Published in last 50 years
Articles published on Improve Health Knowledge
- New
- Research Article
- 10.3389/fpubh.2025.1600342
- Oct 22, 2025
- Frontiers in Public Health
- Yang Zhang + 7 more
Background and aimsThis study evaluates the impact of a comprehensive health education intervention delivered via a mobile application on health knowledge and behavior among third-grade students in Zhenjiang, Jiangsu Province, China. With increasing rates of non-communicable diseases, particularly hypertension among children, this intervention aimed to enhance health literacy and promote healthier behaviors.MethodsA total of 15,656 students from 88 primary schools participated, with 11,614 completing both pre- and post-intervention surveys. The intervention included 20 animated health education lessons covering topics such as balanced diets, personal hygiene, and salt reduction, alongside activities involving parents and school staff.ResultsResults indicated significant improvements in health knowledge, with an average increase of 5.6 points, and health behavior scores increased by 2.6 points post-intervention. The awareness of key knowledge areas, including vision protection and correct coughing/sneezing habits, had increased by more than 10%. However, improvements in health behaviors were less pronounced, underscoring the challenge of translating knowledge into action. A mixed-effects model analysis revealed that baseline scores significantly influenced post-intervention outcomes, with urban students outperforming their rural counterparts.ConclusionThis study highlights the effectiveness of mobile health education interventions in enhancing health literacy among children and suggests the need for continued focus on behavior change strategies to complement knowledge acquisition.
- Research Article
- 10.53625/jabdi.v5i5.11361
- Oct 2, 2025
- J-ABDI: Jurnal Pengabdian kepada Masyarakat
- Rusli Taher + 3 more
This community service activity aimed to improve the knowledge and awareness of adolescent groups in Tupabbiring Village, Bontoa District, Maros Regency regarding the prevention of HIV/AIDS using Virtual Reality-based learning. Conducted by lecturers and students of STIKES Graha Edukasi Makassar, the activity involved preparation, implementation of health education, and evaluation stages. The health education was delivered through theory and practical sessions on HIV/AIDS prevention using Virtual Reality media. Evaluation through pre-test and post-test using SPSS showed an increase in participants’ knowledge from 51.36% to 93.03%. This activity demonstrates the effectiveness of Virtual Reality-based education in improving health knowledge and awareness among coastal adolescents with limited access to health services.
- Research Article
- 10.1177/08901171251365366
- Aug 6, 2025
- American journal of health promotion : AJHP
- Akanksha Nagarkar + 9 more
ObjectiveTo examine storytelling interventions as health promotion tools in underserved populations across disease states, including hypertension, diabetes, overall chronic disease, obstetric care, and preventative health to assess intervention design and cultural tailoring and analyze reported quantitative and qualitative health outcomes.Data SourceA comprehensive literature search was performed in PUBMED.Study Inclusion and Exclusion CriteriaStudies were included if they implemented a storytelling intervention to promote health knowledge, behavior change, or health-related outcomes. Excluded studies lacked an evaluated intervention or reported outcomes. Reviews, commentaries, editorials, protocols without outcome data, and duplicate publications without novel findings were excluded. Only English-language studies were included due to reviewer fluency.Data ExtractionTwenty-five studies were included and categorized based on disease focus.Data SynthesisA narrative synthesis and inductive content analysis was performed. Studies were grouped by disease state and analyzed for population demographics, intervention development and delivery, cultural tailoring, storytelling theory, and measured outcomes.ResultsStorytelling, in digital and oral formats, improved health knowledge, self-efficacy, and preventive behaviors. Several methods were employed to culturally tailor interventions. Interventions were based on multiple behavioral theories.ConclusionsWhen culturally tailored and rooted in theory, regardless of delivery format, storytelling can foster behavior change across diverse health conditions.
