Last updated July 8, 2026
Key finding
DiabeText group showed significant improvements in EQ-5D-5L scores (Cohen's d = 0.18).
The DiabeText study evaluated a mobile health intervention for diabetes self-management, finding significant improvements in quality of life and self-efficacy but no changes in HbA1c levels.
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
The DiabeText study evaluated a mobile health intervention for diabetes self-management, finding significant improvements in quality of life and self-efficacy but no changes in HbA1c levels.
Improving health-related quality of life and self-efficacy can empower individuals with diabetes to manage their condition better, potentially leading to long-term benefits even if immediate clinical outcomes like HbA1c do not show significant changes.
No significant changes in HbA1c levels were observed. The study may have limited generalizability due to specific population characteristics. Potential unmeasured confounders could affect the results.
Published in
Publication details and source links for this paper.
Rocío Z, María AF, María JS, et al. DiabeText: A Mobile Health Intervention for Diabetes Self-Management. The British Journal of General Practice. 2025;75(756):e457-e465. doi:10.3399/BJGP.2024.0206
DiabeText group showed significant improvements in health-related quality of life (Cohen's d = 0.18).
DiabeText group demonstrated significant improvements in diabetes self-efficacy (Cohen's d = 0.35).
DiabeText group reported better medication adherence (odds ratio = 1.4; 95% CI = 1.0 to 1.9).
Evidence network
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This study contributes evidence to DiabeText and Adherence to Mediterranean diet measured using MEDAS-14, Diabetes management self-efficacy, HbA1c, and 4 more.
This study contributes evidence to
Primary intervention
DiabeText
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.
3
Related topics
7
Evidence pairs
519
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Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
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Core evidence
The primary outcomes reported in this study.
DiabeText → Adherence to Mediterranean diet measured using MEDAS-14
DiabeText → Adherence to Mediterranean diet measured using MEDAS-14
DiabeText → Diabetes management self-efficacy
DiabeText → Diabetes management self-efficacy
DiabeText → Health-related quality of life
DiabeText → Health-related quality of life
DiabeText → Medication possession ratio at 12 months
DiabeText → Medication possession ratio at 12 months
DiabeText → Physical activity level (MET-minutes per week)
DiabeText → Physical activity level (MET-minutes per week)
DiabeText → Self-reported medication adherence at 12 months
DiabeText → Self-reported medication adherence at 12 months
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on DiabeText and Adherence to Mediterranean diet measured using MEDAS-14, DiabeText and HbA1c.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Adherence to Mediterranean diet measured using MEDAS-14
Measures Adherence to Mediterranean diet measured using MEDAS-14 as a key outcome.
All studies on DiabeText
Contributes to DiabeText evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
Latest published studies
Published within the last 2 years.
Jump to pre-filtered views in Evidence Explorer.
1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
DiabeText appears to improve Diabetes management self-efficacy.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes management self-efficacy
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
DiabeText appears to improve Health-related quality of life.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Health-related quality of life
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
DiabeText appears to improve 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 | 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 DiabeText for Adherence to Mediterranean diet measured using MEDAS-14.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Adherence to Mediterranean diet measured using MEDAS-14
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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