c

11 studies
outcome_hub

Measures HbA1c as a key outcome.

Blood Pressure Evidence Hub

All studies measuring Blood Pressure

2 studies
outcome_hub

Measures Blood Pressure as a key outcome.

Body Mass Index Evidence Hub

All studies measuring Body Mass Index

2 studies
outcome_hub

Measures Body Mass Index as a key outcome.

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

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 mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Population details are unavailable.
20 supporting studiesUpdated: Aug 2026
View Full Evidence

Does Diabetes Self-Management Education and Support (DSMES) Programs affect body mass index?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Body Mass Index.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 15 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
15 supporting studiesUpdated: Aug 2026
View Full Evidence

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

Strong Evidence

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

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

  2. 2

    Diastolic blood pressure

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

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

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Aug 2026
View Full Evidence

Does Diabetes Self-Management Education and Support (DSMES) Programs improve adipokine and angiogenic markers?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Total cholesterol

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

  2. 2

    Triglycerides

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

  3. 3

    HDL cholesterol

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

Why this answer: This answer is based on 11 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Aug 2026
View Full Evidence
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

Evidence topics

Follow the topics this study contributes to.

Weight Loss Evidence HubGlycemic Control Evidence HubHbA1c Reduction Evidence HubDiabetes Self-Management Education and Support Evidence Hub

Explore in Evidence Explorer

Open broader Evidence Explorer views for this relationship.

All studies on DSMES and HbA1cAll studies on DSMES and Difference in Thai-CV risk score at 12 months compared to routine careAll studies on DSMES and BMIAll studies on DSMES and Fasting blood sugar (FBS)

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