Last updated July 8, 2026
Key finding
FANS group experienced a reduction of 1.04 visits during the intervention.
This study evaluated the impact of mHealth-augmented social support on healthcare use among diabetes patients, finding reductions in acute care visits for the intervention group.
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
High Risk
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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 the impact of mHealth-augmented social support on healthcare use among diabetes patients, finding reductions in acute care visits for the intervention group.
These findings suggest that integrating mobile health technologies with social support can effectively reduce the need for emergency care in diabetes patients, potentially improving patient outcomes and reducing healthcare costs. This approach may enhance patient engagement and self-management, which are crucial for chronic disease management.
Effectiveness of interventions remains unclear due to limited data. Statistical significance for hospitalizations was only observed in the pamphlet group. The study may not be generalizable to all diabetes populations.
Published in
Publication details and source links for this paper.
Danielle H, Liza R, Elizabeth B, Naomi C, Taiane C. Impact of mHealth-Augmented Social Support on Health Care Use Among Patients with Diabetes: A Secondary Analysis of the TExT-MED+FANS Trial. Interactive Journal of Medical Research. 2026;15:e65113. doi:10.2196/65113
FANS group reduced acute unscheduled care visits by 1.04 during the intervention (p=0.001).
FANS group reduced acute unscheduled care visits by 1.10 postintervention (p=0.001).
Clinic visits increased by 1.78 in the FANS group during the intervention.
Mailed pamphlet group reduced acute unscheduled care visits by 1.47 during the intervention (p=0.001).
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to SMS text messaging behavioral intervention for health promotion and Hospitalizations, Increase in clinic visits during intervention phase, Reduction in acute unscheduled care visits during intervention phase, and 1 more.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
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.
2
Related topics
4
Evidence pairs
264
Related studies
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_intervention
Related evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → Hospitalizations
SMS text messaging behavioral intervention for health promotion → Hospitalizations
SMS text messaging behavioral intervention for health promotion → Increase in clinic visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Increase in clinic visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits during intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits post-intervention phase
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits post-intervention phase
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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 Reduction in acute unscheduled care visits during intervention phase, Diabetes Self-Management Education and Support (DSMES) Programs and Reduction in acute unscheduled care visits post-intervention phase.
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 on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring Reduction in acute unscheduled care visits during intervention phase
Measures Reduction in acute unscheduled care visits during intervention phase as a key outcome.
All studies measuring Reduction in acute unscheduled care visits post-intervention phase
Measures Reduction in acute unscheduled care visits post-intervention phase as a key outcome.
Latest published studies
Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
SMS text messaging behavioral intervention for health promotion appears to improve Increase in clinic visits during intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Increase in clinic visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Reduction in acute unscheduled care visits during intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in acute unscheduled care visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Reduction in acute unscheduled care visits post-intervention phase.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduction in acute unscheduled care visits post-intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of SMS text messaging behavioral intervention for health promotion for Hospitalizations.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Hospitalizations
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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