eHealth literacy in digital era: trends of development
DOI:
https://doi.org/10.26661/2522-1566/2023-4/26-06Keywords:
digitalization, systematic review, healthcare management, health, electronic healthAbstract
The study supplies a conceptual framework for the development and use of eHealth literacy in digital health management, as well as in government and international eHealth management activities. This study aims to gain a deep understanding and analysis of eHealth literacy measurement trends through a systematic review and analysis of articles published (from January 2006 to January 2023) in PubMed, Web of Science, and Scopus. There are fifteen original and high-quality validation studies found in the systematic literature review on measuring eHealth literacy. The study found three stages in the development of eHealth literacy measurement, which are characterized by a suitable set of skills. eHLS-Web 3.0 has high internal and external consistency scores, and eHEALS and HLS-EU-Q-16 have higher reliability for the basic development of an international eHealth literacy measurement instrument in digital health management. This study is a research program to guide future study and help knowledge accumulation and creation on eHealth Literacy instruments and their implementation in digital health management. The result of the study was supplied eHealth instruments for the implementation and training of eHealth Literacy in information systems. Future research themes in eHealth literacy will include the standardization of eHealth assessment instruments and the development of health strategies for different target audiences of various levels of management. And, to encourage further progress in the development of methodology and the application of eHealth literacy in information systems.
JEL Classification: I11, I18, H51
References
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Bedrosova, M., Mylek, V., Dedkova, L., & Velicu, A. (2023). Who Is Searching for Cyberhate? Adolescents' Characteristics Associated with Intentional or Unintentional Exposure to Cyberhate. Cyberpsychology, behavior and social networking, 26(7), 462–471. https://doi.org/10.1089/cyber.2022.0201
Chereka, A. A., Demsash, A. W., Ngusie, H. S., & Kassie, S. Y. (2022). Digital health literacy to share COVID-19 related information and associated factors among healthcare providers worked at COVID-19 treatment centers in Amhara region, Ethiopia: A cross-sectional survey. Informatics in medicine unlocked, 30, 100934. https://doi.org/10.1016/j.imu.2022.100934
Crocker, B., Feng, O., & Duncan, L. R. (2023). Performance-Based Measurement of eHealth Literacy: Systematic Scoping Review. Journal of medical Internet research, 25, e44602. https://doi.org/10.2196/44602
Estrella, M. L., & Allen-Meares, P. (2020). Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature. Patient education and counseling, 103(10), 2155–2165. https://doi.org/10.1016/j.pec.2020.04.012
Karakulak, A., Stogianni, M., Alonso-Arbiol, I., Shukla, S., Bender, M., Yeung, V. W. L., Jovanović, V., Musso, P., Scardigno, R., Scott, R. A., Stuart, J., Friehs, M.-T., Toh, Z., Albayrak-Aydemir, N., Arvanitis, A., Buzea, C., Mastrotheodoros, S., Tsang, J.-A., Madeira, F., … Gkomez, A. (2023). The perceived vulnerability to disease scale: Cross-cultural measurement invariance and associations with fear of COVID-19 across 16 countries. Social and Personality Psychology Compass. https://doi.org/10.1111/spc3.12878
Karnoe, A., Furstrand, D., Christensen, K. B., Norgaard, O., Kayser, L. (2018). Assessing Competencies Needed to Engage with Digital Health Services: Development of the eHealth Literacy Assessment Toolkit. Journal of Medical Internet Research, 20(5) https://doi.org/10.2196/jmir.8347
Kelly, L., Ziebland, S., & Jenkinson, C. (2015). Measuring the effects of online health information: Scale validation for the e-Health Impact Questionnaire. Patient education and counseling, 98(11), 1418–1424. https://doi.org/10.1016/j.pec.2015.06.008
