Kim Henna, Xie Bo
School of Information, The University of Texas at Austin, 1616 Guadalupe Suite #5.518, Austin, TX, 78701, USA.
School of Nursing & School of Information, The University of Texas at Austin, Austin, USA.
Patient Educ Couns. 2017 Jun;100(6):1073-1082. doi: 10.1016/j.pec.2017.01.015. Epub 2017 Jan 28.
This study aimed to identify studies on online health service use by people with limited health literacy, as the findings could provide insights into how health literacy has been, and should be, addressed in the eHealth era.
To identify the relevant literature published since 2010, we performed four rounds of selection-database selection, keyword search, screening of the titles and abstracts, and screening of full texts. This process produced a final of 74 publications.
The themes addressed in the 74 publications fell into five categories: evaluation of health-related content, development and evaluation of eHealth services, development and evaluation of health literacy measurement tools, interventions to improve health literacy, and online health information seeking behavior.
Barriers to access to and use of online health information can result from the readability of content and poor usability of eHealth services. We need new health literacy screening tools to identify skills for adequate use of eHealth services. Mobile apps hold great potential for eHealth and mHealth services tailored to people with low health literacy.
Efforts should be made to make eHealth services easily accessible to low-literacy individuals and to enhance individual health literacy through educational programs.
本研究旨在识别健康素养有限人群使用在线健康服务的相关研究，因为研究结果可为了解电子健康时代健康素养如何得到解决以及应如何解决提供见解。
为识别自2010年以来发表的相关文献，我们进行了四轮筛选——数据库选择、关键词搜索、标题和摘要筛选以及全文筛选。这一过程最终产生了74篇出版物。
74篇出版物中涉及的主题分为五类：健康相关内容评估、电子健康服务的开发与评估、健康素养测量工具的开发与评估、提高健康素养的干预措施以及在线健康信息搜索行为。
在线健康信息获取和使用的障碍可能源于内容的可读性和电子健康服务的可用性差。我们需要新的健康素养筛查工具来识别充分使用电子健康服务所需的技能。移动应用程序在为健康素养低的人群量身定制电子健康和移动健康服务方面具有巨大潜力。
应努力使低文化水平个体能够轻松使用电子健康服务，并通过教育项目提高个体健康素养。