- Research Article
- 10.22437/jkam.v9i1.45900
- Jun 30, 2025
- Jurnal Karya Abdi Masyarakat
- Tri Bayu Norito + 4 more
The Healthy School Activation program was designed to address the growing concerns of sedentary lifestyles, limited health knowledge, and low physical activity among elementary school students. It seeks to cultivate healthier behaviors, improve learning focus, and promote a collaborative school culture involving students, teachers, and parents. This qualitative study involved 120 fifth grade students from two elementary schools in Muara Bulian, divided into intervention and control groups. Ten teachers participated as key informants. Data collection methods included questionnaires, anthropometric assessments, and semi-structured interviews. The intervention led to a 35% increase in students' physical activity levels and improved health knowledge from 40% to 85%. A notable reduction in body mass index was observed among overweight students. Positive shifts were also reported in students’ attitudes toward physical activity, accompanied by enhanced focus and peer interaction in the classroom. Findings suggest that the program is effective in promoting active and healthy lifestyles among elementary students. The program adopts a collaborative strategy involving educators and families, providing a feasible model for promoting active lifestyles and fostering a supportive, health oriented school culture that can be implemented broadly and sustainably.
- Research Article
- 10.18063/apm.v10i2.888
- Jun 28, 2025
- Advances in Precision Medicine
- Lingsheng Ou
Objective: When providing care for elderly patients with hemiplegia of the lower extremities after stroke, task-oriented rehabilitation nursing combined with thematic health education was adopted to analyze the effect of such nursing measures. Methods: Fifty patients were randomly selected, all of whom were patients with lower extremity hemiplegia after stroke admitted to a certain rehabilitation hospital. The admission period was from September 2021 to August 2024. They were evenly divided by random lottery, with 25 cases in each group. Conventional nursing was used in the control group, and task-oriented rehabilitation nursing combined with thematic health education was used in the observation group. Analyze the effects produced by different nursing measures. Results: There was a significant difference in the FMA scores between the two groups of patients before and after the intervention, both of which increased significantly, and the improvement in the observation group was even greater (P < 0.05). There was a significant difference in the scores of health knowledge, attitude and practice between the two groups of patients before and after the intervention, both of which improved significantly, and the improvement in the observation group was even greater (P < 0.05). Conclusion: When providing nursing care for elderly patients with hemiplegia of the lower extremities after stroke, the application of task-oriented rehabilitation nursing combined with thematic health education can significantly improve their lower extremity function and health knowledge, attitude and practice.
- Research Article
- 10.55606/jurrikes.v4i2.5498
- Jun 16, 2025
- JURNAL RISET RUMPUN ILMU KESEHATAN
- Crifianny Praysilia Wenas + 1 more
Social media has proven to be an effective tool for health promotion, particularly in rapidly and widely disseminating information and encouraging behavioral changes. This study is a literature review aiming to evaluate the role of social media in digital-based health promotion interventions over the past five years (2019–2024). Articles were collected from Google Scholar, PubMed, and Garuda databases, focusing on interventions conducted in Indonesia or those with global relevance. The review of nine articles revealed that platforms like Instagram, WhatsApp, and Facebook are effective in improving health knowledge and behaviors, especially among adolescents and mothers. Strategies involving visual and interactive content, along with collaborations with digital influencers, significantly increased audience engagement. However, key challenges identified include low digital literacy, the spread of invalid information, and a lack of standardized evaluation for intervention effectiveness. This study recommends enhancing healthcare professionals' capacity in utilizing social media and strengthening public digital literacy to support sustainable health promotion efforts.
- Research Article
- 10.1002/jad.12532
- Jun 8, 2025
- Journal of adolescence
- Zara Q Iqbal + 3 more
Teaching Each Other: A Pilot for a Peer Health Education Intervention in a Juvenile Detention Facility.
- Research Article
- 10.58860/ijsh.v4i5.308
- Jun 8, 2025
- International Journal of Social Health
- Yasmin Zharifah Jaida + 3 more
Stunting remains a significant public health issue in Indonesia, particularly in Sumedang Regency where prevalence rates remain high. Adolescent girls play a crucial role in future child health, making them ideal targets for preventive health education. Peer education, a method that leverages social interaction among adolescents, is proposed as a promising strategy to enhance knowledge and awareness on stunting prevention. This study aimed to examine the effect of peer education on the knowledge level of adolescent girls in Cipacing Village, Jatinangor District, regarding stunting prevention. This quantitative study employed a quasi-experimental design with a pretest-posttest approach in one group. A total of 25 adolescent girls aged 10–19 were selected using purposive sampling. Data were collected through structured questionnaires administered before and after the peer education intervention and analyzed using a paired t-test. The results showed a statistically significant increase in knowledge after the intervention, with the average score rising from 72.90 to 85.10 (p < 0.000). The percentage of participants with high knowledge increased to 88% post-intervention, indicating the method's effectiveness. The study highlights peer education as a powerful tool for improving health knowledge among adolescent girls. It encourages future programs to adopt similar approaches and suggests further research to evaluate behavioral outcomes and broaden demographic inclusion. These findings contribute valuable insights to local stunting prevention efforts and adolescent health promotion strategies.
