Última actualización 8 de julio de 2026
Key finding
Mean change in HbA1c values from the initial appointment to follow-up was -0.77 (S.D. = 2.31, P < 0.02).
A pharmacist-driven text messaging intervention was studied to improve diabetes self-management in uninsured patients, resulting in a significant reduction in HbA1c levels.
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
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
A pharmacist-driven text messaging intervention was studied to improve diabetes self-management in uninsured patients, resulting in a significant reduction in HbA1c levels.
Improving diabetes management is crucial, especially for uninsured patients who may lack access to regular healthcare. This intervention demonstrates that simple, technology-based strategies can lead to significant health improvements, potentially reducing complications associated with diabetes.
Non-randomized design may introduce bias. Limited generalizability due to the specific population studied. Small sample size may affect the reliability of findings.
Published in
Publication details and source links for this paper.
Annette C, Emily O, Alejandro C, Kevin OR, Kristine Z. Pharmacist-driven text messaging intervention improves diabetes self-management in uninsured patients. Journal of the American Pharmacists Association : JAPhA. 2025;65(4):102403-102403. doi:10.1016/j.japh.2025.102403
Mean change in HbA1c was -0.77% (p < 0.02).
58.3% of participants had clinically significant reductions in HbA1c.
26.7% reduced their HbA1c to under 7%, indicating controlled diabetes.
13.3% had HbA1c decreases of less than 0.5%.
Evidence network
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This study contributes evidence to SMS text messaging behavioral intervention for health promotion and HbA1c, Proportion achieving HbA1c <7.0%.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
Primary intervention
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.
3
Related topics
2
Evidence pairs
527
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Evidencia principal
Relación de evidencia
Evidencia relacionada
Tema de evidencia
Guardar evidencia
Tema de evidencia
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Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → Proportion achieving HbA1c <7.0%
SMS text messaging behavioral intervention for health promotion → Proportion achieving HbA1c <7.0%
Evidence Library
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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 HbA1c.
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.
Latest published studies
Published within the last 2 years.
Jump to pre-filtered views in Evidence Explorer.
5 results
1 results
5 results
5 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™ Strong | EvidenceScore™ 81.9 | moderate positive | ConsistencyScore™ Consistent | 1 study
Proportion achieving HbA1c <7.0%
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 32 supporting studies with generally consistent results and a positive effect signal.
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