Pourrazavi Sara, Kouzekanani Kamiar, Bazargan-Hejazi Shahrzad, Shaghaghi Abdolreza, Hashemiparast Mina, Fathifar Zahra, Allahverdipour Hamid
Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, 14711 Iran.
College of Education & Human Development, TAMUCC, 6300 Ocean Dr., Unit 5818, FC 223, Corpus Christi, TX 78412-5818 USA.
Arch Public Health. 2020 Aug 10;78:72. doi: 10.1186/s13690-020-00455-6. eCollection 2020.
e-health literacy can facilitate the uptake of benefits of health for older adults. In this review, we aimed to tabulate the types and outcomes of the theory-based e-health interventions that had been applied to improve the e-health literacy of older adults.
In this systematic review, theory-based e-health literacy interventions that published up to April 2020 were retrieved from several online electronic databases, including Medline via PubMed, Cochrane Library, ProQuest, and EMBASE. The published papers were included in this study, if the study had been conducted on older adults, a theory-based intervention aimed at promoting e-health literacy, and had been written in English language in the timeframe of 2008-2020.
A total of 1658 records were identified initially, of which, 12 articles met the inclusion criteria. The systematic review identified the using of variety of intrapersonal, interpersonal, and societal level conceptual models in enhancing of e-health literacy in older adults, and the concept of self-efficacy was applied in the most of interventions as the main conceptual theoretical framework.
Despite the paucity of conceptual models, which are specifically designed for e-health literacy interventions, based on our findings, we recommend self-efficacy as a powerful concept that can play an important role in improving e-health literacy in older adults.
电子健康素养有助于老年人获取健康益处。在本综述中，我们旨在梳理已应用的基于理论的电子健康干预措施的类型及效果，这些措施旨在提高老年人的电子健康素养。
在这项系统综述中，我们从多个在线电子数据库中检索了截至2020年4月发表的基于理论的电子健康素养干预措施，包括通过PubMed检索的Medline、Cochrane图书馆、ProQuest和EMBASE。如果研究对象为老年人，是旨在提高电子健康素养的基于理论的干预措施，且在2008 - 2020年期间以英文撰写，则将发表的论文纳入本研究。
初步共识别出1658条记录，其中12篇文章符合纳入标准。该系统综述确定了在提高老年人电子健康素养方面使用了各种个人、人际和社会层面的概念模型，并且自我效能概念在大多数干预措施中作为主要概念理论框架被应用。
尽管专门为电子健康素养干预设计的概念模型较少，但基于我们的研究结果，我们推荐自我效能作为一个有力概念，它在提高老年人电子健康素养方面可发挥重要作用。
