scholarly journals Associations between health literacy and information-evaluation and decision-making skills in Japanese adults

2021 ◽  
Author(s):  
Kazuhiro Nakayama ◽  
Yuki Yonekura ◽  
Hitomi Danya ◽  
Kanako Hagihara
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Health Information ◽  
Nationwide Survey ◽  
Learning Opportunities ◽  
Decision Making Process ◽  
Online Questionnaire ◽  
Information Evaluation ◽  
Research Company ◽  
Literacy Survey

Abstract Background Health literacy in Japanese people is often low because people find it difficult to evaluate health information and make informed decisions. Clarifying the association between health literacy and the skills to evaluate information and make appropriate decisions (not necessarily limited to health information) would inform efforts to improve health literacy. Therefore, the study objectives were to investigate the following issues using a nationwide survey in Japan: 1) When obtaining information, to what extent do people appropriately evaluate whether the information is reliable, and when making decisions, to what extent do they seek out available options and compare pros and cons based on their own values? 2) How strongly are these skills associated with health literacy and demographic characteristics? 3) What opportunities are available to learn these skills? Methods An online questionnaire survey was conducted using a Japanese Internet research company; 3,914 valid responses were received. The measures comprised health literacy (European Health Literacy Survey Questionnaire), five items on information evaluation, four items on the decision-making process, and items on the availability and location of learning opportunities. Pearson correlations were calculated to explore the association of health literacy with information-evaluation and decision-making skills. Multivariate analyses were also conducted using these factors as dependent variables. Results Less than half of respondents always or often evaluated information and engaged in the decision-making process. Health literacy was significantly correlated with information evaluation and the decision-making process (.26 and .30, respectively). More than 40% of respondents had no learning opportunities. Respondents who did have learning opportunities learned on their own, rather than at school or work, using sources such as the Internet and television. Conclusions Both information-evaluation and decision-making skills were associated with health literacy. However, these skills are not sufficiently widespread in Japan, because there are few opportunities to learn them. More research is needed to raise awareness of the importance of these skills for improving health literacy, and to provide appropriate learning opportunities. Additionally, an environment must be created in which all individuals can easily receive support at any time, so that they can make appropriate decisions based on reliable information.

COVID-19 preventive behaviors, health literacy, and information: a survey of information-evaluation and decision-making skills in Japanese adults (Preprint)

2021 ◽  
Author(s):  
Kazuhiro Nakayama ◽  
Yuki Yonekura ◽  
Hitomi Danya ◽  
Kanako Hagiwara
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Linear Regression Analysis ◽  
Multiple Linear Regression Analysis ◽  
Decision Making Process ◽  
Preventive Behaviors ◽  
Online Questionnaire ◽  
Information Evaluation ◽  
Wide Range ◽  
Comprehensive Health

BACKGROUND Health literacy is important for the prevention of COVID-19. Research in Japan shows that health literacy is related to skills in evaluating information and decision making (not necessarily limited to health information). Such basic skills are important, particularly when individuals encounter new health issues for which there is insufficient evidence. OBJECTIVE This study aimed to determine the extent to which COVID-19 preventive behaviors were associated with health literacy and skills in evaluating information and making decisions. METHODS An online questionnaire survey was conducted using a Japanese Internet research company. A total of 3,914 valid responses were received. The measures comprised eight items on COVID-19 preventive behaviors, health literacy items (European Health Literacy Survey Questionnaire), five items on information evaluation, and four items on the decision-making process. Pearson correlations between these variables were calculated. Multivariate analyses were also conducted using COVID-19 preventive behavior score as a dependent variable. RESULTS COVID-19 preventive behaviors were significantly correlated with health literacy, information evaluation, and the decision-making process (.23, .24, .30, respectively). The multiple linear regression analysis results showed that the standardized regression coefficients for each were .11, .13, and .18; the highest value was for decision-making skills. CONCLUSIONS Although comprehensive health literacy is necessary for COVID-19 preventive behaviors, the skills to evaluate a wide range of information and to make appropriate decisions are no less important. Opportunities for people to acquire these skills should be available at all times.

