Agheli Moghaddam Z, Mohammadzadeh F, Rahmani Bilandi R, Askari F. Comparison of the Effects of COVID-19 Health Literacy Education via Telephone and SMS on Distress Tolerance in Women of Reproductive Age in Gonabad, Iran: A Randomized Trial. Intern Med Today 2024; 31 (1)
URL:
http://imtj.gmu.ac.ir/article-1-4086-en.html
1- Master's Student in Reproductive Health, School of Medicine, Infectious Diseases Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
2- PhD in Biostatistics, Assistant Professor, Department of Epidemiology and Biostatistics, School of Health, Social Development and Health Promotion Research Center, Gonabad University of Medical Sciences, Gonabad, Iran.
3- PhD in Reproductive Health, Department of Midwifery, School of Medicine, Reproductive Health and Population Research Center, Gonabad University of Medical Sciences, Gonabad, Iran
4- PhD in Reproductive Health, Department of Midwifery, School of Medicine, Reproductive Health and Population Research Center, Gonabad University of Medical Sciences, Gonabad, Iran , faribaaskari10@yahoo.com
Abstract: (11 Views)
Background and Objective: COVID-19 is a major public health challenge. Improving health literacy can play an effective role in its control and prevention. Due to limited access to in-person education for some individuals, the use of mobile phones as an educational tool is important. This study aimed to compare the effects of a COVID-19 health literacy educational intervention delivered by phone call or text message on distress tolerance among women of reproductive age.
Methods: This was a randomized trial in which 159 women of reproductive age covered by comprehensive health centers in Gonabad, Iran, in 2021 were randomly assigned to three groups: telephone-based education, SMS-based education, and control. Over 4 weeks, identical educational content about COVID-19 health literacy was provided via text message or phone call to the two intervention groups. Data were collected using a demographic form, distress tolerance questionnaire, and health literacy questionnaire at three time points and analyzed in SPSS (version 21) using Generalized Estimating Equations.
Findings: The SMS-based education significantly increased health literacy (P < 0.001) and distress tolerance (P < 0.001) compared to the control group. The telephone-based education only increased health literacy (P < 0.001) and had no significant effect on distress tolerance (P = 0.23). Improvement in health literacy was greater with SMS-based education than with telephone-based education.
Conclusion: COVID-19 health literacy education via mobile phone (text message and phone call) can increase distress tolerance in women. Using these methods is recommended for improving the mental health of women of reproductive age.
Type of Study:
Original |
Subject:
Mental Health Received: 2025/06/8 | Accepted: 2024/07/19 | Published: 2024/12/8