Kitsios, F., Kamariotou, M., Syngelakis, A. I., & Talias, M. A. (2023). Recent Advances of Artificial Intelligence in Healthcare: A Systematic Literature Review. Applied Sciences, 13(13), 7479. https://doi.org/10.3390/app13137479
Koopman, R. J., Petroski, G. F., Canfield, S. M., Stuppy, J. A., & Mehr, D. R. (2014). Development of the PRE-HIT instrument: patient readiness to engage in health information technology. BMC family practice, 15, 18. https://doi.org/10.1186/1471-2296-15-18
Lee, EH., Lee, Y.W., Lee, KW., Kim HJ., Hong, S., Kim, SH., & Kang, EH. (2022) Development and psychometric evaluation of a new brief scale to measure eHealth literacy in people with type 2 diabetes. BMC Nurses, 21, 297 https://doi.org/10.1186/s12912-022-01062-2
Lee, J., Lee, E. H., & Chae, D. (2021). eHealth Literacy Instruments: Systematic Review of Measurement Properties. Journal of medical Internet research, 23(11), e30644. https://doi.org/10.2196/30644
Liu, H. X., Chow, B. C., Liang, W., Hassel, H., & Huang, Y. W. (2021). Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation Study. Journal of medical Internet research, 23(9), e31627. https://doi.org/10.2196/31627
Liu, P., Yeh, L. L., Wang, J. Y., & Lee, S. T. (2020). Relationship Between Levels of Digital Health Literacy Based on the Taiwan Digital Health Literacy Assessment and Accurate Assessment of Online Health Information: Cross-Sectional Questionnaire Study. Journal of medical Internet research, 22(12), e19767. https://doi.org/10.2196/19767
Maggie C.M. Lee, Helana Scheepers, Ariel K.H. Lui, Eric W.T. Ngai, (2023) The implementation of artificial intelligence in organizations: A systematic literature review, Information & Management, 60(5), https://doi.org/10.1016/j.im.2023.103816
Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of medical Internet research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27
Paige, S. R., Stellefson, M., Krieger, J. L., Miller, M. D., Cheong, J., & Anderson-Lewis, C. (2019). Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument. Journal of health communication, 24(10), 737–748. https://doi.org/10.1080/10810730.2019.1666940
Petrič G, Atanasova S, Kamin T (2017) Ill Literates or Illiterates? Investigating the eHealth Literacy of Users of Online Health Communities Journal of Medical Internet Research, 19(10): e331 https://doi.org/10.2196/jmir.7372
Seçkin, G., Yeatts, D., Hughes, S., Hudson, C., & Bell, V. (2016). Being an Informed Consumer of Health Information and Assessment of Electronic Health Literacy in a National Sample of Internet Users: Validity and Reliability of the e-HLS Instrument. Journal of medical Internet research, 18(7), e161. https://doi.org/10.2196/jmir.5496
Shiferaw KB. (2020) Validation of the Ethiopian Version of eHealth Literacy Scale (ET-eHEALS) in a Population with Chronic Disease. Risk Manag Health Policy. 13, 465-471 https://doi.org/10.2147/RMHP.S240829
Slatyer, S., Toye, C., Burton, E., Jacinto, A. F., & Hill, K. D. (2022). Measurement properties of self-report instruments to assess health literacy in older adults: a systematic review. Disability and rehabilitation, 44 (11), 2241–2257. https://doi.org/10.1080/09638288.2020.1836044
Sobolieva-Tereshchenko, O. (2023), Implementation eHealth Literacy Instruments in E-Government. Measurements and Trends. Efektyvna ekonomika, 8 (2023), 1-18. https://doi.org/10.32702/2307-2105.2023.8.14
Sobolieva-Tereshchenko, O. (2023) Electronic Health Literacy Scales: A Scoping Review and Comparable Analysis of the Skills and Trends. [Proceedings of the 11th International scientific and practical conference. MDPC Publishing. Munich, Germany], 222-228. URL: https://sci-conf.com.ua/xi-mizhnarodna-naukovo-praktichna-konferentsiya-scientific-progress-innovations-achievements-and-prospects-23-25-07-2023-myunhen-nimechchina-arhiv/.
