Abstract

BackgroundLifestyle-related diseases, such as stroke, heart disease, and diabetes, are examples of noncommunicable diseases. Noncommunicable diseases are now the leading cause of death in the world, and their major causes are lifestyle related. The number of eHealth interventions is increasing, which is expected to improve individuals’ health literacy on lifestyle-related diseases.ObjectiveThis literature review aims to identify existing literature published in the past decade on eHealth interventions aimed at improving health literacy on lifestyle-related diseases among the general population using selected visual methods, such as educational videos, films, and movies.MethodsA systematic literature search of the PubMed database was conducted in April 2019 for papers written in English and published from April 2, 2009, through April 2, 2019. A total of 538 papers were identified and screened in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram. Finally, 23 papers were included in this review.ResultsThe 23 papers were characterized according to study characteristics (author and year of publication, study design and region where the study was conducted, study objective, service platform, target disease and participant age, research period, outcomes, and research method); the playback time of the educational videos, films, and movies; and the evaluation of the study’s impacts on health literacy. A total of 7 studies compared results using statistical methods. Of these, 5 studies reported significant positive effects of the intervention on health literacy and health-related measures (eg, physical activity, body weight). Although most of the studies included educational content aimed at improving health literacy, only 7 studies measured health literacy. In addition, only 5 studies assessed literacy using health literacy measurement tools.ConclusionsThis review found that the provision of educational content was satisfactory in most eHealth studies using selected visual methods, such as videos, films, and movies. These findings suggest that eHealth interventions influence people’s health behaviors and that the need for this intervention is expected to increase. Despite the need to develop eHealth interventions, standardized measurement tools to evaluate health literacy are lacking. Further research is required to clarify acceptable health literacy measurements.

Highlights

  • Lifestyle-Related DiseasesLifestyle-related diseases, such as stroke, heart disease, cancer, diabetes, and chronic respiratory disease, are leading examples of noncommunicable diseases and are the leading causes of death in the world [1]

  • This review found that the provision of educational content was satisfactory in most eHealth studies using selected visual methods, such as videos, films, and movies

  • These findings suggest that eHealth interventions influence people’s health behaviors and that the need for this intervention is expected to increase

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Summary

Introduction

Lifestyle-related diseases, such as stroke, heart disease, cancer, diabetes, and chronic respiratory disease, are leading examples of noncommunicable diseases and are the leading causes of death in the world [1]. Lifestyle improvement (eg, high-quality diet, increased exercise) plays an important role in the prevention of lifestyle-related diseases [4,5], and improvement for some conditions can be achieved using eHealth-based interventions [3]. Lifestyle-related diseases, such as stroke, heart disease, and diabetes, are examples of noncommunicable diseases. Noncommunicable diseases are the leading cause of death in the world, and their major causes are lifestyle related. The number of eHealth interventions is increasing, which is expected to improve individuals’ health literacy on lifestyle-related diseases

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