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Resumen de Investigación
Analyzed using Evidence Intelligence™

Text Messaging Support Improves Postpartum Care for IGT Patients

Desarrollado con el marco Evidence Intelligence™ de Dediabetes

Última actualización 8 de julio de 2026

Key finding

BRIDGE participants had increased odds of HbA1c completion by 1 year postpartum (39.8% vs 12.5%; adjusted odds ratio [aOR] 4.28, 95% CI 2.71–6.78).

The BRIDGE study evaluated a text messaging support program for postpartum care in women with impaired glucose tolerance, finding significant improvements in follow-up care.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Non-randomized CT

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 BRIDGE study evaluated a text messaging support program for postpartum care in women with impaired glucose tolerance, finding significant improvements in follow-up care.

Clinical relevance

Improving follow-up care for women with impaired glucose tolerance is crucial as it can prevent the progression to type 2 diabetes. The BRIDGE study highlights how low-cost interventions like text messaging can enhance healthcare engagement and ultimately improve maternal and child health outcomes.

Keep in mind

Limited generalizability due to specific population characteristics. Potential for self-selection bias in participant enrollment. Unclear long-term effects beyond the study period.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Natasha RK, Whitney B, Celeste D, Stefano B. Better Follow-up of Impaired Glucose Tolerance (BRIDGE): A Text Messaging Support Program for Postpartum Care. Journal of Medical Internet Research. 2026;28:e76493. doi:10.2196/76493

View DOIView on PubMedView on PMC

Efectos Principales

BRIDGE participants had increased odds of completing HbA1c testing by 1 year postpartum (39.8% vs 12.5%; aOR 4.28).

BRIDGE participants were more likely to schedule PCP visits by 12 weeks postpartum (31.0% vs 12.0%; aOR 9.58).

BRIDGE+ participants had higher completion rates of HbA1c testing by 12 weeks postpartum compared to BRIDGE− participants (36.7% vs 19.5%; aOR 2.31).

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 Completion of HbA1c testing by 1 year postpartum, Completion of HbA1c testing by 12 weeks postpartum, Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum.

This study contributes evidence to

Intervention

SMS text messaging behavioral intervention for health promotion

Outcome

Completion of HbA1c testing by 1 year postpartum

Evidence topic

Diabetes Self-Management Education and Support

Primary intervention

SMS text messaging behavioral intervention for health promotion

Primary outcomes

  • Completion of HbA1c testing by 1 year postpartum
  • Completion of HbA1c testing by 12 weeks postpartum
  • Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

Evidence topics

Diabetes Self-Management Education and Support

Primary intervention

SMS text messaging behavioral intervention for health promotion

Primary outcomes

Completion of HbA1c testing by 1 year postpartumCompletion of HbA1c testing by 12 weeks postpartumPercentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

Evidence relationships

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

3
Evidence pairs
3
Relationships
2
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: 64

2

Related topics

3

Evidence pairs

217

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Diabetes Self-Management Education and Support

matched_intervention

Evidencia relacionada

Tema de evidencia

Diabetes Technology

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Completion of HbA1c testing by 1 year postpartum

SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 1 year postpartum

SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 1 year postpartum

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

Completion of HbA1c testing by 12 weeks postpartum

SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 12 weeks postpartum

SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 12 weeks postpartum

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

Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

SMS text messaging behavioral intervention for health promotion → Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

SMS text messaging behavioral intervention for health promotion → Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

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

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evidence suggest

La Evidencia Sugiere

  • 39.8% of BRIDGE participants completed HbA1c testing by 1 year postpartum.
  • 31.0% of BRIDGE participants scheduled PCP visits by 12 weeks postpartum.
  • BRIDGE+ showed a 36.7% completion rate for HbA1c testing by 12 weeks.
who this applies

A quién se aplica

  • Women with impaired glucose tolerance postpartum.
  • Participants in postpartum care programs.
keep in mind

Tener en Cuenta

  • Results may not apply to all demographics or regions.
  • The study focused on short-term outcomes; long-term effects are unknown.
  • Further research is needed to explore scalability and implementation in diverse settings.
between the lines

Entre Líneas

  • Limited generalizability due to specific population characteristics.
  • Potential for self-selection bias in participant enrollment.
  • Unclear long-term effects beyond the study period.

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 Completion of HbA1c testing by 1 year postpartum, Diabetes Self-Management Education and Support (DSMES) Programs and Completion of HbA1c testing by 12 weeks postpartum.

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.

Completion of HbA1c testing by 1 year postpartum Evidence Hub

All studies measuring Completion of HbA1c testing by 1 year postpartum

1 studies
outcome_hub

Measures Completion of HbA1c testing by 1 year postpartum as a key outcome.

Completion of HbA1c testing by 12 weeks postpartum Evidence Hub

All studies measuring Completion of HbA1c testing by 12 weeks postpartum

1 studies
outcome_hub

Measures Completion of HbA1c testing by 12 weeks postpartum as a key outcome.

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

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

1 studies
intervention_hub

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

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

Explora más en Evidence Explorer

Jump to pre-filtered views in Evidence Explorer.

All studies on SMS text messaging behavioral intervention for health promotion and Completion of HbA1c testing by 1 year postpartum

Intervention: SMS text messaging behavioral intervention for health promotionOutcome: Completion of HbA1c testing by 1 year postpartum

1 results

All studies on SMS text messaging behavioral intervention for health promotion and Completion of HbA1c testing by 12 weeks postpartum

Intervention: SMS text messaging behavioral intervention for health promotionOutcome: Completion of HbA1c testing by 12 weeks postpartum

1 results

All studies on SMS text messaging behavioral intervention for health promotion

Intervention: SMS text messaging behavioral intervention for health promotion

1 results

All studies measuring Completion of HbA1c testing by 1 year postpartum

Outcome: Completion of HbA1c testing by 1 year postpartum

1 results

All studies measuring Completion of HbA1c testing by 12 weeks postpartum

Outcome: Completion of HbA1c testing by 12 weeks postpartum

1 results

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does SMS text messaging behavioral intervention for health promotion improve completion of hba1c testing by 1 year postpartum?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Completion of HbA1c testing by 1 year postpartum.

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

Ranked evidence signals

  1. 1

    Completion of HbA1c testing by 1 year postpartum

    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
View Full Evidence

Does SMS text messaging behavioral intervention for health promotion improve completion of hba1c testing by 12 weeks postpartum?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Completion of HbA1c testing by 12 weeks postpartum.

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

Ranked evidence signals

  1. 1

    Completion of HbA1c testing by 12 weeks postpartum

    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
View Full Evidence

Does SMS text messaging behavioral intervention for health promotion improve percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum?

Emerging Evidence

SMS text messaging behavioral intervention for health promotion appears to improve Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum.

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

Ranked evidence signals

  1. 1

    Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

    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
View Full Evidence
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Next steps

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Evidence topics

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Diabetes Self-Management Education and Support Evidence HubDiabetes Technology Evidence Hub

Explore in Evidence Explorer

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All studies on SMS text messaging behavioral intervention for health promotion and Completion of HbA1c testing by 1 year postpartumAll studies on SMS text messaging behavioral intervention for health promotion and Completion of HbA1c testing by 12 weeks postpartumAll studies on SMS text messaging behavioral intervention for health promotion and Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum

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