scholarly journals Understanding determinants of illegal e-book downloading behaviour in the UK and Germany

2018 ◽  
Vol 6 (2) ◽  
pp. 79-100 ◽  
Author(s):  
Oliver Jonas ◽  
Ibrahim Sirkeci
Keyword(s):  
Decision Making ◽  
Logistic Regression ◽  
Consumer Choice ◽  
Publishing Industry ◽  
Decision Making Process ◽  
Consumer Decision Making ◽  
Online Questionnaire ◽  
Online Stores ◽  
The Uk ◽  
Book Prices

With the success of e-books in the last decade, e-book piracy has become increasingly prevalent. This is a significant threat to the publishing industry, publishers and authors alike. Despite efforts to inhibit illegal downloading of e-book files, unauthorized download platforms have not lost much popularity. One of the underlying problems is a limited understanding of the determinants that drive consumers in their choice between legal and illegal download options. This article identifies and critically evaluates the key product attributes in the decision-making process of consumers downloading e-books from legal and illegal sources. By providing consumer insights, the publishing industry and e-book sellers can be guided to meet consumer demand better and design marketing plans to attract consumers towards legal download sources and discourage e-book piracy. The consumer choice between legal and illegal e-book download platforms is analysed using the multi-attribute theory for consumer decision making. 23 attributes were tested using an online questionnaire and analysed by logistic regression. Three attributes were found to be significant in determining the choice of download platforms: A low perception of the importance of copyright compliance, dissatisfaction with the security of download platforms and dissatisfaction with e-book prices in online stores.

scholarly journals Exploring Health Literacy in Individuals with Alcohol Addiction: A Mixed Methods Clinical Study

2020 ◽  
Vol 17 (18) ◽  
pp. 6728
Author(s):  
Gabriela Rolova ◽  
Beata Gavurova ◽  
Benjamin Petruzelka
Keyword(s):  
Clinical Practice ◽  
Mixed Methods ◽  
Health Literacy ◽  
Health Information ◽  
Mixed Methods Research ◽  
Addiction Treatment ◽  
Alcohol Addiction ◽  
Structured Interviews ◽  
Literacy Survey ◽  
Health Related

This mixed methods research paper explores health literacy (HL) in individuals with alcohol addiction by using the 47-item version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) and semi-structured interviews concerning health-related competencies (access, understand, appraise, and apply health information), and determines the limitations of the HLS-EU-Q47 when used under specific conditions of clinical practice. The questionnaire survey and the interviews were conducted with individuals of different health literacy levels who were undergoing inpatient alcohol addiction treatment. The findings indicate that individuals with alcohol addiction might require different types of health information according to their health literacy level in terms of quantity and quality of information to recover from alcohol addiction and improve their overall health. The implications for the clinical practice of addiction treatment as well as recommendations for national and regional policy are also discussed.

scholarly journals The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China

2018 ◽  
Vol 15 (7) ◽  
pp. 1553 ◽  
Author(s):  
Angela Chang ◽  
Peter Schulz
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Health Care Providers ◽  
Computer Literacy ◽  
Strong Association ◽  
Care Providers ◽  
Chronic Patients ◽  
Online Questionnaire ◽  
Ehealth Literacy ◽  
Electronic Health

The rapid rise of Internet-based technologies to disseminate health information and services has been shown to enhance online health information acquisition. A Chinese version of the electronic health literacy scale (C-eHEALS) was developed to measure patients’ combined knowledge and perceived skills at finding and applying electronic health information to health problems. A valid sample of 352 interviewees responded to the online questionnaire, and their responses were analyzed. The C-eHEALS, by showing high internal consistency and predictive validity, is an effective screening tool for detecting levels of health literacy in clinical settings. Individuals’ sociodemographic status, perceived health status, and level of health literacy were identified for describing technology users’ characteristics. A strong association between eHealth literacy level, media information use, and computer literacy was found. The emphasis of face-to-face inquiry for obtaining health information was important in the low eHealth literacy group while Internet-based technologies crucially affected decision-making skills in the high eHealth literacy group. This information is timely because it implies that health care providers can use the C-eHEALS to screen eHealth literacy skills and empower patients with chronic diseases with online resources.