- Research Article
- 10.1097/aog.0000000000005916.077
- Jun 1, 2025
- Obstetrics & Gynecology
- Hannah L Kralles + 5 more
INTRODUCTION: Women experiencing incarceration often face health care inequities related to their sexual and reproductive health. Despite the proven benefits of peer education in carceral settings, there is minimal research on its application to women’s health education. This study assesses the feasibility of a peer health education program that empowers women to make informed decisions regarding their obstetric and gynecologic health during incarceration and upon reentry to the community. METHODS: Over 4 years, the curriculum was developed using evidence-based recommendations, focus groups, and pilot programs, in collaboration with a state correctional institution. Implementation began in June 2024 with seven preselected incarcerated peer educators. Knowledge retention was evaluated with pre- and post-program assessments and analyzed using paired t-tests, with significance at a value of P<.05. After 1 month of peer-to-peer education, educators participated in a focus group to discuss their experiences. Qualitative data were analyzed thematically. RESULTS: The study involved seven women, and 28.6% identified as Black and 71.4% identified as White. Pre-program, participants scored an average of 82.8% on knowledge assessments. Post-program scores increased to 90.2%, demonstrating a statistically significant improvement (P=.015). Focus group discussions highlighted the challenges faced by incarcerated women, the value of the program, and advocacy for peer education. CONCLUSIONS/IMPLICATIONS: Peer education, although underutilized in corrections, demonstrates significant potential. This unique study reveals notable improvements in health knowledge and the vested engagement of peer educators. Expanding peer education could be pivotal in empowering women experiencing incarceration to make informed decisions regarding their health.
- Research Article
- 10.1186/s12889-025-22754-9
- Apr 26, 2025
- BMC Public Health
- Myo Zin Oo + 7 more
BackgroundComprehensive interventions are needed for smoking concerns among industrial workers. This study aimed to evaluate the effectiveness of a Health Belief Model-based integrated health education and mobile phone short message service intervention on improving health knowledge, perception, and self-efficacy toward smoking among industrial workers in Myanmar. This study uniquely integrates Health Belief Model-based health education sessions with short message service over three months, addressing the specific needs of this demographic.MethodsA quasi-experimental study involved 146 workers per group in Mandalay Industrial Zone, Myanmar. A Health Belief Model-based intervention included six health education sessions and daily short message service with weekly repeated content for the intervention group. The outcomes were health knowledge, perception (susceptibility, severity, barriers, and benefits), and self-efficacy, assessed at baseline, immediately after the 3-month training, and 3 months post-training completion in both groups. Homogeneity between groups at baseline was assessed using the chi-square test and the independent t-test. Between-group differences were compared using the independent t-test, and within-group changes were evaluated using repeated measures ANOVA. Generalized Estimating Equations was applied to adjust for baseline differences between groups, accounting for variables such as age, marital status, education status, income, age at first cigarette smoked, and years of smoking cigarettes. Significance level was set at p < 0.05.ResultsHealth knowledge in the intervention group significantly increased at immediately after the 3-month training but slightly declined at 3 months post-training completion (p < 0.001). Compared to the control group, perceived susceptibility, severity, barriers, and benefits, as well as self-efficacy, improved significantly immediately after the 3-month training (p < 0.001). Generalized Estimating Equations analysis revealed significant Group × Time interaction effects, showing positive effects on health knowledge (B = 0.991, p < 0.001), and notable improvements in perceived susceptibility (B = 5.091, p < 0.001), severity (B = 3.973, p < 0.001), barriers (B = 3.823, p < 0.001), benefits (B = 1.797, p < 0.001), and self-efficacy (B = 1.742, p < 0.001).ConclusionsThis study’s intervention significantly improved the health knowledge, perception, and self-efficacy toward smoking among industrial workers in Myanmar, highlighting the importance of targeted workplace interventions.
