Resumen de Investigación
Analyzed using Evidence Intelligence™

Texting System Improves Diabetes Self-Management for Veterans

Última actualización 7 de julio de 2026

Key finding

62% of the messages were rated as personally relevant.

This study developed two automated texting systems aimed at improving diabetes self-management. Findings indicated that a significant portion of messages were rated as relevant and confidence-enhancing.

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 study developed two automated texting systems aimed at improving diabetes self-management. Findings indicated that a significant portion of messages were rated as relevant and confidence-enhancing.

Clinical relevance

These findings are significant as they highlight the potential of automated texting systems to support diabetes self-management. By tailoring messages to individual preferences, these systems could enhance patient engagement and improve health outcomes, making diabetes management more effective.

Keep in mind

Study design was non-randomized, limiting causal inference Effectiveness of interventions remains unclear Sample size and demographics not specified Potential bias in self-reported ratings

Published in

Referencia de la Revista

Publication details and source links for this paper.

Amaryllis M, Jacob R, Stephanie AR, et al. Development of Two Versions of an Automated Texting System for Diabetes Self-Management. JMIR Formative Research. 2026;10:e83144. doi:10.2196/83144

Efectos Principales

62% of messages rated as personally relevant

61% of respondents found messages confidence-enhancing

Participants preferred 1-2 texts per day

81 messages flagged for revision by expert panel

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 Confidence-enhancing message rating, Customization preference for message frequency, Message relevance rating, and 1 more.

Primary intervention

DSMES

Primary outcomes

  • Confidence-enhancing message rating
  • Customization preference for message frequency
  • Message relevance rating

Evidence relationships

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

4
Evidence pairs
4
Relationships
1
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: 63

1

Related topics

4

Evidence pairs

52

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Diabetes Self-Management Education and Support

matched_intervention

Core evidence

Study findings

The primary outcomes reported in this study.

Confidence-enhancing message rating

DSMES → Confidence-enhancing message rating

DSMES → Confidence-enhancing message rating

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

Customization preference for message frequency

DSMES → Customization preference for message frequency

DSMES → Customization preference for message frequency

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

Message relevance rating

DSMES → Message relevance rating

DSMES → Message relevance rating

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

Messages flagged for revision by expert panel

DSMES → Messages flagged for revision by expert panel

DSMES → Messages flagged for revision by expert panel

Evidence Intelligence™
ImpactScore™
50
Neutral
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

Coming Soon

Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • 62% of messages were rated as relevant by participants
  • 61% found the messages enhanced their confidence
  • Participants preferred receiving 1-2 texts daily
who this applies

A quién se aplica

  • Individuals managing diabetes
  • Patients interested in automated health support
keep in mind

Tener en Cuenta

  • Results may not generalize to all diabetes populations
  • Further research needed to confirm effectiveness
  • Customization preferences may vary across different demographics
between the lines

Entre Líneas

  • Study design was non-randomized, limiting causal inference
  • Effectiveness of interventions remains unclear
  • Sample size and demographics not specified
  • Potential bias in self-reported ratings

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 Confidence-enhancing message rating, Diabetes Self-Management Education and Support (DSMES) Programs and Customization preference for message frequency.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

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.

Questions answered by this study

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

Does DSMES improve confidence-enhancing message rating?

Emerging Evidence

DSMES appears to improve Confidence-enhancing message rating.

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

Ranked evidence signals

  1. 1

    Confidence-enhancing message rating

    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 DSMES improve customization preference for message frequency?

Emerging Evidence

DSMES appears to improve Customization preference for message frequency.

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

Ranked evidence signals

  1. 1

    Customization preference for message frequency

    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 DSMES improve message relevance rating?

Emerging Evidence

DSMES appears to improve Message relevance rating.

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

Ranked evidence signals

  1. 1

    Message relevance rating

    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 DSMES improve messages flagged for revision by expert panel?

Emerging Evidence

Current evidence does not show a clear benefit of DSMES for Messages flagged for revision by expert panel.

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

Ranked evidence signals

  1. 1

    Messages flagged for revision by expert panel

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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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