scholarly journals Health Information Systems In The Decision-Making Process In Primary Care

10.3823/1873 ◽  
2016 ◽  
Author(s):  
Ericka Silva Holmes ◽  
Sérgio Ribeiro dos Santos ◽  
Alexandra Fraga Almeida ◽  
Jéssica Helena Dantas de Oliveira ◽  
Gyl Dayara Alves de Carvalho ◽  
...  
Keyword(s):  
Primary Care ◽  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
Health Information Systems ◽  
Decision Making Process

scholarly journals Using survey data on population health literacy for developing a National Action Plan in Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
E Berens ◽  
D Schaeffer
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Survey Data ◽  
Healthcare System ◽  
Action Plan ◽  
Chronically Ill ◽  
German Population ◽  
National Action Plan ◽  
German Health ◽  
Literacy Survey

Abstract Promoted by the results of the European Health Literacy survey, the first representative German Health Literacy Survey (HLS-GER) was conducted in 2014. The results showed that every second individual in Germany (54.3 %) has limited health literacy. Thus, a majority of the German population is confronted with difficulties in finding, understanding, appraising, and applying health information. Particularly, vulnerable groups as people with migration background, low education attainment, and in older age as well as chronically ill have even more problems in processing health information and thus are confronted with challenges to maintain health, prevent diseases and use the healthcare system. Based on the initial research findings of the HLS-GER and the increasing attention and discussions arising with its results, the National Action Plan Health Literacy was developed by a group of experts to systematically improve and strengthen health literacy in Germany. After agreements with representatives of politics and society, health professions and patient and citizen organizations it was published in 2018. It includes 15 specific recommendations in four areas of action and focusses on fostering health literacy in daily life, creating a user-friendly and health literate healthcare system, HL and chronic illness and expanding health literacy research. Five underlying key principles are mentioned to consider in implementing the National Action Plan. The HLS-GER survey data were further used to discuss some recommendations within specialized workshops leading to more detailed strategy papers. The current political and practical developments and discussions initiated by National Action Plan, will be picked up in the second German Health Literacy Survey (HLS-GER2), which is part of HLS19. By repeatedly assessing population HL in Germany the implementation of the National Action Plan can be monitored and further specified, thus survey data help to create policy.

Key Health Information Systems Outsourcing Issues from Six Hospital Cases

2011 ◽  
pp. 136-149
Author(s):  
Chad Lin ◽  
Yu-An Huang ◽  
Chien-Fa Li ◽  
Geoffrey Jalleh
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Health Information ◽  
User Involvement ◽  
Evaluation Process ◽  
Health Information Systems ◽  
Decision Making Process ◽  
Management Skills ◽  
Key Issues ◽  
Outsourcing Contracts

Traditionally, little attention has been paid by hospitals to the key issues in the health information systems (HIS) outsourcing decision-making process. This is important given that the HIS outsourcing can play a key role in assisting hospitals in achieving its business objectives. However, the decision-making process of HIS outsourcing in hospitals is under-studied, especially in the management of their HIS outsourcing contracts. Therefore, the main objectives of this book chapter are to: (1) examine key issues surrounding the management and implementation of HIS outsourcing in Taiwanese hospitals; and (2) identify issues that are crucial in managing and implementing HIS outsourcing in hospitals. Four key issues and problems were identified in the HIS outsourcing process: lack of implementation in IS investment evaluation process, problems in managing HIS outsourcing contracts, lack of user involvement and participation in HIS outsourcing process, and failure to retain critical HIS contract management skills and project management capabilities in-house. Solutions and recommendations are provided to deal with key issues that are critical in the management and implementation of HIS outsourcing in hospitals.

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