Research Summary
Analyzed using Evidence Intelligence™

Mobile Health Improves Diabetes Self-Management Behaviors

Key finding

Foot care behavior improved significantly (t = -18.941, p < 0.01)

This randomized controlled trial evaluated the impact of a mobile health intervention on diabetes self-management, revealing significant improvements in foot care and dietary behaviors.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Extended (5–20+ 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

Diabetic Care App

Study type

RCTs

Follow-up

Extended (5–20+ y)

Primary outcome

Foot care behavior

Comparator

Standard care

Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This randomized controlled trial evaluated the impact of a mobile health intervention on diabetes self-management, revealing significant improvements in foot care and dietary behaviors.

Clinical relevance

Improving self-management behaviors in diabetes is crucial for preventing complications. The findings suggest that mobile health interventions can effectively enhance specific aspects of diabetes care, potentially leading to better long-term health outcomes for patients.

Keep in mind

The effectiveness of the intervention remains unclear due to limited evidence data. The study's sample size and population characteristics may limit generalizability. Fasting plasma glucose showed no significant change, indicating potential limitations in metabolic impact.

Published in

Journal Reference

Publication details and source links for this paper.

Mohd KZHF, Piyanuch J, Umaporn B, Muhammad KCH. The Effect of Mobile Health Intervention on Diabetes Self-Management: A Randomized Controlled Trial. Belitung Nursing Journal. 2023;9(5):437-447. doi:10.33546/bnj.2664

Save this study and add notes to your research library.

Main Effects

Foot care behavior improved significantly (t = -18.941, p < 0.01)

Dietary behavior improved significantly (t = -5.718, p < 0.01)

Foot condition improved significantly (t = 4.894, p < 0.01)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Rama Diabetes Care app and Fasting Plasma Glucose (FPG), Improvement in dietary behavior, Improvement in foot care behavior, and 1 more.

Primary intervention

Rama Diabetes Care app

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • Improvement in dietary behavior
  • Improvement in foot care behavior

Evidence relationships

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

4
Evidence pairs
4
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: 60

2

Related topics

4

Evidence pairs

176

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 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.

NoneNo Change

Fasting Plasma Glucose (FPG)

Rama Diabetes Care app → Fasting Plasma Glucose (FPG)

Rama Diabetes Care app → Fasting Plasma Glucose (FPG)

Evidence profile

NoneNo ChangeGlycemic Control
Unlock full evidence details
StrongIncrease

Improvement in dietary behavior

Rama Diabetes Care app → Improvement in dietary behavior

Rama Diabetes Care app → Improvement in dietary behavior

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease

Improvement in foot care behavior

Rama Diabetes Care app → Improvement in foot care behavior

Rama Diabetes Care app → Improvement in foot care behavior

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease

Improvement in foot condition

Rama Diabetes Care app → Improvement in foot condition

Rama Diabetes Care app → Improvement in foot condition

Evidence profile

StrongIncreaseClinical Outcomes
Unlock full evidence details

Unlock full evidence analysis

Create a free account to access effectiveness ratings, evidence strength and depth scores, consistency analysis, and direct links to all supporting studies.

evidence suggest

Evidence Suggest

  • Foot care behavior increased significantly with a score change of 15.86 (p = 0.001).
  • Dietary behavior improved with a score change of 10.44 (p = 0.001).
  • Fasting plasma glucose showed no significant change (0.883 mg/dl, p = 0.913).
who this applies

Who this applies to

  • Adults with diabetes seeking to improve self-management.
  • Individuals interested in mobile health interventions for chronic disease management.
keep in mind

Keep in Mind

  • Results may not apply to all diabetes populations due to specific study criteria.
  • The study did not measure long-term outcomes beyond the intervention period.
  • Further research is needed to explore the broader effectiveness of mobile health interventions.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to limited evidence data.
  • The study's sample size and population characteristics may limit generalizability.
  • Fasting plasma glucose showed no significant change, indicating potential limitations in metabolic impact.

Unlock Full Analysis

Create a free account to unlock the bias score, detailed effectiveness analysis, and clinical outcomes for this study.

Already have an account?

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Rama Diabetes Care app and Improvement in dietary behavior, Rama Diabetes Care app and Improvement in foot care behavior.

Related evidence relationships

Explore in Evidence Archive

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

Questions answered by this study

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

Does Rama Diabetes Care app improve improvement in dietary behavior?

Emerging Evidence

Rama Diabetes Care app appears to improve Improvement in dietary behavior.

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

Ranked evidence signals

  1. 1

    Improvement in dietary behavior

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve improvement in foot care behavior?

Emerging Evidence

Rama Diabetes Care app appears to improve Improvement in foot care behavior.

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

Ranked evidence signals

  1. 1

    Improvement in foot care behavior

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve improvement in foot condition?

Emerging Evidence

Rama Diabetes Care app appears to improve Improvement in foot condition.

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

Ranked evidence signals

  1. 1

    Improvement in foot condition

    EvidenceScore™ Emerging | EvidenceScore™ 52.9 | 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.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve fasting plasma glucose (fpg)?

Limited Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for Fasting Plasma Glucose (FPG).

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

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Limited | EvidenceScore™ 35.4 | neutral | 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.
1 supporting studyUpdated: Jul 2026
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, archive views, and research summaries.

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.