Research Summary
Analyzed using Evidence Intelligence™

mHealth intervention improves HbA1c in type 2 diabetes patients

Last updated August 15, 2026

Key finding

Long-term users reduced their HbA1c by -0.86%, which was significantly different (P = .021).

The Few Touch Application (FTA) was evaluated as a mHealth intervention for diabetes self-management, showing a significant reduction in HbA1c levels among long-term users.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

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

The Few Touch Application (FTA) was evaluated as a mHealth intervention for diabetes self-management, showing a significant reduction in HbA1c levels among long-term users.

Clinical relevance

Effective diabetes self-management is crucial for preventing complications. The significant reduction in HbA1c levels indicates that the Few Touch Application can be a valuable tool for patients. However, the decrease in app usage raises concerns about sustained engagement, which is essential for long-term health outcomes.

Keep in mind

Limited generalizability due to specific population characteristics. Potential biases in self-reported usage data. Short follow-up period may not capture long-term effects.

Published in

Journal Reference

Publication details and source links for this paper.

Meghan B, Gerit P, Ragnar J, et al. The Few Touch Application: A mHealth Intervention for Diabetes Self-Management. PLOS ONE. 2018;13(8):e0203202. doi:10.1371/journal.pone.0203202

Main Effects

Long-term users of FTA reduced their HbA1c by -0.86% (P = .021).

Long-term users significantly decreased their usage of the mHealth intervention over the year (P < .001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Few Touch Application (FTA), Few Touch Application with Health Counselling (FTA+HC) and Change in usage of mHealth intervention over the year, HbA1c.

Primary intervention

Few Touch Application (FTA)

Primary outcomes

  • Change in usage of mHealth intervention over the year
  • HbA1c

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: 59

1

Related topics

4

Evidence pairs

603

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

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Change in usage of mHealth intervention over the year

Few Touch Application (FTA) → Change in usage of mHealth intervention over the year

Few Touch Application (FTA) → Change in usage of mHealth intervention over the year

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Few Touch Application (FTA) → HbA1c

Few Touch Application (FTA) → 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

Change in usage of mHealth intervention over the year

Few Touch Application with Health Counselling (FTA+HC) → Change in usage of mHealth intervention over the year

Few Touch Application with Health Counselling (FTA+HC) → Change in usage of mHealth intervention over the year

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Few Touch Application with Health Counselling (FTA+HC) → HbA1c

Few Touch Application with Health Counselling (FTA+HC) → 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

  • HbA1c levels decreased by -0.86% among long-term FTA users.
  • Significant reduction in app usage was observed (P < .001).
who this applies

Who this applies to

  • Adults with diabetes managing their condition through technology.
  • Individuals interested in mobile health interventions for lifestyle changes.
keep in mind

Keep in Mind

  • The study's findings may not apply to all diabetes populations.
  • Engagement with the mHealth intervention declined over time, which could impact outcomes.
  • Further research is needed to explore long-term adherence to the intervention.
between the lines

Between the Lines

  • Limited generalizability due to specific population characteristics.
  • Potential biases in self-reported usage data.
  • Short follow-up period may not capture long-term effects.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Few Touch Application (FTA) and HbA1c, Few Touch Application (FTA) and Change in usage of mHealth intervention over the year.

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 Few Touch Application (FTA) lower HbA1c?

Emerging Evidence

Few Touch Application (FTA) appears to lower 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.
1 supporting study

Does Few Touch Application with Health Counselling (FTA+HC) lower HbA1c?

Emerging Evidence

Few Touch Application with Health Counselling (FTA+HC) appears to lower 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.
1 supporting study

Does Few Touch Application (FTA) improve change in usage of mhealth intervention over the year?

Emerging Evidence

Current evidence does not show a clear benefit of Few Touch Application (FTA) for change in usage of mhealth intervention over the year.

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

Ranked evidence signals

  1. 1

    Change in usage of mHealth intervention over the year

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Few Touch Application with Health Counselling (FTA+HC) improve change in usage of mhealth intervention over the year?

Emerging Evidence

Current evidence does not show a clear benefit of Few Touch Application with Health Counselling (FTA+HC) for change in usage of mhealth intervention over the year.

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

Ranked evidence signals

  1. 1

    Change in usage of mHealth intervention over the year

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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