Group differences in health literacy are ameliorated in ehealth literacy

Young men who have sex with men (YMSM) living with HIV experience challenges with retention in care, which negatively affects viral suppression. To address this, researchers piloted Bijou, a program designed to provide health education through electronically delivered behavior and risk reduction modules. Participants were 29 YMSM aged 19-24 living with HIV from the southeastern US. Participants completed pre, post, and 3-month follow-up (3MFU) surveys assessing knowledge, intervention acceptability, satisfaction, self-efficacy, ehealth literacy, and usability. Findings revealed significant improvement in knowledge and e-health literacy from pre-test to post-test but lost significance at 3MFU. Self-efficacy scores did not show significant differences from pre-test to post-test or 3MFU. Participants who completed all modules considered Bijou usable and acceptable; however, many did not complete the program. Findings suggest a need for adaptations to promote knowledge retention, e-health literacy, engagement over time, and research with a larger, more representative sample.

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E-health and health literacy of young adult Ukrainian female immigrants and Polish counterparts

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.783 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

Y Krasko ◽

J Marianowska ◽

M Duplaga

Keyword(s):

Health Status ◽

Health Literacy ◽

Young Adult ◽

Online Survey ◽

Health Behaviours ◽

Study Groups ◽

University Education ◽

Fisher Exact Test ◽

Exact Test ◽

Ehealth Literacy

Abstract Background According to recent projections, even 10% of Polish gross domestic product is contributed by Ukrainian immigrants. There is also a considerable number of Ukrainians continuing university education in Poland. The level of health literacy in Ukrainian society has not been studied so far. The aim of the study was the comparison of health literacy (HL) and e-health literacy (eHL) of young adult Ukrainian (UA) women with their Polish (PL) counterparts Methods A snowball technique was used to recruit a sample of UA women working or studying in Poland to the Internet-based survey. The questionnaire used in the study consisted of the 16-item European HL Survey questionnaire (HLS-EU-16), eHealth Literacy Scale (eHEALS), the set of the questions asking about health behaviours (HB), self-assessment of health status (HS) and items exploring sociodemographic variables. For comparison, the data of an age-matched sample of 100 respondents was extracted from the online survey performed in a representative sample of PL women. Results The mean age (standard deviation, SD) of 57 UA respondents was 20.23 (1.78) years and in Polish sample 20.25 (1.79). HL did not differ between both groups (11.06 (4.22) vs 11.44 (4.34), respectively, p = 0.53), but eHL was significantly lower in UA group (25.91 (5.36) vs 28.17 (5.37), U Mann-Whitney test, p = 0.01). Only 58.5% of UA respondents vs 80.5% of PL ones assessed their HS as at least good (Fisher exact test, p < 0.001). The rates of active smoking (34.6% vs. 35.0%, p = 0.55), using e-cigarettes (35.3% vs 34.0%, p = 0.99), frequent alcohol consumption (26.9% vs. 20%, p = 0.41), and intensive physical activity (49.0% vs. 38.0%, p = 0.22) did not differ between study groups. Conclusions Young UA women show lower eHL than PL counterparts. Although HL and HB in both groups did not differ significantly, UA respondents have assessed their HS much lower than PL participants. Key messages E-health literacy and self-assessed health status were significantly lower among young Ukrainian than among Polish women. Both groups did not differ for health literacy and health behaviours.

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eHealth Literacy als Grundlage zur Entwicklung digitaler Technologien in der Gesundheitsförderung und Prävention? Eine systematische Übersicht der Literatur

Prävention und Gesundheitsförderung ◽

10.1007/s11553-021-00858-5 ◽

2021 ◽

Author(s):

Cornelia Geukes ◽

Anna Lea Stark ◽

Christoph Dockweiler

Keyword(s):

Health Literacy ◽

Web Of Science ◽

Systematische Übersicht ◽

Ehealth Literacy ◽

Prävention Und Gesundheitsförderung ◽

Digitale Technologien

Zusammenfassung Hintergrund Digitale Technologien stellen ein großes Potenzial für Prävention und Gesundheitsförderung im Hinblick auf die Reichweite und individualisierte sowie bedürfnisorientierte Gestaltung von Informationen dar. Diese müssen von Nutzer*innen verstanden, aber auch innerhalb der Settingprävention vor allem von Organisationen adäquat eingesetzt und in Prozesse der Sturkturentwicklung überführt werden. Das Konzept der eHealth Literacy setzt verschiedenen Determinanten dafür in Zusammenhang. Ziel und Methodik Um einen Einblick über die Verwendung des Konzepts eHealth Literacy in der Forschung zu digitalen Technologien der Gesundheitsförderung und Prävention zu erhalten, wurde eine systematisierte Literaturrecherche durchgeführt. Dabei wurden die Datenbanken MEDLINE, CINAHL, SocINDEX, PsycINFO, Psyndex, IEEE Xplore, BASE und Web of Science durchsucht. Ergebnisse Es wurden 35 Artikel identifiziert, die Health Literacy in Bezug zu digitalen Technologien fokussieren. Die Ergebnisse zeigen eine marginale wissenschaftliche Auseinandersetzung mit dem Konzept. Bisher findet keine Anpassung digitaler Technologien an die Health Literacy der Nutzer*innen statt. Das führt zu einer verkürzten Perspektive und zu ungenutztem Potenzial, welches das Konzept bietet. Schlussfolgerung Es besteht ein dringender Bedarf, ein evidenzbasiertes eHealth-Literacy-Konzept zu entwickeln und anzuwenden, um digitale Technologien und Gesundheitsinformationen zielgruppenspezifisch und ressourcenorientiert modifizieren und in Settings einsetzen zu können.

