Evidence map›Paper›PMID 39707158›Full record

Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2025

Dulce Digital-Me: results of a randomized comparative trial of static versus adaptive digital interventions for Latine adults with diabetes.

Athena Philis-Tsimikas, Addie L Fortmann, Taylor Clark, Samantha R Spierling Bagsic, Emilia Farcas, Scott C Roesch, James Schultz, Todd P Gilmer, Job G Godino, Kimberly L Savin and 4 more

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03130699 (Dulce Digital-Me), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03130699 nacompletednot on this map

Dulce Digital-Me: An Adaptive mHealth Intervention for Underserved Hispanics With Diabetes

TypeinterventionalSponsorScripps Whittier Diabetes InstituteRan2017 to 2021Enrolled310ConditionsDiabetes Mellitus, Type 2ArmsDulce Digital, Dulce Digital-Me (Automated Delivery), Dulce Digital-Me (Medical Assistant)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Type 2 diabetes mellitus.Nature reviews. Disease primers · 2026
    Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Athena Philis-TsimikasScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.ORCID 0000-0002-3986-9630
Addie L FortmannScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.
Taylor ClarkSan Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92182, United States.
Samantha R Spierling BagsicScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.
Emilia FarcasQualcomm Institute, University of California, San Diego, La Jolla, CA, 92093, United States.
Scott C RoeschSan Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92182, United States.
James SchultzNeighborhood Healthcare, Escondido, CA, 92025, United States.
Todd P GilmerHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, CA 92093, United States.
Job G GodinoQualcomm Institute, University of California, San Diego, La Jolla, CA, 92093, United States.
Kimberly L SavinSan Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92182, United States.
Mariya ChichmarenkoScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.
Jennifer A JonesScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.
Haley SandovalScripps Whittier Diabetes Institute, Scripps Health, La Jolla, CA, 92037, United States.
Linda C GalloDepartment of Psychology, San Diego State University, San Diego, CA, 92182, United States.

Funding

Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of HealthNCATS NIH HHS UL1 TR002550NCATS NIH HHS UL1TR002550New York Center for Diabetes Translational Research P30 DK111022-03NIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

objectiveTo compare the effectiveness of a static, text-based diabetes education and support intervention (Dulce Digital, DD) versus a dynamic approach with personalized feedback and goal setting (Dulce Digital-Me, DD-Me) in improving diabetes outcomes. DESIGN AND

methodsComparative effectiveness trial in 310 Latine adults with poorly managed type 2 diabetes in a Federally Qualified Health Center in Southern California, randomized to DD, DD-Me-Auto (algorithm-driven text-based personalized feedback), or DD-Me-Tel (coach delivered personalized feedback). Changes in HbA1c (primary outcome), low-density lipoprotein-cholesterol, systolic blood pressure, and patient-reported outcomes were examined across 6 and 12 months, with the primary comparison being DD versus DD-Me (combined automated and telephonic).

resultsParticipants were 52.1 (±10.2) years old, 69.7% female, with HbA1c 9.3% (±1.6) at baseline. Across groups, there was a statistically significant improvement in HbA1c at 6 months (mean∆ per month = -0.17, 95% CI -0.20, -0.14; P < .001) and 12 months (mean∆ per month = -0.07, 95% CI -0.09, -0.05; P < .001). However, there were no time-by-group interaction effects indicating group differences in clinical outcomes across 6 or 12 months. The DD-Me groups showed greater improvements across time than the DD group for diabetes self-management behaviors.

conclusionsStatic and adaptive digital interventions for Latine adults with type 2 diabetes had similar and clinically significant effects on HbA1c across 12 months. Simple digital approaches can be integrated within primary care-based chronic care models to reduce diabetes disparities. CLINICALTRIALS.GOV REGISTRATION: NCT03130699, Initial Release 04/24/2017, https://clinicaltrials.gov/ct2/show/NCT03130699?term=NCT03130699&draw=2&rank=1.

Indexed as

Diabetes Mellitus, Type 2Patient Education as TopicText MessagingAdultAgedCholesterol, LDLComparative Effectiveness ResearchFemaleGlycated HemoglobinHumansMaleMiddle AgedCholesterol, LDLGlycated Hemoglobinhemoglobin A1c protein, humanclinical effectivenesscomparative effectivenessdigital technologyeducational intervention DSMESHispanic Americantype 2 diabetes

Identifiers

PMID39707158
PMCPMC11761693

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.