- Research Article
- 10.1186/s12903-025-05836-3
- Apr 25, 2025
- BMC Oral Health
- Mohammed B A Sarhan + 5 more
BackgroundOral health diseases pose a major global and public health problem. Access to trusted sources of information might be pivotal for improving health knowledge levels. Health knowledge can be considered a consequence of having or lacking the appropriate health literacy skills. This study identified the association between the number of health information sources and oral health knowledge (OHK) mediated by health literacy.MethodsThis cross-sectional household survey targeted Palestinian adolescent refugees in Ramallah and Al-Bireh District of the West Bank, Palestine. We measured OHK using seven questions about basic oral and dental health information. We used the Arabic Health Literacy Assessment Scale for Adolescents to measure health literacy levels. We also asked the adolescents to report their sources of health information. We conducted a mediation analysis using Process Macro for SPSS.ResultsThis study included 300 adolescents who live in Ramallah and Al Bireh refugee camps. Among family members, adolescents mainly consulted their parents for health information, with 86.3% seeking health information from their mothers and 66.3% from their fathers. Out of seven questions, the mean number of correct answers for the OHK scale was 5.7 (Standard Deviation [SD]1.0). The association between the number of health information sources and OHK was fully mediated by communication health literacy (significant indirect effect: 0.0203, 95% Confidence Interval [CI]: 0.007 to 0.037, and insignificant direct effect β = 0.0267, p = 0.15). This association was partially mediated by functional health literacy (significant indirect effect: -0.008, 95%CI: -0.0173 to -0.0018, and significant direct effect β = 0.0536, p = 0.003).ConclusionDifferent types of health literacy can mediate the association between the number of health information sources and OHK. Functional health literacy is necessary to gain knowledge from multiple sources, but it is insufficient. High communication health literacy fully mediated this association. Strengthening communication skills in the context of health would be highly required to effectively transform accessed information into gained knowledge.
- Research Article
- 10.1371/journal.pdig.0000808
- Apr 21, 2025
- PLOS digital health
- Alana R Lopez + 8 more
In 2021, nearly 66 of every 1,000 adolescent girls ages 15-19 in the Dominican Republic gave birth. Adolescent mothers face health disparities including increased risk for rapid repeat pregnancy and lower breastfeeding rates. Mobile health (mHealth) is a growing approach for reaching adolescents. FAMA (Fortaleciendo la Autodeterminación de Madres Adolescentes) was a 12-week moderated digital education support group with adolescent mothers in the Dominican Republic, associated with improvements in health knowledge and contraceptive uptake. This study explores the FAMA intervention's mechanism of action through a mixed-methods secondary data analysis using WhatsApp messages and post-intervention interviews to characterize experiences of social support and patterns of intervention engagement. We assessed associations between multiple measures of engagement and intervention outcomes. Linear or Poisson regression was used to evaluate association with health knowledge, and social support. or contraceptive uptake, respectively, selected based on type and distribution of each outcome variable. Models adjusted for key confounders. Findings indicate FAMA was largely used to exchange companionship and informational support. We found a significant positive association between engagement as measured by acknowledging intervention messages and improved health knowledge (adjusted coefficient: 2.84, CI: 0.83-4.84, p= 0.01). In contrast, we found a negative association between engagement as measured by social support exchange and improved health knowledge (adjusted coefficient: -5.78, CI: -10.42- -1.00, p= 0.02), suggesting that interactions focused on support may not reinforce informational content as directly as other forms of engagement. Our findings suggest that engagement with FAMA was associated with increases in knowledge and a close reading of message content is most beneficial for knowledge gain. This analysis enhances understanding of user engagement with group mHealth interventions and contributes new approaches to measure engagement, accounting for different engagement styles participants may have. Future digital interventions may leverage our findings to design interventions that encourage beneficial engagement types.
