Research Summary

Analyzed using Evidence Intelligence™

Mobile health app improves engagement for pregnant women at risk of diabetes

Key finding

82% of participants fell into the 'Averagers' category.

This study explored engagement patterns in a mobile health intervention for women at risk of gestational diabetes, revealing varied engagement clusters.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Some Concerns bias

Last updated July 8, 2026

Quick 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

Liva app mHealth lifestyle coaching

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

Engagement cluster: Averagers

Evidence

Moderate confidence

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 engagement patterns in a mobile health intervention for women at risk of gestational diabetes, revealing varied engagement clusters.

Clinical relevance

Understanding engagement patterns in mobile health interventions is crucial for tailoring these tools to better support women at risk of gestational diabetes. By identifying how different users interact with the app, healthcare providers can enhance user experience and potentially improve health outcomes.

Keep in mind

Effectiveness of the intervention remains unclear. Limited generalizability due to specific population focus. Potential unmeasured confounders affecting engagement.

Published in

Journal Reference

Publication details and source links for this paper.

Signe BB, Timothy CS, Sharleen LO, Elena RV, Mathias SH, Ditte HL. Exploring engagement patterns within a mobile health intervention for women at risk of gestational diabetes. Women's Health. 2025;21:17455057251327510. doi:10.1177/17455057251327510

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Main Effects

82% of participants were categorized as 'Averagers'.

Participants in the 'Goalers' cluster primarily engaged with goal-setting features.

The 'Immersers' cluster showed significant engagement with multiple app features.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Mobile app for diabetes self-management and Patient engagement.

This study contributes evidence to

Intervention

Mobile app for diabetes self-management

Outcome

Patient engagement

Primary intervention

Mobile app for diabetes self-management

Primary outcomes

Patient engagement

Primary intervention

Mobile app for diabetes self-management

Primary outcomes

Patient engagement

Evidence relationships

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

Evidence pairs

Relationships

Evidence topics

contributes_evidence

Editorial context

Why this study matters

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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.

Limited contributionLow confidenceNetwork score: 38

Why it is useful

Contributes to 1 evidence relationship
Includes primary outcome data
Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

StrongIncrease

Patient engagement

Mobile app for diabetes self-management → Patient engagement

Evidence profile

StrongIncreaseAdherence & Engagement

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Evidence Suggest

82% of participants were 'Averagers', indicating moderate engagement.
Engagement patterns varied significantly among clusters.
Effectiveness of the Liva app was not clearly established.

Who this applies to

Women at risk of gestational diabetes.
Participants using mobile health interventions for lifestyle coaching.

Keep in Mind

The study's findings may not apply to broader populations.
Engagement does not equate to effectiveness.
Further research is needed to clarify the app's impact.

Between the Lines

Effectiveness of the intervention remains unclear.
Limited generalizability due to specific population focus.
Potential unmeasured confounders affecting engagement.

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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 Mobile app for diabetes self-management and Patient engagement.

Related evidence relationships

Explore in Evidence Archive

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

Mobile app for diabetes self-managementPatient engagement

Behavioral & Lifestyle

1 studies

Detailed evidence

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Mobile app for diabetes self-management Evidence Hub

All studies on Mobile app for diabetes self-management

1 studies

intervention_hub

Contributes to Mobile app for diabetes self-management evidence base.

Patient engagement Evidence Hub

All studies measuring Patient engagement

1 studies

outcome_hub

Measures Patient engagement as a key outcome.

Recent Diabetes Research

Latest published studies

recency_collection

Published within the last 2 years.

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All studies on Mobile app for diabetes self-management and Patient engagement

Intervention: Mobile app for diabetes self-managementOutcome: Patient engagement

1 results

All studies on Mobile app for diabetes self-management

Intervention: Mobile app for diabetes self-management

1 results

All studies measuring Patient engagement

Outcome: Patient engagement

1 results

Questions answered by this study

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

Does Mobile app for diabetes self-management improve patient engagement?

Emerging Evidence

Mobile app for diabetes self-management appears to improve Patient engagement.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

1
Patient engagement
EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

Only one supporting study is available.
Population details are unavailable.

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