Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia

Bibliographic Data

ID15480552
AuthorsYi‐Hui Lee (0000-0002-5146-7458), Yi-Hui Lee (School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan), Lian‐Hua Huang (0000-0003-4776-529X, China Medical University), Su‐Hui Chen (0000-0003-4079-2340, Chang Gung University of Science and Technology), Su-Hui Chen (Chang Gung University of Science and Technology), Jung‐Hua Shao (Chang Gung Memorial Hospital), Jung-Hua Shao (School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan), Chyong‐Huey Lai (0000-0002-9977-9645, Chang Gung Memorial Hospital, corresponding author), Nan‐Ping Yang (0000-0001-5675-5937, National Yang Ming Chiao Tung University, corresponding author)
Year2021
Volume18
Issue21
Pages11603-11603
Publication date2021-11-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph182111603
OpenAlexW3211292266
LanguageEN
References cited48

Objective: This study aimed (1) to study the effects of health education on preventive behaviors and cancer literacy among women with cervical intraepithelial neoplasia (CIN); (2) to compare the effects of mobile application program (App)-assisted health education with traditional book-form health education. Participants: A total of 132 women ages 20 to 69 years women. Methods: This prospective longitudinal study enrolled 132 CIN women who were evaluated three times. Propensity score matching was used by controlling subjects’ age strata, body mass index, education level, occupation, and type of surgery. Results: The influences of various educational tools were investigated. Four domains were assessed, including health behavior, attitude towards behavior change, self-efficacy of behavior, and cervical cancer (CCa) literacy. Significant improvements in behavior change and CCa literacy due to a health education program were observed (p ≤ 0.002). The App combined with a traditional booklet had the highest score for behavior change and was significantly greater than the booklet-only learning (p = 0.002). The App-assisted form, either App alone or combined with booklet, had a significantly better impact on health promotion when compared to the booklet alone (p = 0.045 and 0.005, respectively). App-only learning had the highest score of CCa literacy (p = 0.004). Conclusion: Health education interventions can have positive effects in terms of change of behavior and CCa literacy. App-assisted learning could be used as a supportive technology, and App learning alone or combined with a traditional booklet may be an innovative model of clinical health promotion for women with CIN

Behavior change · Body mass index · Cancer · Cancer prevention · Cervical cancer · Cervical intraepithelial neoplasia · Family medicine · Health care · Health education · Health literacy · Health promotion · Literacy · mHealth · Promotion (chess · Propensity score matching · Psychological intervention · Public health · Cervical Cancer and HPV Research · Health and Wellbeing Research · Health Literacy and Information Accessibility · Medicine · Nursing · Psychology · Gerontology · Internal Medicine

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