老年人数字健康素养研究进展

王欣欣; 栾伟

doi:10.16766/j.cnki.issn.1674-4152.003214

老年人数字健康素养研究进展

doi: 10.16766/j.cnki.issn.1674-4152.003214

王欣欣^{1, 2},
栾伟^1, ,

1.
上海中医药大学附属曙光医院护理部, 上海 201203
2.
上海交通大学护理学院, 上海 200025

基金项目:

上海市卫健委课题 202150032

上海市医院协会课题 X2020083

上海交通大学科技转移项目 ZT201902

详细信息

通讯作者:
栾伟，E-mail: luanwei_shuguang@126.com

中图分类号: R161.7
计量
- 文章访问数: 504
- HTML全文浏览量: 61
- PDF下载量: 67
- 被引次数: 0
出版历程
- 收稿日期: 2022-11-18
- 网络出版日期: 2023-11-23

Research progress on digital health literacy among older adults

WANG Xinxin^{1, 2},
LUAN Wei^{1
, ,}

1.
Nursing Department, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203, China

摘要

摘要: 近年来，数字技术飞速发展并不断应用于老年人就医、养老、健康管理等领域，提升了健康养老产品的智慧化水平，改变了老年人获取和分享健康知识的方式，同时也要求老年人有更高水平的数字健康素养以适应社会、促进健康。所以，如何让老年人适应健康服务的数字化改革、激发老年人利用数字设备进行健康管理的热情、提升老年人数字健康素养成了迫在眉睫的问题。数字健康素养(digital health literacy, DHL)是健康素养概念的分支，指的是个人在运用数字技术和数字信息的背景下，个体获得、处理、交流和理解健康信息和服务，通过有效的健康决策促进和改善个人和集体健康的能力。本文通过综述国内外关于老年人数字健康素养的研究，以期为提升老年人数字健康素养、缩小数字鸿沟、促进健康公平提供参考。研究发现：影响老年人DHL的因素可分为社会人口学因素、数字设备相关因素等；现有在老年人群中应用过的评估老年人DHL的工具有数字健康素养量表、数字健康素养评估工具等；对于老年人而言，DHL可对其生命质量、认知健康等方面产生影响；现有干预方法主要有传统课堂、基于混合教学和互动技术的培训等。总体而言，老年人数字健康素养相关研究仍处于起步阶段，特别是在评估工具和干预方法方面，需要更进一步发展。
- 数字健康素养 /
- 老年人 /
- 综述
Abstract: In recent years, digital technology has developed rapidly and continues to be applied in medical treatment, retirement, health management, and other fields. While the quality of health care products and services has improved, the way older adults acquire and share health knowledge is also changing and a higher level of digital health literacy is required for older adults to adapt to society and promote health. Therefore, it has become an urgent issue to enable older adults to adapt to the digital reform of health services, to motivate them to use digital devices for health management, and to improve their digital health literacy. Digital health literacy (DHL) is an extended concept of health literacy, which refers to the ability of individuals to acquire, process, communicate, and understand health information and services, make effective health decisions, and promote and improve individual and collective health in the context of using digital information and technologies. By reviewing domestic and international studies on DHL in older adults, this paper aims to provide evidence for improving DHL, bridging the digital divide, and promoting health equity in older adults. The findings revealed that factors influencing DHL in older adults could be classified into socio-demographic factors, digital device-related factors, etc. Existing tools to assess DHL in older adults include the Digital Health Literacy Scale, Digital Health Literacy Assessment, etc. For older adults, DHL can affect their quality of life, cognitive health, etc. Existing intervention methods mainly include traditional classroom-based, based on blended learning and interactive technology-based training, etc. In general, research on digital health literacy in older adults is still in its infancy. Further development is warranted, especially with regard to assessment tools and intervention methods.
- Digital health literacy /
- The aged /
- Review

HTML全文

参考文献(42)

