Digital health literacy and associated factors among internet users from China: a cross-sectional study
BMC Public Health,
Год журнала:
2024,
Номер
24(1)
Опубликована: Март 27, 2024
Abstract
Background
As
the
internet
develops
and
5G
technology
becomes
increasingly
prominent,
has
become
a
major
source
of
health-related
information.
Increasingly,
people
use
to
find
information,
digital
health
literacy
is
now
set
essential
capabilities
improve
their
in
era.
However,
little
known
about
factors
that
influencing
literacy.
This
study
aimed
assess
scores
identify
its
among
users
China.
Additionally,
this
explored
participant’s
actual
skills
using
an
additional
performance-based
items
from
Digital
Health
Literacy
Instrument
(DHLI).
Methods
An
online
cross-sectional
was
conducted
August
2022.
Participants
aged
≥18
years
were
recruited
complete
survey.
Data
collected
Chinese
revised
version
DHLI,
self-reported
questionnaire,
sociodemographic
questionnaire.
We
multivariate
linear
regression
analyses
explore
relationships
variables,
behavior
use,
scores.
Results
In
total,
702
participants
completed
The
mean
DHLI
score
2.69
±
0.61.
Multivariate
showed
age
groups
35–49
(β
=
−
0.08,
P
0.033),
50–64
0.161,
<
0.001),
≥
65
0.138,
0.001)
negatively
associated
with
DHL
education
level,
including
bachelor’s
or
associate
degree
0.255,
0.002)
master’s
above
0.256,
frequency
Internet
usage
0.192,
number
devices
used
0.129,
OHISB
0.103,
0.006)
positive
relationship
Conclusions
findings
demonstrate
age,
educational
levels,
technological
used,
greater
web
for
information
independently
Healthcare
providers
should
consider
providing
training
programs
tailored
specific
ability
accurate
meet
services,
which
contributes
enhance
self-management
reduce
disparities.
Язык: Английский
Digital health literacy among the Spanish population: a descriptive and latent class analysis study
European Journal of Public Health,
Год журнала:
2025,
Номер
unknown
Опубликована: Март 18, 2025
Abstract
Spain
has
been
consolidating
the
implementation
of
digital
healthcare.
However,
there
is
not
a
comprehensive
picture
health
literacy
population
in
relation
to
existing
policies
and
practices.
To
identify
different
profiles
people
by
analysing
their
literacy,
with
ultimate
goal
providing
healthcare
organizations
indications
improve
relationship
between
system.
This
cross-sectional
survey
study
included
400
aged
≥18
years
from
May
2021
2022
Spain.
Participants
were
stratified
gender,
age
range,
residential
area
mirroring
Spanish
population,
recruited
an
online
panel
community
settings.
A
self-administered
was
used,
including
eHLQ
questionnaire
as
main
measure
sociodemographic
information.
The
level
medium
balanced
among
seven
dimensions
(ranging
2.60
2.77
out
5).
latent
class
analysis
revealed
five
based
on
scores
taking
into
account
age,
technology
use,
educational
level.
Access
services
that
work,
together
using
process
information,
challenge
identified
participants.
National
institutions
should
focus
only
educating
training
skills
but
also
reliable
useful
services.
first
provide
profile
questionnaire.
Язык: Английский
About EMAeHealth: What do women value in a Maternal Education app?. A sequential mixed-method study on user perspective (Preprint)
Опубликована: Март 6, 2025
BACKGROUND
EHealth
can
help
healthcare
service
users
take
a
more
active
role
in
decision-making
and
professionals
guide
the
patient
this
process.
Even
though
usability
health
literacy
strategies
should
development
of
mHealth
apps,
number
digital
apps
publishing
their
evaluation
results
is
still
small
OBJECTIVE
The
aim
study
was
to
explore
perceptions
EMAeHealth
app
about
its
acceptance,
usability,
strengths
weaknesses
for
implementation.
METHODS
This
an
exploratory
sequential
mixed-method
research
study,
where
qualitative
followed
by
quantitative
study.