Sobolieva-Tereshchenko, O. & Zhukova, Y. (2023). Application of eHealth literacy in digital health management. Management and Entrepreneurship: Trends of Development, 3(25), 70-81. https://doi.org/10.26661/2522-1566/2023-3/25-06
Sørensen, K., Van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z., Kondilis, B., Stoffels, V., Osborne, R. H., Brand, H., & HLS-EU Consortium (2013). Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC public health, 13, 948. https://doi.org/10.1186/1471-2458-13-948
Tavousi, M., Mohammadi, S., Sadighi, J., Zarei, F., Kermani, R. M., Rostami, R., & Montazeri, A. (2022). Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021. PloS one, 17(7), e0271524. https://doi.org/10.1371/journal.pone.0271524
Van der Vaart, R., & Drossaert, C. (2017). Development of the Digital Health Literacy Instrument: Measuring a Broad Spectrum of Health 1.0 and Health 2.0 Skills. Journal of medical Internet research, 19(1), e27. https://doi.org/10.2196/jmir.6709
Vittuari, M., Herrero, LG., Masotti, M., Iori, E., Caldeira, C., Qian, Z., Bruns, H., Herpen, E., Obersteiner, G., Kaptan, G., Liu, G., Mikkelsen, BE., Swannell, R., Kasza, G., Nohlen, H., & Sala, S. (2023), How to reduce consumer food waste at household level: A literature review on drivers and levers for behavioural change, Sustainable Production and Consumption, 38, 104-114, https://doi.org/10.1016/j.spc.2023.03.023.
Wang, C., Wu, X., & Qi, H. (2021). A Comprehensive Analysis of E-Health Literacy Research Focuses and Trends. Healthcare (Basel, Switzerland), 10(1), 66. https://doi.org/10.3390/healthcare10010066
Wijaya, M. C., & Kloping, Y. P. (2021). Validity and reliability testing of the Indonesian version of the eHealth Literacy Scale during the COVID-19 pandemic. Health informatics journal, 27(1), 1460458220975466. https://doi.org/10.1177/1460458220975466
Zhang, L., & Li, P. (2022). Problem-Based mHealth Literacy Scale (PB-mHLS): Development and Validation. JMIR mHealth and uHealth, 10(4), e31459. https://doi.org/10.2196/31459
Ameri, F., Dastani, M., Sabahi, A., Hooshangi, F., Rahimkarimi, M., Rajabi, E., & Yaghooby, P. (2022). The Role of E-Health Literacy in Preventive Behaviors for COVID-19: A Systematic Review. Journal of Health Literacy, 6(4), 88-97. https://doi.org/10.22038/jhl.2021.61581.1241
Bedrosova, M., Mylek, V., Dedkova, L., & Velicu, A. (2023). Who Is Searching for Cyberhate? Adolescents' Characteristics Associated with Intentional or Unintentional Exposure to Cyberhate. Cyberpsychology, behavior and social networking, 26(7), 462–471. https://doi.org/10.1089/cyber.2022.0201
Chereka, A. A., Demsash, A. W., Ngusie, H. S., & Kassie, S. Y. (2022). Digital health literacy to share COVID-19 related information and associated factors among healthcare providers worked at COVID-19 treatment centers in Amhara region, Ethiopia: A cross-sectional survey. Informatics in medicine unlocked, 30, 100934. https://doi.org/10.1016/j.imu.2022.100934
Crocker, B., Feng, O., & Duncan, L. R. (2023). Performance-Based Measurement of eHealth Literacy: Systematic Scoping Review. Journal of medical Internet research, 25, e44602. https://doi.org/10.2196/44602
Estrella, M. L., & Allen-Meares, P. (2020). Tools to Measure Health Literacy among US African Americans and Hispanics/Latinos with Type 2 Diabetes: A Scoping Review of the Literature. Patient education and counseling, 103(10), 2155–2165. https://doi.org/10.1016/j.pec.2020.04.012
