School of Healthcare Sciences, Cardiff University, 19 Brent Avenue, Didcot, Oxforshire, United Kingdom.
School of Physical and Occupational Therapy, McGill University, 5385 rue de Bernieres, Saint Leonard H1R 1M9, Canada.
J Geriatr Oncol. 2022 Jun;13(5):555-562. doi: 10.1016/j.jgo.2021.11.008. Epub 2021 Nov 20.
Over 90% of people living with cancer access information online to inform healthcare decisions. Older adults with cancer are also increasingly adopting electronic healthcare services, or eHealth, particularly with the rapid transition to virtual care amidst the pandemic. Therefore, the purpose of this review is to understand the level of eHealth literacy among older adults with cancer and their caregivers, as well as any barriers and facilitators in terms of accessing, comprehending, and implementing eHealth information.
This scoping review was guided by Arksey and O'Malley methodology and PRISMA ScR guidelines. Comprehensive searches for the concepts of "eHealth Literacy" and "cancer" were performed in MEDLINE, Scopus, CINAHL, PsycINFO, AMED and EMBASE, from 2000 to 2021. We used descriptive quantitative and thematic analysis to analyze the literature.
Of the 6076 articles screened by two reviewers, eleven articles were included. Quantitative findings suggest older adults with cancer and their caregivers have low self-perceived eHealth literacy and less confidence evaluating online health information for cancer decision-making. Low socioeconomic status, lower education levels, rapid expansion of digital applications, broadband access, reduced familiarity, and frequency of use were cited as prominent barriers. eHealth literacy appears to be positively correlated with caregivers seeking a second opinion, awareness of treatment options, shared decision making, and trust in the health care system.
With the growing reliance on eHealth tools, developing credible digital health applications that require minimal internet navigation skills, patient education, and collaborative efforts to address access and affordability are urgently warranted.
超过 90%的癌症患者会上网查询信息以辅助医疗决策。患有癌症的老年患者也越来越多地采用电子医疗服务，即电子健康，尤其是在大流行期间快速转向虚拟护理的情况下。因此，本综述的目的是了解癌症老年患者及其照护者的电子健康素养水平，以及在获取、理解和实施电子健康信息方面存在的障碍和促进因素。
本研究采用阿特金斯和奥马利的方法和 PRISMA ScR 指南进行。从 2000 年至 2021 年，在 MEDLINE、Scopus、CINAHL、PsycINFO、AMED 和 EMBASE 中对“电子健康素养”和“癌症”这两个概念进行了全面检索。我们使用描述性定量和主题分析来分析文献。
在两名审查员筛选的 6076 篇文章中，有 11 篇文章被纳入。定量研究结果表明，癌症老年患者及其照护者自我感知的电子健康素养较低，对在线健康信息用于癌症决策的信心不足。社会经济地位较低、教育程度较低、数字应用程序快速扩展、宽带接入、熟悉度和使用频率降低被认为是突出的障碍。电子健康素养似乎与照护者寻求第二意见、对治疗选择的认识、共同决策以及对医疗保健系统的信任呈正相关。
随着对电子健康工具的日益依赖，迫切需要开发出可信度高的数字健康应用程序，这些应用程序需要具备最低的互联网导航技能、患者教育以及共同努力来解决获取和负担能力问题。
