School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan, ROC.
J Nurs Manag. 2021 Apr;29(3):385-394. doi: 10.1111/jonm.13175. Epub 2020 Nov 4.
To evaluate the effects of mobile health (mHealth)-based interventions on health literacy and related factors.
Few reviews exist on the effects of mHealth-based interventions on the improvement and changes in health literacy and related factors.
A systematic review was conducted using the Mixed Methods Appraisal Tool to evaluate the quality of articles.
Outcome variables included eHealth literacy, mHealth literacy and health literacy. Two studies showed that health literacy was significantly enhanced after mHealth application use, particularly among those with low education and health literacy levels. Two articles reported that health information seeking and health information appraisal improved after mHealth-based interventions, thereby increasing health literacy levels. In one article, no significant relationship was found between health literacy levels and mHealth literacy.
mHealth can enhance health literacy; furthermore, mobile applications effectively improve patient health literacy. However, measurement tools used for evaluating health literacy indicators are inconsistent, with the concept and components of these tools being not specifically designed for evaluating health literacy indicators.
To successfully and effectively overcome health problems in diverse clinical settings, the theory-based mHealth services should be adopted while considering their intensity, frequency, duration and credibility.
评估基于移动健康 (mHealth) 的干预措施对健康素养及相关因素的影响。
目前，关于 mHealth 干预措施对健康素养及其相关因素的改善和变化影响的综述较少。
采用混合方法评估工具系统评价文章质量。
结局变量包括电子健康素养、移动健康素养和健康素养。有两项研究表明，使用 mHealth 应用后健康素养显著提高，尤其是在受教育程度和健康素养水平较低的人群中。有两篇文章报道，基于 mHealth 的干预措施后健康信息寻求和健康信息评估有所改善，从而提高了健康素养水平。有一篇文章发现，健康素养水平与移动健康素养之间没有显著关系。
mHealth 可提高健康素养；此外，移动应用程序可有效提高患者的健康素养。然而，用于评估健康素养指标的测量工具并不一致，这些工具的概念和组成部分并非专门用于评估健康素养指标。
为了在各种临床环境中成功有效地解决健康问题，应采用基于理论的 mHealth 服务，并考虑其强度、频率、持续时间和可信度。
