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Research Summary
Analyzed using Evidence Intelligence™

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

Powered by the Dediabetes Evidence Intelligence™ framework

Last updated July 12, 2026

Key finding

HbA1c decreased from 10.1 ± 2.7 to 9.4 ± 3.1.

This study evaluated a community-based intervention for low-income adults with type 2 diabetes, finding improvements in several health metrics.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Non-randomized CT

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

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 evaluated a community-based intervention for low-income adults with type 2 diabetes, finding improvements in several health metrics.

Clinical relevance

These findings are significant as they suggest that community-based interventions can effectively support low-income adults in managing type 2 diabetes, potentially leading to improved health outcomes and quality of life. Addressing diabetes in this population is crucial, given the higher prevalence and associated complications.

Keep in mind

Unclear effectiveness for some outcomes Single-arm study limits generalizability Retention rate may affect long-term findings

Published in

Journal Reference

Publication details and source links for this paper.

Ana ASB, Gabriel QS, Stephanie LA, et al. Feasibility and Acceptability of a Community-Based Intervention for Low-Income Adults with Type 2 Diabetes. Frontiers in Clinical Diabetes and Healthcare. 2026;6:1694026. doi:10.3389/fcdhc.2025.1694026

View DOIView on PubMedView on PMC

Main Effects

HbA1c decreased from 10.1% to 9.4%

Waist circumference decreased by 3.9 cm

Body weight decreased by 3.5 kg

Diabetes distress showed improvement from baseline

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Peer-support lifestyle program and Body weight, Diabetes Distress Scale score, Diabetes self-management behaviors, and 3 more.

This study contributes evidence to

Intervention

Peer-support lifestyle program

Outcome

Body weight

Evidence topic

Weight Loss

Primary intervention

Peer-support lifestyle program

Primary outcomes

  • Body weight
  • Diabetes Distress Scale score
  • Diabetes self-management behaviors

Evidence topics

Weight LossHbA1c ReductionTreatment AdherenceDiabetes Self-Management Education and Support

Primary intervention

Peer-support lifestyle program

Primary outcomes

Body weightDiabetes Distress Scale scoreDiabetes self-management behaviors

Evidence relationships

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

6
Evidence pairs
6
Relationships
4
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: 72

4

Related topics

6

Evidence pairs

396

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Related evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy

Follow evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Body Composition

Follow evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body weight

Peer-support lifestyle program → Body weight

Peer-support lifestyle program → Body weight

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

Diabetes Distress Scale score

Peer-support lifestyle program → Diabetes Distress Scale score

Peer-support lifestyle program → Diabetes Distress Scale score

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

Diabetes self-management behaviors

Peer-support lifestyle program → Diabetes self-management behaviors

Peer-support lifestyle program → Diabetes self-management behaviors

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

HbA1c

Peer-support lifestyle program → HbA1c

Peer-support lifestyle program → HbA1c

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
67
Moderate
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Participant retention at 6 months

Peer-support lifestyle program → Participant retention at 6 months

Peer-support lifestyle program → Participant retention at 6 months

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

Waist circumference

Peer-support lifestyle program → Waist circumference

Peer-support lifestyle program → Waist circumference

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

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Today's Activity

Your Evidence Workspace

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

Evidence Suggest

  • HbA1c decreased by 0.7%
  • Waist circumference reduced by 3.9 cm
  • Body weight decreased by 3.5 kg
who this applies

Who this applies to

  • Low-income adults diagnosed with type 2 diabetes
  • Participants engaged in community health programs
keep in mind

Keep in Mind

  • Results may not be generalizable beyond the study population
  • Effectiveness of the intervention remains unclear for some outcomes
  • Retention rate could influence the reliability of long-term results
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Single-arm study limits generalizability
  • Retention rate may affect long-term findings

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.

Powered by the Dediabetes Evidence Intelligence™ framework

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Body Composition, Diabetes Self-Management Education and Support (DSMES) Programs 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.

Body Composition Evidence Hub

All studies measuring Body Composition

2 studies
outcome_hub

Measures Body Composition as a key outcome.

Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub

All studies on Diabetes Self-Management Education and Support (DSMES) Programs

2 studies
intervention_hub

Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.

HbA1c Evidence Hub

All studies measuring HbA1c

2 studies
outcome_hub

Measures HbA1c as a key outcome.

Body Weight Evidence Hub

All studies measuring Body Weight

1 studies
outcome_hub

Measures Body Weight as a key outcome.

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

Questions answered by this study

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

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 67.5 | strong positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is based on 28 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
28 supporting studiesUpdated: Jul 2026
View Full Evidence

Does Diabetes Self-Management Education and Support (DSMES) Programs improve diabetes management self-efficacy?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Diabetes Management Self-Efficacy.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 9 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
9 supporting studiesUpdated: Jul 2026
View Full Evidence

Does Diabetes Self-Management Education and Support (DSMES) Programs improve body composition?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Composition.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Waist circumference

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Jul 2026
View Full Evidence

Does Diabetes Self-Management Education and Support (DSMES) Programs affect body weight?

Moderate Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Body weight

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Jul 2026
View Full Evidence
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Next steps

Continue your research

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Evidence topics

Follow the topics this study contributes to.

Weight Loss Evidence HubHbA1c Reduction Evidence HubTreatment Adherence Evidence HubDiabetes Self-Management Education and Support Evidence Hub

Explore in archive

Open broader archive views for this relationship.

All studies on Peer-support lifestyle program and HbA1cAll studies on Peer-support lifestyle program and Waist circumferenceAll studies on Peer-support lifestyle program and Body weightAll studies on Peer-support lifestyle program and Diabetes Distress Scale score

Related research

Read related research summaries.

Text Messaging Program Shows Little Effect on Diabetes Risk FactorsNewer diabetes drugs show stronger weight and blood sugar benefits in prediabetesMediterranean ketogenic eating matched VLCKD for weight loss over 3 monthsmHealth program reduces diabetes risk in mothers with obesityPeer-support lifestyle program reduces diabetes risk factors but not diabetes incidence in high-risk Indians

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