Karamolahi Parisa Farzi, Bostani Khalesi Zahra, Niknami Maryam
Student Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Eur J Obstet Gynecol Reprod Biol X. 2021 Aug 27;12:100133. doi: 10.1016/j.eurox.2021.100133. eCollection 2021 Oct.
: 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.
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.
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).
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.
孕期母亲的健康素养体现了社会和认知技能，表明母亲获取和利用有用知识以维持和促进自身及子女健康的动机和能力。本研究旨在确定基于移动应用程序的培训对孕妇健康素养的影响。
对140名符合条件的母亲进行了随机分配临床试验。所有参与者被随机分配到实验组和对照组。数据收集工具包括个人信息和孕产妇健康素养问卷。问卷填写完成后，对实验组进行了基于移动应用程序的培训干预。要求实验组参与者每周阅读一次软件内容，持续8周。培训干预8周后再次填写问卷。使用SPSS 21版软件进行数据分析。为此采用了独立样本t检验、曼-惠特尼U检验、威尔科克森检验、费舍尔检验、卡方检验、克鲁斯卡尔-沃利斯检验和单因素方差分析。
参与者在人口统计学-社会信息方面无统计学显著差异（p>0.05）。干预后，实验组和对照组健康素养得分的平均变化具有统计学显著性（p<0.001）。此外，实验组干预前后健康素养得分的平均变化具有统计学显著性（p<0.001）。但对照组的这一变化无统计学显著性（p = 0.609）。
我们首次使用基于移动应用程序的培训，结果表明其对孕妇的健康素养有效，尤其是在新冠疫情等情况下。因此，建议医疗保健提供者，尤其是助产士，采用这种培训方法来提高孕妇的健康素养。
