Research Summary

Analyzed using Evidence Intelligence™

Online program may improve physical activity in children with T1DM

Last updated August 29, 2026

Key finding

Self-reported sedentary behaviour decreased by 2.28.

The SKIP study evaluated an interactive intervention to support children with diabetes in physical activity, showing decreased sedentary behavior and improved parent-reported physical health.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

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

The SKIP study evaluated an interactive intervention to support children with diabetes in physical activity, showing decreased sedentary behavior and improved parent-reported physical health.

Clinical relevance

These findings highlight the potential of interactive interventions to encourage physical activity among children with diabetes, which is crucial for managing their health. Reducing sedentary behavior and improving perceived physical health can lead to better overall well-being and may influence long-term health outcomes.

Keep in mind

Effectiveness of the intervention remains unclear due to limited evidence. Study results may not be generalizable to all children with diabetes. Potential biases in self-reported measures.

Published in

Journal Reference

Publication details and source links for this paper.

Emily K, Cris G, Tabitha R, et al. The SKIP study: Supporting Kids with Diabetes in Physical Activity. BMC Public Health. 2019;19:371. doi:10.1186/s12889-019-6697-1

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Main Effects

Self-reported sedentary behavior decreased by 2.28 units (p=0.04).

Parent-reported physical health of the child increased by 6.15 units (p=0.01).

No significant difference in HbA1c levels between groups.

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Change in parent-reported physical health of the child, Change in self-reported sedentary behaviour, HbA1c.

This study contributes evidence to

Intervention

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Outcome

Change in parent-reported physical health of the child

Evidence topic

HbA1c Reduction

Primary intervention

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Primary outcomes

Change in parent-reported physical health of the child
Change in self-reported sedentary behaviour
HbA1c

Evidence topics

HbA1c Reduction

Primary intervention

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Primary outcomes

Change in parent-reported physical health of the child Change in self-reported sedentary behaviour HbA1c

Evidence relationships

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

Evidence pairs

Relationships

Evidence topics

contributes_evidence

Editorial context

Why this study matters

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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.

Moderate contributionModerate confidenceNetwork score: 59

Why it is useful

Contributes to 3 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

Telehealth Interventions and HbA1c

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Intervention

Telehealth Interventions

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Change in parent-reported physical health of the child

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Change in parent-reported physical health of the child

Evidence Intelligence™

EvidenceScore™: Emerging; Score 59 · Based on 1 study
ImpactScore™: 100; Very Positive
ConsistencyScore™: unclear; Not enough independent studies

Based on 1 study

Add to Evidence Tracker

Change in self-reported sedentary behaviour

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → Change in self-reported sedentary behaviour

Evidence Intelligence™

EvidenceScore™: Emerging; Score 59 · Based on 1 study
ImpactScore™: 100; Very Positive
ConsistencyScore™: unclear; Not enough independent studies

Based on 1 study

Add to Evidence Tracker

HbA1c

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment → HbA1c

Evidence Intelligence™

EvidenceScore™: Moderate; Score 69 · Based on 2 studies
ImpactScore™: 75; Positive
ConsistencyScore™: 35; mixed

Based on 2 studies

Add to Evidence Tracker

Evidence Library

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Evidence Suggest

Self-reported sedentary behavior decreased significantly by 2.28 units.
Parent-reported physical health improved by 6.15 units.
No significant change in HbA1c levels was observed.

Who this applies to

Children diagnosed with diabetes.
Participants involved in physical activity interventions.

Keep in Mind

The study's findings are based on self-reported data, which may introduce bias.
Results may not apply to children outside the study's demographic.
Further research is needed to clarify the long-term effects of the intervention.

Between the Lines

Effectiveness of the intervention remains unclear due to limited evidence.
Study results may not be generalizable to all children with diabetes.
Potential biases in self-reported measures.

Evidence Library

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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 Telehealth Interventions and HbA1c, Telehealth Interventions and Change in parent-reported physical health of the child.

Related evidence relationships

Explore in Evidence Explorer

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

Behavioral & Lifestyle

Detailed evidence

Telehealth Interventions → HbA1c

Behavioral & Lifestyle

Evidence Intelligence™

EvidenceScore™: Moderate; Score 69 · Based on 2 studies
ImpactScore™: 75; Positive
ConsistencyScore™: 35; mixed

Based on 2 studies

View evidence

Behavioral & Lifestyle

Detailed evidence

Telehealth Interventions → Change in parent-reported physical health of the child

Behavioral & Lifestyle

Evidence Intelligence™

EvidenceScore™: Emerging; Score 59 · Based on 1 study
ImpactScore™: 100; Very Positive
ConsistencyScore™: unclear; Not enough independent studies

Based on 1 study

View evidence

Included in these evidence collections

Curated evidence collections and hubs this study is part of.

HbA1c Evidence Hub

All studies measuring HbA1c

2 studies

outcome_hub

Measures HbA1c as a key outcome.

Telehealth Interventions Evidence Hub

All studies on Telehealth Interventions

2 studies

intervention_hub

Contributes to Telehealth Interventions evidence base.

Change in parent-reported physical health of the child Evidence Hub

All studies measuring Change in parent-reported physical health of the child

1 studies

outcome_hub

Measures Change in parent-reported physical health of the child as a key outcome.

Explore more in Evidence Explorer

Jump to pre-filtered views in Evidence Explorer.

All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and HbA1c

Intervention: TIME (Telehealth-supported Integrated Community Health Workers) - Active TreatmentOutcome: HbA1c

2 results

All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Change in parent-reported physical health of the child

Intervention: TIME (Telehealth-supported Integrated Community Health Workers) - Active TreatmentOutcome: Change in parent-reported physical health of the child

1 results

All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

Intervention: TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment

2 results

All studies measuring HbA1c

Outcome: HbA1c

2 results

All studies measuring Change in parent-reported physical health of the child

Outcome: Change in parent-reported physical health of the child

1 results

Questions answered by this study

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

Does Telehealth Interventions lower HbA1c?

Strong Evidence

Telehealth Interventions may lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

1
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

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

View Full Evidence

Does TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve change in parent-reported physical health of the child?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve change in parent-reported physical health of the child.

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

Ranked evidence signals

1
Change in parent-reported physical health of the child
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.

View Full Evidence

Does TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment improve change in self-reported sedentary behaviour?

Emerging Evidence

TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment appears to improve change in self-reported sedentary behaviour.

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

Ranked evidence signals

1
Change in self-reported sedentary behaviour
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.

View Full Evidence

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Next steps

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Evidence topics

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HbA1c Reduction Evidence Hub

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All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Change in parent-reported physical health of the child All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and Change in self-reported sedentary behaviour All studies on TIME (Telehealth-supported Integrated Community Health Workers) - Active Treatment and HbA1c

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