Resumen de Investigación
Analyzed using Evidence Intelligence™

SMS Messaging Improves Medication Adherence in Type 2 Diabetes

Última actualización 8 de julio de 2026

Key finding

The maximum rate of monthly recruitment to the trial was 60–80 participants per month.

This pilot randomized controlled trial evaluated the feasibility of using SMS messaging to enhance medication adherence in individuals with Type 2 diabetes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 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 pilot randomized controlled trial evaluated the feasibility of using SMS messaging to enhance medication adherence in individuals with Type 2 diabetes.

Clinical relevance

Improving medication adherence is crucial for managing Type 2 diabetes effectively. This study's findings on participant engagement and data collection methods can inform future research and interventions aimed at enhancing adherence through technology, potentially leading to better health outcomes.

Keep in mind

Effectiveness of SMS messaging remains unclear. Findings may not be generalizable beyond the study population. Limited data on long-term adherence outcomes.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Andrew JF, Julie A, Y. KB, et al. Feasibility of SMS Messaging to Promote Medication Adherence in Type 2 Diabetes: A Pilot RCT. Pilot and Feasibility Studies. 2024;10:15. doi:10.1186/s40814-023-01429-5

Efectos Principales

The maximum rate of monthly recruitment was 60-80 participants.

Participant retention rate at 6 months was 99.0%.

HbA1c measurement was reported for 67% of participants.

Self-report data was available for 84.7% of participants.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to SMS text messaging behavioral intervention for health promotion and HbA1c, Medical record data availability at 6 months, Participant retention at 6 months, and 2 more.

Primary intervention

SMS text messaging behavioral intervention for health promotion

Primary outcomes

  • HbA1c
  • Medical record data availability at 6 months
  • Participant retention at 6 months

Evidence relationships

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

5
Evidence pairs
5
Relationships
3
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: 65

3

Related topics

5

Evidence pairs

325

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

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 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.

HbA1c

SMS text messaging behavioral intervention for health promotion → HbA1c

SMS text messaging behavioral intervention for health promotion → HbA1c

Evidence Intelligence™
ImpactScore™
67
Slightly Positive
EvidenceScore™
83
Strong
ConsistencyScore™
60
generally_consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Medical record data availability at 6 months

SMS text messaging behavioral intervention for health promotion → Medical record data availability at 6 months

SMS text messaging behavioral intervention for health promotion → Medical record data availability at 6 months

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 Tracker

Participant retention at 6 months

SMS text messaging behavioral intervention for health promotion → Participant retention at 6 months

SMS text messaging behavioral intervention for health promotion → Participant retention at 6 months

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 Tracker

Rate of recruitment to randomisation

SMS text messaging behavioral intervention for health promotion → Rate of recruitment to randomisation

SMS text messaging behavioral intervention for health promotion → Rate of recruitment to randomisation

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 Tracker

Self-report data availability

SMS text messaging behavioral intervention for health promotion → Self-report data availability

SMS text messaging behavioral intervention for health promotion → Self-report data availability

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 Tracker

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Today's Activity

Your Evidence Workspace

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Saved this study

Your free account becomes your personal diabetes evidence workspace.

Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • High participant retention rate of 99.0% at 6 months.
  • 67% of participants had HbA1c measurements recorded.
  • 84.7% of participants completed self-report data.
who this applies

A quién se aplica

  • Adults diagnosed with Type 2 diabetes.
  • Individuals receiving standard care for diabetes management.
keep in mind

Tener en Cuenta

  • The study's effectiveness findings are unclear.
  • Results may not apply to all demographics of diabetes patients.
  • Further research is needed to assess long-term impacts of SMS interventions.
between the lines

Entre Líneas

  • Effectiveness of SMS messaging remains unclear.
  • Findings may not be generalizable beyond the study population.
  • Limited data on long-term adherence 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

Free account

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

Already have an account?

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 Medical record data availability at 6 months.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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

Explora más en el archivo de evidencia

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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. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 83.0 | weak positive | ConsistencyScore™ Generally Consistent | 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.
28 supporting studiesUpdated: Jul 2026

Does SMS text messaging behavioral intervention for health promotion improve medical record data availability at 6 months?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Medical record data availability at 6 months.

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

Ranked evidence signals

  1. 1

    Medical record data availability at 6 months

    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 SMS text messaging behavioral intervention for health promotion improve participant retention at 6 months?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Participant retention at 6 months.

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

Ranked evidence signals

  1. 1

    Participant retention at 6 months

    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 SMS text messaging behavioral intervention for health promotion improve rate of recruitment to randomisation?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Rate of recruitment to randomisation.

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

Ranked evidence signals

  1. 1

    Rate of recruitment to randomisation

    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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