Yokomizo Ryo, Nakamura Akari, Sato Makoto, Nasu Risa, Hine Maaya, Urayama Kevin Y, Kishi Hiroshi, Sago Haruhiko, Okamoto Aikou, Umezawa Akihiro
Center for Regenerative Medicine, National Center for Child Health and Development Research Institute, 2-10-1 Okura, Setagaya, Tokyo, 157-8535, Japan.
Department of Obstetrics and Gynecology, The Jikei University School of Medicine, 3-25-8 Nishi-Shinbashi, Minato, Tokyo, 105-8461, Japan.
NPJ Digit Med. 2021 Nov 30;4(1):163. doi: 10.1038/s41746-021-00530-4.
People of reproductive age have unmet needs related to deficiencies in fertility literacy. Here, we aimed to investigate whether providing fertility-related information via a smartphone application could improve fertility treatment-related literacy in participants. We performed a randomized control-group pretest posttest study and recruited participants between June 18 and 25, 2020. Participants' fertility treatment-related literacy was assessed with a pretest that comprised of 28 questions and participants were allocated with stratified randomization to either intervention group or control group. The intervention comprised a one-week smartphone application-based provision of information on fertility-related information and the control group received general information about women's healthcare. Effectiveness of intervention was assessed using a posttest. A total of 4137 participants were administered the questionnaire and pretest, among which 3765 participants (91.0 %) responded and were randomly allocated into either the intervention group (N = 1883) or the control group (N = 1882). A significantly higher posttest mean score was observed for the intervention group compared to the control group (P = 0.0017). We also observed that posttest scores were significantly improved compared to pretest scores in both the intervention and control group (P < 0.001). When examining by specific test question, the proportion answering correctly increased at posttest compared to pretest for both intervention and control groups (P < 0.001). Furthermore, the intervention group showed a greater mean difference between posttest and pretest scores than the control group (P < 0.001). In conclusion, educational intervention using a smartphone application contributed to enhancing fertility treatment-related literacy.
育龄人群存在与生育知识不足相关的未满足需求。在此，我们旨在调查通过智能手机应用程序提供生育相关信息是否能提高参与者与生育治疗相关的知识水平。我们进行了一项随机对照前测后测研究，并于2020年6月18日至25日招募了参与者。通过包含28个问题的前测评估参与者与生育治疗相关的知识水平，并将参与者通过分层随机化分配到干预组或对照组。干预措施包括基于智能手机应用程序提供为期一周的生育相关信息，对照组则接收有关女性医疗保健的一般信息。使用后测评估干预的有效性。共有4137名参与者接受了问卷调查和前测，其中3765名参与者（91.0%）做出回应并被随机分配到干预组（N = 1883）或对照组（N = 1882）。与对照组相比，干预组后测的平均得分显著更高（P = 0.0017）。我们还观察到，干预组和对照组的后测得分均比前测得分有显著提高（P < 0.001）。在按具体测试问题进行检查时，干预组和对照组后测时回答正确的比例均比前测时增加（P < 0.001）。此外，干预组后测与前测得分之间的平均差异大于对照组（P < 0.001）。总之，使用智能手机应用程序进行的教育干预有助于提高与生育治疗相关的知识水平。
