Última actualización 12 de julio de 2026
Key finding
A significantly higher proportion of intervention participants achieved HbA1c reduction ≥0.5% compared to the control group (21.8% vs. 10.3%, p < 0.05).
The IMPACT Diabetes trial evaluated a community-based intervention for diabetes care in India, finding significant improvements in HbA1c reduction and healthcare utilization.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Extended (5–20+ y)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
The IMPACT Diabetes trial evaluated a community-based intervention for diabetes care in India, finding significant improvements in HbA1c reduction and healthcare utilization.
These findings highlight the potential of community-based, technology-enabled interventions to enhance diabetes management in resource-limited settings, potentially leading to better health outcomes for patients.
The study's generalizability may be limited to similar community settings. Potential confounding factors were not fully controlled for. Effectiveness of the intervention may vary with different populations.
Published in
Publication details and source links for this paper.
Abhinav B, Varun A, Sumaiya A, et al. IMPACT Diabetes: A cluster randomized controlled trial evaluating a community-based, technology-enabled task-shifting intervention for diabetes care in India. Scientific Reports. 2025;15:36712. doi:10.1038/s41598-025-20728-w
21.8% of intervention participants achieved ≥0.5% reduction in HbA1c compared to 10.3% in control (p < 0.05).
Intervention participants had 55.2 more physician visits on average than control participants (p < 0.001).
Medication adherence for glucose-lowering medications was 63.0% in the intervention group versus 43.1% in the control (p < 0.001).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Digital physician-pharmacist collaborative care and Frequency of physician visits, HbA1c, Proportion of participants achieving ≥0.5% reduction in HbA1c, and 1 more.
This study contributes evidence to
Primary intervention
Digital physician-pharmacist collaborative care
Primary outcomes
Primary intervention
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.
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Core evidence
The primary outcomes reported in this study.
Digital physician-pharmacist collaborative care → Frequency of physician visits
Digital physician-pharmacist collaborative care → Frequency of physician visits
Digital physician-pharmacist collaborative care → HbA1c
Digital physician-pharmacist collaborative care → HbA1c
Digital physician-pharmacist collaborative care → Proportion of participants achieving ≥0.5% reduction in HbA1c
Digital physician-pharmacist collaborative care → Proportion of participants achieving ≥0.5% reduction in HbA1c
Digital physician-pharmacist collaborative care → Self-reported medication adherence at 12 months
Digital physician-pharmacist collaborative care → Self-reported medication adherence at 12 months
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12 tracked topics
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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 Frequency of physician visits.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Frequency of physician visits
Measures Frequency of physician visits as a key outcome.
Latest published studies
Published within the last 2 years.
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2 results
1 results
2 results
2 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate 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
Digital physician-pharmacist collaborative care appears to improve Frequency of physician visits.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Frequency of physician visits
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Digital physician-pharmacist collaborative care appears to improve Proportion of participants achieving ≥0.5% reduction in HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion of participants achieving ≥0.5% reduction in HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Digital physician-pharmacist collaborative care appears to improve Self-reported medication adherence at 12 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Self-reported medication adherence at 12 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
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