Last updated July 8, 2026
Key finding
No significant between-group differences were observed for primary outcomes (aOR 1.0, 95% CI 0.7-1.3, P =.74).
This study evaluated the effectiveness of an AI-enabled mHealth intervention for diabetes prevention in rural India, finding no significant differences in key outcomes between intervention and control groups.
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
This study evaluated the effectiveness of an AI-enabled mHealth intervention for diabetes prevention in rural India, finding no significant differences in key outcomes between intervention and control groups.
Understanding the effectiveness of mHealth interventions is crucial for developing strategies to prevent diabetes, especially in rural areas where access to healthcare is limited. The findings suggest that simply using AI for personalized messaging may not be sufficient to drive meaningful health behavior changes.
The study design was quasi-experimental, limiting causal inferences. Sample size and demographic diversity may affect generalizability. Outcomes measured may not capture all relevant health behaviors.
Published in
Publication details and source links for this paper.
Amaryllis M, Stefano B, Aditya PT, et al. Effectiveness of an AI-Enabled mHealth Intervention for Diabetes Prevention in Rural India: A Quasi-Experimental Study. Journal of Medical Internet Research. 2025;27:e79283. doi:10.2196/79283
Physical activity goal achievement showed no significant differences (aOR 1.0, P =.74).
Daily fruit intake was modestly higher in the intervention group (aOR 1.4, P =.24).
Mean BMI difference at endline was -0.0 kg/m² (P =.95).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to SMS text messaging behavioral intervention for health promotion and Body Mass Index (BMI) change, Engagement in Farm Work, Fruit and vegetable intake, and 4 more.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
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.
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Related topics
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Evidence pairs
597
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
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Evidence topic
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Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → Body Mass Index (BMI) change
SMS text messaging behavioral intervention for health promotion → Body Mass Index (BMI) change
SMS text messaging behavioral intervention for health promotion → Engagement in Farm Work
SMS text messaging behavioral intervention for health promotion → Engagement in Farm Work
SMS text messaging behavioral intervention for health promotion → Fruit and vegetable intake
SMS text messaging behavioral intervention for health promotion → Fruit and vegetable intake
SMS text messaging behavioral intervention for health promotion → Odds of helping with household chores
SMS text messaging behavioral intervention for health promotion → Odds of helping with household chores
SMS text messaging behavioral intervention for health promotion → Odds of stair use
SMS text messaging behavioral intervention for health promotion → Odds of stair use
SMS text messaging behavioral intervention for health promotion → Odds of walking for chores
SMS text messaging behavioral intervention for health promotion → Odds of walking for chores
SMS text messaging behavioral intervention for health promotion → Physical activity level (MET-minutes per week)
SMS text messaging behavioral intervention for health promotion → Physical activity level (MET-minutes per week)
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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 Body Mass Index, Diabetes Self-Management Education and Support (DSMES) Programs and Engagement in Farm Work.
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 measuring Body Mass Index
Measures Body Mass Index as a key outcome.
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 Engagement in Farm Work
Measures Engagement in Farm Work as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve Body Mass Index.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Body Mass Index (BMI) change
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 14 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve Physical Activity Levels.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Current evidence does not show a clear benefit of SMS text messaging behavioral intervention for health promotion for Engagement in Farm Work.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Engagement in Farm Work
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of SMS text messaging behavioral intervention for health promotion for Fruit and vegetable intake.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Fruit and vegetable intake
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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