Research Summary
Analyzed using Evidence Intelligence™

mHealth intervention reduces diabetes distress in families

Key finding

Significant pre-post reductions in PPAID scores (p = 0.026)

This study evaluated the effectiveness of the Remedy to Diabetes Distress (R2D2) intervention for families of children with Type 1 Diabetes, finding significant reductions in diabetes distress for parents and children.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Some Concerns bias
Last updated July 8, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Children (≤13), Male, Female, North America, with T1 Diabetes

Intervention

Remedy to Diabetes Distress (R2D2)

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Primary outcome

Parent Problem Areas in Diabetes (PPAID) score

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 evaluated the effectiveness of the Remedy to Diabetes Distress (R2D2) intervention for families of children with Type 1 Diabetes, finding significant reductions in diabetes distress for parents and children.

Clinical relevance

Reducing diabetes distress is crucial for families managing Type 1 Diabetes, as it can lead to better emotional well-being and potentially improve diabetes management. The high satisfaction scores indicate that the R2D2 intervention may be a valuable tool for supporting families, highlighting the importance of addressing psychological aspects alongside medical treatment.

Keep in mind

Unclear effectiveness for some outcomes Limited generalizability due to specific population No significant changes in HbA1c levels

Published in

Journal Reference

Publication details and source links for this paper.

Susana RP, Jessica SP, Nicole K, et al. Initial Outcomes of a New mHealth Intervention to Reduce Diabetes Distress in Families of School-Age Children Living with Type 1 Diabetes. Children. 2024;11(10):1169. doi:10.3390/children11101169

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Main Effects

Significant reduction in Parent PPAID scores (-5.1, p = 0.026)

Significant reduction in Child PAID scores (-3.7, p = 0.026)

High parent satisfaction scores (3.75)

High child satisfaction scores (3.23)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to mHealth diabetes support intervention and Child satisfaction score regarding diabetes intervention, Diabetes-related misconceptions, HbA1c, and 2 more.

Primary intervention

mHealth diabetes support intervention

Primary outcomes

  • Child satisfaction score regarding diabetes intervention
  • Diabetes-related misconceptions
  • HbA1c

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: 59

1

Related topics

5

Evidence pairs

161

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.

StrongIncrease

Child satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Child satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Child satisfaction score regarding diabetes intervention

Evidence profile

StrongIncreasePatient-Reported
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StrongDecrease

Diabetes-related misconceptions

mHealth diabetes support intervention → Diabetes-related misconceptions

mHealth diabetes support intervention → Diabetes-related misconceptions

Evidence profile

StrongDecreasePatient-Reported
Unlock full evidence details
NoneNo Change

HbA1c

mHealth diabetes support intervention → HbA1c

mHealth diabetes support intervention → HbA1c

Evidence profile

NoneNo ChangeGlycemic Control
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StrongIncrease

Parent satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Parent satisfaction score regarding diabetes intervention

mHealth diabetes support intervention → Parent satisfaction score regarding diabetes intervention

Evidence profile

StrongIncreasePatient-Reported
Unlock full evidence details
StrongDecrease

Reduction in child-reported diabetes distress as measured by the PAID score

mHealth diabetes support intervention → Reduction in child-reported diabetes distress as measured by the PAID score

mHealth diabetes support intervention → Reduction in child-reported diabetes distress as measured by the PAID score

Evidence profile

StrongDecreasePatient-Reported
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evidence suggest

Evidence Suggest

  • Parent PPAID scores decreased significantly by 5.1 points (p = 0.026).
  • Child PAID scores decreased significantly by 3.7 points (p = 0.026).
  • Both parents and children reported high satisfaction with the intervention.
who this applies

Who this applies to

  • Families with school-age children diagnosed with Type 1 Diabetes
  • Parents experiencing diabetes distress
keep in mind

Keep in Mind

  • Results may not apply to families outside the study population.
  • Effectiveness for some outcomes remains unclear.
  • Further research needed to assess long-term impacts on HbA1c levels.
between the lines

Between the Lines

  • Unclear effectiveness for some outcomes
  • Limited generalizability due to specific population
  • No significant changes in HbA1c levels

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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 mHealth diabetes support intervention and Reduction in child-reported diabetes distress as measured by the PAID score, mHealth diabetes support intervention and Child satisfaction score regarding diabetes intervention.

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.

Explore more in the evidence archive

Jump to pre-filtered views in the evidence archive.

Questions answered by this study

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

Does mHealth diabetes support intervention improve child satisfaction score regarding diabetes intervention?

Emerging Evidence

mHealth diabetes support intervention appears to improve Child satisfaction score regarding diabetes intervention.

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

Ranked evidence signals

  1. 1

    Child satisfaction score regarding diabetes intervention

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 mHealth diabetes support intervention improve diabetes-related misconceptions?

Emerging Evidence

mHealth diabetes support intervention appears to improve Diabetes-related misconceptions.

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

Ranked evidence signals

  1. 1

    Diabetes-related misconceptions

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 mHealth diabetes support intervention improve parent satisfaction score regarding diabetes intervention?

Emerging Evidence

mHealth diabetes support intervention appears to improve Parent satisfaction score regarding diabetes intervention.

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

Ranked evidence signals

  1. 1

    Parent satisfaction score regarding diabetes intervention

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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 mHealth diabetes support intervention improve reduction in child-reported diabetes distress as measured by the paid score?

Emerging Evidence

mHealth diabetes support intervention appears to improve Reduction in child-reported diabetes distress as measured by the PAID score.

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

Ranked evidence signals

  1. 1

    Reduction in child-reported diabetes distress as measured by the PAID score

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | 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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