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

Yi-Hui Lee, Lian-Hua Huang, Su-Hui Chen, Jung-Hua Shao, Chyong-Huey Lai and Nan-Ping Yang
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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
Jung-Hua Shao: School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan
Chyong-Huey Lai: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan
Nan-Ping Yang: Community Medicine Research Center, National Yang-Ming Chiao Tung University, Taipei 112304, Taiwan

IJERPH, 2021, vol. 18, issue 21, 1-16

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.

Keywords: health education; application program (App); supportive technology; innovative model (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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