Effects of a Mobile Application-Based Health Education Program on Health Literacy in Pregnant Women
DOI:
https://doi.org/10.60099/jtnmc.v38i01.260306Keywords:
health literacy, mobile application-based health education, pregnant womenAbstract
Introduction: Mobile applications play an important role in providing health education to pregnant women by increasing their access to, understanding of, and ability to obtain accurate health information, which in turn can promote health literacy. There are studies describing the use of mobile applications in this context; however, research examining effects of mobile application-based health education on health literacy remains limited.
Objective: To compare health literacy in pregnant women before and after the program and compare health literacy between control and experimental groups. Design: A quasi-experimental design with two-group, pretest and posttest
Methodology: Through purposive sampling, the sample of 50 were selected based on the following inclusion criteria: 1) Thai primigravida women aged between 12-40 years, who were receiving care at the antenatal care units of the three hospitals in a south-central province, and 2) Own a smart phone with an Andriod operating system. The participants were randomly assigned to either experimental or control group with equal numbers in each group (n = 25). The research instruments consisted of two parts: 1) a mobile application-based health education program, and 2) data collection instruments, including a personal data questionnaire and a health literacy questionnaire for pregnant women. The validity and reliability of the instruments were assessed and revealed a content validity index (CVI) of .88 for the program and a Cronbach›s alpha coefficient of .99 for the Health Literacy Questionnaire. Data collection was completed first for the control group, followed by the experimental group. The data were then analyzed using descriptive statistics, Independent t-test, and Paired t-test.
Results: After the program, the experimental group (M = 188.48, SD = 19.18) had health literacy higher than before the program (M = 168.36, SD = 24.93; t =4.722, p = .01). The experimental group had health literacy higher than the control group (M = 174.16, SD= 18.50) with statistical significance (t =0.359, p = .01).
Recommendation: Mobile application-based health education can improve health literacy among pregnant women. Therefore, it is recommended that health education be promoted through mobile application in pregnant women.
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References
World Health Organization. World health statistics 2020: monitoring health for the SDGs, sustainable development goals. World Health Organization. [Internet]. [cited2020 May 17]. Available from: https://apps.who.int/iris/handle/10665/332070
World Health Organization. Meeting report: WHO technical consultation: nutrition-related health products and the World Health Organization model list of essential medicines–practical considerations and feasibility: Geneva, Switzerland, 20–21 September 2018. World Health Organization; 2019.
The Board of Directors for the preparation of the National Health Development Plan, No. 12, Ministry of Public Health. (draft) National Health Development Plan, Vol. 12, 2017-2021. [Internet]. [cited2020 May 17]. Available from: http://wops.moph.go.th/ops/oic/data.
Porncheysuwan W. Knowledge in Health: Concepts and Applications to Nursing Practice. Royal Thai Navy Medical Journal. 2017;44(3):183-97.(In Thai).
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Annals of internal medicine. 2011 Jul 19;155(2):97-107.
Ministry of Public Health. Public Health Department. Ministry level indicators. [Internet]. [cited2023 Feb 21]. Available from: https://dashboard.anamai.moph.go.th.
Boonsathien W, Riantipyasakul O. Knowledge in health. APHEIT Journal of Nursing and Health. 2020 Mar 31;2(1):1-9.(In Thai).
Office of Policy and Strategy Ministry of Public Health, Office of the Health Promotion Foundation. Report on the health survey of Thai people by physical examination. The 5th time, 2014. [Internet]. [cited 2020 May 17]. Available from:https://www.hiso.or.th/hiso5.
Roma W, et al. The Complete Report on the Health Literacy Survey Project of Thai People Aged 15 Years and Over, 2017 (Phase 1). Department of Health, Ministry of Public Health. Source: Public Health Systems Research Institute (HSRI). [Internet]. [cited 2020 May 17]. Available from: https://www.hsri.or.th/researcher/research/new-release/detail/11454.
Intarakamhaeng U .Creating and Developing of Thailand Health Literacy Scales. Ministry of Public Health. [Internet]. [cited 2020 May 17]. Available from: http://bsris.swu.ac.th/upload/268335.pdf.
Boonsathien W, Riantipyasakul O.Knowledge in health. APHEIT Journal of Nursing and Health. 2020 Mar 31;2(1):1-9.(In Thai).
Kawinthara PS.Factors related to self-care behaviors of pregnant women receiving antenatal care services at Bangna 5 Hospital, Samut Prakan Province; Factors Related to Self-Care Behaviors of Pregnant Women at Bangna 5 Hospital, Samutprakarn Province. Romphruek Journal. 2015;33(3):97-114.(In Thai)
Khanchan A, Tansakulrungruang L, Samantreeporn S, Sajjanan S .Efficacy of mobile application education for treating hyperthyroidism with radiation iodine-131. in Nakhon Ratchasima Province. Journal of Corporate Administration and Local Innovation.2021;7(10): 274-284. (in Thai)
Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients› knowledge of their chronic disease: a study of patients with hypertension and diabetes. Archives of internal medicine. 1998 Jan 26;158(2):166-72.
Hayeese W, Chaimongkol N, Sriyasak A, Yeepaloh M.The Development of an Android Application: The Effects of Health Education Delivery through the Application in Caring for Islamic Preterm Infants after Discharge from a Hospital. Princess of Naradhiwas University Journal.2021;13(1):39-54. (in Thai).
Pangdee K. Development of care systems for pregnant women at risk of giving birth to underweight babies, Sri Songkhram Hospital. Journal of Health and Education Nursing. 2020 Apr 29;3(1):28-37. (In Thai).
Sørensen K, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health. 2012 Dec;12(1):1-3.
Nakhornriab S, Wattanakitkrileart D, Charoenkitkarn V, Chotikanuchit S, Vanijja V. The Effectiveness of Mobile Application on Medication Adherence in Patients with Stroke: Nursing Science Journal of Thailand. 2017 Oct 1;35(3):58-69.(In Thai).
Yu Y, Yan Q, Li H, Li H, Wang L, Wang H, Zhang Y, Xu L, Tang Z, Yan X, Chen Y. Effects of mobile phone application combined with or without self‐ monitoring of blood glucose on glycemic control in patients with diabetes: A randomized controlled trial. Journal of diabetes investigation. 2019 Sep;10(5):1365-71.
Phetkong C, Banchonhattakit P. Effects of Health Literacy Promoting Program with social media Used on Obesity Prevention Behavior among Overweight Mattayomsuksa 2 Students. Journal of Health Education. 2019 July – December ;42(2) : 23-32
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