Available tools to evaluate digital health literacy and engagement with eHealth resources: A scoping review

Faux-Nightingale, Alice; Philp, Fraser; Chadwick, Darren; Singh, Baldev; Pandyan, Anand

doi:10.1016/j.heliyon.2022.e10380

Cited by 24 publications

(14 citation statements)

References 69 publications

(121 reference statements)

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“…Attitude can be measured using beliefs, emotions, and behaviors [ 17 ]. Previous literature on attitudes toward DHIs found that it can reflect (1) acculturation to ICT and eHealth literacy, (2) trust or mistrust, and (3) resistance or predisposition to its use [ 18 , 19 ]. As attitude contains a priori notions about the DHI, it may directly affect engagement in these interventions.…”

Section: Introductionmentioning

confidence: 99%

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

d'Halluin¹,

Costa²,

Morgiève³

et al. 2023

J Med Internet Res

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Background The prevalence of mental health problems in children and adolescents is high. As these problems can impact this population’s developmental trajectories, they constitute a public health concern. This situation is accentuated by the fact that children and adolescents infrequently seek help. Digital health interventions (DHIs) offer an opportunity to bridge the treatment gap between health care needs and patient engagement in care. Additional detailed research is needed to identify how children and adolescents can be empowered to access help through DHIs. In this context, an understanding of their attitudes toward digital health appears to be a necessary first step in facilitating the effective implementation of DHIs. Objective This study aimed to establish an inventory of children’s, adolescents’, and their parents’ attitudes toward DHIs. Methods A scoping review following PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) recommendations was performed using the MEDLINE, Embase, and PsycINFO databases. This research was conducted using 3 key concepts: “child and adolescent mental health service users,” “digital health interventions,” and “attitudes.” Data extracted included the name of the publishing journal, the methodology used, the target population, the DHI studied, and the principal results. Results Of 1548 studies found, 30 (1.94%) were included in our analysis. Among these, 13 concerned satisfaction, 24 concerned preferences, 22 concerned the use of DHI, 11 concerned perception, and 10 concerned needs. Conclusions The results of this study provide a better understanding of the factors influencing children’s and adolescents’ attitudes toward digital health and DHIs. The continued growth of DHIs can help reduce barriers to mental health care. Future research on these interventions should investigate the needs of the targeted populations to increase their engagement in care.

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Section: Introductionmentioning

confidence: 99%

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

d'Halluin¹,

Costa²,

Morgiève³

et al. 2023

J Med Internet Res

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“…Finding the relevant, valid, objective, uncontaminated, and practical criterion and measuring the criterion accurately is the basis of the test ( 39 ). This study chose eHEALS which is the most commonly used method to assess DHL and assess whether individuals can utilize e-healthcare resources actively ( 40 ), and the correlation method was used to estimate the criterion validity. The larger the correlation coefficient r, the higher the correlation degree between the score and criterion, and the scale can better measure or predict the content of the study.…”

Section: Methodsmentioning

confidence: 99%

Validation of the digital health literacy assessment among the university students in China

Nie,

Zhao,

Pan

et al. 2024

Front. Public Health

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PurposeWith the development of the internet, digital health literacy (DHL) has become increasingly important for managing health. Consequently, various digital health literacy scales have been created for different groups. The purpose of this study was to verify the reliability and validity of the simplified Chinese version of the Digital Health Literacy Assessment (DHLA) scale among university students in China.MethodSnowball sampling was used to recruit the participants via an online platform (Wenjuan.com), and finally 304 university students were included in the survey. Demographic information and the status of DHL were collected through the online questionnaire. Cronbach’s alpha and split-half reliability were used to test the internal consistency of the scale, while the structural validity was verified by exploratory factor analysis and confirmatory factor analysis. Additionally, the convergence of the scale was tested by composite reliability (CR) and average variance extracted (AVE).ResultTwo dimensions were generated from 10 entries in the scale, named Self-rated Digital Health Literacy and Trust Degree of Online Health Information, respectively. The Cronbach’s alpha and split-half reliability of the total scale were 0.912 and 0.828, while the Cronbach’s alpha of the two dimensions were 0.913 and 0.830, respectively. The structural validity-related indexes of the scale met the standards (RMSEA = 0.079, GFI = 0.943, AGFI = 0.902, CFI = 0.971). In each dimension, the CR and AVE also reached critical values (CR > 0.7 and AVE > 0.5).ConclusionThe scale had high reliability and validity, indicating the simplified Chinese DHLA scale could be used to evaluate the DHL of university students in China.

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“…Currently, eHealth literacy has been widely studied in the general population, patients, and students. 33 , 34 However, research on eHealth literacy among older adults is limited. 9 Although there have been studies exploring factors related to eHealth literacy in older adults, they have only focused on sociodemographic characteristics, Internet usage, and attitude toward Internet health information.…”

Section: Discussionmentioning

confidence: 99%

Associations between health literacy, digital skill, and eHealth literacy among older Chinese adults: A cross-sectional study

Cui

Yin

et al. 2023

DIGITAL HEALTH

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Objective Digital divide in health-related technology use is a prominent issue for older adults. Improving eHealth literacy may be an important solution to this problem. This study aimed to explore the associations between health literacy, digital skills, and eHealth literacy among older Chinese adults. Methods A total of 2,144 older adults (mean age, 72.01 ± 6.96 years) from Jinan City, China participated in this study. The eHealth Literacy Scale was used to measure eHealth literacy in older adults. A linear regression model was used to analyze the associations among health literacy, digital skills, and eHealth literacy in older Chinese adults. Results The mean eHealth literacy score of the older adults was 17.56 ± 9.61. After adjusting for sociodemographic characteristics and experience of Internet usage, the results of the linear regression showed that health literacy ( B = 0.258, 95% confidence interval (CI) = 0.215–0.302, P< 0.001) and digital skills ( B = 0.654, 95% CI = 0.587–0.720, P < 0.001) were positively associated with eHealth literacy. Sensitivity analyses revealed that this association remained robust. Conclusions The level of eHealth literacy in older Chinese adults is low. Health literacy and digital skills are associated with eHealth literacy in older adults. In the future, eHealth literacy intervention research should be considered from the perspective of health literacy and digital skills.

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Available tools to evaluate digital health literacy and engagement with eHealth resources: A scoping review

Cited by 24 publications

References 69 publications

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

Attitudes of Children, Adolescents, and Their Parents Toward Digital Health Interventions: Scoping Review

Validation of the digital health literacy assessment among the university students in China

Associations between health literacy, digital skill, and eHealth literacy among older Chinese adults: A cross-sectional study

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