NoneNo Change
HbA1c
SMS text messaging behavioral intervention for health promotion → HbA1c
SMS text messaging behavioral intervention for health promotion → HbA1c
Evidence profile
NoneNo ChangeGlycemic Control
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Research Summary
Analyzed using Evidence Intelligence™
SMS Messaging Improves Medication Adherence in Type 2 Diabetes
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.
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
Short Message System (SMS) text messaging
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Primary outcome
Rate of recruitment to randomisation
Comparator
Usual 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 pilot randomized controlled trial evaluated the feasibility of using SMS messaging to enhance medication adherence in individuals with Type 2 diabetes.
Clinical relevance
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.
Keep in mind
Effectiveness of SMS messaging remains unclear. Findings may not be generalizable beyond the study population. Limited data on long-term adherence outcomes.
Published in
Journal Reference
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
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Main Effects
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
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
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
- HbA1c
- Medical record data availability at 6 months
- Participant retention at 6 months
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
5
Evidence pairs
5
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: 65
3
Related topics
5
Evidence pairs
271
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 5 evidence relationships
- Includes primary outcome data
- Linked to 2 direct semantic evidence topics
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
Study findings
The primary outcomes reported in this study.
StrongIncrease
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 → Medical record data availability at 6 months
Evidence profile
StrongIncreaseClinical Outcomes
Unlock full evidence details
StrongIncrease
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 → Participant retention at 6 months
Evidence profile
StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease
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 → Rate of recruitment to randomisation
Evidence profile
StrongIncreaseAdherence & Engagement
Unlock full evidence details
StrongIncrease
Self-report data availability
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 profile
StrongIncreasePatient-Reported
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Evidence Suggest
- High participant retention rate of 99.0% at 6 months.
- 67% of participants had HbA1c measurements recorded.
- 84.7% of participants completed self-report data.
Who this applies to
- Adults diagnosed with Type 2 diabetes.
- Individuals receiving standard care for diabetes management.
Keep in Mind
- The study's effectiveness findings are unclear.
- Results may not apply to all demographics of diabetes patients.
- Further research is needed to assess long-term impacts of SMS interventions.
Between the Lines
- Effectiveness of SMS messaging remains unclear.
- Findings may not be generalizable beyond the study population.
- Limited data on long-term adherence outcomes.
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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 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.
Related evidence relationships
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention-outcome relationships.
Diabetes Self-Management Education and Support (DSMES) ProgramsHbA1c
Behavioral & Lifestyle
6 studies
Detailed evidenceDiabetes Self-Management Education and Support (DSMES) ProgramsMedical record data availability at 6 months
Behavioral & Lifestyle
1 studies
Detailed evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
6 studies
intervention_hubContributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
HbA1c Evidence Hub
All studies measuring HbA1c
6 studies
outcome_hubMeasures HbA1c as a key outcome.
Medical record data availability at 6 months Evidence Hub
All studies measuring Medical record data availability at 6 months
1 studies
outcome_hubMeasures Medical record data availability at 6 months 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 SMS text messaging behavioral intervention for health promotion and HbA1c
Intervention: SMS text messaging behavioral intervention for health promotionOutcome: HbA1c
6 results
All studies on SMS text messaging behavioral intervention for health promotion and Medical record data availability at 6 months
Intervention: SMS text messaging behavioral intervention for health promotionOutcome: Medical record data availability at 6 months
1 results
All studies on SMS text messaging behavioral intervention for health promotion
Intervention: SMS text messaging behavioral intervention for health promotion
6 results
All studies measuring HbA1c
Outcome: HbA1c
6 results
All studies measuring Medical record data availability at 6 months
Outcome: Medical record data availability at 6 months
1 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?
Emerging Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsensusScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 54.5 | weak positive | ConsensusScore™ Generally Consistent | 1 study
Why this answer: This answer is based on 24 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does SMS text messaging behavioral intervention for health promotion improve medical record data availability at 6 months?
Emerging Evidence
SMS text messaging behavioral intervention for health promotion appears to improve Medical record data availability at 6 months.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Medical record data availability at 6 months
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 SMS text messaging behavioral intervention for health promotion improve participant retention at 6 months?
Emerging Evidence
SMS text messaging behavioral intervention for health promotion appears to improve Participant retention at 6 months.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Participant retention at 6 months
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 SMS text messaging behavioral intervention for health promotion improve rate of recruitment to randomisation?
Emerging Evidence
SMS text messaging behavioral intervention for health promotion appears to improve Rate of recruitment to randomisation.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
- 1
Rate of recruitment to randomisation
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.
Next steps
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Evidence topics
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All studies on SMS text messaging behavioral intervention for health promotion and Rate of recruitment to randomisationAll studies on SMS text messaging behavioral intervention for health promotion and HbA1cAll studies on SMS text messaging behavioral intervention for health promotion and Medical record data availability at 6 monthsAll studies on SMS text messaging behavioral intervention for health promotion and Participant retention at 6 months
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