- Research Article
- 10.3332/ecancer.2025.1891
- Apr 15, 2025
- ecancermedicalscience
- Gao Luwen + 5 more
Cervical cancer, primarily caused by persistent infection with high-risk strains of Human Papillomavirus (HPV), is a major health concern worldwide, particularly in developing countries like Pakistan and Afghanistan. A total of 212 women participated in the study, with 68.4% from Pakistan and 31.6% from Afghanistan. The majority of participants (80.7%) were from urban areas, and the most common age group was 31 to 50 years (46.2%), 60.8% being illiterate, 77.3% were non-working and 92% were married. The study found that both Pakistani and Afghan participants had similar, non-significant knowledge regarding cervical cancer and HPV, with Pakistani participants showing slightly higher awareness. Education played a crucial role in knowledge levels; Pakistani women, particularly those with higher education, were more informed about the prevention and early treatment of cervical cancer. However, knowledge about HPV vaccines was low across both groups, with Pakistani women being more aware than Afghan women. In terms of willingness to vaccinate children and pay for vaccines, Pakistani participants showed greater enthusiasm compared to Afghan participants, although the differences were non-significant. Logistic regression analysis showed that education, urban background and employment status were significantly linked to knowledge about cervical cancer, HPV and its vaccine. Women with higher education and urban backgrounds had better knowledge and were more willing to pay for the vaccine. In conclusion, this study highlights the influence of socio-demographic factors, such as education, urban background and employment status, on women’s knowledge about cervical cancer, HPV and its vaccine. Although both Pakistani and Afghan participants demonstrated similar levels of awareness, Pakistani women, especially those with higher education, were more knowledgeable about prevention and early treatment options. Despite limited awareness about HPV vaccines, Pakistani participants exhibited more willingness to vaccinate their children and pay for the vaccine compared to Afghan participants. These findings underscore the importance of education and urbanisation in improving health knowledge and vaccine uptake.
- Research Article
- 10.5334/ijic.icic24168
- Apr 9, 2025
- International Journal of Integrated Care
- Elizabeth Lartey + 6 more
In response to the COVID-19 pandemic, organizations had to rapidly adapt stroke support services to provide digital delivery options. In the post-pandemic environment, there continues to be significant interest in maintaining digital delivery options. However, there is a gap in understanding the impact of digital programs and the potential barriers that digital program delivery may create. As community organizations seek to expand programming in a growing digital space, it is important to consider how to make programming as effective, accessible, and sustainable as possible. March of Dimes Canada (MODC) is a national non-profit organization that provides services to people with disabilities and their caregivers, including people who have experienced a stroke. In partnership with Heart and Stroke Foundation Canada, MODC delivered the digital Living with Stroke™ program between March 2022 and December 2023, reaching 400 participants. Living with Stroke™ is an education program for individuals who have experienced a stroke and their caregivers, that is co-facilitated by people with lived experience and MODC staff. The program underwent a two-year evaluation to measure program effectiveness and feasibility of digital delivery, as well as examine the impact of digital program delivery for people with disabilities and their caregivers. After 18 months of mixed methods data collection with participants with lived experience of stroke, the evaluation found that digital program delivery provides a safe environment for participants to learn and connect with others and improve health knowledge and confidence. The digital delivery decreased barriers for most participants allowing for timely, convenient, and efficient access to programming. Results highlighted the importance of peer support and the ability of digital programs to enable connections for people from different communities and circumstances, in a way that was not previously feasible. This presentation will highlight the impact of these outcomes and associated best practices for delivering digital programming to people with disabilities, underscoring how digital solutions can expand community organizations’ ability to deliver effective programming to their community.
- Research Article
- 10.1186/s12889-025-22209-1
- Mar 18, 2025
- BMC Public Health
- Sezer Kisa + 1 more
BackgroundDigital storytelling (DST) combines narrative art with digital technology, and in doing so provides a medium for individuals, especially those within immigrant and refugee communities, to share their health experiences. While DST has been explored as a tool for improving health communication and literacy, its effectiveness remains uncertain due to methodological limitations in existing studies.ObjectivesThis review examined the use of DST in promoting health outcomes among immigrant and refugee communities, identified common challenges and best practices, and highlighted gaps in research and practice concerning DST’s use in these populations.MethodsThe review used Arksey and O’Malley’s methodology to systematically explore the literature on DST’s effects on health outcomes in immigrant and refugee groups. It searched the MEDLINE/PubMed, Embase, Web of Science, PsychoInfo, and CINAHL databases for peer-reviewed research articles published in English up to February 15, 2025. The extracted data were categorized into four themes: DST and Health Outcomes, Challenges and Limitations, Best Practices and Effective Strategies, and Research and Practice Gaps.ResultsDST has been applied in diverse healthcare contexts, including HPV vaccination promotion, chronic disease management (e.g., diabetes), and mental health interventions. Some studies reported improvements in health knowledge, self-care behaviors, and psychological well-being. However, the strength of evidence is limited, as most studies employed qualitative or quasi-experimental methods, relied on self-reported outcomes, and had small sample sizes. Challenges to DST implementation included technological barriers, digital literacy issues, feasibility concerns, and the need for culturally tailored interventions.ConclusionsDST shows promise as a culturally adaptable tool for health communication, but its effectiveness as a standardized health intervention remains unproven. Healthcare practitioners may consider DST as a complementary strategy for education and behavioral support in specific areas, such as vaccination campaigns and chronic disease management. However, further high-quality, controlled studies are necessary to evaluate its long-term impact, feasibility, and cost-effectiveness before widespread implementation. Future research should prioritize rigorous methodologies, objective outcome measures, and longitudinal assessments to establish DST’s role in public health interventions.
