Activity texts showed no clear advantage in patient-provider communication
Communication ratings did not differ significantly between personalized activity texts, randomly selected texts and no texts among participants with diabetes and depressive symptoms. Equivalent effects remain unproven.
Based on the published abstract. The full paper may contain additional methods, results and limitations.
The 30-second takeaway
This analysis did not find statistically significant differences in patient-provider communication ratings between the messaging groups. Average ratings declined over the trial, but that change was also nonsignificant. The findings leave uncertainty about communication effects and do not establish whether activity texts improve diabetes, depression or physical activity.
The analysis excluded patients with incomplete surveys. The pandemic's influence remained unclear, and this abstract-based account cannot assess how those issues affected the results.
What researchers found
Patient-reported communication with health care providers
Compared personalized activity texts, randomly selected activity texts and no texts over 6 months using the validated CAHPS communication subscale.
Communication was a secondary outcome
The original trial tested messaging strategies designed to encourage physical activity. This analysis examined a separate question: whether patients rated communication with their providers differently, using a validated survey at entry and exit.
A nonsignificant result leaves uncertainty
The analysis did not demonstrate a communication advantage for personalized messages. It also did not establish that the approaches had identical effects. Communication ratings are a distinct outcome from changes in health or activity.
The original publication
The Impact of an Adaptive mHealth Intervention on Improving Patient-Provider Health Care Communication: Secondary Analysis of the DIAMANTE Trial.
Leng L, Arévalo Avalos MR, Aguilera A et al.
JMIR Mhealth Uhealth · 2025
- PubMed ID
- 40674692
- Record checked
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