Faux-Nightingale Alice, Philp Fraser, Chadwick Darren, Singh Baldev, Pandyan Anand
Keele University, Newcastle under Lyme, UK.
University of Liverpool, Liverpool, UK.
Heliyon. 2022 Aug 23;8(8):e10380. doi: 10.1016/j.heliyon.2022.e10380. eCollection 2022 Aug.
As eHealth and use of information and communication technologies (ICT) within healthcare becomes widespread, it is important to ensure that these forms of healthcare are accessible to the users. One factor that is key to accessing eHealth is digital health literacy.
This scoping review assesses available tools that can be used to evaluate digital health literacy.
A systematic literature search was made in MEDLINE, CINAHL, APA PsychInfo, Ageline, AMED, and APA PsychArticles to present the tools currently in use to assess digital health literacy. A qualitative synthesis of the evidence was carried out using a data charting form created for this review. Extracted data included details of the population of investigation and digital health literacy tool used. A report was produced following PRISMA-ScR guidelines.
In total, 53 papers with adult participants and 3 with adolescent participants (aged between 12 and 19 years) were included in the scoping review. 5 questionnaires were identified that measured digital health literacy or attitudes towards the internet, of which the eHealth Literacy Scale (eHEALS) was the most commonly used questionnaire for both adults and children. Two children's questionnaires were often accompanied by a second task to verify the accuracy of the responses to the eHEALS questions.
eHEALS is the most commonly used method to assess digital health literacy and assess whether an individual is able to engage actively with eHealthcare or virtual resources. However, care needs to be taken to ensure that its administration does not exclude digitally disadvantaged groups from completing it. Future research would benefit from assessing whether digital health literacy tools are appropriate for use in clinical settings, working to ensure that any scales developed in this area are practical and can be used to support the allocation of resources to ensure that people are able to access healthcare equitably.
随着电子健康以及信息通信技术（ICT）在医疗保健领域的广泛应用，确保用户能够使用这些医疗保健形式至关重要。获取电子健康的一个关键因素是数字健康素养。
本范围综述评估可用于评估数字健康素养的现有工具。
在MEDLINE、CINAHL、APA PsychInfo、Ageline、AMED和APA PsychArticles中进行了系统的文献检索，以呈现目前用于评估数字健康素养的工具。使用为此综述创建的数据图表形式对证据进行定性综合。提取的数据包括调查人群的详细信息和所使用的数字健康素养工具。根据PRISMA-ScR指南生成了一份报告。
范围综述共纳入了53篇有成年参与者的论文和3篇有青少年参与者（年龄在12至19岁之间）的论文。确定了5份测量数字健康素养或对互联网态度的问卷，其中电子健康素养量表（eHEALS）是成人和儿童最常用的问卷。两份儿童问卷通常还会附带第二项任务，以核实对eHEALS问题回答的准确性。
eHEALS是评估数字健康素养以及评估个人是否能够积极参与电子医疗保健或虚拟资源的最常用方法。然而，需要注意确保其实施不会将数字弱势群体排除在外。未来的研究将受益于评估数字健康素养工具是否适用于临床环境，努力确保在这一领域开发的任何量表都切实可行，并可用于支持资源分配，以确保人们能够公平地获得医疗保健。