Qualitative
were
collected
through
individual
semi-structured
interviews
between
January
March
2024.
Participants
identified
purposive
sampling.
Saturation
reached
once
10
had
been
carried
out.
In
part,
106
out
400
responded
anonymous
online
survey
created
ad
hoc
December
2024
based
on
RESULTS
Two
categories
drawn
up
during
analysis:
(1)
“The
best
thing
app”,
with
accessibility,
quantity,
quality,
good
organization
information
credibility
source
among
reasons
positive
evaluation.
(2)
“What
could
be
improved”:
here,
participants
considered
potential
become
essential
if
new
functions
related
provision
incorporated
linking
it
records,
as
well
making
individualized
some
different
aspects
such
receiving
notifications.
Women
commented
lack
opportunities
share
experiences
other
women
same
situation
consequently
opportunity
develop
networks.
gave
similar
results,
both
assessments
areas
improvement
CONCLUSIONS
Although
value
accessibility
reliability
designed
public
positively,
seen,
combination
intervention
face-to-face
care
and,
above
all,
individualization
adaptation
information,
notifications
or
recommendations
culture,
situation,
stage
each
woman
Язык: Английский
Leave no one behind: the role of digital health literacy
European Respiratory Society eBooks,
Год журнала:
2023,
Номер
unknown, С. 79 - 94
Опубликована: Ноя. 29, 2023
Язык: Английский
Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users
Journal of Medical Internet Research,
Год журнала:
2024,
Номер
26, С. e57963 - e57963
Опубликована: Апрель 9, 2024
As
digital
health
services
are
increasingly
developing
and
becoming
more
interactive
in
Serbia,
a
comprehensive
instrument
for
measuring
eHealth
literacy
(EHL)
is
needed.
Язык: Английский
eHealth literacy and health-related Internet use among Swedish primary healthcare visitors: Cross-sectional questionnaire study (Preprint)
JMIR Formative Research,
Год журнала:
2024,
Номер
8, С. e63288 - e63288
Опубликована: Окт. 15, 2024
Abstract
Background
Digitalization
has
profoundly
transformed
health
care
delivery,
especially
within
primary
care,
as
a
crucial
avenue
for
providing
accessible,
cost-effective
care.
While
eHealth
services
are
frequently
highlighted
improving
availability
and
promoting
equality,
it
is
essential
to
recognize
that
digitalization
can
inadvertently
exclude
individuals
who
lack
the
prerequisites
use
services,
is,
those
with
low
literacy.
Previous
research
identified
lower
literacy
among
older
individuals,
educational
levels,
internet
less
frequently.
However,
in
Swedish
context,
only
few
studies
have
investigated
Objective
This
study
its
association
health-related
sociodemographic
characteristics
visitors.
Methods
cross-sectional
used
quantitative,
descriptive
approach.
Swedish-speaking
patients
visiting
center
participated
by
answering
multidimensional
Literacy
Questionnaire
(eHLQ)
questions
regarding
usage.
The
compared
mean
scores
using
Mann-Whitney
U
test
Kruskal-Wallis
test.
A
logistic
regression
analysis
also
explored
associations
between
significant
independent
variables
univariate
analyses.
Results
As
group,
172
participants
rated
highest
understanding
engagement
their
(median
eHLQ
score
3,
IQR
2.8‐3.4),
well
feeling
secure
about
confidentiality
of
2‐3),
while
they
motivation
2.6,
suitability
personal
needs
2.75,
perceived
ability
understand
information
2‐3).
was
associated
age,
particularly
domains
related
finding,
understanding,
(odds
ratio
[OR]
1.02,
95%
CI
1‐1.05;
P
=.03);
digital
technology
(OR
1.05,
1.02‐1.08;
<.001);
accessing
well-functioning
=.03).
Additionally,
analysis,
perceiving
not
useful
linked
all
except
one.
