Department of Nursing, Hoseo University, Asan, Republic of Korea.
School of Nursing, Columbia University, New York, NY, United States.
J Med Internet Res. 2024 Aug 13;26:e58497. doi: 10.2196/58497.
There has been a rapid expansion of digital health care services, making the need for measuring and improving digital health readiness a priority. In response, our study team developed the Mobile-Centered Digital Health Readiness: Health Literacy and Equity Scale (mDiHERS) to measure digital health readiness.
We aim to develop and validate a scale that assesses digital health readiness, encompassing literacy and equity, and to ensure the effective use of mobile-centered digital health services.
This study was conducted from October 2021 to October 2022 to develop and validate the mDiHERS. Participants included patients with inflammatory bowel disease, which is a chronic condition requiring continuous management, and experts in medical and nursing informatics. The scale development involved a literature review, focus group interviews, and content validity evaluations. A total of 440 patients with inflammatory bowel disease were recruited for the validation phase, with 403 completing the survey. The scale's validity and reliability were assessed through exploratory factor analysis and Cronbach α. The scale was translated into English by translators and bilingual and native researchers, ensuring its applicability in diverse settings.
The mDiHERS consists of 36 items across 6 domains, with a 5-point Likert scale for responses. The validation process confirmed the scale's construct validity, with 4 factors explaining 65.05% of the total variance. The scale's reliability was established with Cronbach α values ranging from 0.84 to 0.91. The scale's development considered the technical proficiency necessary for engaging with health mobile apps and devices, reflecting the importance of subjective confidence and objective skills in digital health literacy.
The mDiHERS is a validated tool for measuring patients' readiness and ability to use digital health services. The mDiHERS assesses user characteristics, digital accessibility, literacy, and equity to contribute to the effective use of digital health services and improve accessibility. The development and validation of the mDiHERS emphasize the importance of confidence and competence in managing health digitally. Continuous improvements are necessary to ensure that all patients can benefit from digital health care.
数字医疗服务迅速扩展，这使得衡量和提高数字健康准备程度成为当务之急。有鉴于此，我们的研究团队开发了以移动为中心的数字健康准备度：健康素养和公平量表（mDiHERS）来衡量数字健康准备度。
我们旨在开发和验证一种能够评估数字健康准备度的量表，涵盖素养和公平，并确保移动为中心的数字医疗服务得以有效利用。
本研究于 2021 年 10 月至 2022 年 10 月期间开展，以开发和验证 mDiHERS。参与者包括患有炎症性肠病的患者，这是一种需要持续管理的慢性病，以及医学和护理信息学方面的专家。量表开发包括文献回顾、焦点小组访谈和内容有效性评估。共有 440 名炎症性肠病患者参加了验证阶段，其中 403 名完成了调查。通过探索性因子分析和 Cronbach α 评估量表的有效性和可靠性。该量表由翻译人员和双语及母语研究人员翻译成英文，以确保其在不同环境中的适用性。
mDiHERS 由 6 个领域的 36 个项目组成，回答采用 5 级 Likert 量表。验证过程证实了量表的结构有效性，4 个因子解释了总方差的 65.05%。量表的可靠性通过 Cronbach α 值确定，范围为 0.84 至 0.91。量表的开发考虑了使用健康移动应用程序和设备所需的技术熟练程度，反映了数字健康素养中主观信心和客观技能的重要性。
mDiHERS 是一种经过验证的工具，可用于衡量患者使用数字医疗服务的准备情况和能力。mDiHERS 评估用户特征、数字可及性、素养和公平，有助于数字医疗服务的有效利用和提高可及性。mDiHERS 的开发和验证强调了数字化管理健康的信心和能力的重要性。需要不断改进以确保所有患者都能受益于数字医疗保健。
