Research Summary
Analyzed using Evidence Intelligence™

CHW-led diabetes care improves HbA1c in uninsured adults

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.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Some Concerns bias
Last updated July 8, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

HbA1c reduction at 6 months

Comparator

Usual care

Plain-language summary

What this paper says

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.

Clinical relevance

This study evaluated CHW-led diabetes care with monthly group visits and weekly mHealth contact in uninsured adults with type 2 diabetes.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Journal Reference

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

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Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

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.

Primary intervention

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Primary outcomes

  • Attrition Rate of the Intervention
  • Fidelity of mHealth intervention
  • HbA1c

Evidence relationships

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

5
Evidence pairs
5
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

5

Evidence pairs

161

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

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 → Attrition Rate of the Intervention

Evidence profile

StrongDecreaseAdherence & Engagement
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StrongIncrease

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 → Fidelity of mHealth intervention

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongDecrease

HbA1c

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → HbA1c

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

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 → Self-reported medication adherence at 12 months

Evidence profile

StrongIncreaseAdherence & Engagement
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StrongIncrease

Treatment satisfaction

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Treatment satisfaction

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Treatment satisfaction

Evidence profile

StrongIncreasePatient-Reported
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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Fidelity of mHealth intervention, TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and HbA1c.

Related evidence relationships

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

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Questions answered by this study

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

Does TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve HbA1c?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve HbA1c.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Mixed | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve attrition rate of the intervention?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve Attrition Rate of the Intervention.

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

Ranked evidence signals

  1. 1

    Attrition Rate of the Intervention

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ 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 TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve fidelity of mhealth intervention?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve Fidelity of mHealth intervention.

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

Ranked evidence signals

  1. 1

    Fidelity of mHealth intervention

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ 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 TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve self-reported medication adherence at 12 months?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve Self-reported medication adherence at 12 months.

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

Ranked evidence signals

  1. 1

    Self-reported medication adherence at 12 months

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ 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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