Browse > Article
http://dx.doi.org/10.12799/jkachn.2022.33.1.53

The Effects of Digital Literacy and Health Empowerment on Elders' Communication with Doctors: Focusing on Moderating Effect of Health Beliefs  

An, Soontae (Ewha Womans University, Department of Communication & Media)
Lim, Yujin (Business School, Soongsil University)
Chung, Soondool (Ewha Womans University, Department of Social Welfare)
Publication Information
Research in Community and Public Health Nursing / v.33, no.1, 2022 , pp. 53-62 More about this Journal
Abstract
Purpose: This study explored the effects of the elderly group's digital literacy and health empowerment on communication with doctors, considering moderating effect of health beliefs about chronic diseases. Methods: A one-on-one interview survey was conducted with 500 older adults in South Korea. The main variables were digital literacy, health empowerment, communication with doctors, and health belief of chronic diseases. Results: The interaction effect between health empowerment and susceptibility, and health empowerment and perceived barrier were significant. Conclusion: Communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of susceptibility. Also, communication with doctors greatly increased when the elders had high levels of health empowerment and low levels of perceived barriers.
Keywords
Aged; Health belief model; Communication; Literacy; Empowerment;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 Health Insurance Review & Assessment Service. 2019 Health insurance statistical yearbook [Internet]. National Health Insurance Corporation [cited 2019]. Available from: http://www.hira.or.kr/rc/icenter/study/getReportList.do?pgmid=HIRAA030095000000
2 Shin JW. Last year, the elderly care expenses exceeded 30 trillion won. Yonhap News [Internet]. 2019 Nov 06 [cited 2022 Mar 11]. Available from: https://www.yna.co.kr/view/AKR20191106053751017
3 Caris-Verhallen WM, Kerkstra A, Bensing JM. Non-verbal behaviour in nurse-elderly patient communication. Journal of Advanced Nursing. 1999;29(4):808-818. https://doi.org/10.1046/j.1365-2648.1999.00965.x   DOI
4 Kaakinen J, Shapiro E, Gayle BM. Strategies for working with elderly clients: A qualitative analysis of elderly client/nurse practitioner communication. Journal of the American Academy of Nurse Practitioners. 2001;13(7):325-329. https://doi.org/10.1111/j.1745-7599.2001.tb00044.x   DOI
5 Ong LM, DeHaes JC, Hoos AM, Lammes FB. Doctor-patient communications: A review of the literature. Social Science & Medicine. 1995;40(7):903-918. https://doi.org/10.1016/0277-9536(94)00155-M   DOI
6 Camerini L, Schulz PJ, Nakamoto K. Differential effects of health knowledge and health empowerment over patients' self-management and health outcomes: A cross-sectional evaluation. Patient Education and Counseling. 2012;89(2):337-344. https://doi.org/10.1016/j.pec.2012.08.005   DOI
7 Schulz PJ, Nakamoto K. Health literacy and patient empowerment in health communication: The importance of separating conjoined twins. Patient Education and Counseling. 2013;90 (1):4-11. https://doi.org/10.1016/j.pec.2012.09.006   DOI
8 Kim SH, Lee EJ. The influence of functional literacy on perceived health status in Korean older adults. Journal of Korean Academy of Nursing. 2008;38(2):195-203. https://doi.org/10.4040/jkan.2008.38.2.195   DOI
9 Oh HJ, Lee B. The effect of computer-mediated social support in online communities on patient empowerment and doctor-patient communication. Health Communication. 2012;27(1): 30-41. https://doi.org/10.1080/10410236.2011.567449   DOI
10 Janz NK, Becker MH. The health belief model: A decade later. Health Education Quarterly. 1984;11(1):1-47. https://doi.org/10.1177/109019818401100101   DOI
11 Cho SY. Predicting women's cervical cancer prevention behavior extending health belief model. Advertising Research. 2011; 91:348-377.