- Research Article
- 10.18103/mra.v13i5.6428
- Jan 1, 2025
- Medical Research Archives
- Denford Chuma + 8 more
Effectiveness of the Youth-Led COVID-19 Technologically Innovative Interventions in Zimbabwe
- Research Article
- 10.3390/healthcare12242588
- Dec 23, 2024
- Healthcare (Basel, Switzerland)
- Shanice Wei En Lim + 11 more
Background: Studies on the effectiveness of community-based health interventions (CBHIs) in improving lifestyle practices among older adults are limited. Objectives: This study evaluated the impact of a CBHI on health knowledge, lifestyle goal attainment, and practices among older adults in Singapore. Methods: Older adults (aged ≥60 years) were recruited from 29 senior recreation centres to participate in the "Wise and Well" programme, a 3-month CBHI designed to empower individuals to make healthier lifestyle choices. Pre- and post-programme assessments of health knowledge, goal attainment, and lifestyle behaviours (dietary practices and physical activity levels) were conducted using a health knowledge questionnaire, Goal Attainment Scaling (GAS), the Modified Dietary Practice Questionnaire (DPQ), and the Global Physical Activity Questionnaire (GPAQ), respectively. Statistical analysis was performed using the Wilcoxon signed-rank and McNemar's tests (α = 0.05). Results: The study comprised 464 participants (mean age 73.1 years [SD 7.6]; 75.9% women). Three months post-program, participants showed significantly increased health knowledge (p < 0.001) and improved lifestyle goal attainment (p < 0.001). Additionally, there was a significant increase in the proportion of participants meeting or exceeding fruit (p < 0.001) and vegetable (p = 0.002) intake recommendations and reductions in sugar-sweetened beverage consumption (p = 0.002). However, no significant changes were observed in fried food consumption or physical activity levels. High health knowledge scores were associated with 2.17 (95% confidence interval 1.02,4.64) times greater odds of increased vegetable intake. Conclusions: The CBHI shows potential as an effective approach to improving health knowledge and enhancing lifestyle goals and practices among older adults.
- Research Article
- 10.62951/ijhm.v2i1.203
- Dec 4, 2024
- International Journal of Health and Medicine
- Novio De Almeida Pareira + 5 more
This study aims to analyse the relationship between the level of health knowledge and the use of herbal therapy in hypertensive patients in Aldehia (One-Sere, Casmuto, Suli-Ua), Suco Buruma, Posto Administrativo Baucau, Municipiu Baucau, Timor Leste in 2024. This study used a quantitative design with a cross-sectional approach. The study population consisted of hypertensive patients in Aldehia (One-Sere, Casmuto, Suli-Ua), Suco Buruma, Posto Administrativo Baucau, Municipiu Baucau, Timor Leste in 2024. The sample was selected by random sampling. Data were collected through a structured questionnaire with variables of health knowledge, use of herbal therapy, and other factors that influence the decision to use herbal therapy.65% of hypertensive patients have a low level of health knowledge and 67.5% do not use herbal therapy. There was a significant relationship between the level of health knowledge and the use of herbal therapy. Statistical tests showed that a better level of health knowledge tended to be associated with increased use of herbal therapy, with a significant p-value (p = 0.000), which suggests that health knowledge influences patients' decision to adopt herbal therapy. Education level was significantly associated with herbal therapy use (p = 0.015), where higher education level increased the likelihood of herbal therapy use (Exp(B) = 2.034). This study shows the importance of improving health knowledge and education in influencing the use of herbal therapy among hypertensive patients.
