Evidence map›Paper›PMID 42680485›Full record

Trial reportJournal of medical Internet research2026

Effectiveness of a Web-Based Educational eHealth Platform on Women's Health Literacy About Phthalate Exposure: Randomized Controlled Trial.

Ya Ling Shih, Shu Ching Wu, Pei Shan Li, Chia Jung Hsieh, Chieh-Yu Liu

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ya Ling ShihSchool of Nursing, College of Medicine and Nursing, Yuan Ze University, Taoyuan, Taiwan.ORCID http://orcid.org/0000-0002-5867-293X
Shu Ching WuDepartment of Nursing, Cheng Hsin General Hospital, Taipei, Taiwan.ORCID http://orcid.org/0009-0003-7894-0326
Pei Shan LiDepartment of Long-Term Care, College of Health Technology, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.ORCID http://orcid.org/0000-0001-7135-0348
Chia Jung HsiehSchool of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365, Mingde Road, Beitou District, Taipei, 112303, Taiwan, 886 02-2822-7101 ext 3109.ORCID http://orcid.org/0000-0002-1062-8307
Chieh-Yu LiuInstitute of Community Health Care, National Yang Ming Chiao Tung University, Taipei, Taiwan.ORCID http://orcid.org/0000-0003-3283-028X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Phthalates are environmental endocrine-disrupting chemicals widely used in plastics, cosmetics, food packaging, and personal care products. Women may experience frequent exposure through everyday consumer and household products. Improving phthalate-related health literacy may support informed exposure-reduction decisions; however, conventional health education provides limited opportunities for repeated, interactive, and individually tailored learning. Objective: This randomized controlled trial evaluated the effectiveness of an eHealth educational intervention (Phthalates Free) in improving women's overall and domain-specific phthalate-related health literacy and examined the association between platform engagement and health literacy outcomes. Methods: A double-blind randomized controlled trial was conducted in the outpatient department of a regional teaching hospital in Taipei, Taiwan. A total of 114 women were randomly assigned to an intervention group (n=58) receiving a 6-month eHealth platform-based education program and a control group (n=56) receiving conventional paper-based education. Assessments were conducted at baseline (T0), 3 months (T1), and 6 months (T2). The Phthalate Health Literacy Scale (10 items; Results: At 6 months, the intervention group showed a significantly greater increase in total health literacy than the control group (+9.93 points, Wald Conclusions: The Phthalates Free eHealth educational intervention significantly improved women's overall and domain-specific health literacy over 6 months. Higher platform engagement was associated with better health literacy outcomes. The intervention may serve as a practical adjunct to nurse-led education in outpatient and community settings by providing accessible, continuous, and evidence-based guidance on reducing phthalate exposure.

Indexed as

Health EducationHealth LiteracyInternetPhthalic AcidsTelemedicineWomen's HealthAdultDouble-Blind MethodFemaleHumansMiddle AgedTaiwanphthalic acidPhthalic AcidseHealthhealth literacyphthalatesrandomized controlled trialwomen’s health

Identifiers

PMID42680485
PMCPMC13533579

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.