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Concept Analysis of Digital Health Literacy

디지털 헬스 리터러시 개념분석

  • Hwang, Minhwa (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 황민화 (서울대학교 간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2021.11.02
  • Accepted : 2021.12.01
  • Published : 2021.12.31

Abstract

Purpose: To define the concept of digital health literacy and identify its attributes. Methods: Walker and Avant's approach was employed for concept analysis. Attributes, antecedents, consequences, and the definition of digital health literacy were derived from a review of 28 studies. Results: Digital health literacy was identified to possess the following five attributes: health information seeking, health information processing, health information communication, health-related knowledge translation, and utilizing digital technology. Basic literacy skills, health concerns, motivation to use technology for health information, and access to digital technologies were all antecedents of the concept. The consequences of the concept were health behaviors, patient engagement, health status, and quality of life. Digital health literacy is the ability to seek relevant health information utilizing digital technology to solve health problems and improve quality of life. Furthermore, it refers to the translation of health-related knowledge obtained through health information processing-finding, understanding, and evaluating health information and health information communication-into the context in which individual and social factors interact. Conclusion: This study presented a new definition of digital health literacy that goes beyond existing internet-based eHealth literacy, by incorporating the context of emerging digital technologies. This proposed definition can serve as a foundation for the development of instruments and educational programs to improve individuals' digital health literacy.

Keywords

Acknowledgement

본 연구는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(No. 2021R1A2C 2006222).

