Department of Medicine, Faculty of Medicine, McGill University, Montreal, Canada.
The Research Institute of the McGill University Health Centre, 5252 Boulevard de Maisonneuve O, Room 3E-11, Montreal, Québec, H4A 3S5, Canada.
Osteoporos Int. 2020 Jul;31(7):1333-1340. doi: 10.1007/s00198-020-05359-3. Epub 2020 Feb 28.
Among older adults who have recently sustained a fracture, there is substantial adoption of mobile technology. Furthermore, health and eHealth literacy level reported by participants supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.
Electronic health resources are increasingly used in the self-management of medical conditions. We aimed to identify the current level of technology adoption, health, and eHealth literacy among older adults with a recent fracture, to determine if the use of electronic interventions would be feasible and acceptable in this population.
Adults ≥ 50 years with recent fractures were invited to complete a self-administered survey composed of 21 questions, including an 8-item perceived eHealth literacy scale.
A total of 401 participants completed the survey (women, 64%; ≥ 65 years, 59%; university education, 32%). Most participants reported no difficulty in reading printed health material (67%) and felt confident in filling out medical forms (65%). Younger age and higher levels of education were associated with higher health literacy. Most respondents (81%) owned at least one mobile device (smartphone, 49%; tablet, 45%). eHEALS scores were similar among men (29, IQR 24-32) and women (29, IQR 25-33), and between younger age group categories (50-64 years, 30; IQR 26-33; and 65-74 years, 29; IQR 25-32), but lower in the oldest age group (≥ 75 years, 24; IQR 21-29; p < 0.05). Compared with the youngest group, those ≥ 75 years had higher odds of an eHEALS < 26 (odds ratio, 4.2; 95% confidence interval 2.0-8.9) after adjusting for sex and education level.
There is significant adoption of mobile technology among older adults. Health and eHealth literacy reported by this study population supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.
在最近发生骨折的老年人中，移动技术的采用率很高。此外，参与者报告的健康和电子健康素养水平支持开发互动式电子健康干预措施，以促进骨骼健康管理中患者更好地参与。
电子健康资源越来越多地用于自我管理医疗状况。我们旨在确定最近发生骨折的老年人的技术采用率、健康和电子健康素养水平，以确定在该人群中使用电子干预措施是否可行和可接受。
邀请年龄在 50 岁及以上、最近发生骨折的成年人完成一份由 21 个问题组成的自我管理调查，其中包括 8 个项目的感知电子健康素养量表。
共有 401 名参与者完成了调查（女性占 64%；年龄在 65 岁及以上的占 59%；受过大学教育的占 32%）。大多数参与者表示阅读印刷健康材料没有困难（67%），并且对填写医疗表格有信心（65%）。年龄较小和受教育程度较高与较高的健康素养相关。大多数受访者（81%）至少拥有一种移动设备（智能手机，49%；平板电脑，45%）。男性（29，IQR 24-32）和女性（29，IQR 25-33）的 eHEALS 评分相似，年轻年龄组之间的评分也相似（50-64 岁，30；IQR 26-33；65-74 岁，29；IQR 25-32），但年龄最大的年龄组（≥75 岁，24；IQR 21-29）较低（p<0.05）。与最年轻的组相比，≥75 岁的人 eHEALS<26 的可能性更高（优势比，4.2；95%置信区间，2.0-8.9），调整性别和教育水平后。
在老年人中，移动技术的采用率很高。本研究人群报告的健康和电子健康素养水平支持开发互动式电子健康干预措施，以促进骨骼健康管理中患者更好地参与。
