Last updated August 16, 2026
Key finding
A1C was statistically significantly lower in the intervention group (7.9%) compared to the control group (10.6%); p = 0.01.
This study evaluated a culturally tailored diabetes intervention within a standard education program, finding significant reductions in A1C levels and diabetes distress.
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 a culturally tailored diabetes intervention within a standard education program, finding significant reductions in A1C levels and diabetes distress.
These findings are significant as they suggest that culturally tailored diabetes education programs can lead to improved health outcomes, particularly in managing blood sugar levels and reducing emotional distress associated with diabetes. This could enhance the quality of life for individuals with diabetes and inform future educational strategies.
No significant changes in self-reported medication adherence. Effectiveness of interventions remains unclear for some outcomes. Study may not be generalizable to all populations.
Published in
Publication details and source links for this paper.
Martha M, Meng-Jung W, Jacob D, et al. Effectiveness of a Culturally Tailored Intervention Embedded within a Standard Diabetes Self-Management Education Program. Diabetes, Metabolic Syndrome and Obesity. 2025;18:4609-4629. doi:10.2147/DMSO.S548440
A1C levels decreased from 10.6% to 7.9% in the intervention group (p = 0.01).
Diabetes distress was reduced by 47%.
Negative perceptions about diabetes decreased by 20%.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Healthy Living with Diabetes (HLWD), Peers EXCEL culturally tailored peer-support program and Reduction in Hemoglobin A1C levels, Self-reported medication adherence at 12 months, Diabetes Distress Scale score, and 1 more.
This study contributes evidence to
Primary intervention
Healthy Living with Diabetes (HLWD)
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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.
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Related topics
4
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Healthy Living with Diabetes (HLWD) → Reduction in Hemoglobin A1C levels
Healthy Living with Diabetes (HLWD) → Reduction in Hemoglobin A1C levels
Healthy Living with Diabetes (HLWD) → Self-reported medication adherence at 12 months
Healthy Living with Diabetes (HLWD) → Self-reported medication adherence at 12 months
Peers EXCEL culturally tailored peer-support program → Diabetes Distress Scale score
Peers EXCEL culturally tailored peer-support program → Diabetes Distress Scale score
Peers EXCEL culturally tailored peer-support program → Diabetes-related misconceptions
Peers EXCEL culturally tailored peer-support program → Diabetes-related misconceptions
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Healthy Living with Diabetes (HLWD) and Reduction in Hemoglobin A1C levels, Healthy Living with Diabetes (HLWD) and Self-reported medication adherence at 12 months.
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 on Healthy Living with Diabetes (HLWD)
Contributes to Healthy Living with Diabetes (HLWD) evidence base.
All studies measuring Reduction in Hemoglobin A1C levels
Measures Reduction in Hemoglobin A1C levels as a key outcome.
All studies measuring Self-reported medication adherence at 12 months
Measures Self-reported medication adherence at 12 months 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™.
Healthy Living with Diabetes (HLWD) appears to improve Reduction in Hemoglobin A1C levels.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in Hemoglobin A1C levels
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Peers EXCEL culturally tailored peer-support program appears to improve Diabetes-related misconceptions.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes-related misconceptions
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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 Healthy Living with Diabetes (HLWD) for Self-reported medication adherence at 12 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Self-reported medication adherence at 12 months
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 Peers EXCEL culturally tailored peer-support program for Diabetes Distress Scale score.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes Distress Scale score
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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