Research Summary
Analyzed using Evidence Intelligence™

DiabeText improves diabetes self-management and quality of life

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.

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

DiabeText

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

HbA1c

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

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.

Clinical relevance

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.

Keep in mind

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

Journal Reference

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

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Main Effects

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

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to DiabeText and Adherence to Mediterranean diet measured using MEDAS-14, Diabetes management self-efficacy, HbA1c, and 4 more.

Primary intervention

DiabeText

Primary outcomes

  • Adherence to Mediterranean diet measured using MEDAS-14
  • Diabetes management self-efficacy
  • HbA1c

Evidence relationships

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

7
Evidence pairs
7
Relationships
3
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

3

Related topics

7

Evidence pairs

216

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

Adherence to Mediterranean diet measured using MEDAS-14

DiabeText → Adherence to Mediterranean diet measured using MEDAS-14

DiabeText → Adherence to Mediterranean diet measured using MEDAS-14

Evidence profile

NoneNo ChangeAdherence & Engagement
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StrongIncrease

Diabetes management self-efficacy

DiabeText → Diabetes management self-efficacy

DiabeText → Diabetes management self-efficacy

Evidence profile

StrongIncreasePatient-Reported
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NoneNo Change

HbA1c

DiabeText → HbA1c

DiabeText → HbA1c

Evidence profile

NoneNo ChangeGlycemic Control
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StrongIncrease

Health-related quality of life

DiabeText → Health-related quality of life

DiabeText → Health-related quality of life

Evidence profile

StrongIncreasePatient-Reported
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NoneNo Change

Medication possession ratio at 12 months

DiabeText → Medication possession ratio at 12 months

DiabeText → Medication possession ratio at 12 months

Evidence profile

NoneNo ChangeAdherence & Engagement
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NoneNo Change

Physical activity level (MET-minutes per week)

DiabeText → Physical activity level (MET-minutes per week)

DiabeText → Physical activity level (MET-minutes per week)

Evidence profile

NoneNo ChangeAdherence & Engagement
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StrongIncrease

Self-reported medication adherence at 12 months

DiabeText → Self-reported medication adherence at 12 months

DiabeText → Self-reported medication adherence at 12 months

Evidence profile

StrongIncreaseAdherence & Engagement
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evidence suggest

Evidence Suggest

  • No significant differences in HbA1c (β = -0.025; P = 0.772).
  • Significant improvement in self-reported medication adherence (odds ratio = 1.4; P = 0.033).
  • DiabeText improved diabetes self-efficacy (Cohen's d = 0.35; P < 0.001).
who this applies

Who this applies to

  • Adults with diabetes seeking to improve self-management.
  • Individuals interested in mobile health interventions for chronic disease management.
keep in mind

Keep in Mind

  • The intervention did not significantly affect clinical measures like HbA1c.
  • Results may not be applicable to all demographics or diabetes types.
  • Further research is needed to explore long-term effects of the intervention.
between the lines

Between the Lines

  • 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.

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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 DiabeText and Quality of Life Outcomes, DiabeText and Diabetes Management Self-Efficacy.

Related evidence relationships

Explore in Evidence Archive

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

Questions answered by this study

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

Does DiabeText improve diabetes management self-efficacy?

Emerging Evidence

DiabeText appears to improve Diabetes management self-efficacy.

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

Ranked evidence signals

  1. 1

    Diabetes management self-efficacy

    EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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 DiabeText improve health-related quality of life?

Emerging Evidence

DiabeText appears to improve Health-related quality of life.

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

Ranked evidence signals

  1. 1

    Health-related quality of life

    EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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 DiabeText improve self-reported medication adherence at 12 months?

Emerging Evidence

DiabeText 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™ 54.2 | 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 DiabeText improve adherence to mediterranean diet measured using medas-14?

Limited Evidence

Current evidence does not show a clear benefit of DiabeText for Adherence to Mediterranean diet measured using MEDAS-14.

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

Ranked evidence signals

  1. 1

    Adherence to Mediterranean diet measured using MEDAS-14

    EvidenceScore™ Limited | EvidenceScore™ 36.6 | neutral | 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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