Research Summary
Analyzed using Evidence Intelligence™

Tailored text messaging improves readiness for diabetes prevention

Last updated August 29, 2026

Key finding

Matched pre/post analyses indicated that bRIght communities had a significant impact on daily consumption of fruits and vegetables (d = 0.43).

This study evaluated a tailored text messaging program aimed at increasing readiness for diabetes prevention. It found significant improvements in dietary habits, physical activity, and resilience among participants.

Quick read

Study at a glance

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

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated a tailored text messaging program aimed at increasing readiness for diabetes prevention. It found significant improvements in dietary habits, physical activity, and resilience among participants.

Clinical relevance

These findings highlight the potential of tailored text messaging interventions in promoting healthier lifestyles and addressing barriers to diabetes prevention. By improving dietary habits and physical activity, such programs can play a crucial role in reducing diabetes risk and enhancing overall community health.

Keep in mind

The study had a single-arm design, limiting comparisons. Effectiveness measures were unclear for some outcomes. Generalizability may be limited to specific populations.

Published in

Journal Reference

Publication details and source links for this paper.

Sara SJ, Patricia HC, Sasha B. Implementation Evaluation of a Tailored Text Messaging Program to Increase Readiness for Diabetes Prevention. Preventing Chronic Disease. 2025;22:E10. doi:10.5888/pcd22.240284

Main Effects

Daily consumption of fruits and vegetables increased significantly (d = 0.43).

Weekly physical activity minutes improved significantly (d = 0.48).

Resilience showed a significant increase (d = 0.26).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to bRIght communities and Consumption of vegetables, Decrease in food insecurity, Decrease in perceptions of feeling unsafe exercising in one's neighborhood, and 4 more.

Primary intervention

bRIght communities

Primary outcomes

  • Consumption of vegetables
  • Decrease in food insecurity
  • Decrease in perceptions of feeling unsafe exercising in one's neighborhood

Evidence relationships

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

7
Evidence pairs
7
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: 68

2

Related topics

7

Evidence pairs

148

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Physical Activity Levels

matched_outcome

Related evidence

Evidence topic

Treatment Adherence

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Consumption of vegetables

bRIght communities → Consumption of vegetables

bRIght communities → Consumption of vegetables

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Decrease in food insecurity

bRIght communities → Decrease in food insecurity

bRIght communities → Decrease in food insecurity

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Decrease in perceptions of feeling unsafe exercising in one's neighborhood

bRIght communities → Decrease in perceptions of feeling unsafe exercising in one's neighborhood

bRIght communities → Decrease in perceptions of feeling unsafe exercising in one's neighborhood

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Increase in resilience

bRIght communities → Increase in resilience

bRIght communities → Increase in resilience

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Physical activity level (MET-minutes per week)

bRIght communities → Physical activity level (MET-minutes per week)

bRIght communities → Physical activity level (MET-minutes per week)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Stage of behaviour change

bRIght communities → Stage of behaviour change

bRIght communities → Stage of behaviour change

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Transportation concerns

bRIght communities → Transportation concerns

bRIght communities → Transportation concerns

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • 30.3% of participants advanced at least one stage towards enrolling in the National DPP.
  • Food insecurity decreased significantly (P < .001).
  • Transportation concerns were significantly reduced (P < .001).
who this applies

Who this applies to

  • Individuals at risk for diabetes.
  • Participants interested in lifestyle changes for diabetes prevention.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study group.
  • Long-term effects of the intervention were not assessed.
  • The study did not include a control group for comparison.
between the lines

Between the Lines

  • The study had a single-arm design, limiting comparisons.
  • Effectiveness measures were unclear for some outcomes.
  • Generalizability may be limited to specific populations.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on bRIght communities and Consumption of vegetables, bRIght communities and Decrease in food insecurity.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does bRIght communities improve consumption of vegetables?

Emerging Evidence

bRIght communities appears to improve consumption of vegetables.

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

Ranked evidence signals

  1. 1

    Consumption of vegetables

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on bRIght communities and decrease in food insecurity?

Emerging Evidence

bRIght communities appears to improve decrease in food insecurity.

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

Ranked evidence signals

  1. 1

    Decrease in food insecurity

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on bRIght communities and decrease in perceptions of feeling unsafe exercising in one's neighborhood?

Emerging Evidence

bRIght communities appears to improve decrease in perceptions of feeling unsafe exercising in one's neighborhood.

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

Ranked evidence signals

  1. 1

    Decrease in perceptions of feeling unsafe exercising in one's neighborhood

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

What evidence is available on bRIght communities and increase in resilience?

Emerging Evidence

bRIght communities appears to improve increase in resilience.

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

Ranked evidence signals

  1. 1

    Increase in resilience

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study
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