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Perceived eHealth Literacy and Health Literacy among People with Spinal Cord Injury

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2021.07.614 ◽

2021 ◽

Vol 102 (10) ◽

pp. e50

Author(s):

Gurkaran Singh ◽

Bonita Sawatzky ◽

Laura Nimmon ◽

W. Ben Mortenson

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Health Literacy ◽

Ehealth Literacy ◽

Cord Injury

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Electronic, mobile and telehealth tools for vulnerable patients with chronic disease: a systematic review and realist synthesis

BMJ Open ◽

10.1136/bmjopen-2017-019192 ◽

2018 ◽

Vol 8 (8) ◽

pp. e019192 ◽

Cited By ~ 24

Author(s):

Sharon Parker ◽

Amy Prince ◽

Louise Thomas ◽

Hyun Song ◽

Diana Milosevic ◽

...

Keyword(s):

Chronic Disease ◽

Health Literacy ◽

Healthcare Providers ◽

Chronic Health Condition ◽

Vulnerable Groups ◽

Self Management ◽

Future Research ◽

Ehealth Literacy ◽

Health Technologies ◽

Vulnerable Patients

ObjectivesThe objective of this review was to assess the benefit of using electronic, mobile and telehealth tools for vulnerable patients with chronic disease and explore the mechanisms by which these impact patient self-efficacy and self-management.DesignWe searched MEDLINE, all evidence-based medicine, CINAHL, Embase and PsychINFO covering the period 2009 to 2018 for electronic, mobile or telehealth interventions. Quality was assessed according to rigour and relevance. Those studies providing a richer description (‘thick’) were synthesised using a realist matrix.Setting and participantsStudies of any design conducted in community-based primary care involving adults with one or more diagnosed chronic health condition and vulnerability due to demographic, geographic, economic and/or cultural characteristics.ResultsEighteen trials were identified targeting a range of chronic conditions and vulnerabilities. The data provided limited insight into the mechanisms underpinning these interventions, most of which sought to persuade vulnerable patients into believing they could self-manage their conditions through improved symptom monitoring, education and support and goal setting. Patients were relatively passive in the interaction, and the level of patient response attributed to their intrinsic level of motivation. Health literacy, which may be confounded with motivation, was only measured in one study, and eHealth literacy was not assessed.ConclusionsResearch incorporating these tools with vulnerable groups is not comprehensive. Apart from intrinsic motivation, health literacy may also influence the reaction of vulnerable groups to technology. Social persuasion was the main way interventions sought to achieve better self-management. Efforts to engage patients by healthcare providers were lower than expected. Use of social networks or other eHealth mechanisms to link patients and provide opportunities for vicarious experience could be further explored in relation to vulnerable groups. Future research could also assess health and eHealth literacy and differentiate the specific needs for vulnerable groups when implementing health technologies.

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The association between health literacy and ehealth literacy in young adult population in Poland

European Journal of Public Health ◽

10.1093/eurpub/ckx186.091 ◽

2017 ◽

Vol 27 (suppl_3) ◽

Author(s):

M Duplaga ◽

M Grysztar ◽

A Tubek

Keyword(s):

Health Literacy ◽

Young Adult ◽

Adult Population ◽

Ehealth Literacy ◽

Young Adult Population

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Indonesian Student Nurses’ E-Health Literacy Skills

10.3233/shti210767 ◽

2021 ◽

Author(s):

Dame Elysabeth Tarihoran ◽

Dian Anggraini ◽

Enni Juliani ◽

Ressa Ressa ◽

Ihlus Fardan

Keyword(s):

Health Literacy ◽

Nursing Students ◽

Health Information ◽

Nursing Student ◽

Student Nurses ◽

Cross Sectional Study ◽

Literacy Skills ◽

Sectional Study ◽

Cross Sectional ◽

Ehealth Literacy

Background: Nurses should have a good level of e-health literacy to help patients utilize e-health information. Objective: To measure e-health literacy skills and contribute factors. Methods: A cross-sectional study of 2209 nursing student in Indonesia (October–November 2019) using eHeals. Result: The overall eHealth literacy was 4 (Scale 1–5). There were statistically significant differences between e-Heals score with contribute factors (<0.001). Conclusion: Indonesian nursing students already have basic necessary skills of e-health.

