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Research Summary
Analyzed using Evidence Intelligence™

mHealth social support improves diabetes self-management

Powered by the Dediabetes Evidence Intelligence™ framework

Last updated July 8, 2026

Key finding

Both groups showed significant HbA1c level improvements (combined group change=1.36%, SD 2.42% mg/dL; 95% CI 0.87-1.83; P <.001)

This study evaluated the effectiveness of a mobile health social support program for diabetes management in emergency department patients, finding significant improvements in HbA1c levels.

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

High Risk

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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

This study evaluated the effectiveness of a mobile health social support program for diabetes management in emergency department patients, finding significant improvements in HbA1c levels.

Clinical relevance

Improving diabetes self-management is crucial for reducing complications and enhancing quality of life. This study suggests that mobile health interventions can be beneficial, especially for newly diagnosed patients, potentially guiding future diabetes care strategies.

Keep in mind

The study may lack generalizability due to its specific population in emergency departments. Effectiveness of the mHealth intervention remains unclear for the broader diabetes population. Potential unmeasured confounders could influence outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Naomi C, Amit D, Cynthia B, et al. Social Support mHealth Intervention to Improve Diabetes Self-Management in Emergency Department Patients: A Randomized Phase-III Trial. JMIR Diabetes. 2025;10:e56934. doi:10.2196/56934

View DOIView on PubMedView on PMC

Main Effects

Both groups showed significant improvements in HbA1c levels (combined change=1.36%, p<0.001).

No significant group difference in HbA1c levels at 6 months (mean difference=0.14%, p=0.87).

Newly diagnosed patients in the mHealth group improved glycemic control more than the standard group (difference of 1.96%, p=0.04).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Peer-support lifestyle program and HbA1c, Improvement in glycemic control for newly diagnosed patients, Safety events.

This study contributes evidence to

Intervention

Peer-support lifestyle program

Outcome

HbA1c

Evidence topic

HbA1c Reduction

Primary intervention

Peer-support lifestyle program

Primary outcomes

  • HbA1c
  • Improvement in glycemic control for newly diagnosed patients
  • Safety events

Evidence topics

HbA1c ReductionDiabetes Self-Management Education and Support

Primary intervention

Peer-support lifestyle program

Primary outcomes

HbA1cImprovement in glycemic control for newly diagnosed patientsSafety events

Evidence relationships

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

3
Evidence pairs
3
Relationships
2
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: 68

2

Related topics

3

Evidence pairs

623

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 3 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Evidence topic

Diabetes Self-Management Education and Support

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Peer-support lifestyle program → HbA1c

Peer-support lifestyle program → HbA1c

Evidence Intelligence™
EvidenceScore™
75
Moderate
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Improvement in glycemic control for newly diagnosed patients

Peer-support lifestyle program → Improvement in glycemic control for newly diagnosed patients

Peer-support lifestyle program → Improvement in glycemic control for newly diagnosed patients

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

Safety events

Peer-support lifestyle program → Safety events

Peer-support lifestyle program → Safety events

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Significant HbA1c improvement of 1.36% in both groups.
  • No significant difference in HbA1c at 6 months (0.14%, p=0.87).
  • 1.96% greater improvement in glycemic control for newly diagnosed patients in the mHealth group.
who this applies

Who this applies to

  • Patients with diabetes treated in emergency departments.
  • Individuals newly diagnosed with diabetes.
keep in mind

Keep in Mind

  • Results may not apply to all diabetes patients outside emergency settings.
  • Further research is needed to clarify the long-term effectiveness of mHealth interventions.
  • The study did not measure all potential confounding factors that could affect outcomes.
between the lines

Between the Lines

  • The study may lack generalizability due to its specific population in emergency departments.
  • Effectiveness of the mHealth intervention remains unclear for the broader diabetes population.
  • Potential unmeasured confounders could influence outcomes.

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Powered by the Dediabetes Evidence Intelligence™ framework

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Improvement in glycemic control for newly diagnosed patients.

Related evidence relationships

Explore in Evidence Explorer

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.

Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub

All studies on Diabetes Self-Management Education and Support (DSMES) Programs

3 studies
intervention_hub

Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.

HbA1c Evidence Hub

All studies measuring HbA1c

3 studies
outcome_hub

Measures HbA1c as a key outcome.

Improvement in glycemic control for newly diagnosed patients Evidence Hub

All studies measuring Improvement in glycemic control for newly diagnosed patients

1 studies
outcome_hub

Measures Improvement in glycemic control for newly diagnosed patients as a key outcome.

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

Questions answered by this study

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

Do Diabetes Self-Management Education and Support (DSMES) Programs lower HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may lower HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 74.5 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 44 supporting studies with generally consistent results and a positive effect signal.

44 supporting studies
View Full Evidence

What evidence is available on Peer-support lifestyle program and improvement in glycemic control for newly diagnosed patients?

Emerging Evidence

Peer-support lifestyle program appears to improve improvement in glycemic control for newly diagnosed patients.

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

Ranked evidence signals

  1. 1

    Improvement in glycemic control for newly diagnosed patients

    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
View Full Evidence

Does Peer-support lifestyle program affect safety events?

Emerging Evidence

Current evidence does not show a clear effect of Peer-support lifestyle program on safety events.

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

Ranked evidence signals

  1. 1

    Safety events

    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
View Full Evidence
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Next steps

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Evidence topics

Follow the topics this study contributes to.

HbA1c Reduction Evidence HubDiabetes Self-Management Education and Support Evidence Hub

Explore in Evidence Explorer

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All studies on Peer-support lifestyle program and HbA1cAll studies on Peer-support lifestyle program and Improvement in glycemic control for newly diagnosed patientsAll studies on Peer-support lifestyle program and Safety events

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