The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, Hong Kong, China.
Independent Scholar, Labuan Bajo, Flores, Indonesia.
PLoS One. 2023 Oct 4;18(10):e0291229. doi: 10.1371/journal.pone.0291229. eCollection 2023.
eHealth has shown many benefits in health promotion and disease prevention. For engaging in and taking advantage of eHealth, eHealth literacy is essential. This systematic review aims to summarise and examine the existing evidence on determinants and outcomes of eHealth literacy in healthy adults.
We searched the relevant peer-reviewed articles published in English in six databases: MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane Library and ProQuest. The inclusion criteria of the review were: 1) studies examining 'eHealth literacy', which refers to the ability to search, select, judge and apply online health information to address or solve health problems and to improve wellbeing; 2) the type of study included observational and experimental studies, mixed method studies or qualitative studies; 3) the participants were healthy adults; 4) the main outcomes were the determinants (i.e. influencing or associated factors) and outcomes (i.e. benefits and disadvantages) of eHealth literacy. Articles were assessed by two reviewers using the Joanna Briggs Institute critical appraisal tool. A conceptual model to map the determinants and outcomes of eHealth literacy in healthy adults into the non-modifiable, individual, social and community networks and structural layers was developed to classify the identified determinants and outcomes.
Forty-four studies were included in this review, of which 43 studies were cross-sectional and one was qualitative. eHealth literacy determinants included age, sex, literacy factors, socioeconomic factors and language. eHealth literacy outcomes included better general health promotion behavior, COVID-19 preventive behaviors, psychological wellbeing, social support, self-rated health and health service utilisation.
Our results showed that eHealth literacy has multi-layered determinants and positive outcomes. Different strategies at different policy levels are needed to improve the eHealth literacy levels of healthy adults.
电子健康在促进健康和疾病预防方面显示出了许多益处。为了参与和利用电子健康，电子健康素养是必不可少的。本系统评价旨在总结和检查健康成年人电子健康素养的决定因素和结果的现有证据。
我们在六个英文同行评审数据库中搜索了相关的已发表文章：MEDLINE、EMBASE、PsycINFO、CINAHL、Cochrane 图书馆和 ProQuest。本综述的纳入标准为：1）研究“电子健康素养”，即搜索、选择、判断和应用在线健康信息以解决或解决健康问题并提高幸福感的能力；2）研究类型包括观察性研究、实验研究、混合方法研究或定性研究；3）参与者为健康成年人；4）主要结果是电子健康素养的决定因素（即影响或相关因素）和结果（即益处和缺点）。文章由两位评审员使用 Joanna Briggs 研究所的批判性评估工具进行评估。为了将健康成年人电子健康素养的决定因素和结果映射到不可变、个体、社会和社区网络以及结构层中，开发了一个概念模型，以对确定的决定因素和结果进行分类。
本综述共纳入了 44 项研究，其中 43 项为横断面研究，1 项为定性研究。电子健康素养的决定因素包括年龄、性别、文化素养因素、社会经济因素和语言。电子健康素养的结果包括更好的一般健康促进行为、COVID-19 预防行为、心理幸福感、社会支持、自我评估的健康和卫生服务利用。
我们的结果表明，电子健康素养具有多层次的决定因素和积极的结果。需要在不同政策层面采取不同的策略来提高健康成年人的电子健康素养水平。
