Key finding
BRIDGE participants had increased odds of HbA1c completion by 1 year postpartum (39.8% vs 12.5%; adjusted odds ratio [aOR] 4.28, 95% CI 2.71–6.78).
The BRIDGE study evaluated a text messaging support program for postpartum care in women with impaired glucose tolerance, finding significant improvements in follow-up care.
Evidence strength
Moderate confidence
Study type
Non-randomized CT
Follow-up
Long-Term (1–5 y)
Quick read
The essential study design details in one scan.
Population
Children (≤13), Female, North America, with T2 Diabetes
Intervention
BRIDGE− (SMS text messaging support alone), BRIDGE+ (SMS text messaging and IGT-focused postpartum visit)
Study type
Non-randomized CT
Follow-up
Long-Term (1–5 y)
Primary outcome
Completion of HbA1c testing by 1 year postpartum
Evidence
Moderate confidence
Plain-language summary
A plain-language read of the study's main message and where it applies.
Study focus
The BRIDGE study evaluated a text messaging support program for postpartum care in women with impaired glucose tolerance, finding significant improvements in follow-up care.
Improving follow-up care for women with impaired glucose tolerance is crucial as it can prevent the progression to type 2 diabetes. The BRIDGE study highlights how low-cost interventions like text messaging can enhance healthcare engagement and ultimately improve maternal and child health outcomes.
Limited generalizability due to specific population characteristics. Potential for self-selection bias in participant enrollment. Unclear long-term effects beyond the study period.
Published in
Publication details and source links for this paper.
Natasha RK, Whitney B, Celeste D, Stefano B. Better Follow-up of Impaired Glucose Tolerance (BRIDGE): A Text Messaging Support Program for Postpartum Care. Journal of Medical Internet Research. 2026;28:e76493. doi:10.2196/76493
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BRIDGE participants had increased odds of completing HbA1c testing by 1 year postpartum (39.8% vs 12.5%; aOR 4.28).
BRIDGE participants were more likely to schedule PCP visits by 12 weeks postpartum (31.0% vs 12.0%; aOR 9.58).
BRIDGE+ participants had higher completion rates of HbA1c testing by 12 weeks postpartum compared to BRIDGE− participants (36.7% vs 19.5%; aOR 2.31).
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 Completion of HbA1c testing by 1 year postpartum, Completion of HbA1c testing by 12 weeks postpartum, Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum.
This study contributes evidence to
Primary intervention
SMS text messaging behavioral intervention for health promotion
Primary outcomes
Evidence topics
Primary intervention
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.
2
Related topics
3
Evidence pairs
110
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Core evidence
The primary outcomes reported in this study.
SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 1 year postpartum
SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 1 year postpartum
Evidence profile
SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 12 weeks postpartum
SMS text messaging behavioral intervention for health promotion → Completion of HbA1c testing by 12 weeks postpartum
Evidence profile
SMS text messaging behavioral intervention for health promotion → Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum
SMS text messaging behavioral intervention for health promotion → Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum
Evidence profile
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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 Completion of HbA1c testing by 1 year postpartum, Diabetes Self-Management Education and Support (DSMES) Programs and Completion of HbA1c testing by 12 weeks postpartum.
This study contributes to the evidence on the following intervention-outcome relationships.
Curated evidence collections and hubs this study is part of.
All studies measuring Completion of HbA1c testing by 1 year postpartum
Measures Completion of HbA1c testing by 1 year postpartum as a key outcome.
All studies measuring Completion of HbA1c testing by 12 weeks postpartum
Measures Completion of HbA1c testing by 12 weeks postpartum as a key outcome.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
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Published within the last 2 years.
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1 results
1 results
1 results
1 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
SMS text messaging behavioral intervention for health promotion appears to improve Completion of HbA1c testing by 1 year postpartum.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Completion of HbA1c testing by 1 year postpartum
EvidenceScore™ Emerging | EvidenceScore™ 53.9 | strong positive | ConsensusScore™ 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 Completion of HbA1c testing by 12 weeks postpartum.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Completion of HbA1c testing by 12 weeks postpartum
EvidenceScore™ Emerging | EvidenceScore™ 53.9 | strong positive | ConsensusScore™ 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 Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum.
ConsensusScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Percentage of participants who scheduled a visit with a primary care provider by 12 weeks postpartum
EvidenceScore™ Emerging | EvidenceScore™ 53.9 | strong positive | ConsensusScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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