StrongIncrease
Daily step count
DialBetesPlus mobile health intervention → Daily step count
DialBetesPlus mobile health intervention → Daily step count
Evidence profile
StrongIncreaseAdherence & Engagement
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Research Summary
Analyzed using Evidence Intelligence™
Mobile health intervention improves daily step counts in diabetes patients
Key finding
An 86.7% increase in mean daily step counts was observed.
The StepAdd mobile health intervention aimed to improve physical activity in patients with Type 2 diabetes, resulting in significant increases in daily step counts.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Long-Term (1–5 y)
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
StepAdd mobile health (mHealth) behavior change intervention
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Primary outcome
Mean daily step counts
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
The StepAdd mobile health intervention aimed to improve physical activity in patients with Type 2 diabetes, resulting in significant increases in daily step counts.
Clinical relevance
Improving physical activity is crucial for managing Type 2 diabetes, as it can lead to better health outcomes. The StepAdd intervention demonstrates that mobile health technologies can effectively encourage lifestyle changes, potentially reducing the risk of diabetes complications and improving overall well-being.
Keep in mind
The study design was non-randomized, limiting causal inferences. Sample size and demographic diversity were not specified. Results may not be generalizable to all patients with Type 2 diabetes.
Published in
Journal Reference
Publication details and source links for this paper.
Kayo W, Syunpei E, Toshimasa Y, Masaomi N, Kazuhiko O, Amaryllis M. StepAdd Mobile Health Behavior Change Intervention for Patients with Type 2 Diabetes: A Pilot Study. JMIR Formative Research. 2025;9:e60221. doi:10.2196/60221
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Main Effects
An 86.7% increase in mean daily step counts was observed.
Goal completion rates ranged from 68% to 87% throughout the intervention.
Significant correlations were found for self-efficacy measures, with coefficients of 0.497 (SE-B) and 0.446 (SE-T).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to DialBetesPlus mobile health intervention and Daily step count, Exercise self-efficacy, Goal completion rate, and 2 more.
This study contributes evidence to
Primary intervention
DialBetesPlus mobile health intervention
Primary outcomes
- Daily step count
- Exercise self-efficacy
- Goal completion rate
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
5
Evidence pairs
5
Relationships
1
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: 63
1
Related topics
5
Evidence pairs
45
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 5 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
Core evidence
Study findings
The primary outcomes reported in this study.
StrongIncrease
Exercise self-efficacy
DialBetesPlus mobile health intervention → Exercise self-efficacy
DialBetesPlus mobile health intervention → Exercise self-efficacy
Evidence profile
StrongIncreasePatient-Reported
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StrongIncrease
Goal completion rate
DialBetesPlus mobile health intervention → Goal completion rate
DialBetesPlus mobile health intervention → Goal completion rate
Evidence profile
StrongIncreaseAdherence & Engagement
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StrongIncrease
Percentage of Days Coping Strategies Applied
DialBetesPlus mobile health intervention → Percentage of Days Coping Strategies Applied
DialBetesPlus mobile health intervention → Percentage of Days Coping Strategies Applied
Evidence profile
StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease
Self-regulation measured using the Physical Activity Self-Regulation Scale
DialBetesPlus mobile health intervention → Self-regulation measured using the Physical Activity Self-Regulation Scale
DialBetesPlus mobile health intervention → Self-regulation measured using the Physical Activity Self-Regulation Scale
Evidence profile
StrongIncreaseAdherence & Engagement
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
- Daily step counts increased by 86.7%.
- Goal completion rates were consistently high, between 68% and 87%.
- Self-efficacy for overcoming barriers showed a significant correlation (P = 0.004).
Who this applies to
- Adults diagnosed with Type 2 diabetes.
- Patients seeking to increase physical activity through mobile health tools.
Keep in Mind
- The intervention's effectiveness is not fully established due to the study design.
- Findings may not apply to younger populations or those with different diabetes types.
- Further research is needed to confirm long-term benefits and scalability.
Between the Lines
- The study design was non-randomized, limiting causal inferences.
- Sample size and demographic diversity were not specified.
- Results may not be generalizable to all patients with Type 2 diabetes.
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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 DialBetesPlus mobile health intervention improve exercise self-efficacy?
Emerging Evidence
DialBetesPlus mobile health intervention appears to improve Exercise self-efficacy.
ConsensusScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Exercise self-efficacy
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | 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.
Does DialBetesPlus mobile health intervention improve daily step count?
Emerging Evidence
DialBetesPlus mobile health intervention appears to improve Daily step count.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Daily step count
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | 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 DialBetesPlus mobile health intervention improve goal completion rate?
Emerging Evidence
DialBetesPlus mobile health intervention appears to improve Goal completion rate.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Goal completion rate
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | 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 DialBetesPlus mobile health intervention improve percentage of days coping strategies applied?
Emerging Evidence
DialBetesPlus mobile health intervention appears to improve Percentage of Days Coping Strategies Applied.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Percentage of Days Coping Strategies Applied
EvidenceScore™ Emerging | EvidenceScore™ 49.1 | 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 DialBetesPlus mobile health intervention and Daily step countAll studies on DialBetesPlus mobile health intervention and Exercise self-efficacyAll studies on DialBetesPlus mobile health intervention and Goal completion rateAll studies on DialBetesPlus mobile health intervention and Percentage of Days Coping Strategies Applied
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