Evidence map›Paper›PMID 42361247›Full record

Trial reportNursing open2026

Empowering Patients Through Literacy: A Randomized Controlled Trial of an Educational App for Evaluating Complementary Therapies in Diabetes Management.

Hsiao-Yun Chang, Kuei-Chun Yeh, Yu-Yao Huang, Jui-Hsiang Li, Feng-Hsuan Liu

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06317584 (The Establishment of "Empowerment-based Complementary and Alternative Medicine), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT06317584 nacompletednot on this map

The Establishment of "Empowerment-based Complementary and Alternative Medicine (ECAM) " Educational Program to Improve Complementary and Alternative Medicine(CAM) Health Literacy in Patients With Diabetes: Dilemma Analysis, Integration Into Practice and Outcome Evaluation

TypeinterventionalSponsorChang Gung University of Science and TechnologyRan2024 to 2025Enrolled88ConditionsDiabetesArmsExperimental: Empowerment Application for CAM Health Education, Written Paper for CAM Health Education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

5 authors.

Hsiao-Yun ChangDepartment of Nursing, Chang Gung University of Science and Technology, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-0877-3289
Kuei-Chun YehDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taoyuan General Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0009-0008-0748-8893
Yu-Yao HuangDivision of Endocrinology and Metabolism, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0002-4501-6140
Jui-Hsiang LiDivision of Endocrinology and Metabolism, Department of Internal Medicine, Taoyuan General Hospital, Taoyuan, Taiwan.
Feng-Hsuan LiuDivision of Endocrinology and Metabolism, Department of Internal Medicine, Linkou Chang Gung Memorial Hospital, Taoyuan, Taiwan.ORCID https://orcid.org/0000-0003-4691-2518

Funding

National Science and Technology Council 111-2314-B-255-002-MY3National Science and Technology Council 114-2314-B-255-014-MY3
6 · The paper itself

Abstract

aimsThis study evaluated the effectiveness of an Educational App for Complementary Therapy in Diabetes Management in improving health literacy, quality of life, and diabetes empowerment through complementary therapy.

designAn assessor- and investigator-blinded randomized controlled trial was conducted. The report of this study adheres to the CONSORT 2025 guideline.

methodsEighty-eight participants with type 2 diabetes who reported complementary therapy use were randomly assigned to either an app-based intervention or a standard-education control group. The eight-session intervention incorporated self-control, cognitive, psychological, and behavioural strategies. Outcomes, including diabetes empowerment, complementary therapy health literacy, and quality of life, were assessed at three time points. Data were analysed using generalized estimating equations.

resultsParticipants in the intervention group demonstrated statistically significant improvements in CT-related critical health literacy and quality of life compared with the control group, but no statistically significant improvement in diabetes empowerment. Results suggest that the educational app enhances individuals' knowledge and capacity to evaluate the use of complementary therapies.

conclusionsThe Educational App for Complementary Therapy in Diabetes Management is a promising digital tool for improving complementary therapy health literacy and quality of life in diabetes care. Although empowerment did not improve, the app's design and alignment with empowerment processes highlight its potential for extended educational and clinical use. Future research should explore longer-term engagement, methods of reinforcement, and broader implementation across diverse populations. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Healthcare professionals can utilize the app to enhance patient education on the use of complementary therapies, thereby improving communication, shared decision-making, and the overall quality of diabetes management. IMPACT: What problem did the study address? The use of complementary therapy alongside conventional diabetes care is common, yet individuals often lack adequate knowledge to evaluate its potential benefits, risks, and safety. Disclosure of complementary therapy use to healthcare professionals is frequently low, posing risks of adverse interactions and undermining coordinated care. Knowledge, health literacy, and a supportive environment are critical components of chronic disease management, but they are underexplored in the context of digital interventions focused on the use of complementary therapies. What were the main findings? This study evaluates the Educational App for Complementary Therapy in Diabetes Management for smartphones-a digital educational intervention designed to enhance complementary therapy health literacy and safe decision-making among individuals diagnosed with diabetes. The intervention demonstrated statistically significant improvements in complementary therapy health literacy and quality of life, underscoring its potential clinical utility. While diabetes empowerment did not improve within the study period, the intervention's grounding in the WHO empowerment process framework and interactive features suggest that longer or more reinforced exposure may yield stronger health outcomes. Where and on whom will the research have an impact? The app empowers individuals to make safer and more informed decisions regarding complementary therapy use, improving self-management and quality of life. The findings provide a practical digital tool to support safer CT-related decision-making by helping participants appraise CT information, evaluate benefit-risk, and communicate with healthcare professionals. The research supports the integration of digital health literacy interventions into diabetes management programs, promoting evidence-based and patient-centred practice. REPORTING

methodThis study was reported in accordance with the CONSORT 2025 statement. PATIENT AND PUBLIC INVOLVEMENT: Professional experts contributed to the co-design of the intervention. The intervention was pilot-tested with patients, whose feedback informed protocol refinements to enhance feasibility and acceptability.

trial registrationClinicalTrials.gov identifier: NCT06317584.

Indexed as

Complementary TherapiesDiabetes Mellitus, Type 2EmpowermentHealth LiteracyMobile ApplicationsPatient Education as TopicAdultAgedFemaleHumansMaleMiddle AgedQuality of Lifecommunicationcomplementary therapydecision‐makingdiabeteshealth literacyquality of lifeself‐efficacy

Identifiers

PMID42361247
PMCPMC13308976

What OpenQuestion holds

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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.