Feasibility of Mobile Telehealth for Health Literacy Enhancement via Nutritional Counseling during COVID-19

Document Type : Research Paper

Authors

1 Department of Medical Informatics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Insurance Research Center, Tehran, Iran

3 College of Pharmacy and Nutrition, University of Saskatchewan, Canada

4 Department of Nutrition, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

5 Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: The COVID-19 pandemic has created numerous challenges, including widespread misinformation and limited access to reliable health resources. These issues have led to the proliferation of superstitions and impulsive decisions regarding drug and supplement use. This study focused on the development and feasibility evaluation of a nutritional teleconsultation system designed to address these challenges. Methods: This cross-sectional study was conducted from April to May 2020 at the Mashhad University of Medical Sciences, Mashhad, Iran. After conducting a needs assessment, a nutritional teleconsultation system was developed. The usability and functionality testing led to iterative modifications. The system was piloted on clinical staff for a week, after which it was improved and made available to the public. Results: Over 1,000 system logins were recorded, with 641 users completing questionnaires. Of these, 344 accessed consultation services. The majority of consultation users were aged 31–40 years, and hypertension was the most commonly reported underlying condition. Approximately 53% of users were Mashhad residents. Nutritional queries dominated during the pandemic, with 49.1% focusing on nutrition in the context of COVID-19, 32.0% addressing COVID-19 directly, and 7.5% solely about nutrition. Among combined nutrition and COVID-19 questions, the most common topics were diet (46.2%), immunity (28.4%), and supplementation (20.7%). Conclusion: This study highlights the feasibility and public acceptance of telehealth solutions for nutritional consultation during crises. The findings underscore the need for ongoing public education on diet, immunity, and supplementation through diverse media channels to combat misinformation effectively.

Keywords

Main Subjects


  1. Nasl Seraji J, Dargahi H. Use of disaster management computerized simulation system in a teaching hospital of Tehran university of medical sciences. Journal of Hayat. 2004;10(2):71-8.
  2. Ajami S. The role of earthquake information management system to reduce destruction in disasters with earthquake approach. Approaches to Disaster Management-Examining the Implications of Hazards, Emergencies and Disasters: IntechOpen; 2013.
  3. Wang Y, McKee M, Torbica A, Stuckler D. Systematic literature review on the spread of health-related misinformation on social media. Social Science & Medicine. 2019;240:112552.
  4. Suarez-Lledo V, Alvarez-Galvez J. Prevalence of health misinformation on social media: systematic review. J Med Internet Res. 2021;23(1):e17187.
  5. Doraiswamy S, Abraham A, Mamtani R, Cheema S. Use of telehealth during the covid-19 pandemic: scoping review. J Med Internet Res. 2020;22(12):e24087.
  6. Seto E, Smith D, Jacques M, Morita PP. Opportunities and challenges of telehealth in remote communities: case study of the yukon telehealth system. JMIR Med Inform. 2019;7(4):e11353.
  7. Price S MK. Telemedicine and Telehealth. OLR Research report, September 7. 2012. [updated 2013 Jan 15]. Available from: http://www.cga.ct.gov/2012/rpt/2012-R-0296.htm
  8. Bukachi F, Pakenham-Walsh N. Information technology for health in developing countries. Chest. 2007;132(5):1624-30.
  9. Taylor K, Silver L. Smartphone ownership is growing rapidly around the world, but not always equally. Pew Research Center. 2019.
  10. Klasnja P, Pratt W. Healthcare in the pocket: mapping the space of mobile-phone health interventions. Journal of Biomedical Informatics. 2012;45(1):184-98.
  11. Bashshur RL, Doarn CR, Frenk JM, Kvedar JC, Shannon GW, Woolliscroft JO. Beyond the COVID Pandemic, Telemedicine, and Health Care. Telemedicine and e-Health. 2020;26(11):1310-3.
  12. Dorsey ER, Topol EJ. Telemedicine 2020 and the next decade. The Lancet. 2020;395(10227):859.
  13. Koonin LM, Hoots B, Tsang CA, Leroy Z, Farris K, Jolly T, et al. Trends in the use of telehealth during the emergence of the COVID-19 pandemic - United States, January-March 2020. MMWR Morb Mortal Wkly Rep. 2020;69(43):1595-9.
  14. Gundersen C, Ziliak JP. Food Insecurity And Health Outcomes. Health Aff (Millwood). 2015;34(11):1830-9.
  15. Santana FB, Oliveira NS, Costa MGO, Andrade ACSC, Costa ML, Teles ACSJ, Mendes-Netto RS. Impact of telenutrition protocols in a web-based nutrition counseling program on adult dietary practices: Randomized controlled pilto study. Patient Education and Counseling. 2024;118:108005.
  16. Mundi MS, Mohamed Elfadil O, Bonnes SL, Salonen BR, Hurt RT. Use of telehealth in home nutrition support: Challenges and advantages. Nutr Clin Pract. 2021;36(4):775-84.
  17. Li J, Wilson LS. Telehealth trends and the challenge for infrastructure. Telemed J E Health. 2013;19(10):772-9.
  18. Bakre S, Shea B, Ortega K, Scharen J, Langheier J, Hu E. Changes in food insecurity among individuals using a telehealth and nutrition platform: longitudinal study. JMIR Form Res. 2022;6(10):e41418.
  19. Chai LK, Collins CE, May C, Brown LJ, Ashman A, Burrows TL. Fidelity and acceptability of a family-focused technology-based telehealth nutrition intervention for child weight management. J Telemed Telecare. 2021;27(2):98-109.
  20. Herbert J, Schumacher T, Brown LJ, Clarke ED, Collins CE. Delivery of telehealth nutrition and physical activity interventions to adults living in rural areas: a scoping review. Int J Behav Nutr Phys Act. 2023;20(1):110.
  21. Perry M, McCall S, Nardone M, Dorris J, Obbin S, Stanik C. Program of All-inclusive Care for the Elderly (PACE) organizations flip the script in response to the COVID-19 pandemic. Journal of the American Medical Directors Association. 2024;25(2):335-41.e4.
  22. Altunisik N, Gencoglu S, Turkmen D, Sener S. Assessing Public Awareness and Perception of Teledermatology Via Survey. Dermatol Pract Concept. 2024;14(1).