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04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Daily Digital Device Use and eHealth Literacy Among Hospitalized Older Adults With Heart Failure: A Multicenter
Shingo Koyama1, Iwao Kojima2, Yuki Kimura3
1Faculty of Health Sciences, Tsukuba University of Technology Ibaraki Japan.
Circulation Reports
|May 11, 2026
Summary
Older adults hospitalized for heart failure with higher daily digital device use showed significantly greater eHealth literacy. Interactive digital behaviors, like seeking health information, were linked to better digital health literacy.
Area of Science:
- Gerontology
- Digital Health
- Cardiology
Background:
- Many older adults struggle with eHealth literacy, limiting their use of digital health tools.
- This study focuses on hospitalized heart failure patients, a population often needing digital health support.
Purpose of the Study:
- To investigate the link between daily digital device use and eHealth literacy in older adults with heart failure.
- To identify specific digital behaviors associated with higher eHealth literacy in this demographic.
Main Methods:
- Prospective multicenter cohort study of patients aged ≥65 hospitalized for heart failure.
- eHealth literacy assessed via eHealth Literacy Scale (eHEALS) at discharge.
- Digital device use measured by daily usage time; logistic regression used for analysis.
Main Results:
- 219 patients analyzed (mean age 82.0 years, 42.2% women).
- Daily digital device use >1 hour/day strongly associated with high eHealth literacy (OR 13.01).
- High eHealth literacy linked to using devices for health information, communication, and administrative tasks.
Conclusions:
- eHealth literacy is low but associated with device use in hospitalized older adults with heart failure.
- Information seeking and interactive digital activities correlate with higher eHealth literacy.
- Personalized discharge education based on eHealth literacy is crucial for post-discharge self-management.
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