Research Summary
Analyzed using Evidence Intelligence™

mHealth improves self-efficacy in diabetes patients more than peer education

Key finding

The mean self-efficacy score of patients in the peer education group increased significantly after training (p = 0.01).

This study examined the impact of healthy lifestyle education on self-efficacy in patients with Type 2 diabetes, finding significant improvements in self-efficacy scores for peer education and mHealth application groups.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Extended (5–20+ 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

Peer education, mHealth application, Control group

Study type

RCTs

Follow-up

Extended (5–20+ y)

Primary outcome

Self-efficacy score

Comparator

Control Group

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 impact of healthy lifestyle education on self-efficacy in patients with Type 2 diabetes, finding significant improvements in self-efficacy scores for peer education and mHealth application groups.

Clinical relevance

Improving self-efficacy in patients with Type 2 diabetes is crucial as it can lead to better self-management of the disease, potentially reducing complications and improving overall health outcomes. This study highlights effective educational strategies that can empower patients and enhance their ability to manage diabetes.

Keep in mind

The study did not assess long-term effects of the interventions. Sample size and demographic diversity may limit generalizability. Potential biases in self-reported measures could affect results.

Published in

Journal Reference

Publication details and source links for this paper.

Azad F, Seyedeh AS, Zahra F, Alireza M. The Effect of Healthy Lifestyle Education on Self-Efficacy in Patients with Type 2 Diabetes: A Randomized Clinical Trial. Health Science Reports. 2025;8(3):e70596. doi:10.1002/hsr2.70596

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Main Effects

The peer education group demonstrated a significant increase in self-efficacy score by 6.51 points (p = 0.01).

The mHealth application group showed a significant increase in self-efficacy score by 16.11 points (p = 0.02).

The control group experienced a decrease in self-efficacy score by 1.27 points, with no significant difference (p = 0.13).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Mobile app for diabetes self-management, Peer-support lifestyle program and Mean self-efficacy score.

Primary intervention

Mobile app for diabetes self-management

Primary outcomes

  • Mean self-efficacy score

Evidence relationships

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

2
Evidence pairs
2
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: 55

1

Related topics

2

Evidence pairs

43

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 2 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

Mean self-efficacy score

Mobile app for diabetes self-management → Mean self-efficacy score

Mobile app for diabetes self-management → Mean self-efficacy score

Evidence profile

StrongIncreasePatient-Reported
Unlock full evidence details
StrongIncrease

Mean self-efficacy score

Peer-support lifestyle program → Mean self-efficacy score

Peer-support lifestyle program → Mean self-efficacy score

Evidence profile

StrongIncreasePatient-Reported
Unlock full evidence details

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evidence suggest

Evidence Suggest

  • Peer education improved self-efficacy by 6.51 points (p = 0.01).
  • mHealth application increased self-efficacy by 16.11 points (p = 0.02).
  • Control group showed a decrease in self-efficacy by 1.27 points (p = 0.13).
who this applies

Who this applies to

  • Adults diagnosed with Type 2 diabetes.
  • Patients seeking to improve their self-management skills.
keep in mind

Keep in Mind

  • Results may not apply to younger populations or those with Type 1 diabetes.
  • The study's short duration limits understanding of long-term benefits.
  • Further research is needed to explore the effectiveness across diverse populations.
between the lines

Between the Lines

  • The study did not assess long-term effects of the interventions.
  • Sample size and demographic diversity may limit generalizability.
  • Potential biases in self-reported measures could affect 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 Mobile app for diabetes self-management and Mean self-efficacy score, Diabetes Self-Management Education and Support (DSMES) Programs and Mean self-efficacy score.

Related evidence relationships

Explore in Evidence Archive

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

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Questions answered by this study

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

Does Mobile app for diabetes self-management improve mean self-efficacy score?

Emerging Evidence

Mobile app for diabetes self-management appears to improve Mean self-efficacy score.

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

Ranked evidence signals

  1. 1

    Mean self-efficacy score

    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 Peer-support lifestyle program improve mean self-efficacy score?

Emerging Evidence

Peer-support lifestyle program appears to improve Mean self-efficacy score.

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

Ranked evidence signals

  1. 1

    Mean self-efficacy score

    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
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