{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T11:48:21Z","timestamp":1791892101452,"version":"4.3.4"},"reference-count":51,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:00:00Z","timestamp":1635984000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Ministry of Science and Technology, Taiwan","award":["MOST 110-2635-B-182-001-MY2"],"award-info":[{"award-number":["MOST 110-2635-B-182-001-MY2"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Objective: This study aimed (1) to study the effects of health education on preventive behaviors and cancer literacy among women with cervical intraepithelial neoplasia (CIN); (2) to compare the effects of mobile application program (App)-assisted health education with traditional book-form health education. Participants: A total of 132 women ages 20 to 69 years women. Methods: This prospective longitudinal study enrolled 132 CIN women who were evaluated three times. Propensity score matching was used by controlling subjects\u2019 age strata, body mass index, education level, occupation, and type of surgery. Results: The influences of various educational tools were investigated. Four domains were assessed, including health behavior, attitude towards behavior change, self-efficacy of behavior, and cervical cancer (CCa) literacy. Significant improvements in behavior change and CCa literacy due to a health education program were observed (p \u2264 0.002). The App combined with a traditional booklet had the highest score for behavior change and was significantly greater than the booklet-only learning (p = 0.002). The App-assisted form, either App alone or combined with booklet, had a significantly better impact on health promotion when compared to the booklet alone (p = 0.045 and 0.005, respectively). App-only learning had the highest score of CCa literacy (p = 0.004). Conclusion: Health education interventions can have positive effects in terms of change of behavior and CCa literacy. App-assisted learning could be used as a supportive technology, and App learning alone or combined with a traditional booklet may be an innovative model of clinical health promotion for women with CIN.<\/jats:p>","DOI":"10.3390\/ijerph182111603","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T09:11:32Z","timestamp":1636017092000},"page":"11603","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Effects of Mobile Application Program (App)-Assisted Health Education on Preventive Behaviors and Cancer Literacy among Women with Cervical Intraepithelial Neoplasia"],"prefix":"10.3390","volume":"18","author":[{"given":"Yi-Hui","family":"Lee","sequence":"first","affiliation":[{"name":"School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4776-529X","authenticated-orcid":false,"given":"Lian-Hua","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, China Medical University, Taichung 404333, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su-Hui","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Chang Gung University of Science and Technology, Taoyuan 333324, Taiwan"},{"name":"Department of Rheumatology, Allergy, and Immunology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jung-Hua","family":"Shao","sequence":"additional","affiliation":[{"name":"School of Nursing, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan"},{"name":"Department of Joint Reconstruction, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chyong-Huey","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan"},{"name":"Gynecologic Cancer Research Center, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan 333423, Taiwan"},{"name":"School of Medicine, College of Medicine, Chang-Gang University, Taoyuan 333323, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5675-5937","authenticated-orcid":false,"given":"Nan-Ping","family":"Yang","sequence":"additional","affiliation":[{"name":"Community Medicine Research Center, National Yang-Ming Chiao Tung University, Taipei 112304, Taiwan"},{"name":"Department of Medical Research, Hualien Hospital, Ministry of Health and Welfare, Hualien 970007, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,11,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3224","DOI":"10.1002\/cam4.2924","article-title":"Multiple health behaviors before and after a cancer diagnosis among women: A repeated cross-sectional analysis over 15 years","volume":"9","author":"Tollosa","year":"2020","journal-title":"Cancer Med."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Ebu, N.I., Amissah-Essel, S., Asiedu, C., Akaba, S., and Pereko, K.A. 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