Karakulak, A., Stogianni, M., Alonso-Arbiol, I., Shukla, S., Bender, M., Yeung, V. W. L., Jovanović, V., Musso, P., Scardigno, R., Scott, R. A., Stuart, J., Friehs, M.-T., Toh, Z., Albayrak-Aydemir, N., Arvanitis, A., Buzea, C., Mastrotheodoros, S., Tsang, J.-A., Madeira, F., … Gkomez, A. (2023). The perceived vulnerability to disease scale: Cross-cultural measurement invariance and associations with fear of COVID-19 across 16 countries. Social and Personality Psychology Compass. https://doi.org/10.1111/spc3.12878
Karnoe, A., Furstrand, D., Christensen, K. B., Norgaard, O., Kayser, L. (2018). Assessing Competencies Needed to Engage with Digital Health Services: Development of the eHealth Literacy Assessment Toolkit. Journal of Medical Internet Research, 20(5) https://doi.org/10.2196/jmir.8347
Kelly, L., Ziebland, S., & Jenkinson, C. (2015). Measuring the effects of online health information: Scale validation for the e-Health Impact Questionnaire. Patient education and counseling, 98(11), 1418–1424. https://doi.org/10.1016/j.pec.2015.06.008
Kitsios, F., Kamariotou, M., Syngelakis, A. I., & Talias, M. A. (2023). Recent Advances of Artificial Intelligence in Healthcare: A Systematic Literature Review. Applied Sciences, 13(13), 7479. https://doi.org/10.3390/app13137479
Koopman, R. J., Petroski, G. F., Canfield, S. M., Stuppy, J. A., & Mehr, D. R. (2014). Development of the PRE-HIT instrument: patient readiness to engage in health information technology. BMC family practice, 15, 18. https://doi.org/10.1186/1471-2296-15-18
Lee, EH., Lee, Y.W., Lee, KW., Kim HJ., Hong, S., Kim, SH., & Kang, EH. (2022) Development and psychometric evaluation of a new brief scale to measure eHealth literacy in people with type 2 diabetes. BMC Nurses, 21, 297 https://doi.org/10.1186/s12912-022-01062-2
Lee, J., Lee, E. H., & Chae, D. (2021). eHealth Literacy Instruments: Systematic Review of Measurement Properties. Journal of medical Internet research, 23(11), e30644. https://doi.org/10.2196/30644
Liu, H. X., Chow, B. C., Liang, W., Hassel, H., & Huang, Y. W. (2021). Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation Study. Journal of medical Internet research, 23(9), e31627. https://doi.org/10.2196/31627
Liu, P., Yeh, L. L., Wang, J. Y., & Lee, S. T. (2020). Relationship Between Levels of Digital Health Literacy Based on the Taiwan Digital Health Literacy Assessment and Accurate Assessment of Online Health Information: Cross-Sectional Questionnaire Study. Journal of medical Internet research, 22(12), e19767. https://doi.org/10.2196/19767
Maggie C.M. Lee, Helana Scheepers, Ariel K.H. Lui, Eric W.T. Ngai, (2023) The implementation of artificial intelligence in organizations: A systematic literature review, Information & Management, 60(5), https://doi.org/10.1016/j.im.2023.103816
Norman, C. D., & Skinner, H. A. (2006). eHEALS: The eHealth Literacy Scale. Journal of medical Internet research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27
Paige, S. R., Stellefson, M., Krieger, J. L., Miller, M. D., Cheong, J., & Anderson-Lewis, C. (2019). Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument. Journal of health communication, 24(10), 737–748. https://doi.org/10.1080/10810730.2019.1666940
Petrič G, Atanasova S, Kamin T (2017) Ill Literates or Illiterates? Investigating the eHealth Literacy of Users of Online Health Communities Journal of Medical Internet Research, 19(10): e331 https://doi.org/10.2196/jmir.7372
Seçkin, G., Yeatts, D., Hughes, S., Hudson, C., & Bell, V. (2016). Being an Informed Consumer of Health Information and Assessment of Electronic Health Literacy in a National Sample of Internet Users: Validity and Reliability of the e-HLS Instrument. Journal of medical Internet research, 18(7), e161. https://doi.org/10.2196/jmir.5496
