دورية أكاديمية

Efficacy of the Flo App in Improving Health Literacy, Menstrual and General Health, and Well-Being in Women: Pilot Randomized Controlled Trial.

التفاصيل البيبلوغرافية
العنوان: Efficacy of the Flo App in Improving Health Literacy, Menstrual and General Health, and Well-Being in Women: Pilot Randomized Controlled Trial.
المؤلفون: Cunningham AC; Flo Health UK Limited, London, United Kingdom., Prentice C; Flo Health UK Limited, London, United Kingdom., Peven K; Flo Health UK Limited, London, United Kingdom.; Maternal, Adolescent, Reproductive & Child Health Centre, London School of Hygiene & Tropical Medicine, London, United Kingdom., Wickham A; Flo Health UK Limited, London, United Kingdom., Bamford R; Flo Health UK Limited, London, United Kingdom., Radovic T; Flo Health UK Limited, London, United Kingdom.; Department of Psychology and Ergonomics, Technische Universitaet Berlin, Berlin, Germany., Klepchukova A; Flo Health UK Limited, London, United Kingdom., Fomina M; Department of Behavioural Science and Health, University College London, London, United Kingdom., Cunningham K; Department of Psychology, Texas Christian University, Fort Worth, TX, United States., Hill S; Department of Psychology, Texas Christian University, Fort Worth, TX, United States., Hantsoo L; Department of Psychiatry & Behavioral Sciences, Johns Hopkins University, Baltimore, MD, United States., Payne J; Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA, United States., Zhaunova L; Flo Health UK Limited, London, United Kingdom., Ponzo S; Flo Health UK Limited, London, United Kingdom.; Institute of Health Informatics, University College London, London, United Kingdom.
المصدر: JMIR mHealth and uHealth [JMIR Mhealth Uhealth] 2024 May 02; Vol. 12, pp. e54124. Date of Electronic Publication: 2024 May 02.
نوع المنشور: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101624439 Publication Model: Electronic Cited Medium: Internet ISSN: 2291-5222 (Electronic) Linking ISSN: 22915222 NLM ISO Abbreviation: JMIR Mhealth Uhealth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Toronto: JMIR Publications Inc., [2013]-
مواضيع طبية MeSH: Health Literacy*/statistics & numerical data , Health Literacy*/standards , Health Literacy*/methods , Mobile Applications*/standards , Mobile Applications*/statistics & numerical data, Humans ; Female ; Adult ; Pilot Projects ; Middle Aged ; Quality of Life/psychology ; Premenstrual Syndrome/psychology ; Premenstrual Syndrome/therapy ; Surveys and Questionnaires ; Premenstrual Dysphoric Disorder/psychology ; Premenstrual Dysphoric Disorder/therapy
مستخلص: Background: Reproductive health literacy and menstrual health awareness play a crucial role in ensuring the health and well-being of women and people who menstruate. Further, awareness of one's own menstrual cycle patterns and associated symptoms can help individuals identify and manage conditions of the menstrual cycle such as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD). Digital health products, and specifically menstrual health apps, have the potential to effect positive change due to their scalability and ease of access.
Objective: The primary aim of this study was to measure the efficacy of a menstrual and reproductive health app, Flo, in improving health literacy and health and well-being outcomes in menstruating individuals with and without PMS and PMDD. Further, we explored the possibility that the use of the Flo app could positively influence feelings around reproductive health management and communication about health, menstrual cycle stigma, unplanned pregnancies, quality of life, work productivity, absenteeism, and body image.
Methods: We conducted 2 pilot, 3-month, unblinded, 2-armed, remote randomized controlled trials on the effects of using the Flo app in a sample of US-based (1) individuals who track their cycles (n=321) or (2) individuals who track their cycles and are affected by PMS or PMDD (n=117).
Results: The findings revealed significant improvements at the end of the study period compared to baseline for our primary outcomes of health literacy (cycle tracking: D̄=1.11; t 311 =5.73, P<.001; PMS or PMDD: D̄=1.20; t 115 =3.76, P<.001) and menstrual health awareness (D̄=3.97; t 311 =7.71, P<.001), health and well-being (D̄=3.44; t 311 =5.94, P<.001), and PMS or PMDD symptoms burden (D̄=-7.08; t 115 =-5.44, P<.001). Improvements were also observed for our secondary outcomes of feelings of control and management over health (D̄=1.01; t 311 =5.08, P<.001), communication about health (D̄=0.93; t 311 =2.41, P=.002), menstrual cycle stigma (D̄=-0.61; t 311 =-2.73, P=.007), and fear of unplanned pregnancies (D̄=-0.22; t 311 =-2.11, P=.04) for those who track their cycles, as well as absenteeism from work and education due to PMS or PMDD (D̄=-1.67; t 144 =-2.49, P=.01).
Conclusions: These pilot randomized controlled trials demonstrate that the use of the Flo app improves menstrual health literacy and awareness, general health and well-being, and PMS or PMDD symptom burden. Considering the widespread use and affordability of the Flo app, these findings show promise for filling important gaps in current health care provisioning such as improving menstrual knowledge and health.
Trial Registration: OSF Registries osf.io/pcgw7; https://osf.io/pcgw7 ; OSF Registries osf.io/ry8vq; https://osf.io/ry8vq.
(©Adam C Cunningham, Carley Prentice, Kimberly Peven, Aidan Wickham, Ryan Bamford, Tara Radovic, Anna Klepchukova, Maria Fomina, Katja Cunningham, Sarah Hill, Liisa Hantsoo, Jennifer Payne, Liudmila Zhaunova, Sonia Ponzo. Originally published in JMIR mHealth and uHealth (https://mhealth.jmir.org), 02.05.2024.)
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فهرسة مساهمة: Keywords: PMDD; PMS; app; application; awareness; communication; digital health; education; efficacy; functionality; general health; health literacy; health management; manage; management; menstrual; menstrual cycle; period tracking app; pregnancy; premenstrual; premenstrual dysphoric disorder; premenstrual syndrome; productivity; quality of life; randomized controlled trial; reproductive; reproductive health; symptoms; tracking; tracking app; tracking application; wellbeing; women; women’s health
تواريخ الأحداث: Date Created: 20240502 Date Completed: 20240502 Latest Revision: 20240519
رمز التحديث: 20240519
مُعرف محوري في PubMed: PMC11099814
DOI: 10.2196/54124
PMID: 38696773
قاعدة البيانات: MEDLINE
الوصف
تدمد:2291-5222
DOI:10.2196/54124