Empirical investigation of e-health intervention in cervical cancer screening: A systematic literature review

Cervical cancer (CC) screening can detect the cancer early but is underutilized, especially among the developing countries and low- to middle-income countries. Electronic health (e-health) has the potential for disseminating health education and is widely used in the developed countries. This system...

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Bibliographic Details
Published in:PloS one 2022-08, Vol.17 (8), p.e0273375-e0273375
Main Authors: Romli, Rodziah, Abd Rahman, Rahana, Chew, Kah Teik, Mohd Hashim, Syahnaz, Mohamad, Emma Mirza Wati, Mohammed Nawi, Azmawati
Format: Article
Language:English
Subjects:
Biology and life sciences
Cancer
Cancer screening
Case studies
Cervical cancer
Cervix
Citation management software
Developed countries
Developing countries
Diagnosis
Digital broadcasting
Education
Effectiveness
Empirical analysis
Evaluation
Health literacy
Health promotion
Human papillomavirus
Immunization
Industrialized nations
Information dissemination
Intervention
Knowledge
LDCs
Literature reviews
Medical screening
Medicine and Health Sciences
Meta-analysis
Multimedia
Pap smear
Physical Sciences
Public health
Research and Analysis Methods
Rural areas
Screening
Systematic review
Telemedicine
Urban areas
Uterine cancer
Womens health
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Summary:Cervical cancer (CC) screening can detect the cancer early but is underutilized, especially among the developing countries and low- to middle-income countries. Electronic health (e-health) has the potential for disseminating health education and is widely used in the developed countries. This systematic literature review investigates the effectiveness of e-health intervention for improving knowledge of CC and the intention or uptake for CC screening. We followed the PRISMA 2020 guideline and registered with PROSPERO (registration ID CRD42021276036). We searched the Web of Science, Scopus and EBSCO Medline Complete databases for eligible studies. Studies that conveyed informational material through e-health intervention were selected. The results were analyzed using narrative synthesis, and the pooled estimates were calculated using meta-analysis. A total of six studies involving 1886 women were included in this review. The use of e-health aids alone led to increased knowledge. The meta-analysis demonstrated that the mixed-education method of e-health movies and video education with didactic sessions increased CC screening uptake. A random-effects model revealed that CC screening uptake following e-health interventions were almost double of that of their comparison (odds ratio = 2.29, 95% confidence interval: 1.28–4.10, p < 0.05). Various areas of study demonstrated e-health intervention effectiveness (minority communities, urban areas, rural areas). Health education through e-health intervention has huge potential for promoting CC screening in the community. Nevertheless, the use of appropriate frameworks, user engagement and culturally tailored e-health need to be prioritized.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0273375