StrongDecrease
HbA1c
Peer-support lifestyle program → HbA1c
Peer-support lifestyle program → HbA1c
Evidence profile
StrongDecreaseGlycemic Control
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Research Summary
Analyzed using Evidence Intelligence™
mHealth social support improves diabetes self-management
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.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Long-Term (1–5 y)
High bias
Last updated July 8, 2026Quick 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
mHealth social support program (Family and Friends Network Support)
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Primary outcome
HbA1c
Comparator
Non-mHealth social support program
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
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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
Primary intervention
Peer-support lifestyle program
Primary outcomes
- HbA1c
- Improvement in glycemic control for newly diagnosed patients
- Safety events
Primary intervention
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
204
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
Core evidence
Study findings
The primary outcomes reported in this study.
StrongDecrease
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 profile
StrongDecreaseGlycemic Control
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NoneNo Change
Safety events
Peer-support lifestyle program → Safety events
Peer-support lifestyle program → Safety events
Evidence profile
NoneNo ChangeSafety
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Unlock full evidence analysis
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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 to
- Patients with diabetes treated in emergency departments.
- Individuals newly diagnosed with diabetes.
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
- 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.
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Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?
Emerging Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsensusScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | strong positive | ConsensusScore™ Generally Consistent | 1 study
Why this answer: This answer is based on 24 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Peer-support lifestyle program improve 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.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Improvement in glycemic control for newly diagnosed patients
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | 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.
Does Peer-support lifestyle program affect safety events?
Limited Evidence
Current evidence does not show a clear benefit of Peer-support lifestyle program for Safety events.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Safety events
EvidenceScore™ Limited | EvidenceScore™ 31.5 | neutral | 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.
Next steps
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