scholarly journals Cognitive Interviews: Testing the Digital Health Literacy Instrument for Adolescents (Preprint)

10.2196/17856 ◽  
2020 ◽  
Author(s):  
Eunhee Park ◽  
Misol Kwon
Keyword(s):  
Health Literacy ◽  
Digital Health ◽  
Cognitive Interviews

scholarly journals Cognitive Interviews: Testing the Digital Health Literacy Instrument (Preprint)

2020 ◽  
Author(s):  
Eunhee Park ◽  
Misol Kwon
Keyword(s):  
Health Literacy ◽  
Content Validity ◽  
Digital Health ◽  
Cognitive Interviews ◽  
Thinking Aloud ◽  
Web Based ◽  
Response Options ◽  
Digital Devices ◽  
Device Use ◽  
Insight Into

BACKGROUND Despite the increasing number of youth seeking health information on the internet, few studies have been conducted to measure digital health literacy in this population. Digital Health Literacy Instruments (DHLI) is defined as a scale that measures the ability to operate digital devices, and read and write in online-based modes; it assesses seven sub-constructs: operational skills, navigation skills, evaluating reliability, determining relevance, adding self-generated content to a web-based app, and protecting and respecting privacy. Currently, there has been no validation process for adolescents on this instrument yet. OBJECTIVE To explore the usability and content validity of DHLIs. METHODS Upon the approval of IRB protocol, cognitive interviews were conducted. Thirty-four adolescents aged 10-18 years old (50% female) participated in individual cognitive interviews. Two rounds of concurrent cognitive interviews were conducted to measure the content validity of DHLI utilizing the ‘thinking aloud’ method and probing questions. RESULTS Major issues of comprehension and communication including unclear wording, undefined technical terms, vague terms, and difficult vocabularies were identified. Problems related to potentially inappropriate assumptions were also identified. In addition, concerns related to recall bias with unclear reference periods, and bias by measuring socially uncommon phenomena were raised. No issue regarding response options or instrument instructions were noted. CONCLUSIONS The initial round of interviews provided potential resolution to the identified problems with comprehension and communication, while the second round prompted improvement in content validity. More work needs to be conducted to address issues related to inappropriate assumptions or bias when Internet and digital device use are considered uncommon phenomena among adolescents. Dual rounds of cognitive interviews provided substantial insight into survey interpretation when introduced to US adolescents. This validation study suggests revision points for assessing adolescent digital health literacy.

scholarly journals 31.C. Workshop: Development and implementation of action plans on health literacy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Literacy ◽  
Health Information ◽  
Digital Health ◽  
Action Plan ◽  
Knowledge Society ◽  
Implementation Strategies ◽  
Social Consequences ◽  
Action Plans

Abstract Health literacy (HL) has become an important topic in many countries. As HL - meaning the ability to access, understand, appraise and apply health information (Sørensen et al. 2012) - is important to make sound health decisions, to promote health and to take an active part in managing health and illness in everyday life and navigating the health care system. In the modern digital knowledge society, HL is also indispensable for orienting oneself in the abundance of mostly digital health information, including incorrect and false information, for locating reliable information and for assessing the trustworthiness and quality of information. However, available studies show that HL is insufficient in many countries. Low HL has - as many studies show - negative social consequences ranging from unhealthy behaviour, higher risk for diseases, less self-care and deficits in coping with illness and chronicity, to over- and misuse (extensive use) of health care. The promotion of HL is therefore an important public health task. An increasing number of population studies and policy documents currently underline this. The WHO has therefore included HL into many of its strategies, like the declarations of Shanghai (2016) and Astana (2018), and has published several publications focusing on HL, like the Solid Facts (2013), the 57th Health Evidence Network Report (2018) or the Roadmap for Implementing Health Literacy Activities (2019). In many countries, strategies and national action plans to improve HL have been developed in response to the political call for action, e.g. in Scotland, Germany and recently also in Portugal. Other countries and regions are currently working on the development of a HL action plan, e.g. Belgium and the WHO European Region action plan on HL. The development and especially the implementation strategies of action plans in different countries and the experiences gained will be discussed comparatively in the workshop. Following an introduction (10'), two countries, which already have action plans will introduce their implementation strategy in one presentation each: Germany and Portugal (30'). This will be followed by two presentations of countries/regions in which action plans are currently being developed: Belgium and WHO Europe (30'). Afterwards the participants will have the opportunity to ask questions and discuss on the different strategies (20'). The workshop will help other initiatives to successfully develop and implement policy plans and strategies in different fields of public health. Key messages Strategies and national action plans to improve HL have been developed in different countries/regions. It is important to reflect on the chosen development and implementation strategies and to discuss their effects, successes and barriers.

