PMID- 38285500
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240215
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 13
DP  - 2024 Jan 29
TI  - The Impact of the Ecosystem on Health Literacy Among Rural Communities in 
      Protected Areas: Protocol for a Mixed Methods Study.
PG  - e51851
LID - 10.2196/51851 [doi]
LID - e51851
AB  - BACKGROUND: Protected areas are crucial for the maintenance of human health and 
      well-being. They aim to preserve biodiversity and natural resources to secure 
      various ecosystem services that are beneficial to human health. Their ecological 
      characteristics can influence local health literacy. Typically, communities 
      surrounding protected areas have limited economic opportunities due to 
      restriction policies to protect the ecosystem, resulting in socioeconomic 
      disparities. The local community faces obstacles in gaining access to health care 
      facilities and health information due to these limitations. It is difficult for 
      them to locate, comprehend, and apply information and services to make better 
      health-related decisions for themselves and others. OBJECTIVE: This study 
      protocol examines the impact of the ecosystem on health literacy among rural 
      communities in protected areas. METHODS: This study comprises 5 phases. In phase 
      1, we conduct a systematic review to identify the issue of health literacy in 
      protected areas. In phase 2, we will collect data from stakeholders in a 
      protected area of Pahang National Park and analyze the results using Net-Map 
      analysis. In phase 3, we will conduct a survey among the adult community in 
      Pahang National Park related to health literacy, socioeconomic status, health 
      expenditure, and quality of life. In phase 4, informed by the results of the 
      survey, we will determine suitable intervention programs to improve health 
      literacy through a focus group discussion. Finally, in phase 5, we will conduct a 
      costing analysis to analyze which intervention program is the most 
      cost-effective. RESULTS: This study was funded by Universiti Sains Islam Malaysia 
      (USIM) and strategic research partnership grants, and enrollment is ongoing. The 
      first results are expected to be submitted for publication in 2024. CONCLUSIONS: 
      This is one of the first studies to explore health literacy among rural 
      communities in protected areas and will provide the first insights into the 
      overall level of health literacy in the protected community, potential 
      determinants, and a suitable intervention program with expected cost analysis. 
      The results can be used to promote health literacy in other protected areas and 
      populations. TRIAL REGISTRATION: International Standard Randomized Controlled 
      Trial Number Registry ISRCTN40626062; http://tinyurl.com/4kjxuwk5. INTERNATIONAL 
      REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/51851.
CI  - (c)Nor Aziah Abd Kadir, Amirah Azzeri, Hafiz Jaafar, Mohd Iqbal Mohd Noor, Zurina 
      Kefeli. Originally published in JMIR Research Protocols 
      (https://www.researchprotocols.org), 29.01.2024.
FAU - Abd Kadir, Nor Aziah
AU  - Abd Kadir NA
AUID- ORCID: 0000-0001-7123-1146
AD  - Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri 
      Sembilan, Malaysia.
AD  - Faculty of Business and Management, Universiti Teknologi MARA Cawangan Pahang, 
      Kampus Raub, Raub, Malaysia.
FAU - Azzeri, Amirah
AU  - Azzeri A
AUID- ORCID: 0000-0001-6261-1307
AD  - Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri 
      Sembilan, Malaysia.
FAU - Jaafar, Hafiz
AU  - Jaafar H
AUID- ORCID: 0000-0003-0467-3213
AD  - Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Negeri 
      Sembilan, Malaysia.
FAU - Mohd Noor, Mohd Iqbal
AU  - Mohd Noor MI
AUID- ORCID: 0000-0003-2550-614X
AD  - Faculty of Business and Management, Universiti Teknologi MARA Cawangan Pahang, 
      Kampus Raub, Raub, Malaysia.
AD  - Institute for Biodiversity and Sustainability Development, Universiti Teknologi 
      MARA, Shah Alam, Malaysia.
FAU - Kefeli, Zurina
AU  - Kefeli Z
AUID- ORCID: 0000-0003-4514-8714
AD  - Faculty of Economics and Muamalat, Universiti Sains Islam Malaysia, Negeri 
      Sembilan, Malaysia.
LA  - eng
PT  - Journal Article
DEP - 20240129
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC10862236
OTO - NOTNLM
OT  - Net-Map
OT  - ecosystem
OT  - health literacy
OT  - protected areas
OT  - protocol
OT  - quality of life
OT  - rural communities
COIS- Conflicts of Interest: None declared.
EDAT- 2024/01/29 12:42
MHDA- 2024/01/29 12:43
PMCR- 2024/01/29
CRDT- 2024/01/29 11:54
PHST- 2023/08/15 00:00 [received]
PHST- 2023/08/19 00:00 [accepted]
PHST- 2023/08/18 00:00 [revised]
PHST- 2024/01/29 12:43 [medline]
PHST- 2024/01/29 12:42 [pubmed]
PHST- 2024/01/29 11:54 [entrez]
PHST- 2024/01/29 00:00 [pmc-release]
AID - v13i1e51851 [pii]
AID - 10.2196/51851 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2024 Jan 29;13:e51851. doi: 10.2196/51851.