Research Summary
Analyzed using Evidence Intelligence™

Telehealth OT improves diabetes management and satisfaction

Last updated August 29, 2026

Key finding

Occupational performance increased significantly from baseline (p < .0001).

This study evaluated the effectiveness of a telehealth lifestyle redesign occupational therapy intervention for diabetes management, finding significant improvements in occupational performance and satisfaction.

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

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

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 effectiveness of a telehealth lifestyle redesign occupational therapy intervention for diabetes management, finding significant improvements in occupational performance and satisfaction.

Clinical relevance

These findings suggest that telehealth interventions can effectively enhance occupational performance and satisfaction for individuals managing diabetes. This is particularly important as healthcare increasingly shifts towards remote care solutions, providing accessible options for patients who may face barriers to traditional in-person therapy.

Keep in mind

The effectiveness of the intervention remains unclear due to limited evidence data. The study's generalizability may be limited by the specific population characteristics. No significant changes were observed in intervention engagement and attendance across treatment modalities.

Published in

Journal Reference

Publication details and source links for this paper.

Lauren ML, Rachel P, Seth M, et al. Telehealth Lifestyle Redesign Occupational Therapy for Diabetes: Preliminary Effectiveness, Satisfaction, and Engagement. Otjr. 2023;43(3):426-434. doi:10.1177/15394492231172933

Main Effects

Occupational performance increased significantly from baseline by 3.55 points (p < 0.0001).

Occupational satisfaction increased significantly from baseline by 4.37 points (p < 0.0001).

Health management improved significantly from baseline by 5.1 points (p < 0.0001).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Telehealth delivery of Lifestyle Redesign and General Health Management Improvement, Mean attendance at lifestyle change program sessions, Occupational satisfaction, and 3 more.

Primary intervention

Telehealth delivery of Lifestyle Redesign

Primary outcomes

  • General Health Management Improvement
  • Mean attendance at lifestyle change program sessions
  • Occupational satisfaction

Evidence relationships

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

6
Evidence pairs
6
Relationships
0
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: 50

0

Related topics

6

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

General Health Management Improvement

Telehealth delivery of Lifestyle Redesign → General Health Management Improvement

Telehealth delivery of Lifestyle Redesign → General Health Management Improvement

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

Mean attendance at lifestyle change program sessions

Telehealth delivery of Lifestyle Redesign → Mean attendance at lifestyle change program sessions

Telehealth delivery of Lifestyle Redesign → Mean attendance at lifestyle change program sessions

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Occupational satisfaction

Telehealth delivery of Lifestyle Redesign → Occupational satisfaction

Telehealth delivery of Lifestyle Redesign → Occupational satisfaction

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

Patient engagement

Telehealth delivery of Lifestyle Redesign → Patient engagement

Telehealth delivery of Lifestyle Redesign → Patient engagement

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Significant increase in occupational performance measured by COPM

Telehealth delivery of Lifestyle Redesign → Significant increase in occupational performance measured by COPM

Telehealth delivery of Lifestyle Redesign → Significant increase in occupational performance measured by COPM

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

Treatment satisfaction

Telehealth delivery of Lifestyle Redesign → Treatment satisfaction

Telehealth delivery of Lifestyle Redesign → Treatment satisfaction

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

Build your evidence library

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

evidence suggest

Evidence Suggest

  • Occupational performance improved significantly by 3.55 points (p < 0.0001).
  • Occupational satisfaction increased significantly by 4.37 points (p < 0.0001).
  • High levels of telehealth satisfaction were reported by participants.
who this applies

Who this applies to

  • Individuals with diabetes seeking lifestyle management support.
  • Patients who prefer telehealth options for occupational therapy.
keep in mind

Keep in Mind

  • Results may not be generalizable to all diabetes populations.
  • Further research is needed to clarify the long-term effectiveness of the intervention.
  • Engagement and attendance rates were similar across treatment modalities, indicating no preference for one over the other.
between the lines

Between the Lines

  • The effectiveness of the intervention remains unclear due to limited evidence data.
  • The study's generalizability may be limited by the specific population characteristics.
  • No significant changes were observed in intervention engagement and attendance across treatment modalities.

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 Telehealth delivery of Lifestyle Redesign and General Health Management Improvement, Telehealth delivery of Lifestyle Redesign and Mean attendance at lifestyle change program sessions.

Related evidence relationships

Explore in Evidence Explorer

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

Explore more in Evidence Explorer

Jump to pre-filtered views in Evidence Explorer.

Questions answered by this study

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

What evidence is available on Telehealth delivery of Lifestyle Redesign and general health management improvement?

Emerging Evidence

Telehealth delivery of Lifestyle Redesign appears to improve general health management improvement.

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

Ranked evidence signals

  1. 1

    General Health Management Improvement

    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

Does Telehealth delivery of Lifestyle Redesign improve occupational satisfaction?

Emerging Evidence

Telehealth delivery of Lifestyle Redesign appears to improve occupational satisfaction.

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

Ranked evidence signals

  1. 1

    Occupational satisfaction

    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 Telehealth delivery of Lifestyle Redesign and significant increase in occupational performance measured by copm?

Emerging Evidence

Telehealth delivery of Lifestyle Redesign appears to improve significant increase in occupational performance measured by copm.

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

Ranked evidence signals

  1. 1

    Significant increase in occupational performance measured by COPM

    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

Does Telehealth delivery of Lifestyle Redesign improve treatment satisfaction?

Emerging Evidence

Telehealth delivery of Lifestyle Redesign appears to improve treatment satisfaction.

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

Ranked evidence signals

  1. 1

    Treatment satisfaction

    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
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.