Abstract
Background:The patient readiness to engage in health information technology (PRE-HIT) is a conceptually and psychometrically validated questionnaire survey tool to measure willingness of patients with chronic conditions to use health information technology (HIT) resources.Objectives:This study was aimed to translate and validate a health information technology readiness instrument, the PRE-HIT instrument, in the Persian language.Methods:A rigorous process was followed to translate the PRE-HIT instrument Persian language. The face and content validity was validated by impact score, content validity index (CVI) and content validity ratio (CVR). The instrument was used to measure readiness of 289 patients with chronic diseases to engage with digital health with four point Likert scale. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) used to check the validity of structure. The convergent and discriminant validity, and internal reliability was expressed by average variance extracted (AVE), construct reliability (CR), maximum shared squared variance (MSV), average shared square variance (ASV), and Cronbach's alpha coefficient. Independent samples t-test and one-way ANOVA were used respectively to compare the impact of sex, education and computer literacy on the performance of all PRE-HIT factors.Results:Eight factors were extracted: health information needs, computer anxiety, computer/internet experience and expertise, preferred mode of interaction, no news is good news, relationship with doctor, cell phone expertise, and internet privacy concerns. They explained 69% of the total variance. An acceptable model fit and internal reliability of the instrument was achieved. The survey found that the Iranian patients had high level of cell phone expertise, computer/internet experience, good relationship with doctor, and high level of health information need. They had moderate level of concern about internet privacy and computer anxiety. Compared with men, women had higher level of health information need and more agreed with “no news is good news”, conversely men had higher level of cell phone expertise.Conclusion:The Persian version of the PRE-HIT was empirically proved for its validity to assess the level of readiness of patients to engage with digital health.