Key finding
Overall, there was a substantive but nonsignificant decrease in the average CAHPS score over the 6-month trial period (−2.6; P =.11).
This study examined the effects of an adaptive mobile health texting intervention on patient-provider communication ratings. Results indicated a nonsignificant decrease in CAHPS scores over six months.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
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
Personalized SMS text messaging about physical activity via an adaptive learning algorithm, Control group receiving no SMS text messages
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
CAHPS score
Comparator
No SMS text messages
Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
This study examined the effects of an adaptive mobile health texting intervention on patient-provider communication ratings. Results indicated a nonsignificant decrease in CAHPS scores over six months.
Understanding how mobile health interventions affect patient perceptions of communication is crucial for improving healthcare delivery. Effective communication is linked to better patient outcomes, and this study highlights the need for further exploration of how technology can be leveraged in this area.
The decrease in CAHPS scores was not statistically significant. The study may have limited generalizability due to the specific population sampled. Potential confounding factors were not controlled for in the analysis.
Published in
Publication details and source links for this paper.
Lynn L, Marvyn RAA, Adrian A, Courtney RL, Lorraine B. Examining the Impact of an Adaptive Mobile Health Texting-Based Intervention on Patient Ratings of Communication with Health Care Providers. JMIR mHealth and uHealth. 2025;13:e64296. doi:10.2196/64296
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CAHPS scores decreased by -2.6 points, indicating a decline in patient satisfaction.
The decrease in CAHPS scores was nonsignificant (p=0.11).
No significant differences were observed between the intervention groups.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Exercise therapy and Patient-reported health care communication assessed via CAHPS scores.
This study contributes evidence to
Primary intervention
Exercise therapy
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
1
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
Exercise therapy → Patient-reported health care communication assessed via CAHPS scores
Exercise therapy → Patient-reported health care communication assessed via CAHPS scores
Evidence profile
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
Generated from the study's connected evidence using Evidence Intelligence™.
Current evidence does not show a clear benefit of Exercise therapy for Patient-reported health care communication assessed via CAHPS scores.
ConsensusScore™: Results are consistent across studies.
Ranked evidence signals
Patient-reported health care communication assessed via CAHPS scores
EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
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