Document Type : Original Article



BACKGROUND: Mobile app education is one of the new educational models. Hence, the purpose
of this study was to determine the effectiveness of mobile app intervention on knowledge, attitude,
and practice of youth for a healthy marriage.
MATERIALS AND METHODS: This quasi‑experimental study was conducted in 2019 on 88 young
people who were selected by simple random sampling in premarital counseling center of Falavarjan
city (Isfahan). Then, participants were randomly allocated to an intervention and a control group.
Mobile application intervention was installed on the intervention group’s mobiles. Data were collected
by questionnaire in two times. Data were analyzed using paired t‑test and independent t‑test.
RESULTS: The mean (Standard deviation) of couples’ age was 21.11 (5.06) years. The results
showed that after the installation of educational consulting app in the intervention group, the mean
score of knowledge (P = 0.001), attitude (P = 0.001), and practice (P = 0.001) after intervention were
significantly higher than before the intervention.
CONCLUSION: Mobile‑based educational and counseling app increases couples’ knowledge,
attitude, and practice in premarital education. Therefore, it is recommended that this type of
education (mobile app) be used to promote premarriage education classes.


1. Rouas K, Kameli J. A study of students attitude toward factors
affecting marriage. Iran J Psychiatry Clin Psychol 1996;2:20‑9.
2. Murayama S. Regional standardization in the age at marriage:
A comparative study of preindustrial Germany and Japan. Hist
Fam 2001;6:303‑24.
3. Zarabi V, Mostafavi F. Measuring factors affecting marriage
in women of the Iranian View economic. J Economic Study
4. Hosseini H, Gravnd M. Measuring factors affecting of behavior
and attitudes women to marriage age in the city Kohdasht.
Women Develop Politic J 2014;11:101‑18.
5. Sadr Al Ashrafi M, Shamkhani A, Yousefi Afrasfteh M. Investigate
factors affecting in the easy marriage from the students
women View Payame Noor University Razan. J Cultural Eng
6. Stelzer K. Marriage education with Hispanic couples: Evaluation
of a communication workshop. Fam Sci Rev 2010;15:1‑14.
7. Shahhosseini Z, Hamzehgardeshi Z, Kardan Souraki M. The
effects of premarital relationship enrichment programs on
marriage strength: A narrative review article. J Nurs Midwifery
Sci 2014;1:62‑72.
8. Murray CE, Murray TL Jr. Solution‐focused premarital counseling:
Helping couples build a vision for their marriage. J Marital Fam
Ther 2004;30:349‑58.
9. Baghaei‑Moghadam G, Malekpour M, Amiri S, Molavi H. The
effectiveness of life skills training on anxiety, happiness and anger
control of adolescence with physical‑motor disability. Int J Behav
Sci 2011;5:305‑10.
10. Ramezankhani A, Mohammadi G, Akrami F, Ghanbari S,
Alidousti FA. Quality gap in premarital education & consultation
program in the health centers of Shahid Beheshti Medical
University. Pajoohandeh J 2011;16:169‑77.
11. Yazdanpanah M, Eslami M, Nakhaee N. Effectiveness of the
premarital education programme in Iran. ISRN Public Health
12. Yeh HC, Lorenz FO, Wickrama KA, Conger RD, Elder GH Jr.
Relationships among sexual satisfaction, marital quality, and
marital instability at midlife. J Fam Psychol 2006;20:339‑43.
13. Moodi M, Miri MR, Reza Sharifirad G. The effect of instruction
on knowledge and attitude of couples attending pre‑marriage
counseling classes. J Educ Health Promot 2013;2:52.
14. Stanley SM, Amato PR, Johnson CA, Markman HJ. Premarital
education, marital quality, and marital stability: Findings from a
large, random household survey. J Fam Psychol 2006;20:117‑26.
15. Sullivan KT, Bradbury TN. Are premarital prevention programs
reaching couples at risk for marital dysfunction? J Consult Clin
Psychol 1997;65:24‑30.
16. Schumm WR, Resnick G, Silliman B, Bell DB. Premarital
counseling and marital satisfaction among civilian wives of
military service members. J Sex Marital Ther 1998;24:21‑8.
17. Bowling TK, Hill CM, Jencius M. An overview of marriage
enrichment. Fam J 2005;13:87‑94.
18. Owen JJ, Rhoades GK, Stanley SM, Markman HJ. The role of
leaders’ working alliance in premarital education. J Fam Psychol
19. Aghdak P, Majlesi F, Zeraati H, Eftekhar AH. Reproductive health
and educational needs among pre‑marriage couples. Payesh
20. Hazavehei MM, Shirahmadi S, Roshanaei G. Educational program
status of premarital counseling centers in Hamadan province
based on theory of reasoned action (TRA). J Fasa Univ Med Sci
21. Amirzadeh Iranagh J, Gholipor I, Rasoli J. Satisfactian with
qualty of education with quality of educational and counselling
program among couples in Urmia. J Urmia Nurs Midwifery Fac
22. Vakilian K, Keramat A. The attitude of men in reproductive health
before marriage. Zahedan J Res Med Sci 2012;14:94‑7.
23. Milliken J, Barnes LP. Teaching and technology in higher
education: Student perceptions and personal reflections. Comp
Educ 2002;39:223‑35.
24. Kitchenham A. Models for Interdisciplinary Mobile Learning.
Unated State of America: Information Science Reference.
Colombia: IGI Global Publisher of Timely Knowledge; 2011.
25. Tran J, Tran R, White JR. Smartphone‑based glucose monitors and
applications in the management of diabetes: An overview of 10
salient “apps” and a novel smartphone‑connected blood glucose
monitor. Clin Diab 2012;30:173‑8.
26. Nasiri M, Nasiri M, S, Hadigol T. The effectiveness of teaching
anatomy by mobile phone compared with its teaching by lecture.
J Med Educ Develop 2014;14:94‑103.
27. Haghani F, Rezaei H. Internet‑based educational instrument
and methods in medical sciences education. Iran J Med Educ
28. Farnam F, Pakgohar M, Mir‑mohammadali M. Effect of
pre‑marriage counseling on marital satisfaction of Iranian
newlywed couples: A randomized controlled trial. Sexuality
Culture 2011;15:141‑52.
29. Noohi S, Azar M, Shafiee Kandjani A, Tajik A. Knowledge and
beliefs of couples attending marriage counseling centers toward
correct sexual relationships. J Hayat 2007;13:77‑83.
30. MoshiriZ, Moshiri S, Vazife Asl M, Terme Yosefi O, Mohaddesi H.
Survey of education effects on sexual health in couples referred to
marriage consultation centers in West Azarbalian 1382. J Urmia
Nurs Midwifery Fac 2004;2:135‑42.