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

Author

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  • Yi-Hui Lee

    (School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan)

  • Lian-Hua Huang

    (School of Nursing, China Medical University, Taichung 404333, Taiwan)

  • Su-Hui Chen

    (School of Nursing, Chang Gung University of Science and Technology, Taoyuan 333324, Taiwan
    Department of Rheumatology, Allergy, and Immunology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan)

  • Jung-Hua Shao

    (School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan
    Department of Joint Reconstruction, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan)

  • Chyong-Huey Lai

    (Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan
    Gynecologic Cancer Research Center, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan
    School of Medicine, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan)

  • Nan-Ping Yang

    (Community Medicine Research Center, National Yang-Ming Chiao Tung University, Taipei 112304, Taiwan
    Department of Medical Research, Hualien Hospital, Ministry of Health and Welfare, Hualien 970007, Taiwan)

Abstract

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.

Suggested Citation

  • Yi-Hui Lee & Lian-Hua Huang & Su-Hui Chen & Jung-Hua Shao & Chyong-Huey Lai & Nan-Ping Yang, 2021. "Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia," IJERPH, MDPI, vol. 18(21), pages 1-16, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11603-:d:672298
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    References listed on IDEAS

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    1. Arina Anis Azlan & Mohammad Rezal Hamzah & Jen Sern Tham & Suffian Hadi Ayub & Abdul Latiff Ahmad & Emma Mohamad, 2021. "Associations between Health Literacy and Sociodemographic Factors: A Cross-Sectional Study in Malaysia Utilising the HLS-M-Q18," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    2. Norrafizah Jaafar & Komathi Perialathan & Manimaran Krishnan & Nurashma Juatan & Masitah Ahmad & Teresa Yong Sui Mien & Kamarul Zaman Salleh & Affendi Isa & Suraiya Syed Mohamed & Nor Hanizah Abu Hani, 2021. "Malaysian Health Literacy: Scorecard Performance from a National Survey," IJERPH, MDPI, vol. 18(11), pages 1-11, May.
    3. Rose Calixte & Argelis Rivera & Olutobi Oridota & William Beauchamp & Marlene Camacho-Rivera, 2020. "Social and Demographic Patterns of Health-Related Internet Use Among Adults in the United States: A Secondary Data Analysis of the Health Information National Trends Survey," IJERPH, MDPI, vol. 17(18), pages 1-16, September.
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    Cited by:

    1. Chien-Lung Chan & Chi-Chang Chang, 2022. "Big Data, Decision Models, and Public Health," IJERPH, MDPI, vol. 19(14), pages 1-9, July.

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