Last updated July 18, 2026
Key finding
The video game intervention had no long-term impact on diabetes-related numeracy.
This study explored a video game intervention aimed at enhancing diabetes-related numeracy but found no long-term benefits.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Extended (5–20+ y)
Risk of bias
High Risk
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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 explored a video game intervention aimed at enhancing diabetes-related numeracy but found no long-term benefits.
Understanding the effectiveness of innovative interventions like video games is crucial for developing engaging tools for diabetes management. The lack of long-term benefits from this intervention suggests that alternative strategies may be needed to effectively enhance diabetes-related skills and health outcomes.
The study design was non-randomized, limiting causal inferences. The sample size and characteristics may affect generalizability. Long-term follow-up data may not fully capture transient effects.
Published in
Publication details and source links for this paper.
Alexander M, John RA, Ereny B, et al. Exploring the Role of a Novel Video Game Intervention to Enhance Diabetes-Related Numeracy. Cureus. 2026;18(5):e108251. doi:10.7759/cureus.108251
The intervention had no long-term impact on diabetes-related numeracy.
The intervention had no long-term impact on glycemic control (A1C).
The intervention had no long-term impact on quality of life measures.
Evidence network
Understand where this research contributes within the broader evidence network.
This study contributes evidence to Video Game Intervention for Diabetes Numeracy and Assessment of General Numeracy Using WRAT-4, Diabetes-related numeracy assessment, HbA1c, and 2 more.
This study contributes evidence to
Primary intervention
Video Game Intervention for Diabetes Numeracy
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.
1
Related topics
5
Evidence pairs
310
Related studies
Evidence topic
Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Core evidence
The primary outcomes reported in this study.
Video Game Intervention for Diabetes Numeracy → Assessment of General Numeracy Using WRAT-4
Video Game Intervention for Diabetes Numeracy → Assessment of General Numeracy Using WRAT-4
Video Game Intervention for Diabetes Numeracy → Diabetes-related numeracy assessment
Video Game Intervention for Diabetes Numeracy → Diabetes-related numeracy assessment
Video Game Intervention for Diabetes Numeracy → HbA1c
Video Game Intervention for Diabetes Numeracy → HbA1c
Video Game Intervention for Diabetes Numeracy → Health Literacy Improvement
Video Game Intervention for Diabetes Numeracy → Health Literacy Improvement
Video Game Intervention for Diabetes Numeracy → Quality of life
Video Game Intervention for Diabetes Numeracy → Quality of life
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Video Game Intervention for Diabetes Numeracy and Diabetes-related numeracy assessment, Video Game Intervention for Diabetes Numeracy and Assessment of General Numeracy Using WRAT-4.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Assessment of General Numeracy Using WRAT-4
Measures Assessment of General Numeracy Using WRAT-4 as a key outcome.
All studies measuring Diabetes-related numeracy assessment
Measures Diabetes-related numeracy assessment as a key outcome.
All studies measuring Quality of Life Outcomes
Measures Quality of Life Outcomes as a key outcome.
All studies on Video Game Intervention for Diabetes Numeracy
Contributes to Video Game Intervention for Diabetes Numeracy 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™.
Current evidence does not show a clear benefit of Video Game Intervention for Diabetes Numeracy for Assessment of General Numeracy Using WRAT-4.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Assessment of General Numeracy Using WRAT-4
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Video Game Intervention for Diabetes Numeracy for Diabetes-related numeracy assessment.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetes-related numeracy assessment
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Video Game Intervention for Diabetes Numeracy for HbA1c.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
HbA1c
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Video Game Intervention for Diabetes Numeracy for Health Literacy Improvement.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Health Literacy Improvement
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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