Research

Adherence

An adaptive, algorithm-driven text message intervention (TMI) significantly improves adherence to diet, physical activity, and diabetes self-care behaviors in patients with Type 2 Diabetes.

If you have Type 2 Diabetes and struggle to stick to your diet or exercise routine, an adaptive text message program can help. This program sends you daily tips tailored to what you find most useful based on your feedback. Over 8 weeks, this personalized approach has been shown to significantly improve your adherence to diet, physical activity, and self-care tasks like blood sugar monitoring. It works by learning your preferences and focusing on what matters most to you, making it less burdensome and more effective than generic health advice.

ModerateSupportsMEDIUM confidence
The intervention led to significant, medium- to large-sized improvements in self-care (d=0.77), diet (d=0.99), and activity (d=0.61)... These findings should be confirmed in a larger randomized controlled trial.
Christopher M. Celano et al. · Journal of Diabetes Science and Technology · 2021

Why this rating

Single-arm proof-of-concept trial with small sample size (N=15) and no control group; feasibility and preliminary efficacy only.

Source

An Adaptive, Algorithm-based Text Message Intervention to Promote Health Behavior Adherence in Type 2 Diabetes: Treatment Development and Proof-of-Concept Trial

Christopher M. Celano et al. · Journal of Diabetes Science and Technology · 2021

DOI 10.1177/19322968211065067

clinical_trial · n=15Cited 7×
Read the paper
DOI resolved against Crossref · corpus check 2026-06-10

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