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:: Volume 13, Issue 1 (1-2025) ::
Iran J Health Educ Health Promot 2025, 13(1): 404-416 Back to browse issues page
The Effect of Educational Intervention Using Mobile-Based Health Technology (mhealth) on Sexual Health Literacy of Iranian Couples: A Randomized Field Trial
Mahnaz Karimi , Fatemeh Mohammadzade , ‎Arezoo sadat‎ Hajivosoogh , Fariba Askari *
Abstract:   (1095 Views)
Background and Objectives: Improving sexual health literacy has many benefits, including better understanding and evaluation of sexual health risks. This study aimed to assess the effects of an educational intervention using mobile-based health technology (mHealth) on the sexual health literacy of couples of Iranian Couples.

Materials and Methods: In this randomized field trial, 131 couples receiving services from Comprehensive Health Services centers in Gonabad in 2023 were randomly selected and divided into intervention and control groups. The intervention group participated in an educational intervention focused on sexual health, which consisted of four 20 minute sessions over four weeks. This intervention involved sending audio, video, and text materials through authorized social media platforms like Ita and Rubika to their mobile phones. In contrast, the control group received standard training provided at the health centers. The research utilized a demographic registration form and a sexual health literacy questionnaire (SHELA) as tools for data collection. Data analysis was conducted using the generalized estimating equations (GEE) regression model, with a significance level set at less than 0.05.

Results: The GEE test results indicated that following the intervention the average sexual health literacy scores and their subscales over time significantly increased in the intervention group compared to the control group (p<0.05)

Conclusions: Educational intervention using mobile-based health technology can increase couples' ‎sexual health literacy. It is suggested that this technology be used in couples' training in ‎couples for reasons such as cultural conditions, embarrassment, and stigma of talking about ‎sexual issues.‏

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
Keywords: Mobile Health Technology, Educational Intervention, Sexual Health Literacy, Health Education
Full-Text [PDF 720 kb]   (470 Downloads)    
Type of Study: Research | Subject: Health Promotion Interventions
Received: 2024/06/19 | Accepted: 2024/10/21
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Ethics code: IR.GMU.REC.1402.012‎‏ ‏
Clinical trials code: IRCT20230507058107N1‎



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Karimi M, Mohammadzade F, Hajivosoogh ‎ S, Askari F. The Effect of Educational Intervention Using Mobile-Based Health Technology (mhealth) on Sexual Health Literacy of Iranian Couples: A Randomized Field Trial. Iran J Health Educ Health Promot 2025; 13 (1) :404-416
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Volume 13, Issue 1 (1-2025) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
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