Research Summary

Smartphone app shows little effect on physical activity in type 2 diabetes

Key finding

We found no significant effect of the intervention on MVPA at 3 months (β=1.51, 95% CI -5.53 to 8.55).

This study evaluated the impact of the DiaCert smartphone app on physical activity levels in adults with Type 2 diabetes. Results indicated no significant improvements in moderate to vigorous physical activity or other health metrics.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 8, 2026

Quick read

Study at a glance

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

DiaCert app

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

Moderate to vigorous physical activity (MVPA) at 3 months

Comparator

Standard care only

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 impact of the DiaCert smartphone app on physical activity levels in adults with Type 2 diabetes. Results indicated no significant improvements in moderate to vigorous physical activity or other health metrics.

Clinical relevance

Understanding the effectiveness of mHealth interventions like the DiaCert app is crucial for developing strategies to improve physical activity in adults with Type 2 diabetes. Given the rising prevalence of diabetes, identifying effective tools to promote lifestyle changes is essential for enhancing patient care and health outcomes.

Keep in mind

The study did not show significant improvements in primary outcomes. The sample size and demographic characteristics may limit generalizability. Potential unmeasured confounders could affect the results.

Published in

Journal Reference

Publication details and source links for this paper.

Taiane DAC, Ida T, Adrián M, et al. Effect of a Smartphone App on Physical Activity in Adults with Type 2 Diabetes: A Randomized Controlled Trial. Interactive Journal of Medical Research. 2024;13:e53054. doi:10.2196/53054

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Main Effects

No significant change in moderate to vigorous physical activity (MVPA) at 3 months (β=1.51, 95% CI -5.53 to 8.55).

No significant change in MVPA at 6 months (β=-3.53, 95% CI -10.97 to 3.92).

Significant effect on BMI at 6 months (β=0.52, 95% CI 0.20 to 0.84), but no mean difference 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 Rama Diabetes Care app and BMI, Diastolic blood pressure, HDL cholesterol, and 7 more.

Primary intervention

Rama Diabetes Care app

Primary outcomes

  • BMI
  • Diastolic blood pressure
  • HDL cholesterol

Evidence relationships

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

10
Evidence pairs
10
Relationships
5
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

5

Related topics

10

Evidence pairs

371

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

MixedNo Change

BMI

Rama Diabetes Care app → BMI

Rama Diabetes Care app → BMI

Evidence profile

MixedNo ChangeWeight & Anthropometrics
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NoneNo Change

Diastolic blood pressure

Rama Diabetes Care app → Diastolic blood pressure

Rama Diabetes Care app → Diastolic blood pressure

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

HbA1c

Rama Diabetes Care app → HbA1c

Rama Diabetes Care app → HbA1c

Evidence profile

NoneNo ChangeGlycemic Control
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NoneNo Change

HDL cholesterol

Rama Diabetes Care app → HDL cholesterol

Rama Diabetes Care app → HDL cholesterol

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

LDL cholesterol

Rama Diabetes Care app → LDL cholesterol

Rama Diabetes Care app → LDL cholesterol

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Physical activity level (MET-minutes per week)

Rama Diabetes Care app → Physical activity level (MET-minutes per week)

Rama Diabetes Care app → Physical activity level (MET-minutes per week)

Evidence profile

NoneNo ChangeAdherence & Engagement
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NoneNo Change

Systolic blood pressure

Rama Diabetes Care app → Systolic blood pressure

Rama Diabetes Care app → Systolic blood pressure

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Total cholesterol

Rama Diabetes Care app → Total cholesterol

Rama Diabetes Care app → Total cholesterol

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Triglycerides

Rama Diabetes Care app → Triglycerides

Rama Diabetes Care app → Triglycerides

Evidence profile

NoneNo ChangeMetabolic Health
Unlock full evidence details
NoneNo Change

Waist circumference

Rama Diabetes Care app → Waist circumference

Rama Diabetes Care app → Waist circumference

Evidence profile

NoneNo ChangeWeight & Anthropometrics
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Create a free account to access effectiveness ratings, evidence strength and depth scores, consistency analysis, and direct links to all supporting studies.

evidence suggest

Evidence Suggest

  • No significant effect on MVPA at 3 months (1.51 minutes/day, p=0.45).
  • No significant effect on MVPA at 6 months (-3.53 minutes/day, p=0.45).
  • BMI showed a slight increase (0.52 kg/m²) but lacked meaningful group differences.
who this applies

Who this applies to

  • Adults aged 18 and older with Type 2 diabetes.
  • Individuals seeking to increase physical activity through mobile health interventions.
keep in mind

Keep in Mind

  • The findings may not apply to populations outside the study sample.
  • The lack of significant results suggests the app may not be effective for promoting physical activity.
  • Further research is needed to explore other mHealth solutions for diabetes management.
between the lines

Between the Lines

  • The study did not show significant improvements in primary outcomes.
  • The sample size and demographic characteristics may limit generalizability.
  • Potential unmeasured confounders could affect the results.

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Connected research

Explore related studies, evidence collections, and research questions.

Questions answered by this study

Does Rama Diabetes Care app improve HbA1c?

Limited Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for HbA1c.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Limited | EvidenceScore™ 39.9 | neutral | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app improve physical activity level (met-minutes per week)?

Limited Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for Physical activity level (MET-minutes per week).

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Physical activity level (MET-minutes per week)

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Rama Diabetes Care app affect bmi?

Limited Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for BMI.

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

Ranked evidence signals

  1. 1

    BMI

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ 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: Jul 2026

Does Rama Diabetes Care app improve diastolic blood pressure?

Limited Evidence

Current evidence does not show a clear benefit of Rama Diabetes Care app for Diastolic blood pressure.

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

Ranked evidence signals

  1. 1

    Diastolic blood pressure

    EvidenceScore™ Limited | EvidenceScore™ 34.2 | neutral | ConsensusScore™ 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: Jul 2026

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