Research Summary
Analyzed using Evidence Intelligence™

mHealth tool improves diabetes self-management engagement

Last updated July 11, 2026

Key finding

The study aims to evaluate the efficacy of i-Matter regarding reduction in HbA1c levels.

This study explored factors influencing engagement with the i-Matter mHealth tool for diabetes self-management, highlighting its impact on patient attitudes and engagement.

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

Some Concerns

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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 explored factors influencing engagement with the i-Matter mHealth tool for diabetes self-management, highlighting its impact on patient attitudes and engagement.

Clinical relevance

Understanding how mHealth tools like i-Matter can enhance patient engagement is crucial for improving diabetes self-management. Positive health attitudes and increased commitment to self-care can lead to better health outcomes, making it essential for healthcare providers to consider such tools in their practice.

Keep in mind

Unclear effectiveness of the intervention. Technical design limitations of the i-Matter tool. Need for more resources to support PRO data.

Published in

Journal Reference

Publication details and source links for this paper.

Amaryllis M, Rozmin J, Lina W, et al. Factors Influencing Engagement with an mHealth PRO Tool for Diabetes Self-Management: A Qualitative Study. JMIR Formative Research. 2023;7:e47811. doi:10.2196/47811

Main Effects

i-Matter showed potential in improving patient engagement.

Participants developed more positive health attitudes.

Adherence to self-management behaviors was evaluated.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to i-Matter and Diabetes self-management behaviors, HbA1c, Health attitudes improvement, and 3 more.

Primary intervention

i-Matter

Primary outcomes

  • Diabetes self-management behaviors
  • HbA1c
  • Health attitudes improvement

Evidence relationships

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

6
Evidence pairs
6
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

6

Evidence pairs

380

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

HbA1c Reduction

matched_outcome

Related evidence

Evidence topic

Treatment Adherence

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes self-management behaviors

i-Matter → Diabetes self-management behaviors

i-Matter → Diabetes self-management behaviors

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

HbA1c

i-Matter → HbA1c

i-Matter → HbA1c

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

Health attitudes improvement

i-Matter → Health attitudes improvement

i-Matter → Health attitudes improvement

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

Need for resources to support PRO data collection

i-Matter → Need for resources to support PRO data collection

i-Matter → Need for resources to support PRO data collection

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

Patient engagement

i-Matter → Patient engagement

i-Matter → Patient engagement

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

Technical design limitations of the i-Matter tool

i-Matter → Technical design limitations of the i-Matter tool

i-Matter → Technical design limitations of the i-Matter tool

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

Build your evidence library

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evidence suggest

Evidence Suggest

  • Participants felt more committed to their health using i-Matter.
  • Positive health attitudes were developed among users.
  • Adherence to self-management behaviors was evaluated.
who this applies

Who this applies to

  • Adults with diabetes seeking to improve self-management.
  • Patients interested in using mHealth tools for health management.
keep in mind

Keep in Mind

  • The effectiveness of i-Matter remains unclear.
  • Technical limitations may affect user experience.
  • Results may not be generalizable beyond the study population.
between the lines

Between the Lines

  • Unclear effectiveness of the intervention.
  • Technical design limitations of the i-Matter tool.
  • Need for more resources to support PRO data.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on i-Matter and HbA1c, i-Matter and Health attitudes improvement.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Behavioral & Lifestyle

i-Matter → HbA1c

Behavioral & Lifestyle

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
View evidence

Questions answered by this study

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

Does i-Matter improve diabetes self-management behaviors?

Emerging Evidence

i-Matter appears to improve Diabetes self-management behaviors.

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

Ranked evidence signals

  1. 1

    Diabetes self-management behaviors

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does i-Matter improve HbA1c?

Emerging Evidence

i-Matter appears to improve HbA1c.

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

Ranked evidence signals

  1. 1

    HbA1c

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does i-Matter improve health attitudes improvement?

Emerging Evidence

i-Matter appears to improve Health attitudes improvement.

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

Ranked evidence signals

  1. 1

    Health attitudes improvement

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does i-Matter improve patient engagement?

Emerging Evidence

i-Matter appears to improve Patient engagement.

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

Ranked evidence signals

  1. 1

    Patient engagement

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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