Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Add to Evidence TrackerResearch Summary
Analyzed using Evidence Intelligence™
Mindfulness intervention reduces diabetes distress in veterans.
Last updated August 16, 2026
Key finding
Intention-to-treat group by time analyses showed a statistically significant improvement in DD in both arms without significant intervention effect from baseline to 24 weeks.
A technology-supported mindfulness intervention integrated into diabetes care showed improvements in diabetes distress among veterans, but no significant intervention effects were observed.
Quick read
Study at a glance
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
Save research, organize studies, and quickly find important evidence again.
Plain-language summary
What this paper says
A plain-language read of the study’s main message and where it applies.
Study focus
A technology-supported mindfulness intervention integrated into diabetes care showed improvements in diabetes distress among veterans, but no significant intervention effects were observed.
Clinical relevance
This study highlights the potential for integrating mindfulness techniques into diabetes care for veterans, addressing psychological aspects such as diabetes distress. While improvements were seen, the lack of significant differences suggests that further research is needed to determine the unique benefits of mindfulness interventions in diabetes management.
Keep in mind
No significant differences between intervention and control groups were observed. The study may lack generalizability due to its specific veteran population. Mindfulness levels remained unchanged, indicating potential limitations in the intervention's effectiveness.
Published in
Journal Reference
Publication details and source links for this paper.
Monica MD, Carol G, Angela DP, et al. Technology-supported mindfulness intervention integrated into diabetes care improves diabetes distress in veterans. BMJ Open Diabetes Research & Care. 2022;10(2):e002631. doi:10.1136/bmjdrc-2021-002631
Main Effects
Diabetes distress improved significantly in both groups without significant intervention effects.
Self-management behaviors and self-efficacy significantly improved in both arms.
PTSD and depression symptoms showed significant improvement across both groups.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to DSMES and Body weight, Change in PTSD symptoms, Depression score, and 6 more.
This study contributes evidence to
Primary intervention
DSMES
Primary outcomes
- Body weight
- Change in PTSD symptoms
- Depression score
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
9
Evidence pairs
9
Relationships
4
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
4
Related topics
9
Evidence pairs
436
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 9 evidence relationships
- Includes primary outcome data
- Linked to 4 direct semantic evidence topics
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Add related evidence to your Evidence Tracker
Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.
Primary evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy
Related evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health
Save evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Body Weight
Save evidence
Core evidence
Study findings
The primary outcomes reported in this study.
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 TrackerEvidence 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 TrackerEvidence 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 TrackerDiabetes management self-efficacy
DSMES → Diabetes management self-efficacy
DSMES → Diabetes management self-efficacy
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 TrackerDiabetes self-management behaviors
DSMES → Diabetes self-management behaviors
DSMES → Diabetes self-management behaviors
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
Add to Evidence TrackerEvidence 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 TrackerReduction in Hemoglobin A1C levels
DSMES → Reduction in Hemoglobin A1C levels
DSMES → Reduction in Hemoglobin A1C levels
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 TrackerEvidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 100
- consistent
Supporting studies: Based on 2 studies
Add to Evidence TrackerEvidence Library
Build your evidence library
Save research, organize studies, and quickly find important evidence again.
Evidence Suggest
- Diabetes distress improved significantly in both arms without intervention effect.
- Self-management behaviors and self-efficacy improved significantly in both groups.
- PTSD and depression symptoms significantly improved in both arms.
Who this applies to
- Veterans with diabetes.
- Participants experiencing diabetes distress.
Keep in Mind
- The study did not find significant differences between the mindfulness intervention and standard care.
- Improvements in outcomes were observed in both groups, suggesting a need for further research.
- The specific population of veterans may limit the applicability of findings to other groups.
Between the Lines
- No significant differences between intervention and control groups were observed.
- The study may lack generalizability due to its specific veteran population.
- Mindfulness levels remained unchanged, indicating potential limitations in the intervention's effectiveness.
Evidence Library
Build your evidence library
Save research, organize studies, and quickly find important evidence again.
Connected Evidence
Explore related studies, evidence collections, and research questions.
Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Body Weight, Diabetes Self-Management Education and Support (DSMES) Programs and Diabetes Management Self-Efficacy.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Body Weight
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 75
- Positive
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Diabetes Management Self-Efficacy
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 35
- mixed
Supporting studies: Based on 2 studies
View evidenceBehavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → Blood Pressure
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- Moderate
- Score 69 · Based on 2 studies
- ImpactScore™
- 50
- Neutral
- ConsistencyScore™
- 100
- consistent
Supporting studies: Based on 2 studies
View evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
Blood Pressure Evidence Hub
All studies measuring Blood Pressure
2 studies
outcome_hubMeasures Blood Pressure as a key outcome.
Body Weight Evidence Hub
All studies measuring Body Weight
2 studies
outcome_hubMeasures Body Weight as a key outcome.
Diabetes Management Self-Efficacy Evidence Hub
All studies measuring Diabetes Management Self-Efficacy
2 studies
outcome_hubMeasures Diabetes Management Self-Efficacy as a key outcome.
Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
2 studies
intervention_hubContributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on DSMES and Body weight
Intervention: DSMESOutcome: Body weight
2 results
All studies on DSMES and Diabetes self-management behaviors
Intervention: DSMESOutcome: Diabetes self-management behaviors
2 results
All studies on DSMES
Intervention: DSMES
2 results
All studies measuring Body weight
Outcome: Body weight
2 results
All studies measuring Diabetes self-management behaviors
Outcome: Diabetes self-management behaviors
2 results
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 diabetes management self-efficacy?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Diabetes Management Self-Efficacy.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Diabetes self-management behaviors
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Mixed | 1 study
- 2
Diabetes management self-efficacy
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 16 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve mental health?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Mental Health.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
Depression score
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 10 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Diabetes Self-Management Education and Support (DSMES) Programs affect body weight?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Body weight
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study
Why this answer: This answer is based on 8 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve blood pressure?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve Blood Pressure.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
Systolic blood pressure
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 7 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Next steps
Continue your research
Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.
Evidence topics
Follow the topics this study contributes to.
Explore in Evidence Explorer
Open broader Evidence Explorer views for this relationship.
Related research
Read related research summaries.
Scalable diabetes education improves care coordinationIntegrated intervention improves diabetes and oral health outcomesDigital Diabetes Program Improves Glycemic Control in AdultsCulturally tailored education improves diabetes management in Latino adultsTelemedicine improves diabetes self-management education access
No ads. No tracking.
Focused on evidence, not advertising.
Secure & private
Your data is always protected.
Always up to date
New studies added every day.