Last updated July 12, 2026
Key finding
Waist circumference decreased by 2.24 cm (95% CI -4.12 to -0.36; P = 0.02).
This study evaluated an mHealth-based diabetes prevention program for mothers with abdominal obesity, finding significant reductions in waist circumference and diabetes risk scores.
Quick read
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
A plain-language read of the study's main message and where it applies.
Study focus
This study evaluated an mHealth-based diabetes prevention program for mothers with abdominal obesity, finding significant reductions in waist circumference and diabetes risk scores.
These findings are clinically significant as they suggest that mHealth interventions can be effective tools for reducing obesity-related health risks in mothers, potentially leading to better long-term health outcomes and lower diabetes incidence.
No differences found in BMI, total diabetes risk score, daily active minutes, or fruit and vegetable intake. Results may not be generalizable beyond the study population. Limited follow-up duration to assess long-term effects.
Published in
Publication details and source links for this paper.
Lorraine B, Yaltafit J, Fei T, et al. A Randomized Controlled Trial of an mHealth-Based Diabetes Prevention Program for Mothers with Abdominal Obesity. JMIR mHealth and uHealth. 2025;13:e47837. doi:10.2196/47837
Waist circumference decreased by 2.24 cm (P = 0.02)
Modifiable diabetes risk scores decreased by 2.5 (P = 0.02)
Daily steps increased by 1.67 (P = 0.04)
Exercise self-efficacy increased by 1.93 (P = 0.01)
Evidence network
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This study contributes evidence to Peer-support lifestyle program and Daily step count, Exercise self-efficacy, Modifiable diabetes risk scores, and 3 more.
This study contributes evidence to
Primary intervention
Peer-support lifestyle program
Primary outcomes
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
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Evidence pairs
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
Follow evidence
Evidence relationship
Follow evidence
Core evidence
The primary outcomes reported in this study.
Peer-support lifestyle program → Daily step count
Peer-support lifestyle program → Daily step count
Peer-support lifestyle program → Exercise self-efficacy
Peer-support lifestyle program → Exercise self-efficacy
Peer-support lifestyle program → Modifiable diabetes risk scores
Peer-support lifestyle program → Modifiable diabetes risk scores
Peer-support lifestyle program → Physical activity level (MET-minutes per week)
Peer-support lifestyle program → Physical activity level (MET-minutes per week)
Peer-support lifestyle program → Treatment satisfaction
Peer-support lifestyle program → Treatment satisfaction
Peer-support lifestyle program → Waist circumference
Peer-support lifestyle program → Waist circumference
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Today's Activity
Saved this study
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Evidence Tracker
12 tracked topics
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48 studies
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Physical Activity Levels, Diabetes Self-Management Education and Support (DSMES) Programs and Body Composition.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Body Composition
Measures Body Composition as a key outcome.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring Physical Activity Levels
Measures Physical Activity Levels as a key outcome.
Latest published studies
Published within the last 2 years.
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2 results
2 results
2 results
2 results
2 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve Physical Activity Levels.
ConsistencyScore™: Results are mixed and should be interpreted cautiously.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is cautious because the available studies report mixed findings.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Composition.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Waist circumference
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Activities of Daily Living.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Daily step count
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs may improve Treatment Experience.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Treatment satisfaction
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.
Limitations
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