12 Newspapers and broadcasting. Digital inequality in the elderly people on a remote island are also vulnerable to false information. [cited 2019 August]. Available from: https://blog.naver.com/kpfjra_/221609768495
13 Adelman RD, Greene MG, Ory MG. Communication between older patients and their physicians. Clinics in Geriatric Medicine. 2000;16(1):1-24. https://doi.org/10.1016/S0749-0690(05)70004-5   DOI
14 Kim SY. Last year, medical expenses for the elderly were 35,800 billion won. Yonhap News [Internet]. 2020 Nov 12 [cited 2022 Mar 11]. Available from: https://www.yna.co.kr/view/AKR20201112084200530
15 Davis TC, Wolf MS, Bass PF, Thompson JA, Tilson HH, Neuberger M, et al. Literacy and misunderstanding prescription drug labels. Annals of Internal Medicine. 2006;45(12):887-894. https://doi.org/10.7326/0003-4819-145-12-200612190-00144   DOI
16 Lee SA, Park MH. A study on health literacy, medication knowledge, and medication misuse of rural elderly. Journal of the Korean Gerontological Society. 2010;30(2):485-497.
17 Simon KJ, Das A. An application of the health belief model toward educational diagnosis for VD education. Health Education Quarterly. 1984;11(4):403-418. https://doi.org/10.1177/109019818401100402   DOI
18 Kim JN, Lee S. Communication and cybercoping: Coping with chronic illness through communicative action in online support networks. Journal of Health Communication. 2014;19(7): 775-794. https://doi.org/10.1080/10810730.2013.864724   DOI
19 An S, Lim Y, Chung S. Psychological wellbeing through health information behavior: Effects of the elderly's digital literacy. Journal of the Korean Gerontological Society. 2020;40(5):833-854. https://doi.org/10.31888/JKGS.2020.40.5.833   DOI
20 Rosenstock IM. The health belief model and preventive health behavior. Health Education Monographs. 1974;2(4):354-386. https://doi.org/10.1177/109019817400200405   DOI
21 Hochbaum GM. Public health belief participation in medical screening programs: A socio-psychological study. Washington, DC: United States Government Printing Office. 1958. 572.
22 Kim MH, Ahn ML. Development of digital literacy checklist. Journal of Korean Association for Educational Information and Media. 2003;9(1):159-192.
23 Oh JA, Yoo JW. A study on the effect of digital literacy on the psychological wellbeing and life satisfaction of the elderly. Korean Public Management Review. 2018;32(2):319-344. https://doi.org/10.24210/kapm.2018.32.2.013   DOI
24 Castilla D, Botella C, Miralles I, Breton-Lopez J, Dragomir- Davis AM, Zaragoza I, et al. Teaching digital literacy skills to the elderly using a social network with linear navigation: A case study in a rural area. International Journal of Human-Computer Studies. 2018;118:24-37. https://doi.org/10.1016/j.ijhcs.2018.05.009   DOI
25 Jung HJ, Bae JH. The influence of health literacy and social-support on medication adherence in elderly with chronic disease. Journal of Digital Convergence. 2018;16(7):419-428. https://doi.org/10.14400/JDC.2018.16.7.419   DOI
26 Lee SS. 2020 The life of the elderly in Seoul [Internet]. Welfare Issue Today 93. Seoul Welfare Foundation, 2020 [cited 2020 Dec]. Available from: https://www.welfare.seoul.kr/afile
27 Whang YS, Park NS, Lee HJ, Lee WD. Exploring digital literacy in convergent media environment: Communication competence and generation gap. Korean Journal of Journalism and Communication Studies. 2012;56(2):198-225.
28 EAVI. Testing and refining criteria to assess media literacy levels in Europe. Final Report. Brussels: Danish Technological Institute. 2011 April. Report No.: SMART 2010/0006 O.J. 5/12/2009 2009/S235-3355589
29 An T, Lim Y, Chung S. Study on health information verification behavior according to digital literacy & health empowerments. Journal of the Korean Gerontological Society. 2021;41 (3):309-325. https://doi.org/10.31888/JKGS.2021.41.3.309   DOI
30 Park C, Park YH. Validity and reliability of Korean version of health empowerment scale (K-HES) for older adults. Asian Nursing Research. 2013;7(3):142-148. https://doi.org/10.1016/j.anr.2013.07.004   DOI
31 An ST, Jeong JS. Social support and health-related online activities among older adults: Assessing the mediating role of empowerment and the moderating role of health literacy. Korean Journal of Broadcasting and Telecommunications Studies. 2019;33(5):163-190.