scholarly journals COVID-19 Misinformation Online and Health Literacy: A Brief Overview

2021 ◽  
Vol 18 (15) ◽  
pp. 8091
Author(s):  
Salman Bin Naeem ◽  
Maged N. Kamel Boulos
Keyword(s):  
Machine Learning ◽  
Social Media ◽  
Health Literacy ◽  
Information Content ◽  
Digital Health ◽  
Negative Effects ◽  
The World ◽  
Synergistic Approach ◽  
Viral Nature

Low digital health literacy affects large percentages of populations around the world and is a direct contributor to the spread of COVID-19-related online misinformation (together with bots). The ease and ‘viral’ nature of social media sharing further complicate the situation. This paper provides a quick overview of the magnitude of the problem of COVID-19 misinformation on social media, its devastating effects, and its intricate relation to digital health literacy. The main strategies, methods and services that can be used to detect and prevent the spread of COVID-19 misinformation, including machine learning-based approaches, health literacy guidelines, checklists, mythbusters and fact-checkers, are then briefly reviewed. Given the complexity of the COVID-19 infodemic, it is very unlikely that any of these approaches or tools will be fully effective alone in stopping the spread of COVID-19 misinformation. Instead, a mixed, synergistic approach, combining the best of these strategies, methods, and services together, is highly recommended in tackling online health misinformation, and mitigating its negative effects in COVID-19 and future pandemics. Furthermore, techniques and tools should ideally focus on evaluating both the message (information content) and the messenger (information author/source) and not just rely on assessing the latter as a quick and easy proxy for the trustworthiness and truthfulness of the former. Surveying and improving population digital health literacy levels are also essential for future infodemic preparedness.

scholarly journals Promoting Problem Solving About Health Management: A Mixed-Methods Pilot Evaluation of a Digital Health Intervention for Older Adults With Pre-Frailty and Frailty

2021 ◽  
Vol 7 ◽  
pp. 233372142098568
Author(s):  
Annie T. Chen ◽  
Frances Chu ◽  
Andrew K. Teng ◽  
Soojeong Han ◽  
Shih-Yin Lin ◽  
...  
Keyword(s):  
Older Adults ◽  
Mixed Methods ◽  
Health Literacy ◽  
Problem Solving ◽  
Self Efficacy ◽  
Health Management ◽  
Digital Health ◽  
Post Intervention ◽  
Problem Solving Skills ◽  
Health Related

Background: There is a need for interventions to promote health management of older adults with pre-frailty and frailty. Technology poses promising solutions, but questions exist about effective delivery. Objectives: We present the results of a mixed-methods pilot evaluation of Virtual Online Communities for Older Adults (VOCALE), an 8-week intervention conducted in the northwestern United States, in which participants shared health-related experiences and applied problem solving skills in a Facebook group. Methods: We performed a mixed-methods process evaluation, integrating quantitative and qualitative data, to characterize the intervention and its effects. We focus on four areas: health-related measures (health literacy and self-efficacy), participation, problem solving skills enacted, and subjective feedback. Results: Eight older adults with pre-frailty and frailty (age = 82.7 ± 6.6 years) completed the study. There was an upward trend in health literacy and health self-efficacy post-intervention. Participants posted at least two times per week. Content analysis of 210 posts showed participants were able to apply the problem solving skills taught, and exit interviews showed participants’ increased awareness of the need to manage health, and enjoyment in learning about others. Conclusion: This mixed-methods evaluation provides insight into feasibility and design considerations for online interventions to promote health management among vulnerable older adults.

scholarly journals Dissociation, Cognitive Reflection and Health Literacy Have a Modest Effect on Belief in Conspiracy Theories about COVID-19

2021 ◽  
Vol 18 (10) ◽  
pp. 5065
Author(s):  
Vojtech Pisl ◽  
Jan Volavka ◽  
Edita Chvojkova ◽  
Katerina Cechova ◽  
Gabriela Kavalirova ◽  
...  
Keyword(s):  
Health Literacy ◽  
Online Survey ◽  
Digital Health ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Conspiracy Theories ◽  
Cognitive Reflection ◽  
Variance Explained ◽  
Modest Effect

