Research Summary
Analyzed using Evidence Intelligence™

Mobile health intervention improves physical activity in type 2 diabetes

Key finding

Recruitment rate of 93%.

This study evaluated the feasibility of a mobile health-supported physical activity intervention for adults with recently diagnosed Type 2 diabetes, finding high recruitment and retention rates.

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

MOTIVATE-T2D

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Primary outcome

Recruitment Rate

Comparator

Active Control

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 evaluated the feasibility of a mobile health-supported physical activity intervention for adults with recently diagnosed Type 2 diabetes, finding high recruitment and retention rates.

Clinical relevance

These findings are significant as they suggest that mobile health interventions can effectively support lifestyle changes in adults with Type 2 diabetes, which is crucial for managing the condition and preventing complications. Improved adherence to exercise and better metabolic control can lead to enhanced overall health and quality of life for these individuals.

Keep in mind

The study's effectiveness remains unclear due to the lack of statistical significance in some outcomes. Findings may not be generalizable beyond the enrolled population. Potential confounding factors were not fully addressed.

Published in

Journal Reference

Publication details and source links for this paper.

Katie H, Jonathan L, Robert A, et al. Feasibility of a Mobile Health-Supported Home-Delivered Physical Activity Intervention for Adults with Recently Diagnosed Type 2 Diabetes: A Randomised Controlled Trial. BMJ Open. 2025;15(3):e092260. doi:10.1136/bmjopen-2024-092260

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Main Effects

MOTIVATE-T2D participants were more likely to start (OR 10.4) and maintain purposeful exercise at 6 months (OR 7.1) and 12 months (OR 2.9).

HbA1c levels decreased by 5% at 6 months and by 2% at 12 months from baseline.

Systolic blood pressure decreased by 1 mm Hg at 6 months and by 4 mm Hg at 12 months from baseline.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Intensive lifestyle intervention for type 2 diabetes remission and Adherence to Purposeful Exercise, HbA1c, Participant retention at 6 months, and 2 more.

Primary intervention

Intensive lifestyle intervention for type 2 diabetes remission

Primary outcomes

  • Adherence to Purposeful Exercise
  • HbA1c
  • Participant retention at 6 months

Evidence relationships

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

5
Evidence pairs
5
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: 68

2

Related topics

5

Evidence pairs

204

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongIncrease

Adherence to Purposeful Exercise

Intensive lifestyle intervention for type 2 diabetes remission → Adherence to Purposeful Exercise

Intensive lifestyle intervention for type 2 diabetes remission → Adherence to Purposeful Exercise

Evidence profile

StrongIncreaseAdherence & Engagement
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NoneDecrease

HbA1c

Intensive lifestyle intervention for type 2 diabetes remission → HbA1c

Intensive lifestyle intervention for type 2 diabetes remission → HbA1c

Evidence profile

NoneDecreaseGlycemic Control
Unlock full evidence details
StrongIncrease

Participant retention at 6 months

Intensive lifestyle intervention for type 2 diabetes remission → Participant retention at 6 months

Intensive lifestyle intervention for type 2 diabetes remission → Participant retention at 6 months

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease

Recruitment Rate

Intensive lifestyle intervention for type 2 diabetes remission → Recruitment Rate

Intensive lifestyle intervention for type 2 diabetes remission → Recruitment Rate

Evidence profile

StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongDecrease

Systolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Systolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Systolic blood pressure

Evidence profile

StrongDecreaseMetabolic Health
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evidence suggest

Evidence Suggest

  • High recruitment rate of 93% with 135 eligible participants expressing interest.
  • Retention rate at 12 months was 82%.
  • HbA1c showed a 6-month change of -5% and a 12-month change of -2%.
who this applies

Who this applies to

  • Adults with recently diagnosed Type 2 diabetes.
  • Individuals interested in improving physical activity levels.
keep in mind

Keep in Mind

  • Results may not apply to older adults or those with more advanced diabetes.
  • The study did not measure long-term sustainability of the intervention effects.
  • Further research is needed to confirm findings in diverse populations.
between the lines

Between the Lines

  • The study's effectiveness remains unclear due to the lack of statistical significance in some outcomes.
  • Findings may not be generalizable beyond the enrolled population.
  • Potential confounding factors were not fully addressed.

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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 Diabetes Self-Management Education and Support (DSMES) Programs and Adherence to Purposeful Exercise, Diabetes Self-Management Education and Support (DSMES) Programs and Participant retention at 6 months.

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

Explore more in the evidence archive

Jump to pre-filtered views in the evidence archive.

Questions answered by this study

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

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Emerging Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsensusScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 41.7 | neutral | ConsensusScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 24 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
24 supporting studiesUpdated: Jul 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve blood pressure?

Emerging Evidence

Current evidence does not show a clear benefit of Diabetes Self-Management Education and Support (DSMES) Programs for Blood Pressure.

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

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 54.2 | strong positive | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on 4 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
4 supporting studiesUpdated: Jul 2026

Does Intensive lifestyle intervention for type 2 diabetes remission improve adherence to purposeful exercise?

Emerging Evidence

Intensive lifestyle intervention for type 2 diabetes remission appears to improve Adherence to Purposeful Exercise.

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

Ranked evidence signals

  1. 1

    Adherence to Purposeful Exercise

    EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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 Intensive lifestyle intervention for type 2 diabetes remission improve participant retention at 6 months?

Emerging Evidence

Intensive lifestyle intervention for type 2 diabetes remission appears to improve Participant retention at 6 months.

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

Ranked evidence signals

  1. 1

    Participant retention at 6 months

    EvidenceScore™ Emerging | EvidenceScore™ 54.2 | 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
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