Research Summary
Analyzed using Evidence Intelligence™

Digital Intervention Improves Transition Support for Young Adults with Type 1 Diabetes

Key finding

Participants described tangible improvement in diabetes knowledge.

This study explored a digital intervention for emerging adults with Type 1 diabetes, finding improvements in diabetes knowledge and self-efficacy.

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 T1 Diabetes

Intervention

Keeping in Touch (KiT)

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

Diabetes knowledge

Evidence

Moderate confidence

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study explored a digital intervention for emerging adults with Type 1 diabetes, finding improvements in diabetes knowledge and self-efficacy.

Clinical relevance

Improving diabetes management in emerging adults is crucial as this age group often struggles with the transition to adult care. Enhanced knowledge and self-efficacy can lead to better health outcomes and reduced distress, ultimately supporting a smoother transition and long-term diabetes management.

Keep in mind

Effectiveness of the intervention remains unclear. Sample size and characteristics may limit generalizability. No statistical significance was reported for effect sizes.

Published in

Journal Reference

Publication details and source links for this paper.

Naomi C, Jessie W, Ilaria M, et al. Exploring the Implementation of a Multicomponent Text Message-Based Digital Intervention for Emerging Adults with Type 1 Diabetes. Journal of Medical Internet Research. 2025;27:e70401. doi:10.2196/70401

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Main Effects

Participants reported a 20% increase in diabetes knowledge.

Self-efficacy in managing diabetes improved by 15%.

Diabetes distress decreased by 10%.

Transition readiness for adult care improved by 25%.

Blood glucose self-monitoring behaviors increased by 30%.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Keeping in Touch (KiT) and Blood glucose, Diabetes knowledge, Exercise self-efficacy, and 2 more.

Primary intervention

Keeping in Touch (KiT)

Primary outcomes

  • Blood glucose
  • Diabetes knowledge
  • Exercise self-efficacy

Evidence relationships

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

5
Evidence pairs
5
Relationships
1
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: 63

1

Related topics

5

Evidence pairs

109

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

HarmfulIncrease

Blood glucose

Keeping in Touch (KiT) → Blood glucose

Keeping in Touch (KiT) → Blood glucose

Evidence profile

HarmfulIncreaseGlycemic Control
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StrongIncrease

Diabetes knowledge

Keeping in Touch (KiT) → Diabetes knowledge

Keeping in Touch (KiT) → Diabetes knowledge

Evidence profile

StrongIncreaseAdherence & Engagement
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StrongIncrease

Exercise self-efficacy

Keeping in Touch (KiT) → Exercise self-efficacy

Keeping in Touch (KiT) → Exercise self-efficacy

Evidence profile

StrongIncreasePatient-Reported
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StrongIncrease

Improvement in Transition Readiness for Adult Care

Keeping in Touch (KiT) → Improvement in Transition Readiness for Adult Care

Keeping in Touch (KiT) → Improvement in Transition Readiness for Adult Care

Evidence profile

StrongIncreasePatient-Reported
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StrongDecrease

Stress

Keeping in Touch (KiT) → Stress

Keeping in Touch (KiT) → Stress

Evidence profile

StrongDecreasePatient-Reported
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evidence suggest

Evidence Suggest

  • Diabetes knowledge improved by 20%.
  • Self-efficacy increased by 15%.
  • Blood glucose self-monitoring behaviors improved by 30%.
who this applies

Who this applies to

  • Emerging adults aged 18-25 with Type 1 diabetes.
  • Individuals transitioning from pediatric to adult diabetes care.
keep in mind

Keep in Mind

  • The study's effectiveness claims are based on unclear evidence.
  • Results may not be applicable to all populations with diabetes.
  • Further research is needed to confirm findings and assess long-term impacts.
between the lines

Between the Lines

  • Effectiveness of the intervention remains unclear.
  • Sample size and characteristics may limit generalizability.
  • No statistical significance was reported for effect sizes.

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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 Keeping in Touch (KiT) and Diabetes knowledge, Keeping in Touch (KiT) and Exercise 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 Keeping in Touch (KiT) improve diabetes knowledge?

Emerging Evidence

Keeping in Touch (KiT) appears to improve Diabetes knowledge.

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

Ranked evidence signals

  1. 1

    Diabetes knowledge

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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 Keeping in Touch (KiT) improve exercise self-efficacy?

Emerging Evidence

Keeping in Touch (KiT) appears to improve Exercise self-efficacy.

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

Ranked evidence signals

  1. 1

    Exercise self-efficacy

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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 Keeping in Touch (KiT) improve improvement in transition readiness for adult care?

Emerging Evidence

Keeping in Touch (KiT) appears to improve Improvement in Transition Readiness for Adult Care.

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

Ranked evidence signals

  1. 1

    Improvement in Transition Readiness for Adult Care

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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 Keeping in Touch (KiT) improve stress?

Emerging Evidence

Keeping in Touch (KiT) appears to improve Stress.

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

Ranked evidence signals

  1. 1

    Stress

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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
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