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

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 e...

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Autores principales: Yi-Hui Lee, Lian-Hua Huang, Su-Hui Chen, Jung-Hua Shao, Chyong-Huey Lai, Nan-Ping Yang
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/f56aebf9d88f4a9aa0028e95d54fd674
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spelling oai:doaj.org-article:f56aebf9d88f4a9aa0028e95d54fd6742021-11-11T16:42:37ZEffects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia10.3390/ijerph1821116031660-46011661-7827https://doaj.org/article/f56aebf9d88f4a9aa0028e95d54fd6742021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11603https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Objective: 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 (<i>p</i> ≤ 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 (<i>p</i> = 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 (<i>p</i> = 0.045 and 0.005, respectively). App-only learning had the highest score of CCa literacy (<i>p</i> = 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.Yi-Hui LeeLian-Hua HuangSu-Hui ChenJung-Hua ShaoChyong-Huey LaiNan-Ping YangMDPI AGarticlehealth educationapplication program (App)supportive technologyinnovative modelMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11603, p 11603 (2021)
institution DOAJ
collection DOAJ
language EN
topic health education
application program (App)
supportive technology
innovative model
Medicine
R
spellingShingle health education
application program (App)
supportive technology
innovative model
Medicine
R
Yi-Hui Lee
Lian-Hua Huang
Su-Hui Chen
Jung-Hua Shao
Chyong-Huey Lai
Nan-Ping Yang
Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
description 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 (<i>p</i> ≤ 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 (<i>p</i> = 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 (<i>p</i> = 0.045 and 0.005, respectively). App-only learning had the highest score of CCa literacy (<i>p</i> = 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.
format article
author Yi-Hui Lee
Lian-Hua Huang
Su-Hui Chen
Jung-Hua Shao
Chyong-Huey Lai
Nan-Ping Yang
author_facet Yi-Hui Lee
Lian-Hua Huang
Su-Hui Chen
Jung-Hua Shao
Chyong-Huey Lai
Nan-Ping Yang
author_sort Yi-Hui Lee
title Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
title_short Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
title_full Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
title_fullStr Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
title_full_unstemmed Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia
title_sort effects of mobile application program (app)-assisted health education on preventive behaviors and cancer literacy among women with cervical intraepithelial neoplasia
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f56aebf9d88f4a9aa0028e95d54fd674
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