Understanding the predictors of belief in COVID-related conspiracy theories and willingness to get vaccinated against COVID-19 may aid the resolution of current and future pandemics. We investigate how psychological and cognitive characteristics influence general conspiracy mentality and COVID-related conspiracy theories. A cross-sectional study was conducted based on data from an online survey of a sample of Czech university students (n = 866) collected in January 2021, using multivariate linear regression and mediation analysis. Sixteen percent of respondents believed that COVID-19 is a hoax, and 17% believed that COVID-19 was intentionally created by humans. Seven percent of the variance of the hoax theory and 10% of the variance of the creation theory was explained by (in descending order of relevance) low cognitive reflection, low digital health literacy, high experience with dissociation and, to some extent, high bullshit receptivity. Belief in COVID-related conspiracy theories depended less on psychological and cognitive variables compared to conspiracy mentality (16% of the variance explained). The effect of digital health literacy on belief in COVID-related theories was moderated by cognitive reflection. Belief in conspiracy theories related to COVID-19 was influenced by experience with dissociation, cognitive reflection, digital health literacy and bullshit receptivity.

COVID-19 and health information seeking behavior: Digital health literacy survey amongst university students in Pakistan (Preprint)

2021 ◽  
Author(s):  
Rubeena Zakar ◽  
Sarosh Iqbal ◽  
Muhammad Zakria Zakar ◽  
Florian Fischer
Keyword(s):  
Health Literacy ◽  
University Students ◽  
Information Seeking ◽  
Digital Health ◽  
Relevant Information ◽  
Health Concern ◽  
Information Seeking Behavior ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Seeking Behavior

BACKGROUND Amid to the COVID-19 pandemic, digital health literacy (DHL) has become a significant public health concern. OBJECTIVE This research aims to assess information seeking behavior, as well as the ability to find relevant information and deal with DHL among university students in Pakistan. METHODS An online-based cross-sectional survey, using a web-based interviewing technique, was conducted to collect data on DHL. Simple bivariate and multivariate linear regression was performed to assess the association of key characteristics with DHL. RESULTS The results show a high DHL related to COVID-19 in 54.3% of students. Most of the Pakistani students demonstrated ~50% DHL in all dimensions, except of reliability. Multivariate findings showed that gender, sense of coherence and importance of information were found to be significantly associated with DHL. However, a negative association was observed with students’ satisfaction with information. CONCLUSIONS This led to the conclusion that critical operational and navigations skills are essential to achieve COVID-19 DHL and cope with stress, particularly to promote both personal and community health. Focused interventions and strategies should be designed to enhance DHL amongst university students to combat the pandemic.

Digital Health Literacy: A Bibliometric Analysis (Preprint)

2021 ◽  
Author(s):  
Keng Yang ◽  
Yekang Hu ◽  
Hanying Qi
Keyword(s):  
Health Literacy ◽  
Health Outcomes ◽  
Digital Divide ◽  
Bibliometric Analysis ◽  
Digital Health ◽  
The United States ◽  
Research Progress ◽  
Future Research ◽  
Scientific Publications ◽  
Number Of Publications

BACKGROUND Digital health is growing at a rapid pace, and digital health literacy has tremendous potential to promote health outcomes, bridge the digital divide, and improve health inequalities. OBJECTIVE The purposes of this study are to conduct a systematic bibliometric analysis on the field of dig-ital health literacy and to understand the research context and trends in this field. METHODS A total of 1,955 scientific publications were collected from the Web of Science (WoS) core col-lection. Institutional cooperation, journal co-citation, theme bursting, keyword co-occurrence, author cooperation, author co-citation, literature co-citation and references in the field of digi-tal health literacy were analyzed using the VOSviewer and CiteSpace knowledge mapping tools. RESULTS The results demonstrated that the United States was the leader in number of publications and citations in this field. The University of California System was first in terms of institutional contributions. The Journal of Medical Internet Research led in number of publications, cita-tions and co-citations. Research areas in the field of digital health literacy mainly include the definition and scale of health literacy, health literacy and health outcomes, health literacy and the digital divide, and the influencing factors of health literacy. CONCLUSIONS We summarize research progress in the field of digital health literacy and reveal the context, trends, and trending topics of digital health literacy research through statistical analysis and network visualization. Our work can serve as a fundamental reference and directional guide for future research in this field.

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