Research Summary
Analyzed using Evidence Intelligence™

Family Health Nurse Model Improves Diabetes Self-Management

Last updated July 18, 2026

Key finding

The family health nurse model significantly improved self-management scores.

This study evaluated the effectiveness of a Family Health Nurse model on diabetes self-management in middle-aged women, finding significant improvements in self-management scores and reductions in HbA1c levels.

Quick read

Study at a glance

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

What this paper says

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

Study focus

This study evaluated the effectiveness of a Family Health Nurse model on diabetes self-management in middle-aged women, finding significant improvements in self-management scores and reductions in HbA1c levels.

Clinical relevance

Improving diabetes self-management is crucial for reducing complications and enhancing quality of life in patients. The findings suggest that integrating Family Health Nurses into diabetes care may provide effective support, leading to better health outcomes for middle-aged women, a demographic often at risk for diabetes-related complications.

Keep in mind

The effectiveness of the intervention remains unclear due to limited evidence pairs. The study's generalizability may be restricted to middle-aged women. Potential confounding factors were not fully addressed.

Published in

Journal Reference

Publication details and source links for this paper.

Azam E, Tayebeh K, Mahrokh K, Ziba F. Effectiveness of Family Health Nurse Model on Diabetes Self-Management in Middle-Aged Women. Journal of Education and Health Promotion. 2025;14:256. doi:10.4103/jehp.jehp_35_24

Main Effects

Self-management scores increased by 5.2 points (p=0.001).

HbA1c levels decreased by 1.5% (p=0.002).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Family health nurse model intervention and Diabetes self-management behaviors, HbA1c.

Primary intervention

Family health nurse model intervention

Primary outcomes

  • Diabetes self-management behaviors
  • HbA1c

Evidence relationships

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

2
Evidence pairs
2
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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.

Moderate contributionModerate confidenceNetwork score: 60

2

Related topics

2

Evidence pairs

380

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 2 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Related evidence

Evidence topic

Treatment Adherence

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Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes self-management behaviors

Family health nurse model intervention → Diabetes self-management behaviors

Family health nurse model intervention → Diabetes self-management behaviors

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Family health nurse model intervention → HbA1c

Family health nurse model intervention → HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Significant increase in self-management scores by 5.2 points.
  • HbA1c levels decreased significantly by 1.5%.
  • Intervention showed promise in enhancing diabetes management.
who this applies

Who this applies to

  • Middle-aged women diagnosed with diabetes.
  • Participants engaged in diabetes self-management programs.
keep in mind

Keep in Mind

  • Results may not apply to younger or older populations.
  • Further research is needed to confirm long-term benefits.
  • The study did not explore the impact of other lifestyle factors.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to limited evidence pairs.
  • The study's generalizability may be restricted to middle-aged women.
  • Potential confounding factors were not fully addressed.

Evidence Library

Build your evidence library

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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 Family health nurse model intervention and HbA1c, Family health nurse model intervention and Diabetes Management Self-Efficacy.

Related evidence relationships

Explore in Evidence Explorer

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 Family health nurse model intervention improve diabetes self-management behaviors?

Emerging Evidence

Family health nurse model intervention appears to improve Diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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 Family health nurse model intervention improve HbA1c?

Emerging Evidence

Family health nurse model intervention appears to improve HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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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