Shiferaw KB. (2020) Validation of the Ethiopian Version of eHealth Literacy Scale (ET-eHEALS) in a Population with Chronic Disease. Risk Manag Health Policy. 13, 465-471 https://doi.org/10.2147/RMHP.S240829
Slatyer, S., Toye, C., Burton, E., Jacinto, A. F., & Hill, K. D. (2022). Measurement properties of self-report instruments to assess health literacy in older adults: a systematic review. Disability and rehabilitation, 44 (11), 2241–2257. https://doi.org/10.1080/09638288.2020.1836044
Sobolieva-Tereshchenko, O. (2023), Implementation eHealth Literacy Instruments in E-Government. Measurements and Trends. Efektyvna ekonomika, 8 (2023), 1-18. https://doi.org/10.32702/2307-2105.2023.8.14
Sobolieva-Tereshchenko, O. (2023) Electronic Health Literacy Scales: A Scoping Review and Comparable Analysis of the Skills and Trends. [Proceedings of the 11th International scientific and practical conference. MDPC Publishing. Munich, Germany], 222-228. URL: https://sci-conf.com.ua/xi-mizhnarodna-naukovo-praktichna-konferentsiya-scientific-progress-innovations-achievements-and-prospects-23-25-07-2023-myunhen-nimechchina-arhiv/.
Sobolieva-Tereshchenko, O. & Zhukova, Y. (2023). Application of eHealth literacy in digital health management. Management and Entrepreneurship: Trends of Development, 3(25), 70-81. https://doi.org/10.26661/2522-1566/2023-3/25-06
Sørensen, K., Van den Broucke, S., Pelikan, J. M., Fullam, J., Doyle, G., Slonska, Z., Kondilis, B., Stoffels, V., Osborne, R. H., Brand, H., & HLS-EU Consortium (2013). Measuring health literacy in populations: illuminating the design and development process of the European Health Literacy Survey Questionnaire (HLS-EU-Q). BMC public health, 13, 948. https://doi.org/10.1186/1471-2458-13-948
Tavousi, M., Mohammadi, S., Sadighi, J., Zarei, F., Kermani, R. M., Rostami, R., & Montazeri, A. (2022). Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021. PloS one, 17(7), e0271524. https://doi.org/10.1371/journal.pone.0271524
Van der Vaart, R., & Drossaert, C. (2017). Development of the Digital Health Literacy Instrument: Measuring a Broad Spectrum of Health 1.0 and Health 2.0 Skills. Journal of medical Internet research, 19(1), e27. https://doi.org/10.2196/jmir.6709
Vittuari, M., Herrero, LG., Masotti, M., Iori, E., Caldeira, C., Qian, Z., Bruns, H., Herpen, E., Obersteiner, G., Kaptan, G., Liu, G., Mikkelsen, BE., Swannell, R., Kasza, G., Nohlen, H., & Sala, S. (2023), How to reduce consumer food waste at household level: A literature review on drivers and levers for behavioural change, Sustainable Production and Consumption, 38, 104-114, https://doi.org/10.1016/j.spc.2023.03.023.
Wang, C., Wu, X., & Qi, H. (2021). A Comprehensive Analysis of E-Health Literacy Research Focuses and Trends. Healthcare (Basel, Switzerland), 10(1), 66. https://doi.org/10.3390/healthcare10010066
Wijaya, M. C., & Kloping, Y. P. (2021). Validity and reliability testing of the Indonesian version of the eHealth Literacy Scale during the COVID-19 pandemic. Health informatics journal, 27(1), 1460458220975466. https://doi.org/10.1177/1460458220975466
Zhang, L., & Li, P. (2022). Problem-Based mHealth Literacy Scale (PB-mHLS): Development and Validation. JMIR mHealth and uHealth, 10(4), e31459. https://doi.org/10.2196/31459
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Published
2023-12-20
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Management
How to Cite
Sobolieva-Tereshchenko, O. (2023) “eHealth literacy in digital era: trends of development”, Management and Entrepreneurship: Trends of Development, 4(26), pp. 70–81. doi:10.26661/2522-1566/2023-4/26-06.
