» Articles » PMID: 39381807

Digital Health Literacy: A Concept Analysis

Overview
Journal Digit Health
Date 2024 Oct 9
PMID 39381807
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: To elucidate the concept of digital health literacy by delineating its primary dimensions, origins and effects. Through this clarification, we seek to augment our understanding of the contemporary use of the concept of digital health literacy.

Methods: Rodgers's concept analysis was employed to investigate digital health literacy as a context-influenced concept evolving with technological progress. Six databases (PubMed, Embase, CINAHL, RISS, KISS and DBpia) and Google Scholar were searched from 2006 to 2023, focusing on the terms 'digital health literacy', 'eHealth literacy' and 'mHealth literacy'. Of 2,819 papers, 32 were included in the analysis to identify the conceptual structure of digital health literacy.

Results: The conceptual structure of digital health literacy was identified, and its evolution was traced. Currently, the four critical attributes are (a) goal-driven regulation, (b) information processing, (c) communication and (d) utilisation. Functional literacy, prior health knowledge and experience, and access to technology are antecedents, while positive health outcomes, increased perceived control and enhanced health-related quality of life emerged as consequences. Additionally, the concept was influenced by multilevel contextual factors.

Conclusions: By enhancing our understanding of digital health literacy; standardising its terminology; and exploring the interactions among its antecedents, consequences and influencing factors, this study aims to reduce health disparities and promote equitable health in the digital era. The results of this foundational work, which establishes a basis for future research and policy development, provide clear pathways for developing targeted interventions and measurement tools of digital health literacy, ultimately contributing to better health practices.

References
1.
Dutta-Bergman M . Primary sources of health information: comparisons in the domain of health attitudes, health cognitions, and health behaviors. Health Commun. 2004; 16(3):273-88. DOI: 10.1207/S15327027HC1603_1. View

2.
Griebel L, Enwald H, Gilstad H, Pohl A, Moreland J, Sedlmayr M . eHealth literacy research-Quo vadis?. Inform Health Soc Care. 2017; 43(4):427-442. DOI: 10.1080/17538157.2017.1364247. View

3.
Hart J . The inverse care law. Lancet. 1971; 1(7696):405-12. DOI: 10.1016/s0140-6736(71)92410-x. View

4.
Jung S, Son Y, Choi E . E-health literacy in older adults: an evolutionary concept analysis. BMC Med Inform Decis Mak. 2022; 22(1):28. PMC: 8805227. DOI: 10.1186/s12911-022-01761-5. View

5.
Lisi M . Navigating the COVID-19 infodemic: the influence of metacognitive efficiency on health behaviours and policy attitudes. R Soc Open Sci. 2023; 10(9):230417. PMC: 10480698. DOI: 10.1098/rsos.230417. View