NoneNo Change
Hospitalizations
Control (Usual Activity) → Hospitalizations
Control (Usual Activity) → Hospitalizations
Evidence profile
NoneNo ChangeClinical Outcomes
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Research Summary
Analyzed using Evidence Intelligence™
mHealth support reduces diabetes-related health care visits
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.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
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
FANS mHealth-augmented social support, Active control (mailed pamphlet)
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
Acute unscheduled care visits during intervention phase
Comparator
Standard social support
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 impact of mHealth-augmented social support on healthcare use among diabetes patients, finding reductions in acute care visits for the intervention group.
Clinical relevance
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.
Keep in mind
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
Journal Reference
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
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Main Effects
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
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Control (Usual Activity), 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
Control (Usual Activity)
Primary outcomes
- Hospitalizations
- Increase in clinic visits during intervention phase
- Reduction in acute unscheduled care visits during intervention phase
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
8
Evidence pairs
8
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: 64
2
Related topics
8
Evidence pairs
110
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 8 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
Study findings
The primary outcomes reported in this study.
StrongIncrease
Increase in clinic visits during intervention phase
Control (Usual Activity) → Increase in clinic visits during intervention phase
Control (Usual Activity) → Increase in clinic visits during intervention phase
Evidence profile
StrongIncreaseClinical Outcomes
Unlock full evidence details
StrongDecrease
Reduction in acute unscheduled care visits during intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits during intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits during intervention phase
Evidence profile
StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease
Reduction in acute unscheduled care visits post-intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits post-intervention phase
Control (Usual Activity) → Reduction in acute unscheduled care visits post-intervention phase
Evidence profile
StrongDecreaseClinical Outcomes
Unlock full evidence details
NoneNo Change
Hospitalizations
SMS text messaging behavioral intervention for health promotion → Hospitalizations
SMS text messaging behavioral intervention for health promotion → Hospitalizations
Evidence profile
NoneNo ChangeClinical Outcomes
Unlock full evidence details
StrongIncrease
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 → Increase in clinic visits during intervention phase
Evidence profile
StrongIncreaseClinical Outcomes
Unlock full evidence details
StrongDecrease
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 during intervention phase
Evidence profile
StrongDecreaseClinical Outcomes
Unlock full evidence details
StrongDecrease
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
SMS text messaging behavioral intervention for health promotion → Reduction in acute unscheduled care visits post-intervention phase
Evidence profile
StrongDecreaseClinical Outcomes
Unlock full evidence details
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Evidence Suggest
- FANS group had 1.04 fewer acute visits during the intervention.
- Mailed pamphlet group had 1.47 fewer acute visits during the intervention.
- Clinic visits increased by 1.78 for the FANS group.
Who this applies to
- Adults diagnosed with diabetes.
- Patients seeking to improve their healthcare engagement.
Keep in Mind
- Results may not apply to younger populations or those with type 1 diabetes.
- The study's findings are based on self-reported data, which may introduce bias.
- Further research is needed to confirm long-term effects of mHealth interventions.
Between the Lines
- 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.
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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 Control (Usual Activity) improve increase in clinic visits during intervention phase?
Emerging Evidence
Control (Usual Activity) appears to improve Increase in clinic visits during intervention phase.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Increase in clinic visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 47.9 | 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 Control (Usual Activity) improve reduction in acute unscheduled care visits during intervention phase?
Emerging Evidence
Control (Usual Activity) appears to improve Reduction in acute unscheduled care visits during intervention phase.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Reduction in acute unscheduled care visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 47.9 | 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 Control (Usual Activity) improve reduction in acute unscheduled care visits post-intervention phase?
Emerging Evidence
Control (Usual Activity) appears to improve Reduction in acute unscheduled care visits post-intervention phase.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Reduction in acute unscheduled care visits post-intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 47.9 | 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 SMS text messaging behavioral intervention for health promotion improve increase in clinic visits during intervention phase?
Emerging Evidence
SMS text messaging behavioral intervention for health promotion appears to improve Increase in clinic visits during intervention phase.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Increase in clinic visits during intervention phase
EvidenceScore™ Emerging | EvidenceScore™ 47.9 | 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.
Next steps
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All studies on Control (Usual Activity) and Reduction in acute unscheduled care visits during intervention phaseAll studies on Control (Usual Activity) and Reduction in acute unscheduled care visits post-intervention phaseAll studies on SMS text messaging behavioral intervention for health promotion and Reduction in acute unscheduled care visits during intervention phaseAll studies on SMS text messaging behavioral intervention for health promotion and Reduction in acute unscheduled care visits post-intervention phase
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