Last updated July 8, 2026
Key finding
The maximum rate of monthly recruitment to the trial was 60–80 participants per month.
This pilot randomized controlled trial evaluated the feasibility of using SMS messaging to enhance medication adherence in individuals with Type 2 diabetes.
Quick read
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
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
This pilot randomized controlled trial evaluated the feasibility of using SMS messaging to enhance medication adherence in individuals with Type 2 diabetes.
Improving medication adherence is crucial for managing Type 2 diabetes effectively. This study's findings on participant engagement and data collection methods can inform future research and interventions aimed at enhancing adherence through technology, potentially leading to better health outcomes.
Effectiveness of SMS messaging remains unclear. Findings may not be generalizable beyond the study population. Limited data on long-term adherence outcomes.
Published in
Publication details and source links for this paper.
Andrew JF, Julie A, Y. KB, et al. Feasibility of SMS Messaging to Promote Medication Adherence in Type 2 Diabetes: A Pilot RCT. Pilot and Feasibility Studies. 2024;10:15. doi:10.1186/s40814-023-01429-5
The maximum rate of monthly recruitment was 60-80 participants.
Participant retention rate at 6 months was 99.0%.
HbA1c measurement was reported for 67% of participants.
Self-report data was available for 84.7% of participants.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to SMS text messaging behavioral intervention for health promotion and HbA1c, Medical record data availability at 6 months, Participant retention at 6 months, and 2 more.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
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Related topics
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Evidence pairs
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Contributes evidence
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Contributes evidence
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Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence topic
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Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → Medical record data availability at 6 months
SMS text messaging behavioral intervention for health promotion → Medical record data availability at 6 months
SMS text messaging behavioral intervention for health promotion → Participant retention at 6 months
SMS text messaging behavioral intervention for health promotion → Participant retention at 6 months
SMS text messaging behavioral intervention for health promotion → Rate of recruitment to randomisation
SMS text messaging behavioral intervention for health promotion → Rate of recruitment to randomisation
SMS text messaging behavioral intervention for health promotion → Self-report data availability
SMS text messaging behavioral intervention for health promotion → Self-report data availability
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c, Diabetes Self-Management Education and Support (DSMES) Programs and Medical record data availability at 6 months.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies measuring Medical record data availability at 6 months
Measures Medical record data availability at 6 months as a key outcome.
Latest published studies
Published within the last 2 years.
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5 results
1 results
5 results
5 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 81.9 | moderate positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 37 supporting studies with generally consistent results and a positive effect signal.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Medical record data availability at 6 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Medical record data availability at 6 months
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Participant retention at 6 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Participant retention at 6 months
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
SMS text messaging behavioral intervention for health promotion appears to improve Rate of recruitment to randomisation.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Rate of recruitment to randomisation
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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