- Research Article
1
- 10.2196/50959
- Nov 18, 2024
- Journal of medical Internet research
- Zhiheng Zhou + 7 more
China is vigorously promoting the health management of chronic diseases and exploring digital active health management. However, as most medical information systems in China have been built separately, there is poor sharing of medical information. It is difficult to achieve interconnectivity among community residents' self-testing information, community health care information, and hospital health information, and digital chronic disease management has not been widely applied in China. This study aimed to build a digital health platform and improve the effectiveness of full-cycle management for community chronic diseases through digital active health management. This was a single-arm pre-post intervention study involving the development and use of a digital health platform (2-year intervention; 2020 to 2022). The digital health platform included the "i Active Health" applet for residents and the active health information system (cardio-cerebrovascular disease risk management system) for medical teams. The digital active health management of chronic diseases involved creating health streets, providing internet-assisted full-cycle active health services for residents, implementing internet-based community management for hypertension and diabetes, and performing real-time quantitative assessment and hierarchical management of residents' risks of cardio-cerebrovascular disease. After the 2-year intervention, management effectiveness was evaluated. We constructed a digital health platform with interconnected health information and implemented a digital active health management model. After the intervention, the 2-way referral between community health care institutions and hospitals increased. Residents' health literacy rate increased from 30.6% (3062/10,000) in 2020 to 49.9% (4992/10,000) in 2022, with improvements in health knowledge, health behavior, and health skills. Moreover, the risk of cardio-cerebrovascular disease decreased after the intervention. The community hypertension and diabetes standardized management rates increased from 59.6% (2124/3566) and 55.8% (670/1200) in 2020 to 75.0% (3212/4285) and 69.4% (1686/2430) in 2022, respectively. The control rates of blood pressure in patients with hypertension and blood sugar in patients with diabetes increased from 51.7% (1081/2091) and 42.0% (373/888) in 2020 to 81.2% (1698/2091) and 73.0% (648/888) in 2022, respectively. The intervention improved patients' BMI, waist circumference, blood uric acid levels, and low-density lipoprotein cholesterol levels. The drug compliance rate of patients with hypertension and diabetes increased from 33.6% (703/2091) and 36.0% (320/888) in 2020 to 73.3% (1532/2091) and 75.8% (673/888) in 2022, respectively. The intervention greatly improved the diet behavior, exercise behavior, and drinking behavior of patients with hypertension and diabetes. Our digital health platform can effectively achieve theinterconnection and exchange of different health information. The digital active health management carried out with the assistance of this platform improved the effectiveness of community chronic disease management. Thus, the platform is worth promoting and applying in practice.
- Research Article
1
- 10.1186/s12913-024-11735-0
- Oct 19, 2024
- BMC Health Services Research
- Giada Devittori + 6 more
BackgroundIt is estimated that 1 in 4 stroke survivors will experience a second stroke. Educating patients about risk factors for stroke and a generally healthier lifestyle may help prevent recurrent strokes, which are a burden on society and the healthcare system. The goals of this paper were to investigate the estimated level of knowledge of stroke patients regarding their disease, the methods of information commonly used in clinical practice, the topics that should be included in an educational program aimed at improving health knowledge among stroke survivors, and how such a program could be delivered with the help of technology-based education (i.e., information delivered by digital platforms such as smartphones or rehabilitation technologies).MethodsWe performed a survey among health professionals working with stroke patients in Switzerland.Results161 health professionals of different backgrounds took part in the survey, and 94 completed it. According to the results, only 33% of healthcare professionals thought that patients were well informed about stroke one month after stroke onset. These findings suggest that there is room for improvement in how stroke patients are educated about stroke, risk factors, and prevention. Additionally, it was highlighted that technology is not commonly used in clinical practice to support patients’ education, although this is an acceptable method for healthcare professionals. The results also helped to identify key topics to be included in an educational program and recommendations for implementing such a program in rehabilitation technologies.ConclusionsThis work allowed gaining more insight into healthcare professionals’ opinions on the potential of technology-based education and key aspects to consider when implementing it to support health and prevention knowledge after stroke.