Last updated August 29, 2026
Key finding
28% (69/244) of eligible individuals were randomized.
This study examined a mobile health intervention for adults with prediabetes, finding that 28% of eligible participants were randomized.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This study examined a mobile health intervention for adults with prediabetes, finding that 28% of eligible participants were randomized.
Understanding the feasibility and acceptability of mobile health interventions is crucial for developing effective strategies to prevent type 2 diabetes. This study provides insights into participant engagement and retention, which are vital for future interventions targeting prediabetes.
Limited generalizability due to specific population characteristics. Unclear effectiveness of interventions based on outcome measures. Small sample size may limit the robustness of findings.
Published in
Publication details and source links for this paper.
Gunther E, Leandro M, Jomme C, et al. Examining the Feasibility and Acceptability of a Mobile Health Intervention for Adults with Prediabetes. JMIR mHealth and uHealth. 2019;7(1):e11267. doi:10.2196/11267
28% of eligible individuals were randomized into the study.
80% of participants completed the 12-week follow-up survey.
No significant differences in adherence rates were observed between app-only and app-plus participants.
No statistically significant differences in autonomous motivation scores were found.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Lifestyle intervention for prediabetes, mHealth app to increase autonomous motivation and Adherence rate (MARS-5), Intervention uptake, Participant retention at 6 months, and 1 more.
This study contributes evidence to
Primary intervention
Lifestyle intervention for prediabetes
Primary outcomes
Primary intervention
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.
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Related topics
4
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Lifestyle intervention for prediabetes → Adherence rate (MARS-5)
Lifestyle intervention for prediabetes → Adherence rate (MARS-5)
Lifestyle intervention for prediabetes → Intervention uptake
Lifestyle intervention for prediabetes → Intervention uptake
Lifestyle intervention for prediabetes → Participant retention at 6 months
Lifestyle intervention for prediabetes → Participant retention at 6 months
mHealth app to increase autonomous motivation → Autonomous motivation
mHealth app to increase autonomous motivation → Autonomous motivation
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Lifestyle intervention for prediabetes and Participant retention at 6 months, Lifestyle intervention for prediabetes and Adherence rate (MARS-5).
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 Lifestyle intervention for prediabetes
Contributes to Lifestyle intervention for prediabetes evidence base.
All studies measuring Participant retention at 6 months
Measures Participant retention at 6 months as a key outcome.
All studies measuring Adherence rate (MARS-5)
Measures Adherence rate (MARS-5) as a key outcome.
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3 results
1 results
3 results
3 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Lifestyle intervention for prediabetes appears to improve participant retention at 6 months.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Participant retention at 6 months
EvidenceScore™ Moderate | EvidenceScore™ 74.2 | strong positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Lifestyle intervention for prediabetes appears to improve intervention uptake.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Intervention uptake
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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 Lifestyle intervention for prediabetes for adherence rate (MARS-5).
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Adherence rate (MARS-5)
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ 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 mHealth app to increase autonomous motivation for autonomous motivation.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Autonomous motivation
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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