Digital Media-based Health Intervention on the promotion of Women’s physical activity: a quasi-experimental study

The need for physical activity for health promotion is recognized, yet young adults still perform insufficient physical activity. Smartphone health programs can be applied easily without time and space constraints, and various mobile health programs based on smartphone applications have recently been developed and applied. This study aimed to measure the effects of mobile smartphone-based health programs on physical activity and obesity outcomes in young adults through a systematic review and meta-analysis. We searched publications in English through electronic databases up to May 2019. Studies were included that provided interventions to improve physical activity using smartphone applications for young adults. After assessing study quality, data were extracted and synthesized concerning whether smartphone interventions affect health outcomes including physical activity and weight using Meta-Analysis software. Four randomized controlled studies and a quasi-experimental study were analyzed. They provided information related to health management, diet, physical activity, and personalized feedback using smartphone applications. The meta-analysis showed that smartphone-based health interventions significantly affect weight loss and increase physical activity. This study provides modest evidence for using smartphone health programs to improve young adults’ physical activity, weight control, and body mass index (BMI). Future research is needed to understand long-term effects and the reliability of increasing physical activity through smartphone health programs.

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Smartphone-Based Health Program for Improving Physical Activity and Tackling Obesity for Young Adults: A Systematic Review and Meta-Analysis

Kim

Seo

2019

“…As a result, this physical training intervention modality may be especially practical and accessible for sedentary young females living in middle- and low-income nations, and it may help to reduce health inequities. Two recent medium- and long-term randomized controlled trials have shown that online interventions can be effective for improving physical activity behaviors for women [ 21 , 22 ]. However, to the best of our knowledge, no randomized controlled trial has been conducted to investigate the effect of an online physical training intervention on mental health and cognitive function.…”

Section: Introductionmentioning

confidence: 99%

Effects of Online Bodyweight High-Intensity Interval Training Intervention and Health Education on the Mental Health and Cognition of Sedentary Young Females

Zhang

Gan

et al. 2021

This study aimed to assess the effectiveness of an online high-intensity interval training (HIIT) intervention and health education on the behaviors, mental health, and cognitive function of sedentary young females. A single-blinded, six-week, randomized controlled pilot trial involving 70 sedentary young Chinese females, aged 18–30 years, was conducted. An intervention group (IG) (n = 33) underwent a HIIT intervention and health education, while a waitlist group (WG) (n = 37) only received health education. In pre-, mid-, and post-tests, both groups filled out questionnaires about physical activity, sedentary behavior, and mental health. Cognitive functions were assessed at the pre- and post-tests by computer-administered cognitive tests. A mixed-effect model with repeated measures was used to analyze outcomes of interest. The retention rate of the IG and WG was 100% and 78.38%, respectively. The IG were found to have significantly increased rates of moderate-to-vigorous physical activity (MVPA) (Mdiff = 940.61, p < 0.001, 95% confidence interval (95% CI): 576.67, 1304.55) from pre-test to post-test, while the WG demonstrated a more marked reduction in sedentary time (Mdiff = −73.02, p = 0.038, 95% CI: −141.90, −4.14) compared with the IG in the post-test. Moreover, anxiety and stress levels were shown to significantly reduce in the IG over the six-week period (Mdiff = −4.73, p = 0.002, 95% CI: −7.30, −2.15 and Mdiff = −5.09, p = 0.001, 95% CI: −8.29, −1.89, respectively). In addition, we observed a significant improvement in verbal ability (p = 0.008, ηp2 = 0.19) following the HIIT intervention and effects of the interaction with time on processing speed (p = 0.050, ηp2 = 0.10) and episodic memory (p = 0.048, ηp2 = 0.11). Moreover, the IG had better global cognitive performance than the WG in the post-test (Mdiff = 8.28, p = 0.003, 95% CI: 3.06, 13.50). In summary, both an online bodyweight HIIT intervention combined with health education, or health education alone, can effectively improve health-related behaviors, but the behavioral consequences may differ based on the emphasis of different intervention modalities. Furthermore, the “bodyweight HIIT plus health education” modality might be a more promising online intervention strategy to mitigate against negative emotions and improve cognitive function.

“…As shown in the systematic review, quality improvement characteristics are included in 4 main areas: (1) HL is an organizational priority, (2) communication practices and standards, (3) verbal/written communication skills, and (4) patient knowledge and engagement, are commonly recommended as the main quality improvement characteristics to promote sustain HL activities and health outcome. An organization with HL priority includes a range of changes in operational planning and strategic, structures, goals, and processes facilitating quality improvements in the design of services and programs, navigation, policies, protocols, preparation of workforce, and procedures in OHL [ 53 , 54 ]. The organization makes sure that HL is integrated into all relevant planning and programs to deliver health-literate care [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Review of Organizational Health Literacy Practice at Health Care Centers: Outcomes, Barriers and Facilitators

Khorasani

Sany

Tehrani

et al. 2020

Self Cite

The term organizational health literacy (OHL) is a new concept that emerged to address the challenge of predominantly in patients with limited health literacy (HL). There is no consensus on how OHL can improve HL activities and health outcomes in healthcare organizations. In this study, a systematic review of the literature was conducted to understand the evidence for the effectiveness of OHL and its health outcome, and the facilitators and barriers that influence the implementation of OHL. A literature search was done using six databases, the gray literature method and reference hand searches. Thirteen potentially articles with data on 1254 health organizations were included. Eight self-assessment tools and ten OHL attributes have been identified. Eleven quality-improvement characteristics and 15 key barriers were reviewed. Evidence on the effectiveness of HL tools provides best practices and recommendations to enhance OHL capacities. Results indicated that shifting to a comprehensive OHL would likely be a complex process because HL is not usually integrated into the healthcare organization’s vision and strategic planning. Further development of OHL requires radical, simultaneous, and multiple changes. Thus, there is a need for the healthcare system to consider HL as an organizational priority, that is, be responsive.