Last updated July 8, 2026
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.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Risk of bias
High Risk
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Plain-language summary
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.
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.
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
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
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
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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
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
2
Related topics
5
Evidence pairs
159
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Related evidence
Evidence topic
Save evidence
Core evidence
The primary outcomes reported in this study.
DialBetesPlus mobile health intervention → Daily step count
DialBetesPlus mobile health intervention → Daily step count
DialBetesPlus mobile health intervention → Exercise self-efficacy
DialBetesPlus mobile health intervention → Exercise self-efficacy
DialBetesPlus mobile health intervention → Goal completion rate
DialBetesPlus mobile health intervention → Goal completion rate
DialBetesPlus mobile health intervention → Percentage of Days Coping Strategies Applied
DialBetesPlus mobile health intervention → Percentage of Days Coping Strategies Applied
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
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on DialBetesPlus mobile health intervention and Activities of Daily Living, DialBetesPlus mobile health intervention and Diabetes Management Self-Efficacy.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Activities of Daily Living
Measures Activities of Daily Living as a key outcome.
All studies measuring Diabetes Management Self-Efficacy
Measures Diabetes Management Self-Efficacy as a key outcome.
All studies on DialBetesPlus mobile health intervention
Contributes to DialBetesPlus mobile health intervention evidence base.
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Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
DialBetesPlus mobile health intervention appears to improve daily step count.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Daily step count
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
DialBetesPlus mobile health intervention appears to improve exercise self-efficacy.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Exercise self-efficacy
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
DialBetesPlus mobile health intervention appears to improve goal completion rate.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Goal completion rate
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
DialBetesPlus mobile health intervention appears to improve percentage of days coping strategies applied.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Percentage of Days Coping Strategies Applied
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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