Adherence & Engagement

Last updated: July 15, 2026

Key takeaway

Adherence & Engagement has evidence across 8 diabetes-related interventions, with strongest support for Diabetes Self-Management Education and Support (DSMES) Programs, Diabetes Self-Management Education and Support (DSMES) Programs and Digital Lifestyle Interventions.

Evidence status
Extensive Research
Evidence Base: 81/100

Related Evidence Topics

Evidence Intelligence™

Every evidence topic is generated from structured relationships across diabetes research, including topics, interventions, outcomes, and individual studies.

153
Evidence relationships
163
Studies reviewed
6
Interventions evaluated
Strongest evidence area
Diabetes Self-Management Education and Support (DSMES) Programs

Top Evidence Areas

Showing grouped evidence. Expand in Evidence Explorer for detailed intervention-outcome pairs.Open Evidence Explorer

#1 Treatment Adherence

Diabetes Self-Management Education and Support (DSMES) Programs → Treatment Adherence

Evidence Intelligence™
EvidenceScore™
84
Strong
ImpactScore™
75
Positive
ConsistencyScore™
56
generally_consistent
Supporting studies: Based on 9 studies
Explore evidence

#2 Physical Activity Levels

Diabetes Self-Management Education and Support (DSMES) Programs → Physical Activity Levels

Evidence Intelligence™
EvidenceScore™
82
Strong
ImpactScore™
74
Positive
ConsistencyScore™
60
generally_consistent
Supporting studies: Based on 6 studies
Explore evidence

#3 Physical Activity Levels

Digital Lifestyle Interventions → Physical Activity Levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

#4 Treatment Adherence

Digital Lifestyle Interventions → Treatment Adherence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

#5 Digital Usability and Experience

Insulin Delivery Systems → Digital Usability and Experience

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

#6 Treatment Adherence

mHealth Diabetes Support Interventions → Treatment Adherence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

#7 Treatment Adherence

Omega-3 Fatty Acid Supplements → Treatment Adherence

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

#8 Digital Usability and Experience

Telehealth Interventions → Digital Usability and Experience

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Explore evidence

Practical Questions

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Which interventions have the strongest evidence for affecting Adherence & Engagement?

evidence strength
Strong Evidence

Mobile app for diabetes self-management have the strongest available evidence signals for Adherence & Engagement.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Mobile app for diabetes self-management

    EvidenceScore™ Strong | EvidenceScore™ 78.6 | strong positive | ConsistencyScore™ Consistent | 3 studies

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studies3 RCTsUpdated: Jul 2026

Which interventions are most often studied for Adherence & Engagement?

most studied
Emerging Evidence

DSMES, Peer-support lifestyle program, and SMS text messaging behavioral intervention for health promotion are among the most studied areas in relation to Adherence & Engagement.

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

Ranked evidence signals

  1. 1

    SMS text messaging behavioral intervention for health promotion

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 9 studies

  2. 2

    Peer-support lifestyle program

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 4 studies

  3. 3

    DSMES

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 3 studies

Why this answer: This answer is based on 16 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
16 supporting studies14 RCTsLatest publication: May 2026Updated: Jul 2026

Where are results mixed or inconsistent for Adherence & Engagement?

consistency issues
Moderate Evidence

Results are mixed or unclear for Digital-based lifestyle intervention, Peer-support lifestyle program, and Remote multiprofessional educational program in relation to Adherence & Engagement.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: Some evidence reported benefits while other evidence found little or no effect.

Ranked evidence signals

  1. 1

    SMS text messaging behavioral intervention for health promotion

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 2 studies

  2. 2

    Remote multiprofessional educational program

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 2 studies

  3. 3

    Digital-based lifestyle intervention

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 2 studies

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
8 supporting studies7 RCTsLatest publication: May 2026Updated: Jul 2026

Which interventions need more research for Adherence & Engagement?

research gaps
Emerging Evidence

Aspirin need more research in relation to Adherence & Engagement.

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

Ranked evidence signals

  1. 1

    Aspirin

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 2 studies

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
2 supporting studies2 RCTsUpdated: Jul 2026

How does Mobile app for diabetes self-management compare with Behavioral counseling for Adherence & Engagement?

compare
Moderate Evidence

Behavioral counseling and Mobile app for diabetes self-management have available evidence for Adherence & Engagement, but the comparison requires review of the underlying studies.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Mobile app for diabetes self-management

    EvidenceScore™ Strong | EvidenceScore™ 78.6 | strong positive | ConsistencyScore™ Consistent | 3 studies

  2. 2

    Behavioral counseling

    EvidenceScore™ Moderate | EvidenceScore™ 73.0 | weak positive | ConsistencyScore™ Generally Consistent | 3 studies

Why this answer: This answer is based on 6 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
6 supporting studies5 RCTsLatest publication: May 2026Updated: Jul 2026

Latest Research

Women and frailty linked to poorer adherence in diabetes trial

Published: January 1, 2026
int-aspirinint-omega-3-fatty-acid-supplementation
out-adherence-predictors-for-omega-3out-adherence-to-aspirin

Consumer Sleep Trackers Improve Sleep Behavior Change

Published: January 1, 2026
int-telehealth-coaching-for-patients-with-t2dm-and-or-chd
out-adherence-to-sleep-data-recordingout-participant-retention-rate

Health Storylines mAPP shows limited impact on self-management in chronic illness

Published: January 1, 2026
int-health-storylines-mappint-traditional-pamphlet
out-post-test-self-management-scoreout-self-management-behaviors

Community-Based Intervention Improves Diabetes Management in Low-Income Adults

Published: January 1, 2026
int-peer-support-lifestyle-program
out-participant-retention-rateout-self-management-behaviors

Digital Health Intervention Improves Self-Care for Gestational Diabetes

Published: January 1, 2026
int-healthy-pregnancy
out-diabetes-knowledgeout-diabetes-medication-use

Digital intervention improves metabolic health in schizophrenia

Published: January 1, 2026
int-mobile-app
out-patient-activationout-self-management-behaviors

Postpartum lifestyle intervention may reduce type 2 diabetes risk

Published: January 1, 2026
int-integrated-hyperglycaemia-incentivized-postnatal-surveillance-ihips
out-dietary-intakeout-physical-activity-changes

mHealth intervention improves nonexercise physical activity in type 2 diabetes patients

Published: January 1, 2026
int-mhealth-intervention-with-personal-feedback
out-fidelity-of-interventionout-perceived-behavior-change-needs

Mobile health intervention improves physical activity in diabetes management

Published: January 1, 2026
int-digital-physician-pharmacist-collaborative-care
out-acceptability-of-text-messagesout-physical-activity-level

Smartphone intervention improves medication adherence in diabetes patients

Published: January 1, 2026
int-digital-based-lifestyle-interventionint-usual-lifestyle-care
out-treatment-adherence

Evidence Landscape

Evidence landscape

Each bubble represents an evidence relationship. Position shows effectiveness and EvidenceScoreâ„¢; size reflects study volume.

  • Strong evidence
  • Moderate evidence
  • Limited evidence

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