Conclusions
Our
findings
challenges
our
sample
underscore
importance
developing
tailoring
accommodate
users’
individual
better,
enhancing
use,
continuing
efforts
improve
overall
These
measures,
which
both
developers
professionals
should
consider,
addressing
divide
expanding
access
many
people
possible.
Язык: Английский
Evaluation of an mHealth App on Self-Management of Osteoporosis: Prospective Survey Study
Interactive Journal of Medical Research,
Год журнала:
2024,
Номер
13, С. e53995 - e53995
Опубликована: Фев. 10, 2024
Background
Mobile
health
(mHealth)
technologies
can
be
used
for
disease-specific
self-management,
and
these
are
experiencing
rapid
growth
in
the
care
industry.
They
use
mobile
devices,
specifically
smartphone
apps,
to
enhance
support
medical
public
practices.
In
chronic
disease
management,
of
apps
realm
mHealth
holds
potential
improve
outcomes.
This
is
also
true
on
osteoporosis,
but
usage
patients’
experiences
with
underexplored.
Objective
prospective
survey
study
aimed
investigate
eHealth
literacy
Danish
patients
as
well
usability
acceptability
app
“My
Bones.”
Methods
Data
patient
characteristics,
knowledge,
literacy,
usability,
were
collected
using
self-administered
questionnaires
at
baseline,
2
months,
6
months.
The
following
validated
used:
Literacy
Questionnaire,
System
Usability
Scale,
Service
User
Technology
Acceptability
Questionnaire.
Results
Mean
scores
ranged
from
2.6
3.1,
SD
ranging
0.5
0.6
across
7
domains.
mean
(SD)
Scale
score
was
74.7
(14.4),
domains
1,
2,
Questionnaire
3.4
(1.2),
4.5
(1.1),
4.1
respectively.
Conclusions
osteoporosis
both
motivated
capable
digital
services.
app’s
acceptable,
it
has
reduce
visits
general
practitioner
clinics,
outcomes,
serve
a
valuable
addition
regular
or
social
Язык: Английский
Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users (Preprint)
Опубликована: Март 1, 2024
BACKGROUND
As
digital
health
services
are
increasingly
developing
and
becoming
more
interactive
in
Serbia,
a
comprehensive
instrument
for
measuring
eHealth
literacy
(EHL)
is
needed.
OBJECTIVE
This
study
aimed
to
translate,
culturally
adapt,
investigate
the
psychometric
properties
of
Serbian
version
Literacy
Questionnaire
(eHLQ);
evaluate
EHL
population
primary
care
(PHC)
users
Serbia;
explore
factors
associated
with
their
EHL.
METHODS
The
validation
was
conducted
8
PHC
centers
territory
Mačva
district
Western
Serbia.
A
stratified
sampling
method
used
obtain
representative
sample.
Translation
Integrity
Procedure
followed
adapt
questionnaire
language.
eHLQ
were
analyzed
through
examination
factorial
structure,
internal
consistency,
test-retest
reliability.
Descriptive
statistics
calculated
determine
participant
characteristics.
Differences
between
groups
tested
by
2-tailed
Students
<i>t</i>
test
ANOVA.
Univariable
multivariable
linear
regression
analyses
related
RESULTS
total
475
enrolled.
mean
age
51.0
(SD
17.3;
range
19-94)
years,
most
participants
female
(328/475,
69.1%).
Confirmatory
factor
analysis
validated
7-factor
structure
questionnaire.
Values
incremental
fit
index
(0.96)
comparative
(0.95)
above
cutoff
≥0.95.
root
square
error
approximation
value
0.05
below
suggested
≤0.06.
Cronbach
α
entire
scale
0.95,
indicating
excellent
reliability,
ranging
from
0.81
0.90
domains.
intraclass
correlation
coefficient
ranged
0.63
0.82,
moderate
good
highest
scores
obtained
<i>understanding
concepts
language</i>
(mean
2.86,
SD
0.32)
<i>feel
safe
control</i>
2.89,
0.33)
Statistically
significant
differences
(all
<i>P</i><.05)
all
7
observed
age,
education,
perceived
material
status,
searching
information
on
internet,
occupation
(except
domain
4).
