Research Summary
Analyzed using Evidence Intelligence™

Smartphone App May Improve Sitting Time in Type 2 Diabetes

Last updated August 29, 2026

Key finding

Recruitment rate was 71%.

This study evaluated the feasibility and acceptability of the MyHealthAvatar-Diabetes smartphone app for reducing prolonged sitting in individuals with Type 2 Diabetes Mellitus, showing promising preliminary outcomes.

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

This study evaluated the feasibility and acceptability of the MyHealthAvatar-Diabetes smartphone app for reducing prolonged sitting in individuals with Type 2 Diabetes Mellitus, showing promising preliminary outcomes.

Clinical relevance

Reducing prolonged sitting is crucial for individuals with Type 2 Diabetes Mellitus, as it can lead to better health outcomes, including improved glucose control and reduced body fat. This study suggests that smartphone technology can be an effective tool in promoting healthier behaviors in this population.

Keep in mind

Effectiveness of the app remains unclear due to preliminary nature of findings. Limited generalizability due to specific population studied. Potential biases in self-reported outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Daniel PB, Lucie HM, Feng D, Xu Z, Angel MC. Feasibility and Acceptability of a Self-Regulation Smartphone App for Reducing Prolonged Sitting in People with Type 2 Diabetes Mellitus (T2DM). International Journal of Environmental Research and Public Health. 2020;17(12):4414. doi:10.3390/ijerph17124414

Main Effects

Recruitment rate was 71%.

Retention rate was 90%.

Preliminary improvements in breaks in sitting per day.

Preliminary improvements in glucose tolerance.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to MyHealthAvatar-Diabetes smartphone app and 2-hour plasma glucose, Average number of breaks in sitting per day, Body fat percentage reduction, and 8 more.

Primary intervention

MyHealthAvatar-Diabetes smartphone app

Primary outcomes

  • 2-hour plasma glucose
  • Average number of breaks in sitting per day
  • Body fat percentage reduction

Evidence relationships

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

11
Evidence pairs
11
Relationships
3
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: 68

3

Related topics

11

Evidence pairs

492

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

Physical Activity Levels

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

2-hour plasma glucose

MyHealthAvatar-Diabetes smartphone app → 2-hour plasma glucose

MyHealthAvatar-Diabetes smartphone app → 2-hour plasma glucose

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Average number of breaks in sitting per day

MyHealthAvatar-Diabetes smartphone app → Average number of breaks in sitting per day

MyHealthAvatar-Diabetes smartphone app → Average number of breaks in sitting per day

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

Body fat percentage reduction

MyHealthAvatar-Diabetes smartphone app → Body fat percentage reduction

MyHealthAvatar-Diabetes smartphone app → Body fat percentage 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

Change in Positive Affect Score

MyHealthAvatar-Diabetes smartphone app → Change in Positive Affect Score

MyHealthAvatar-Diabetes smartphone app → Change in Positive Affect 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

Improvement in Well-Being

MyHealthAvatar-Diabetes smartphone app → Improvement in Well-Being

MyHealthAvatar-Diabetes smartphone app → Improvement in Well-Being

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

Intention score measured before and after intervention

MyHealthAvatar-Diabetes smartphone app → Intention score measured before and after intervention

MyHealthAvatar-Diabetes smartphone app → Intention score measured before and after intervention

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

Negative mood score

MyHealthAvatar-Diabetes smartphone app → Negative mood score

MyHealthAvatar-Diabetes smartphone app → Negative mood 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

Participant retention at 6 months

MyHealthAvatar-Diabetes smartphone app → Participant retention at 6 months

MyHealthAvatar-Diabetes smartphone app → Participant retention at 6 months

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

Physical activity level (MET-minutes per week)

MyHealthAvatar-Diabetes smartphone app → Physical activity level (MET-minutes per week)

MyHealthAvatar-Diabetes smartphone app → Physical activity level (MET-minutes per week)

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

Planning for physical activity

MyHealthAvatar-Diabetes smartphone app → Planning for physical activity

MyHealthAvatar-Diabetes smartphone app → Planning for physical activity

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

Recruitment Rate

MyHealthAvatar-Diabetes smartphone app → Recruitment Rate

MyHealthAvatar-Diabetes smartphone app → Recruitment Rate

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

Build your evidence library

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evidence suggest

Evidence Suggest

  • 71% recruitment rate indicates good participant interest.
  • 90% retention rate shows high participant engagement.
  • Preliminary improvements in health outcomes suggest potential benefits.
who this applies

Who this applies to

  • Adults diagnosed with Type 2 Diabetes Mellitus.
  • Individuals looking to reduce prolonged sitting.
keep in mind

Keep in Mind

  • Results are preliminary and require further validation.
  • Study focused on a specific demographic, limiting broader applicability.
  • Self-reported measures may introduce bias in outcomes.
between the lines

Between the Lines

  • Effectiveness of the app remains unclear due to preliminary nature of findings.
  • Limited generalizability due to specific population studied.
  • Potential biases in self-reported outcomes.

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 MyHealthAvatar-Diabetes smartphone app and Postprandial and OGTT Glucose, MyHealthAvatar-Diabetes smartphone app and Body Composition.

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 MyHealthAvatar-Diabetes smartphone app improve average number of breaks in sitting per day?

Emerging Evidence

MyHealthAvatar-Diabetes smartphone app appears to improve Average number of breaks in sitting per day.

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

Ranked evidence signals

  1. 1

    Average number of breaks in sitting per day

    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 MyHealthAvatar-Diabetes smartphone app improve body fat percentage reduction?

Emerging Evidence

MyHealthAvatar-Diabetes smartphone app appears to improve Body fat percentage reduction.

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

Ranked evidence signals

  1. 1

    Body fat percentage 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 MyHealthAvatar-Diabetes smartphone app improve change in positive affect score?

Emerging Evidence

MyHealthAvatar-Diabetes smartphone app appears to improve Change in Positive Affect Score.

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

Ranked evidence signals

  1. 1

    Change in Positive Affect Score

    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 MyHealthAvatar-Diabetes smartphone app improve improvement in well-being?

Emerging Evidence

MyHealthAvatar-Diabetes smartphone app appears to improve Improvement in Well-Being.

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

Ranked evidence signals

  1. 1

    Improvement in Well-Being

    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
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