Last updated August 29, 2026
Key finding
Adolescents in the positive affect + education group responded to 92.5% of intervention messages.
This study evaluated a positive psychology intervention delivered via SMS for adolescents with Type 1 diabetes, showing high engagement and satisfaction rates.
Quick read
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
A plain-language read of the study’s main message and where it applies.
Study focus
This study evaluated a positive psychology intervention delivered via SMS for adolescents with Type 1 diabetes, showing high engagement and satisfaction rates.
This intervention highlights the potential of using technology to support mental health and education in adolescents with chronic conditions like Type 1 diabetes. High engagement and satisfaction suggest that such approaches could enhance diabetes management and overall well-being.
Effectiveness of the interventions remains unclear due to lack of statistical significance. The study may not be generalizable beyond the specific population sampled. Limited information on long-term impacts of the intervention.
Published in
Publication details and source links for this paper.
Lauren L, Erin B, Karishma D, Randi S, Sarah J, Sherif B. A Positive Psychology Intervention Delivered via Automated SMS Text Messages for Adolescents with Type 1 Diabetes: A Randomized Clinical Trial. JMIR Pediatrics and Parenting. 2023;6:e47089. doi:10.2196/47089
Adolescents in the positive affect + education group responded to 92.5% of SMS messages.
Caregivers engaged with 88.5% of the messages.
95% of participants reported satisfaction with the intervention and willingness to participate again.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Positive affect + education intervention, mHealth dietary education intervention and Average response rate to SMS text messages by adolescents, Caregiver Response Rate to SMS Text Messages, Parent satisfaction score regarding diabetes intervention, and 1 more.
This study contributes evidence to
Primary intervention
Positive affect + education intervention
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.
0
Related topics
4
Evidence pairs
0
Related studies
Core evidence
The primary outcomes reported in this study.
mHealth dietary education intervention → Satisfaction with the education intervention
mHealth dietary education intervention → Satisfaction with the education intervention
Positive affect + education intervention → Average response rate to SMS text messages by adolescents
Positive affect + education intervention → Average response rate to SMS text messages by adolescents
Positive affect + education intervention → Caregiver Response Rate to SMS Text Messages
Positive affect + education intervention → Caregiver Response Rate to SMS Text Messages
Positive affect + education intervention → Parent satisfaction score regarding diabetes intervention
Positive affect + education intervention → Parent satisfaction score regarding diabetes intervention
Evidence Library
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on mHealth dietary education intervention and Satisfaction with the education intervention, Positive affect + education intervention and Caregiver Response Rate to SMS Text Messages.
This study contributes to the evidence on the following intervention-outcome relationships.
Diet and Nutrition
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Caregiver Response Rate to SMS Text Messages
Measures Caregiver Response Rate to SMS Text Messages as a key outcome.
All studies on mHealth dietary education intervention
Contributes to mHealth dietary education intervention evidence base.
All studies on Positive affect + education intervention
Contributes to Positive affect + education intervention evidence base.
All studies measuring Satisfaction with the education intervention
Measures Satisfaction with the education intervention as a key outcome.
Jump to pre-filtered views in Evidence Explorer.
1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Positive affect + education intervention appears to improve Average response rate to SMS text messages by adolescents.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Average response rate to SMS text messages by adolescents
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Positive affect + education intervention appears to improve Caregiver Response Rate to SMS Text Messages.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Caregiver Response Rate to SMS Text Messages
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Positive affect + education intervention appears to improve Parent satisfaction score regarding diabetes intervention.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Parent satisfaction score regarding diabetes intervention
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
mHealth dietary education intervention appears to improve Satisfaction with the education intervention.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Satisfaction with the education intervention
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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