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Choosing the Best Digital Health Literacy Measure for Research: Mixed Methods Study.

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Summary

This study reviews digital health literacy (dHL) assessment tools, finding current options like eHEALS have limitations. Future tools must adapt to digital trends and focus on health improvement for all users.

Keywords:
EUHorizon Europechronic diseasedigital health interventiondigital health literacydigital health servicedigital literacydigitalizationhealth literacyhealth technologyhealthcarelife expectancytechnology

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Area of Science:

  • Digital Health
  • Health Literacy
  • Health Informatics

Background:

  • Global aging populations and chronic diseases increase healthcare demands.
  • Digitalization of healthcare necessitates digital health literacy (dHL) for informed decision-making.
  • Measuring dHL is crucial for equitable access and participation in digital healthcare systems.

Purpose of the Study:

  • To provide an overview of existing digital health literacy (dHL) assessment tools.
  • To recommend strategies for selecting appropriate dHL assessment tools.

Main Methods:

  • A mixed-method approach combining a scoping review of 33 papers and grey literature.
  • Qualitative workshop study with 13 international experts in health literacy.
  • Analysis integrated findings from literature, reviews, and expert workshops.

Main Results:

  • Identified 33 papers on dHL instruments; analyzed alongside recent reviews and expert input.
  • Future dHL tools require adaptation to digital trends, user attitudes, and trust.
  • Tools should objectively evaluate skills, measure intervention impact, and capture diverse experiences.

Conclusions:

  • The eHealth Literacy Scale (eHEALS) is widely used but has scope and adaptability limitations.
  • dHL adequacy is context-specific, influenced by healthcare systems and technology interfaces.
  • Future assessments must be comprehensive, address diversity, prioritize health improvement, and consider ethical implications like data privacy.