Key finding
Intervention A led to a small, nonsignificant reduction in HbA1c levels compared to the control group (β=−0.05, 95% CI −0.21 to 0.10; P =.50)
The study evaluated the effectiveness of the PREDIABETEXT digital health intervention for managing prediabetes. It found a nonsignificant reduction in HbA1c levels.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Quick read
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
PREDIABETEXT (Prediabetes Text Message Digital Intervention for the Prevention of Type 2 Diabetes Mellitus)
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
Glycated hemoglobin (HbA1c)
Comparator
Usual care
Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
The study evaluated the effectiveness of the PREDIABETEXT digital health intervention for managing prediabetes. It found a nonsignificant reduction in HbA1c levels.
Understanding the effectiveness of digital health interventions like PREDIABETEXT is crucial as they offer accessible methods for managing prediabetes. While the intervention did not show significant clinical improvements in HbA1c levels, the positive patient feedback suggests that such programs may enhance engagement and adherence to dietary recommendations, which are vital for preventing type 2 diabetes.
The reduction in HbA1c was not statistically significant. No substantial differences in secondary outcomes limit the intervention's perceived effectiveness. The study's population may not be generalizable to all individuals with prediabetes.
Published in
Publication details and source links for this paper.
Naomi C, Robert M, Neeladri M, et al. Effectiveness of PREDIABETEXT Digital Health Intervention for Prediabetes Management. Journal of Medical Internet Research. 2025;27:e70981. doi:10.2196/70981
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Intervention A led to a small, nonsignificant reduction in HbA1c levels (β=−0.05, P =.50).
No substantial differences were observed in secondary clinical outcomes.
Patient interviews revealed positive feedback regarding the intervention's dietary messages.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to SMS text messaging behavioral intervention for health promotion and Fasting Plasma Glucose (FPG), HbA1c, Patient engagement.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
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.
4
Related topics
3
Evidence pairs
380
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → Fasting Plasma Glucose (FPG)
SMS text messaging behavioral intervention for health promotion → Fasting Plasma Glucose (FPG)
Evidence profile
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → HbA1c
Evidence profile
SMS text messaging behavioral intervention for health promotion → Patient engagement
SMS text messaging behavioral intervention for health promotion → Patient engagement
Evidence profile
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Patient engagement.
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 Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Patient engagement
Measures Patient engagement as a key outcome.
Latest published studies
Published within the last 2 years.
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6 results
1 results
6 results
6 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsensusScore™: Results are generally consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 54.5 | weak positive | ConsensusScore™ Generally Consistent | 1 study
Why this answer: This answer is based on 24 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Fasting Glucose.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Fasting Plasma Glucose (FPG)
EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on 7 supporting studies and existing graph evidence signals.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Patient engagement.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Patient engagement
EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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