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Promoting health literacy: What potential does nursing informatics offer to support older adults in the use of technology? A scoping review

Health Informatics Journal ◽

10.1177/1460458220933417 ◽

2020 ◽

Vol 26 (4) ◽

pp. 2707-2721

Author(s):

Anna Haupeltshofer ◽

Vicky Egerer ◽

Stefanie Seeling

Keyword(s):

Older Adults ◽

Health Literacy ◽

Scoping Review ◽

Modular System ◽

Nursing Informatics ◽

Equal Opportunities ◽

Vulnerable Group ◽

Ehealth Literacy ◽

Use Of Technology ◽

Technological Competencies

Digitalization is the future and, simultaneously, a challenge for nursing. In addition, health literacy is increasingly associated with the use of technology. Older adults are greatly underrepresented in the use of digital technology and regarded as a vulnerable group. Consequently, training programs for technological knowledge and improving technological competencies are indispensable to promote equal opportunities and health literacy. The researchers inquire what characterizes nursing informatics as an expanding field in relation to the roles and competencies of nurses in technical appropriation processes of older adults. We conducted a scoping review based on a systematic literature search. We identified 23 relevant studies and developed a modular system to characterize the potential of nursing informatics: nursing informatics as a profession, competencies of nurses and nursing informatics, assessments, and eHealth literacy. Nursing informatics is a new field in some countries, but competence profiles and role descriptions clearly show that nurses act as educators, supporters, advocates, and mediators.

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Evidence-Based Design Principles for Web Sites Advancing eHealth Literacy

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.931-932.1447 ◽

2014 ◽

Vol 931-932 ◽

pp. 1447-1451

Author(s):

Michael Brückner ◽

Sakesan Sivilai ◽

Chakkrit Snae Namahoot

Keyword(s):

Health Literacy ◽

Focus Groups ◽

Web Sites ◽

Design Principles ◽

Content Delivery ◽

Web Based ◽

Ehealth Literacy ◽

Published Evidence ◽

User Story ◽

E Learning

This paper reports on a study on practical design principles for Web sites aiming at the support of personal Web-based health literacy among the general population, especially adults. The principles cover the construction, presentation and management of content relating such health literacy topics as healthy food intake and the value of exercising for different groups of population. The key proposition of this study is that the design of eHealth literacy information on the Web is a special case of e-learning with respect to content delivery and focus groups. We also see adults as the members of eHealth focus groups for which we need a learner-centered approach to delivering materials. Therefore, we study seven principles in some detail with the help of a user story and following published evidence gathered by experiments relating e-learning of adults: (1) multimedia enhanced content delivery of textual information, (2) contiguity or immediate vicinity, (3) modality, (4) redundancy, (5) coherence or lean presentation, (6) personalization, and (7) segmenting.

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The Association between Health Literacy, eHealth Literacy and COVID-19 Coping Behaviors in Chinese College Students: A Cross-Sectional Study (Preprint)

10.2196/preprints.25600 ◽

2020 ◽

Author(s):

Shaojie Li ◽

Guanghui Cui ◽

Atipatsa Chiwanda Kaminga ◽

Sixiang Cheng ◽

Huilan Xu

Keyword(s):

College Students ◽

Health Literacy ◽

Knowledge Level ◽

Coping Behaviors ◽

Cross Sectional ◽

Chinese College Students ◽

Ehealth Literacy ◽

Health Literacy Level ◽

Reported Health ◽

Self Reported Health Status

BACKGROUND During the COVID-19 pandemic, Internet has spread a lot of information and provided people with knowledge and advice on health protection for COVID-19. However, few studies have focused on the relationship between health literacy, eHealth literacy and COVID-19 coping behaviors. OBJECTIVE This study aimed to examine the association between health literacy, eHealth literacy and COVID-19 coping behaviors in Chinese college students. METHODS The snowball sampling method was adopted to conduct an anonymous online cross-sectional questionnaire survey. Participants completed surveys on health literacy, eHealth literacy, and COVID-19 coping behaviors. Linear regression was used to explore the association between health literacy, eHealth literacy and COVID-19 coping behaviors, whereas factor analysis was used to analyze the factor structure of the COVID19 coping behaviors. RESULTS A total of 1,873 college students aged 18-25 were recruited. 781 (41.7%) had adequate health literacy. The mean eHealth literacy score was 30.2 ±6.3. The results of factor analysis showed that COVID-19 coping behaviors had two dimensions, namely health protection behaviors and adapting behaviors. COVID-19 coping behaviors score differed significantly (P<.05) with respect to residence, grade, major, family economic level, self-reported health status, family member or friend infected with coronavirus, self-reported coronavirus knowledge level and health literacy level. Further, according to linear regression analysis, health literacy (Beta=.19, P<.001) and eHealth literacy (Beta=.39, P<.001) were positively associated with COVID-19 coping behaviors. CONCLUSIONS College students with higher health literacy and eHealth literacy had better COVID-19 coping behaviors. Nevertheless, COVID-19 coping behaviors varied with respect to place of residence, grade, major, family economic level, self-reported health status, family member or friend infected with coronavirus, self-reported coronavirus knowledge level and health literacy level. Therefore, enhancing health literacy and eHealth literacy has, to some extent, helped in reducing the risk of COVID-19 infection among college students in China. Prospective cohort studies at a larger scale are therefore needed to ascertain these findings.

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