References

  1. Bautista, J. R. (2015). From solving a health problem to achieving quality of life: Redefining eHealth literacy. Journal of Literacy and Technology, 16(2), 33-54.
  2. Bodie, G. D., & Dutta, M. J. (2008). Understanding health literacy for strategic health marketing: eHealth literacy, health disparities, and the digital divide. Health Marketing Quarterly, 25(1-2), 175-203. https://doi.org/10.1080/07359680802126301
  3. Centers for Disease Control and Prevention. (2021, January 28). What is health literacy? Retrieved March 15, 2021, from https://www.cdc.gov/healthliteracy/learn/index.html
  4. Chan, C. V., & Kaufman, D. R. (2011). A framework for characterizing eHealth literacy demands and barriers. Journal of Medical Internet Research, 13(4), e94. https://doi.org/10.21 96/jmir.1750 https://doi.org/10.2196/jmir.1750
  5. Cheng, C., Beauchamp, A., Elsworth, G. R., & Osborne, R. H. (2020). Applying the electronic health literacy lens: Systematic review of electronic health interventions targeted at socially disadvantaged Groups. Journal of Medical Internet Research, 22(8), e18476. https://doi. org/10.2196/18476
  6. Dunn, P., & Hazzard, E. (2019). Technology approaches to digital health literacy. International Journal of Cardiology, 293, 294-296. https://doi.org/10.1016/j.ijcard.2019.06.039
  7. Gilstad, H. (2014). Toward a comprehensive model of ehealth literacy. Proceedings of the 2nd European Workshop on Practical Aspects of Health Informatics (PAHI 2014), Trondheim, Norway.
  8. Griebel, L., Enwald, H., Gilstad, H., Pohl, A. L., Moreland, J., & Sedlmayr, M. (2018). eHealth literacy research-Quo vadis? Informatics for Health and Social Care, 43(4), 427-442. https://doi. org/10.1080/17538157.2017.1364247
  9. Griebel, L., Sedlmayr, B., Prokosch, H.-U., Criegee-Rieck, M., & Sedlmayr, M. (2013). Key factors for a successful implementation of personalized e-health services. Studies In Health Technology and Informatics, 192, 965. https://doi.org/10.3233/978-1-61499-289 -9-965
  10. Kayser, L., Kushniruk, A., Osborne, R. H., Norgaard, O., & Turner, P. (2015). Enhancing the effectiveness of consumer-focused health information technology systems through eHealth literacy: A framework for understanding users' needs. JMIR Human Factors, 2(1), e9. https://doi.org/10.2196/humanfactors.3696
  11. 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. https://doi.org/10.1186/1471-2296 -15-18
  12. Lustria, M. L. A., Smith, S. A., & Hinnant, C. C. (2011). Exploring digital divides: An examination of eHealth technology use in health information seeking, communication and personal health information management in the USA. Health Informatics Journal, 17(3), 224-243. https://doi.org/10.1177/1460458211414843
  13. Meister, S., Deiters, W., & Becker, S. (2016). Digital health and digital biomarkers-enabling value chains on health data. Current Directions in Biomedical Engineering, 2(1), 577-581. https://doi.org/10.1515/cdbme-2016-0128
  14. Monkman, H., Kushniruk, A. W., Barnett, J., Borycki, E. M., Greiner, L. E., & Sheets, D. (2017). Are health literacy and eHealth literacy the same or different? Studies In Health Technology and Informatics, 245, 178-182.
  15. Neter, E., & Brainin, E. (2012). eHealth literacy: Extending the digital divide to the realm of health information. Journal of Medical Internet Research, 14(1), e19. https://doi.org/10. 2196/jmir.1619 https://doi.org/10.2196/jmir.1619
  16. Norgaard, O., Furstrand, D., Klokker, L., Karnoe, A., Batterham, R., Kayser, L., et al. (2015). The e-health literacy framework: A conceptual framework for characterizing e-health users and their interaction with e-health systems. Knowledge Management & E-Learning: An International Journal, 7(4), 522-540. https://doi.org/10.34105/j.kmel. 2015.07.035
  17. Norman, C. (2011). eHealth literacy 2.0: Problems and opportunities with an evolving concept. Journal of Medical Internet Research, 13(4), e125. https://doi.org/10.2196/jmir.2035
  18. Norman, C. D., & Skinner, H. A. (2006a). eHEALS: The eHealth literacy scale. Journal of Medical Internet Research, 8(4), e27. https://doi.org/10.2196/jmir.8.4.e27
  19. Norman, C. D., & Skinner, H. A. (2006b). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), e9. https://doi.org/ 10.2196/jmir.8.2.e9
  20. Paige, S. R., Stellefson, M., Krieger, J. L., Anderson-Lewis, C., Cheong, J., & Stopka, C. (2018). Proposing a transactional model of eHealth literacy: Concept analysis. Journal of Medical Internet Research, 20(10), e10175. https://doi.org/10.2196/10175
  21. 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
  22. Robbins, D., & Dunn, P. (2019). Digital health literacy in a personcentric world. International Journal of Cardiology, 290, 154-155. https://doi.org/10.1016/j.ijcard.2019.05.033
  23. Smith, B., & Magnani, J. W. (2019). New technologies, new disparities: The intersection of electronic health and digital health literacy. International Journal of Cardiology, 292, 280-282. https://doi.org/10.1016/j.ijcard.2019.05.066
  24. Sudsawad, P. (2007). Knowledge translation: Introduction to models, strategies, and measures. Austin, TX: Southwest Educational Development Laboratory, National Center for the Dissemination of Disability Research.
  25. U.S. Food and Drug Administration. (2020, September 22). What is digital health? Retrieved March 15, 2021, from https://www.fda.gov/medical-devices/digital-health-center-excellence/what-digital-health
  26. 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 Medical Internet Research, 19(1), e27. https://doi.org/10.2196/jmir.6709
  27. Walker, L. O., & Avant, K. C. (2019). Strategies for theory construction in nursing(6th ed.). Boston: Pearson, Prentice Hall.
  28. World Health Organization. (2017). Shanghai declaration on promoting health in the 2030 agenda for sustainable development. Health Promotion International, 32(1), 7-8. https://doi.org/10.1093/heapro/daw103
  29. Xie, B. (2011). Effects of an eHealth literacy intervention for older adults. Journal Medical Internet Research, 13(4), e90. https://doi.org/10.2196/jmir.1880
  30. Yoon, J. (2020). Conceptualization and assessment of digital health technology literacy. Unpublished doctoral dissertation, Sungkyunkwan University, Seoul.