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      Efficacy of mobile app-based training on health literacy among pregnant women: A randomized controlled trial study

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          Highlights

          • Regarding the high importance of health literacy of pregnant women and the ability of apps with data transfer as well as ease of access to training materials at any time of the day and night, we investigate a new way to educate pregnant women.

          • For the first time we used mobile app-based training and results showed that it is effective in the health literacy of pregnant women especially in situations like the Corona Virus pandemic. Therefore, it is suggested that health care providers, especially midwives, use this training method to promote the health literacy of pregnant women.

          Abstract

          Objective

          : Health literacy of mothers during pregnancy shows social and cognitive skills indicating the motivation and ability of mothers to receive and use useful knowledge to maintain and promote the health of themselves and their children. The present study was conducted aimed to determine the effect of mobile app-based training on health literacy among pregnant women.

          Study design

          A random allocation clinical trial was conducted on 140 eligible mothers. All participants were randomly allocated to the experimental and control groups. Data collection tools included personal information and maternal health literacy questionnaires. The questionnaires were completed and then a mobile app-based training intervention was performed for the experimental group. The participants of the experimental group were asked to read the contents of the software once a week for 8 weeks. The questionnaires were completed again after 8 weeks of the training intervention. The data were analyzed using SPSS software version 21. Independent t-test, Mann-Whitney U, Wilcoxon, Fisher, Chi-square, Kruskal-Wallis, and one-way analysis of variance was used for this purpose.

          Results

          The participants showed no statistically significant difference in terms of demographic-social information (p > 0.05). The mean change in health literacy scores after the intervention was statistically significant between the experimental and control groups (p < 0.001). Also, the mean change in health literacy scores before and after the intervention in the experimental group was statistically significant (p < 0.001). But this change in the control group was not statistically significant (p = 0.609).

          Conclusions

          For the first time we used mobile app-based training and results showed that it is effective in the health literacy of pregnant women especially in situations like the Corona Virus pandemic. Therefore, it is suggested that health care providers, especially midwives, use this training method to promote the health literacy of pregnant women.

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          Most cited references21

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          Effects of health literacy on health status and health service utilization amongst the elderly.

          Amid increased concerns about the adverse consequences of low health literacy, it remains unclear how health literacy affects health status and health service utilization. With a sample of 489 elderly Medicare patients in a Midwestern city in the USA, we explored the intermediate factors that may link health literacy to health status and utilization of health services such as hospitalization and emergency care. We expected to find that individuals with higher health literacy would have better health status and less frequent use of emergency room and hospital services due to (1) greater disease knowledge, (2) healthier behaviors, (3) greater use of preventive care, and (4) a higher degree of compliance with medication. Using path analysis, we found, however, that health literacy had direct effects on health outcomes and that none of these variables of interest was a significant intermediate factor through which health literacy affected use of hospital services. Our findings suggest that improving health literacy may be an effective strategy to improve health status and to reduce the use of expensive hospital and emergency room services among elderly patients.
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            The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program.

            Multimedia diabetes education programs (MDEP) have the potential to improve communication and education of those with low health literacy. We examined the effect of a MDEP targeted to patients with low literacy on knowledge and assessed the association between literacy and knowledge improvement. We showed the MDEP to 190 patients recruited from clinics at a federally qualified health center and an academic health center. We measured diabetes knowledge before and after viewing the MDEP. Seventy-nine percent of patients had adequate literacy, 13% marginal, and 8% inadequate literacy. Patients across all literacy levels had significant increases in knowledge scores after viewing the MDEP (p-value<0.001). Patients with inadequate literacy learned significantly less after the MDEP (adjusted beta-coefficient=-2.3, SE=0.70) compared to those with adequate literacy. A MDEP designed for those with low literacy significantly increased diabetes knowledge across literacy levels. However, the MDEP did not overcome the learning gap between patients with low and high literacy. A literacy appropriate MDEP may be an effective way to teach patients about diabetes. Combining the MDEP with other education methods may improve comprehension and learning among those with low literacy. Research is needed to identify which characteristics of low-literate patients influence the ability to learn health information. Identifying these factors and incorporating solutions into a diabetes education intervention may help bridge the learning gap related to literacy status.
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              Evaluation of health literacy of pregnant women in urban health centers of Shahid Beheshti Medical University

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                Author and article information

                Contributors
                Journal
                Eur J Obstet Gynecol Reprod Biol X
                Eur J Obstet Gynecol Reprod Biol X
                European Journal of Obstetrics & Gynecology and Reproductive Biology: X
                Elsevier
                2590-1613
                27 August 2021
                October 2021
                27 August 2021
                : 12
                : 100133
                Affiliations
                [a ]Student Research Center, Guilan University of Medical Sciences, Rasht, Iran
                [b ]Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
                Author notes
                [* ]Corresponding author at: Department of Midwifery, Nursing and Midwifery School of Shahid Dr. Beheshti, Rasht, Guilan, Iran. z_bostani@ 123456yahoo.com
                Article
                S2590-1613(21)00013-2 100133
                10.1016/j.eurox.2021.100133
                8455355
                34585137
                5d6cbb14-6d62-4d28-9817-9bd0acf17bd5
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 23 July 2021
                : 20 August 2021
                : 23 August 2021
                Categories
                Full Length Article

                training,health literacy,pregnancy,mobile application,women
                training, health literacy, pregnancy, mobile application, women

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