College of Nursing & Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea.
Department of Nursing, Sunmoon University, Asan, Republic of Korea.
BMC Geriatr. 2022 Nov 29;22(1):918. doi: 10.1186/s12877-022-03545-y.
The Internet is considered an important channel for providing health information to older adults. We developed an intervention to improve eHealth literacy in older adults according to the information-motivation-behavioral skills (IMB) theory and Intervention Mapping. This study aimed to analyze the effect of a developed intervention on information, motivation, behavioral skills, and behaviors related to eHealth information in older adults.
Forty-six older adults over the age of 65 were recruited from two senior welfare centers in a city in South Korea. We divided the participants into four groups and conducted one intervention per group from March to December 2019. One intervention consisted of 5 sessions and was performed once a week (2 h/1 time) for 5 weeks, culminating in a total lecture time of 10 h. One lecture instructor and two assistant instructors supported the participants in the computer practices.
Participants' computer/web knowledge, perceived ease of use, perceived enjoyment, and attitude toward eHealth information showed statistically significant increases. The eHealth literacy efficacy score, searching performance score, and understanding score were also significantly increased. However, there was no significant difference in perceived usefulness.
The application of the current theory-based methodology can improve the quality of research in eHealth literacy. Additionally, various interventions should be developed and continuously applied to improve eHealth literacy among older adults.
互联网被认为是向老年人提供健康信息的重要渠道。我们根据信息-动机-行为技能（IMB）理论和干预映射开发了一项干预措施，以提高老年人的电子健康素养。本研究旨在分析针对老年人的电子健康信息的信息、动机、行为技能和行为的开发干预的效果。
从韩国某城市的两个老年人福利院招募了 46 名 65 岁以上的老年人。我们将参与者分为四组，从 2019 年 3 月至 12 月，每组进行一次干预。一次干预包括 5 个课程，每周一次（每次 2 小时），共进行 5 周，总授课时间为 10 小时。一名讲师和两名助理讲师在计算机实践中为参与者提供支持。
参与者的计算机/网络知识、感知易用性、感知乐趣和对电子健康信息的态度均有统计学意义的增加。电子健康素养效能评分、搜索表现评分和理解评分也显著提高。但是，感知有用性没有显著差异。
基于当前理论的方法的应用可以提高电子健康素养研究的质量。此外，应该开发各种干预措施并不断应用，以提高老年人的电子健康素养。
