Research Summary
Analyzed using Evidence Intelligence™

mHealth app improves health status and self-efficacy in type 2 diabetes

Key finding

Self-reported perceived health status improved by 6 (95% CI 1 to 11).

This study examined the effects of a mobile health low-carbohydrate dietary application on psychosocial outcomes in individuals with Type 2 diabetes, finding improvements in perceived health status 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 T2 Diabetes

Intervention

mHealth low-carbohydrate dietary application

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

Self-reported perceived health status

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 examined the effects of a mobile health low-carbohydrate dietary application on psychosocial outcomes in individuals with Type 2 diabetes, finding improvements in perceived health status and self-efficacy.

Clinical relevance

These findings suggest that mobile health interventions can enhance psychosocial aspects of diabetes management, which are crucial for overall health and well-being. Improved self-efficacy and reduced distress may lead to better adherence to diabetes management strategies, potentially improving clinical outcomes.

Keep in mind

The study design was non-randomized, which may introduce bias. Sample size and demographic details were not specified. The generalizability of findings may be limited to specific populations.

Published in

Journal Reference

Publication details and source links for this paper.

Despina K, Liz F, Ronald S, Peter B, George M. Examining the Impact of a mHealth Low-Carbohydrate Dietary Application on Psychosocial Outcomes in People with Type 2 Diabetes. International Journal of Behavioral Medicine. 2026;33(2):195-209. doi:10.1007/s12529-026-10447-5

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Main Effects

Self-reported perceived health status improved by 6 (95% CI 1 to 11).

Diabetes-related distress scores decreased by 2.0 (95% CI -3 to -1).

Self-efficacy in diabetes self-management improved by 5 (95% CI 4 to 7).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Low-carbohydrate diet and Change in self-reported perceived health status, Diabetes self-management behaviors, Sleep quality, and 1 more.

Primary intervention

Low-carbohydrate diet

Primary outcomes

  • Change in self-reported perceived health status
  • Diabetes self-management behaviors
  • Sleep quality

Evidence relationships

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

4
Evidence pairs
4
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

4

Evidence pairs

45

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 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.

StrongIncrease

Change in self-reported perceived health status

Low-carbohydrate diet → Change in self-reported perceived health status

Low-carbohydrate diet → Change in self-reported perceived health status

Evidence profile

StrongIncreasePatient-Reported
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StrongIncrease

Diabetes self-management behaviors

Low-carbohydrate diet → Diabetes self-management behaviors

Low-carbohydrate diet → Diabetes self-management behaviors

Evidence profile

StrongIncreaseAdherence & Engagement
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NoneNo Change

Sleep quality

Low-carbohydrate diet → Sleep quality

Low-carbohydrate diet → Sleep quality

Evidence profile

NoneNo ChangePatient-Reported
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StrongDecrease

Stress

Low-carbohydrate diet → Stress

Low-carbohydrate diet → Stress

Evidence profile

StrongDecreasePatient-Reported
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evidence suggest

Evidence Suggest

  • Self-reported health status increased by 6 points.
  • Diabetes-related distress decreased by 2 points.
  • Self-efficacy improved significantly by 5 points.
who this applies

Who this applies to

  • Adults diagnosed with Type 2 diabetes.
  • Individuals seeking dietary management support through mobile health applications.
keep in mind

Keep in Mind

  • The study's non-randomized design may affect the reliability of results.
  • Findings may not apply to all demographics of Type 2 diabetes patients.
  • Improvements in sleep quality were not statistically significant.
between the lines

Between the Lines

  • The study design was non-randomized, which may introduce bias.
  • Sample size and demographic details were not specified.
  • The generalizability of findings may be limited to specific populations.

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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 Low-carbohydrate diet and Diabetes Management Self-Efficacy, Low-carbohydrate diet and Change in self-reported perceived health status.

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 Low-carbohydrate diet improve change in self-reported perceived health status?

Emerging Evidence

Low-carbohydrate diet appears to improve Change in self-reported perceived health status.

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

Ranked evidence signals

  1. 1

    Change in self-reported perceived health status

    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 Low-carbohydrate diet improve diabetes self-management behaviors?

Emerging Evidence

Low-carbohydrate diet appears to improve Diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    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 Low-carbohydrate diet improve stress?

Emerging Evidence

Low-carbohydrate diet 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

Does Low-carbohydrate diet improve sleep quality?

Limited Evidence

Current evidence does not show a clear benefit of Low-carbohydrate diet for Sleep quality.

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

Ranked evidence signals

  1. 1

    Sleep quality

    EvidenceScore™ Limited | EvidenceScore™ 35.4 | 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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