In
models,
internet
being
aged
younger
than
65
years
higher
values
except
variable
age.
CONCLUSIONS
demonstrates
that
can
be
useful
tool
measurement
planning
interventions
at
individual
level
due
its
strong
context.
Язык: Английский
eHealth literacy and health-related Internet use among Swedish primary healthcare visitors: Cross-sectional questionnaire study (Preprint)
Опубликована: Июнь 15, 2024
BACKGROUND
Digitalization
has
profoundly
transformed
healthcare
delivery,
especially
within
primary
healthcare,
as
a
crucial
avenue
for
providing
accessible
and
cost-effective
care.
While
eHealth
services
are
frequently
highlighted
improving
availability
promoting
equality,
it
is
essential
to
recognize
that
digitalization
can
inadvertently
exclude
individuals
who
lack
the
prerequisites
utilize
services.
Previous
research
identified
lower
literacy
among
older
individuals,
those
with
educational
levels,
use
Internet
less
frequently.
However,
in
Swedish
context,
only
few
studies
have
investigated
literacy.
OBJECTIVE
This
study
its
association
health-related
sociodemographic
characteristics
visitors.
METHODS
cross-sectional
employed
quantitative,
descriptive
approach.
172
Swedish-speaking
patients
visiting
center
participated
by
answering
Literacy
Questionnaire
(eHLQ).
The
compared
mean
scores
using
Mann-Whitney
U-test
Kruskal-Wallis-test.
A
logistic
regression
analysis
also
explored
associations
between
low
significant
independent
variables
univariate
analyses.
RESULTS
results
showed
higher
age
perceptions
of
information
not
useful
or
important
were
factors
associated
domains
which
participants
scored
highest—understanding
engagement
health,
sense
security
control—were
directly
linked
utilizing
interacting
system.
Instead,
most
challenging
related
motivation
aligning
individual
needs.
CONCLUSIONS
Healthcare
professionals
addressing
patients'
attitudes
towards
use.
Person-centered
support
guide
toward
meet
their
needs,
recommending
personalized
websites
other
To
ensure
effectively
align
users'
requirements,
developers
authorities
actively
involve
both
development
process.
Язык: Английский
Evaluation of an mHealth App on self-management of osteoporosis: Prospective survey study (Preprint)
Опубликована: Окт. 26, 2023
BACKGROUND
Mobile
health
(mHealth)
technologies
can
be
used
for
disease-specific
self-management,
and
these
are
experiencing
rapid
growth
in
the
care
industry.
They
use
mobile
devices,
specifically
smartphone
apps,
to
enhance
support
medical
public
practices.
In
chronic
disease
management,
of
apps
realm
mHealth
holds
potential
improve
outcomes.
This
is
also
true
on
osteoporosis,
but
usage
patients’
experiences
with
underexplored.
OBJECTIVE
prospective
survey
study
aimed
investigate
eHealth
literacy
Danish
patients
as
well
usability
acceptability
app
“My
Bones.”
METHODS
Data
patient
characteristics,
knowledge,
literacy,
usability,
were
collected
using
self-administered
questionnaires
at
baseline,
2
months,
6
months.
The
following
validated
used:
Literacy
Questionnaire,
System
Usability
Scale,
Service
User
Technology
Acceptability
Questionnaire.
RESULTS
Mean
scores
ranged
from
2.6
3.1,
SD
ranging
0.5
0.6
across
7
domains.
mean
(SD)
Scale
score
was
74.7
(14.4),
domains
1,
2,
Questionnaire
3.4
(1.2),
4.5
(1.1),
4.1
respectively.
CONCLUSIONS
osteoporosis
both
motivated
capable
digital
services.
app’s
acceptable,
it
has
reduce
visits
general
practitioner
clinics,
outcomes,
serve
a
valuable
addition
regular
or
social
Язык: Английский