StrongIncrease
Treatment adherence
Digital-based lifestyle intervention → Treatment adherence
Digital-based lifestyle intervention → Treatment adherence
Evidence profile
StrongIncreaseAdherence & Engagement
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Research Summary
Analyzed using Evidence Intelligence™
Smartphone intervention improves medication adherence in diabetes patients
Key finding
Use of the smartphone application was associated with a greater improvement in medication adherence over six months (adjusted beta coefficient (a β ) = 0.062; 95% confidence interval (CI) = 0.010–0.123).
This study evaluated the impact of a smartphone-based intervention on medication adherence in adults with Type 2 diabetes and hypertension in Ghana, finding mixed results.
Evidence strength
Moderate confidence
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Some Concerns bias
Last updated July 8, 2026Quick 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
Smartphone-based intervention, Standard care
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
Medication adherence
Comparator
Standard care
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 a smartphone-based intervention on medication adherence in adults with Type 2 diabetes and hypertension in Ghana, finding mixed results.
Clinical relevance
Improving medication adherence is crucial for managing chronic conditions like diabetes and hypertension. This study's findings suggest that while smartphone interventions may offer some benefits, they may not be sufficient alone to ensure significant improvements in adherence. Understanding these dynamics can help healthcare providers tailor interventions more effectively.
Keep in mind
The study design was a non-randomized controlled trial, which may introduce bias. The sample size and generalizability of findings may be limited. Statistical significance was not achieved, raising questions about clinical relevance.
Published in
Journal Reference
Publication details and source links for this paper.
Pearl A, Felix PC, Amos L, Nicolas M, Eric PMVC, Charles A. Effect of a Smartphone-Based Intervention on Medication Adherence Among Adults with Type 2 Diabetes and Hypertension in Ghana. Journal of Global Health. 2026;16:04203. doi:10.7189/jogh.16.04203
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Main Effects
The smartphone application was associated with a greater improvement in medication adherence (adjusted β = 0.062).
No statistically significant difference in adherence was found between the intervention and control groups at six months.
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to Digital-based lifestyle intervention, Usual care and Treatment adherence.
This study contributes evidence to
Primary intervention
Digital-based lifestyle intervention
Primary outcomes
- Treatment adherence
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
2
Evidence pairs
2
Relationships
2
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: 56
2
Related topics
2
Evidence pairs
112
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 2 evidence relationships
- Includes primary outcome data
- Linked to 1 direct semantic evidence topic
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
Study findings
The primary outcomes reported in this study.
NoneNo Change
Treatment adherence
Usual care → Treatment adherence
Usual care → Treatment adherence
Evidence profile
NoneNo ChangeAdherence & Engagement
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Evidence Suggest
- The smartphone intervention showed a slight increase in adherence (adjusted β = 0.062).
- No significant difference in adherence was observed at six months between groups.
Who this applies to
- Adults diagnosed with Type 2 diabetes.
- Adults diagnosed with hypertension.
Keep in Mind
- The findings may not be generalizable to populations outside Ghana.
- The lack of statistical significance suggests caution in interpreting the effectiveness of the intervention.
- Further research is needed to explore the long-term impact of smartphone interventions on medication adherence.
Between the Lines
- The study design was a non-randomized controlled trial, which may introduce bias.
- The sample size and generalizability of findings may be limited.
- Statistical significance was not achieved, raising questions about clinical relevance.
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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 Digital-based lifestyle intervention and Treatment Adherence.
Related evidence relationships
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Digital-based lifestyle interventionTreatment Adherence
Devices & Technology
1 studies
Detailed evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
Digital-based lifestyle intervention Evidence Hub
All studies on Digital-based lifestyle intervention
1 studies
intervention_hubContributes to Digital-based lifestyle intervention evidence base.
Treatment Adherence Evidence Hub
All studies measuring Treatment Adherence
1 studies
outcome_hubMeasures Treatment Adherence as a key outcome.
Recent Diabetes Research
Latest published studies
recency_collection
Published within the last 2 years.
Explore more in the evidence archive
Jump to pre-filtered views in the evidence archive.
All studies on Digital-based lifestyle intervention and Treatment adherence
Intervention: Digital-based lifestyle interventionOutcome: Treatment adherence
1 results
All studies on Digital-based lifestyle intervention
Intervention: Digital-based lifestyle intervention
1 results
All studies measuring Treatment adherence
Outcome: Treatment adherence
1 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Digital-based lifestyle intervention improve treatment adherence?
Emerging Evidence
Digital-based lifestyle intervention appears to improve Treatment adherence.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Treatment adherence
EvidenceScore™ Emerging | EvidenceScore™ 51.7 | strong positive | 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.
Does Usual care improve treatment adherence?
Limited Evidence
Current evidence does not show a clear benefit of Usual care for Treatment adherence.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Treatment adherence
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.
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