Research Summary
Analyzed using Evidence Intelligence™

Nursing support may enhance mHealth app benefits for older adults

Last updated August 29, 2026

Key finding

No statistically significant between-group, within-group, and interaction effects between group and time in PCS scores.

This study examined the effects of adding nursing interaction to mHealth interventions for older adults, finding no significant differences in quality of life but some improvements in self-efficacy.

Quick read

Study at a glance

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

Save research, organize studies, and quickly find important evidence again.

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 examined the effects of adding nursing interaction to mHealth interventions for older adults, finding no significant differences in quality of life but some improvements in self-efficacy.

Clinical relevance

Understanding the impact of mHealth interventions on older adults is crucial for developing effective health strategies. While some benefits were observed in self-efficacy and depression, the lack of improvement in quality of life suggests that additional support or different approaches may be needed to achieve meaningful health outcomes.

Keep in mind

The study did not find significant improvements in quality of life measures. Results may not be generalizable to all older adult populations. The sample size and characteristics of participants were not detailed.

Published in

Journal Reference

Publication details and source links for this paper.

Arkers KCW, Frances KYW, Jonathan B, Karen KSC, Siu MW, Athena YLL. Benefits of Adding Nursing Interaction to mHealth for Older Adults: A Randomized Controlled Trial. Frontiers in Psychiatry. 2022;13:978416. doi:10.3389/fpsyt.2022.978416

Main Effects

The mHealth group showed an improvement in self-efficacy scores from T1 to T2.

The mHealth group demonstrated a decrease in depression scores from T1 to T2.

No statistically significant differences were found in quality of life measures between groups.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to mHealth diabetes support intervention, mHealth with interactivity and Depression score, Exercise self-efficacy, Quality of life.

Primary intervention

mHealth diabetes support intervention

Primary outcomes

  • Depression score
  • Exercise self-efficacy
  • Quality of life

Evidence relationships

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

6
Evidence pairs
6
Relationships
0
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: 50

0

Related topics

6

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Add related evidence to your Evidence Tracker

Save studies and evidence pages, organize your personal Evidence Tracker, and keep the research you care about in one place.

Primary evidence

Evidence relationship

mHealth Diabetes Support Interventions and Diabetes Management Self-Efficacy

Related evidence

Evidence relationship

mHealth Diabetes Support Interventions and Mental Health

Save evidence

Evidence relationship

mHealth Diabetes Support Interventions and Quality of Life Outcomes

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Depression score

mHealth diabetes support intervention → Depression score

mHealth diabetes support intervention → Depression score

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Exercise self-efficacy

mHealth diabetes support intervention → Exercise self-efficacy

mHealth diabetes support intervention → Exercise self-efficacy

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
85
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Quality of life

mHealth diabetes support intervention → Quality of life

mHealth diabetes support intervention → Quality of life

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Depression score

mHealth with interactivity → Depression score

mHealth with interactivity → Depression score

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

Exercise self-efficacy

mHealth with interactivity → Exercise self-efficacy

mHealth with interactivity → Exercise self-efficacy

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

Quality of life

mHealth with interactivity → Quality of life

mHealth with interactivity → Quality of life

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

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

evidence suggest

Evidence Suggest

  • mHealth improved self-efficacy in participants.
  • Depression scores decreased in the mHealth group.
  • No significant changes in quality of life were observed.
who this applies

Who this applies to

  • Older adults utilizing mobile health technologies.
  • Individuals experiencing depression or low self-efficacy.
keep in mind

Keep in Mind

  • The lack of significant quality of life improvements suggests further research is needed.
  • The findings may not apply to younger populations or those with different health conditions.
  • The study's design limits the ability to draw broader conclusions about mHealth effectiveness.
between the lines

Between the Lines

  • The study did not find significant improvements in quality of life measures.
  • Results may not be generalizable to all older adult populations.
  • The sample size and characteristics of participants were not detailed.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on mHealth Diabetes Support Interventions and Mental Health, mHealth Diabetes Support Interventions and Quality of Life Outcomes.

Related evidence relationships

Explore in Evidence Explorer

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

Questions answered by this study

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

Does mHealth Diabetes Support Interventions improve diabetes management self-efficacy?

Strong Evidence

mHealth Diabetes Support Interventions may improve Diabetes Management Self-Efficacy.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Exercise self-efficacy

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

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does mHealth Diabetes Support Interventions improve quality of life outcomes?

Moderate Evidence

Current evidence does not show a clear benefit of mHealth Diabetes Support Interventions for Quality of Life Outcomes.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Aug 2026

Does mHealth Diabetes Support Interventions improve mental health?

Moderate Evidence

Current evidence does not show a clear benefit of mHealth Diabetes Support Interventions for Mental Health.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Depression score

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Aug 2026

Does mHealth with interactivity improve exercise self-efficacy?

Emerging Evidence

mHealth with interactivity appears to improve Exercise self-efficacy.

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

Ranked evidence signals

  1. 1

    Exercise self-efficacy

    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
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.