Last updated July 18, 2026
Key finding
HbA1c decreased from 8.65 ± 1.10 to 7.95 ± 1.35 in the intervention group.
This study evaluated a culture-specific behavior modification program for adults with diabetes and hypertension, finding significant reductions in HbA1c and blood pressure.
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 culture-specific behavior modification program for adults with diabetes and hypertension, finding significant reductions in HbA1c and blood pressure.
These findings are clinically significant as they suggest that culturally tailored interventions can effectively improve health outcomes in populations with diabetes and hypertension. By addressing behavioral aspects specific to cultural contexts, healthcare providers may enhance patient adherence and overall management of these chronic conditions.
Effectiveness of the intervention remains unclear due to limited evidence pairs. Results may not be generalizable to all populations with diabetes and hypertension. Sample size and demographic details were not specified.
Published in
Publication details and source links for this paper.
Patcharee N, Sureeporn T, Ratsiri T. Effect of a Culture-Specific Behavior Modification Program on Glycated Hemoglobin and Blood Pressure Among Adults with Diabetes and Hypertension. International Journal of Nursing Sciences. 2025;12(4):328-334. doi:10.1016/j.ijnss.2025.06.013
HbA1c decreased from 8.65% to 7.95%, p=0.049
Systolic blood pressure decreased from 135.03 mmHg to 122.65 mmHg, p=0.034
Diastolic blood pressure decreased from 82.84 mmHg to 79.57 mmHg, p=0.012
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Lifestyle intervention for prediabetes and Diastolic blood pressure, HbA1c, Proportion achieving HbA1c <7.0%, and 3 more.
This study contributes evidence to
Primary intervention
Lifestyle intervention for prediabetes
Primary outcomes
Evidence topics
Primary intervention
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.
2
Related topics
6
Evidence pairs
627
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
Lifestyle intervention for prediabetes → Diastolic blood pressure
Lifestyle intervention for prediabetes → Diastolic blood pressure
Lifestyle intervention for prediabetes → Proportion achieving HbA1c <7.0%
Lifestyle intervention for prediabetes → Proportion achieving HbA1c <7.0%
Lifestyle intervention for prediabetes → Proportion maintaining diastolic blood pressure < 80 mmHg
Lifestyle intervention for prediabetes → Proportion maintaining diastolic blood pressure < 80 mmHg
Lifestyle intervention for prediabetes → Proportion of participants maintaining systolic blood pressure < 130 mmHg
Lifestyle intervention for prediabetes → Proportion of participants maintaining systolic blood pressure < 130 mmHg
Lifestyle intervention for prediabetes → Systolic blood pressure
Lifestyle intervention for prediabetes → Systolic blood pressure
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Lifestyle intervention for prediabetes and HbA1c, Lifestyle intervention for prediabetes and Blood Pressure.
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 HbA1c
Measures HbA1c as a key outcome.
All studies on Lifestyle intervention for prediabetes
Contributes to Lifestyle intervention for prediabetes evidence base.
All studies measuring Blood Pressure
Measures Blood Pressure as a key outcome.
Latest published studies
Published within the last 2 years.
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13 results
5 results
13 results
13 results
5 results
Generated from the study's connected evidence using Evidence Intelligence™.
Lifestyle intervention for prediabetes may lower HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 84.9 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Lifestyle intervention for prediabetes may improve diastolic blood pressure.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Diastolic blood pressure
EvidenceScore™ Strong | EvidenceScore™ 82.8 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Lifestyle intervention for prediabetes may improve systolic blood pressure.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Systolic blood pressure
EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Lifestyle intervention for prediabetes appears to improve proportion achieving HbA1c <7.0%.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Proportion achieving HbA1c <7.0%
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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