Molster Caron, Irvine Jennifer, Devine Amanda, Wallace Ruth, Barblett Lennie, Costello Leesa
School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia.
Australian Research Council Centre of Excellence for the Digital Child, QUT Kelvin Grove Campus, E Block, Level 4, Room 410, Victoria Park Road, Kelvin Grove, Queensland 4059, Australia.
Health Promot Int. 2025 Jul 1;40(4). doi: 10.1093/heapro/daaf093.
Health literacy is a determinant of health that should be promoted and measured in early childhood. In the era of digitalization, this could involve digital platforms. However, little knowledge exists on the extent, range, and nature of literature on digital tools for promoting or measuring young children's health literacy. Addressing this gap, a scoping review was undertaken to explore what digital health literacy tools for children aged 3-5 years could be identified in the literature, what their key features were, how they were designed, whether children were codesigners, and whether the tools had been evaluated. Eligibility criteria included the literature being peer-reviewed, published between 2013 and 2024, and in English. Nine health and education databases were searched, and 19 articles met the inclusion criteria. Few of the reported tools covered the core dimensions of health literacy, underlying the need for digital tools that promote and/or measure young children's health-related knowledge and information-related skills. There was sparse description of design approaches, and little evidence children were engaged as active design partners, which is critical to address. Encouragingly, some evidence was usually provided to rationalize choices around specific digital technologies and/or design features, which could be further bolstered with evidence from the field of educational technology for children. There is strength in the literature's reporting of evaluation studies using well-respected design approaches; however, sample sizes were sometimes small, long-term follow-up did not often occur, and the influence of contextual factors on children's use of the tools was not explored.
健康素养是一种健康决定因素，应在幼儿期加以促进和衡量。在数字化时代，这可能涉及数字平台。然而，对于促进或衡量幼儿健康素养的数字工具的文献范围、广度和性质，人们了解甚少。为了填补这一空白，我们进行了一项范围综述，以探究在文献中可以找到哪些针对3至5岁儿童的数字健康素养工具，它们的关键特征是什么，如何设计，儿童是否参与了共同设计，以及这些工具是否经过评估。纳入标准包括文献需经过同行评审、发表于2013年至2024年之间且为英文。我们检索了九个健康和教育数据库，19篇文章符合纳入标准。所报道的工具中很少涵盖健康素养的核心维度，这凸显了对促进和/或衡量幼儿健康相关知识及信息相关技能的数字工具的需求。对设计方法的描述很稀少，几乎没有证据表明儿童作为积极的设计伙伴参与其中，而这一点至关重要，需要加以解决。令人鼓舞的是，通常会提供一些证据来合理化围绕特定数字技术和/或设计特征的选择，这可以通过来自儿童教育技术领域的证据得到进一步加强。文献中使用备受推崇的设计方法对评估研究进行的报道有其优势；然而，样本量有时较小，长期随访并不经常进行，且未探讨情境因素对儿童使用这些工具的影响。
