Research Summary
Analyzed using Evidence Intelligence™

Mobile Intervention Shows Little Effect on Diabetes Risk Perception

Last updated August 25, 2026

Key finding

Women who adequately estimated their risk smoked less often [2.06% (2) vs. 10.3% (7), p = 0.034].

This study analyzed diabetes risk perception in women with prior gestational diabetes and found no significant difference in risk perception but noted behavioral changes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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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 analyzed diabetes risk perception in women with prior gestational diabetes and found no significant difference in risk perception but noted behavioral changes.

Clinical relevance

Understanding diabetes risk is crucial for women with prior gestational diabetes as it can influence lifestyle choices that may prevent future diabetes. The findings suggest that improving risk perception could lead to better health outcomes, highlighting the importance of targeted interventions in this population.

Keep in mind

The study had a limited sample size. Findings may not be generalizable to all populations. Effectiveness of the intervention remains unclear.

Published in

Journal Reference

Publication details and source links for this paper.

Yana V, Caro M, Ine S, et al. Diabetes Risk Perception in Women with Prior Gestational Diabetes: A Secondary Analysis of the Melinda Trial. Journal of Clinical Medicine. 2025;14(14):4998. doi:10.3390/jcm14144998

Main Effects

No significant difference in diabetes risk estimation (p = 0.638).

Lower smoking frequency in women with accurate risk perception (2.06% vs. 10.3%, p = 0.034).

Reduced anxiety scores in women with accurate risk perception (11.6 vs. 12.6, p = 0.040).

Fewer depression symptoms reported by women with accurate risk perception (30.9% vs. 15.6%, p = 0.023).

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 Accurate diabetes risk perception, Anxiety score, Depression symptoms reduction, and 1 more.

Primary intervention

Intensive lifestyle intervention for type 2 diabetes remission

Primary outcomes

  • Accurate diabetes risk perception
  • Anxiety score
  • Depression symptoms reduction

Evidence relationships

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

4
Evidence pairs
4
Relationships
1
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: 63

1

Related topics

4

Evidence pairs

95

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Mental Health

Related evidence

Evidence topic

Diabetes Self-Management Education and Support

Save evidence

Intervention

Diabetes Self-Management Education and Support (DSMES) Programs

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Accurate diabetes risk perception

Intensive lifestyle intervention for type 2 diabetes remission → Accurate diabetes risk perception

Intensive lifestyle intervention for type 2 diabetes remission → Accurate diabetes risk perception

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Anxiety score

Intensive lifestyle intervention for type 2 diabetes remission → Anxiety score

Intensive lifestyle intervention for type 2 diabetes remission → Anxiety score

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Depression symptoms reduction

Intensive lifestyle intervention for type 2 diabetes remission → Depression symptoms reduction

Intensive lifestyle intervention for type 2 diabetes remission → Depression symptoms reduction

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Smoking frequency

Intensive lifestyle intervention for type 2 diabetes remission → Smoking frequency

Intensive lifestyle intervention for type 2 diabetes remission → Smoking frequency

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Accurate risk perception linked to lower smoking rates (p = 0.034).
  • Women with accurate risk perception reported less anxiety (p = 0.040).
  • Fewer depression symptoms in women who understood their risk (p = 0.023).
who this applies

Who this applies to

  • Women with a history of gestational diabetes.
  • Participants enrolled in the Melinda Trial.
keep in mind

Keep in Mind

  • Results may not apply to women without prior gestational diabetes.
  • The intervention's long-term effectiveness is uncertain.
  • Differences in risk perception were not statistically significant.
between the lines

Between the Lines

  • The study had a limited sample size.
  • Findings may not be generalizable to all populations.
  • Effectiveness of the intervention remains unclear.

Evidence Library

Build your evidence library

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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 Mental Health, Diabetes Self-Management Education and Support (DSMES) Programs and Depression symptoms reduction.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

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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 mental health?

Strong Evidence

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

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Anxiety score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 12 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
12 supporting studiesUpdated: Aug 2026

Does Intensive lifestyle intervention for type 2 diabetes remission improve depression symptoms reduction?

Emerging Evidence

Intensive lifestyle intervention for type 2 diabetes remission appears to improve Depression symptoms reduction.

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

Ranked evidence signals

  1. 1

    Depression symptoms reduction

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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: Aug 2026

Does Intensive lifestyle intervention for type 2 diabetes remission improve smoking frequency?

Emerging Evidence

Intensive lifestyle intervention for type 2 diabetes remission appears to improve Smoking frequency.

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

Ranked evidence signals

  1. 1

    Smoking frequency

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ 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: Aug 2026

Does Intensive lifestyle intervention for type 2 diabetes remission improve accurate diabetes risk perception?

Emerging Evidence

Current evidence does not show a clear benefit of Intensive lifestyle intervention for type 2 diabetes remission for Accurate diabetes risk perception.

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

Ranked evidence signals

  1. 1

    Accurate diabetes risk perception

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ 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: Aug 2026
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