Last updated July 8, 2026
Key finding
At 6 months, intervention participants had greater HbA1c reductions (−0.85% vs 0.35%) compared to the control.
CHW-led diabetes care with monthly group visits and weekly mHealth contact in uninsured adults with type 2 diabetes.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
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
CHW-led diabetes care with monthly group visits and weekly mHealth contact in uninsured adults with type 2 diabetes.
This study evaluated CHW-led diabetes care with monthly group visits and weekly mHealth contact in uninsured adults with type 2 diabetes.
Limitations were not clearly described in the extracted text.
Published in
Publication details and source links for this paper.
Elizabeth MV, Xiaoying Y, Victor JC, et al. Transitioning TIME from Clinical Trials to Practical Implementation: A Randomized Controlled Trial. Journal of Primary Care & Community Health. 2025;16:21501319251339190. doi:10.1177/21501319251339190
Evidence network
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This study contributes evidence to TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Attrition Rate of the Intervention, Fidelity of mHealth intervention, HbA1c, and 2 more.
This study contributes evidence to
Primary intervention
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment
Primary outcomes
Evidence topics
Primary intervention
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
5
Evidence pairs
419
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
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Core evidence
The primary outcomes reported in this study.
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Attrition Rate of the Intervention
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Attrition Rate of the Intervention
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Fidelity of mHealth intervention
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Fidelity of mHealth intervention
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → HbA1c
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → HbA1c
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Self-reported medication adherence at 12 months
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Self-reported medication adherence at 12 months
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Treatment satisfaction
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Treatment satisfaction
Evidence Library
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Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Telehealth Interventions and Fidelity of mHealth intervention, Telehealth Interventions 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 measuring Fidelity of mHealth intervention
Measures Fidelity of mHealth intervention as a key outcome.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies on Telehealth Interventions
Contributes to Telehealth Interventions evidence base.
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™.
Telehealth Interventions may improve HbA1c.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Telehealth Interventions appears to improve Treatment Experience.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Treatment satisfaction
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve Attrition Rate of the Intervention.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Attrition Rate of the Intervention
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve Fidelity of mHealth intervention.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Fidelity of mHealth intervention
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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