Key finding
Participants described a growing sense of control, accountability, and self-regulation, which supported continued engagement.
The ENERGISED trial evaluated a mobile health intervention aimed at increasing physical activity among individuals with prediabetes and type 2 diabetes.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Quick read
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
mHealth intervention combining wearable Fitbit devices, just-in-time context-sensitive text messages, and telephone counselling
Study type
RCTs
Follow-up
Long-Term (1–5 y)
Primary outcome
Increased physical activity
Evidence
Moderate confidence
Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
The ENERGISED trial evaluated a mobile health intervention aimed at increasing physical activity among individuals with prediabetes and type 2 diabetes.
This study highlights the potential of mobile health interventions to promote physical activity in individuals with prediabetes and type 2 diabetes. Understanding the barriers participants faced can help refine such interventions, making them more effective and accessible for those at risk of diabetes-related complications.
The study design was non-randomized, limiting the ability to draw causal conclusions. Effectiveness of the intervention remains unclear due to the absence of quantitative effect sizes. Barriers to engagement may limit the generalizability of findings.
Published in
Publication details and source links for this paper.
Katerina J, Tomas V, Jan N, et al. The ENERGISED trial: a mobile health intervention to increase physical activity in individuals with prediabetes and type 2 diabetes. BMC Public Health. 2026;26:1122. doi:10.1186/s12889-026-26668-y
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Participants reported increased physical activity, feeling more in control and accountable.
There was a noted reduction in sedentary time as participants transitioned to more internally regulated behaviors.
Barriers included health-related limitations, adverse weather, and technology difficulties.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Digital physician-pharmacist collaborative care and Acceptability of text messages in diabetes management, Physical activity level (MET-minutes per week), Reduced sedentary time.
This study contributes evidence to
Primary intervention
Digital physician-pharmacist collaborative care
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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.
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Related topics
3
Evidence pairs
165
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
The primary outcomes reported in this study.
Digital physician-pharmacist collaborative care → Acceptability of text messages in diabetes management
Digital physician-pharmacist collaborative care → Acceptability of text messages in diabetes management
Evidence profile
Digital physician-pharmacist collaborative care → Physical activity level (MET-minutes per week)
Digital physician-pharmacist collaborative care → Physical activity level (MET-minutes per week)
Evidence profile
Digital physician-pharmacist collaborative care → Reduced sedentary time
Digital physician-pharmacist collaborative care → Reduced sedentary time
Evidence profile
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Physical Activity Levels, Diabetes Self-Management Education and Support (DSMES) Programs and Reduced sedentary time.
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 on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring Physical Activity Levels
Measures Physical Activity Levels as a key outcome.
All studies measuring Reduced sedentary time
Measures Reduced sedentary time as a key outcome.
Latest published studies
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™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve Physical Activity Levels.
ConsensusScore™: Results are consistent across studies.
Ranked evidence signals
Physical activity level (MET-minutes per week)
EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Mixed | 1 study
Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.
Limitations
Digital physician-pharmacist collaborative care appears to improve Reduced sedentary time.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Reduced sedentary time
EvidenceScore™ Emerging | EvidenceScore™ 52.9 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Digital physician-pharmacist collaborative care for Acceptability of text messages in diabetes management.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Acceptability of text messages in diabetes management
EvidenceScore™ Limited | EvidenceScore™ 35.4 | neutral | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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