African Health Sciences
Makerere University Medical School
Vol. 16, No. 1, 2016, pp. 311-318
Bioline Code: hs16042
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 16, No. 1, 2016, pp. 311-318
© Copyright 2016 - African Health Sciences
Cell phone–based health education messaging improves health literacy.|
Zhuang, Runsen; Xiang, Yueying; Han, Tieguang; Yang, Guo-An & Zhang, Yuan
Background: The ubiquity of cell phones, which allow for short message service (SMS), provides new and innovative opportunities for disease prevention and health education.
Objective: To explore the use of cell phone–based health education SMS to improve the health literacy of community residents in China.
Methods: A multi-stage random sampling method was used to select representative study communities and participants ≥ 18 years old. Intervention participants were sent health education SMSs once a week for 1 year and controls were sent conventional, basic health education measures. Health literacy levels of the residents before and after the intervention were evaluated between intervention and control groups.
Results: Public health literacy scores increased 1.5 points, from 61.8 to 63.3, after SMS intervention for 1 year (P<0.01); the increase was greater for males than females (2.01 vs. 1.03; P<0.01) and for Shenzhen local residents than non-permanent residents (2.56 vs. 1.14; P<0.01). The frequency of high health literacy scores was greater for the intervention than control group (22.03% to 30.93% vs. 22.07% to 20.82%). With health literacy as a cost-effective index, the cost-effectiveness per intervention was 0.54.
Conclusion: SMS may be a useful tool for improving health literacy.
Health literacy; short message service; cell phone; community residents; intervention