[1]	DUNN P, CONARD S. Digital health literacy in cardiovascular research[J]. Int J Cardiol, 2018, 269: 274-275. doi: 10.1016/j.ijcard.2018.07.011
[2]	黄萍, 汪铭涵, 张安, 等. 上海实施国家基本公共卫生服务项目十年效果评价[J]. 中华全科医学, 2020, 18(12): 1979-1983. doi: 10.16766/j.cnki.issn.1674-4152.001668 HUANG P, ZHANG M H, ZHANG A, et al. Evaluation of the ten-year effect of implementing national basic public health services in Shanghai[J]. Chinese Journal of General Practice, 2020, 18(12): 1979-1983. doi: 10.16766/j.cnki.issn.1674-4152.001668
[3]	ALVAREZ-GALVEZ J, SALINAS-PEREZ J A, MONTAGNI I, et al. The persistence of digital divides in the use of health information: a comparative study in 28 European countries[J]. Int J Public Health, 2020, 65(3): 325-333. doi: 10.1007/s00038-020-01363-w
[4]	国务院办公厅. 《关于切实解决老年人运用智能技术困难的实施方案》[EB/OL]. (2020-11-24)[2022-02-15]. http://www.gov.cn/zhengce/content/2020-11/24/content_5563804.htm. General Office of the State Council of the People's Republic of China. Implementation plan to effectively address the difficulties of using smart technology for the elderly[EB/OL]. (2020-11-24)[2022-02-15]. http://www.gov.cn/zhengce/content/2020-11/24/content_5563804.htm.
[5]	中国社会科学院社会发展战略发展研究院. 《后疫情时代的互联网适老化研究》[EB/OL]. (2021-09-25)[2022-02-15]. http://ie.bjd.com.cn/a/202109/26/AP614fcff1e4b07f4e484fd7cd.html. Institute of Social Development Strategy Development CAoSS. Internet ageing research in the post-epidemic era[EB/OL]. (2021-09-25)[2022-02-15]. http://ie.bjd.com.cn/a/202109/26/AP614fcff1e4b07f4e484fd7cd.html.
[6]	PAIGE S R, MILLER M D, KRIEGER J L, et al. Electronic health literacy across the lifespan: measurement invariance study[J]. J Med Internet Res, 2018, 20(7): e10434. DOI: 10.2196/10434.
[7]	DUNN P, HAZZARD E. Technology approaches to digital health literacy[J]. Int J Cardiol, 2019, 293: 294-296. doi: 10.1016/j.ijcard.2019.06.039
[8]	ROBBINS D, DUNN P. Digital health literacy in a person-centric world[J]. Int J Cardiol, 2019, 290: 154-155. doi: 10.1016/j.ijcard.2019.05.033
[9]	LI S J, CUI G H, YIN Y T, et al. Health-promoting behaviors mediate the relationship between eHealth literacy and health-related quality of life among Chinese older adults: a cross-sectional study[J]. Qual Life Res, 2021, 30(8): 2235-2243. doi: 10.1007/s11136-021-02797-2
[10]	刘珍, 张晗, 张艳, 等. 郑州市农村老年人电子健康素养现状及影响因素分析[J]. 现代预防医学, 2020, 47(2): 283-286, 309. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202002023.htm LIU Z, ZHANG H, ZHANG Y, et al. Current situation and influencing factors of e-health literacy among rural older adults in Zhengzhou[J]. Modern Preventive Medicine, 2020, 47(2): 283-286. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF202002023.htm
[11]	李少杰, 徐慧兰, 崔光辉. 老年人电子健康素养及影响因素[J]. 中华疾病控制杂志, 2019, 23(11): 1318-1322. doi: 10.16462/j.cnki.zhjbkz.2019.11.004 LI S J, XU H L, CUI G H. Analysis of eHealth literacy and its influencing factors among the elderly[J]. Chinese Journal of Disease Control & Prevention, 2019, 23(11): 1318-1321. doi: 10.16462/j.cnki.zhjbkz.2019.11.004
[12]	ARCURY T A, SANDBERG J C, MELIUS K P, et al. Older adult Internet use and eHealth literacy[J]. J Appl Gerontol, 2020, 39(2): 141-150. doi: 10.1177/0733464818807468
[13]	SHI Y X, MA D H, ZHANG J, et al. In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults[J]. J Public Health (Berl. ), 2023, 31(5): 679-687. doi: 10.1007/s10389-021-01604-z
[14]	周寒寒, 郑爱明. 社区老年人电子健康素养现状及影响因素分析[J]. 南京医科大学学报(社会科学版), 2018, 18(6): 455-458. https://www.cnki.com.cn/Article/CJFDTOTAL-YKNS201806011.htm ZHOU H H, ZHENG A M. Current situation and influencing factors of e-health literacy among community older adults[J]. Journal of Nanjing Medical University(Social Sciences), 2018, 18(6): 455-458. https://www.cnki.com.cn/Article/CJFDTOTAL-YKNS201806011.htm
[15]	LI S, BAGHDADLI A, WALL M, et al. Current level of technology use, health and eHealth literacy in older Canadians with a recent fracture-a survey in orthopedic clinics[J]. Osteoporos Int, 2020, 31(7): 1333-1340. doi: 10.1007/s00198-020-05359-3
[16]	DUPLAGA M, SOBECKA K, WOJCIK S. The reliability and validity of the telephone-based and online polish eHealth literacy scale based on two nationally representative samples[J]. Int J Environ Res Public Health, 2019, 16(17): 3216. doi: 10.3390/ijerph16173216
[17]	MAGSAMEN-CONRAD K, DILLON J M, VERHOFF C B, et al. Online health-information seeking among older populations: family influences and the role of the medical professional[J]. Health Commun, 2019, 34(8): 859-871. doi: 10.1080/10410236.2018.1439265
[18]	LIN Z, ZHANG Y, MATTESON M, et al. Older adults ' eHealth literacy and the role libraries can play[J]. J Libr Inf Sci, 2021, 53(3): 488-498.
[19]	DE SANTIS K K, JAHNEL T, SINA E, et al. Digitization and health in Germany: cross-sectional nationwide survey[J]. JMIR Public Health Surveill, 2021, 7(11): e32951. DOI: 10.2196/32951.
[20]	YANG E, CHANG S J, RYU H, et al. Comparing factors associated with eHealth literacy between young and older adults[J]. J Gerontol Nurs, 2020, 46(8): 46-56. doi: 10.3928/00989134-20200707-02
[21]	KIM H, YANG E, RYU H, et al. Psychometric comparisons of measures of eHealth literacy using a sample of Korean older adults[J]. Int J Older People Nurs, 2021, 16(3): e12369. DOI: 10.1111/opn.12369.
[22]	MIALHE F L, MORAES K L, SAMPAIO H A C, et al. Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults[J]. Rev Bras Enferm, 2021, 75(1): e20201320. DOI: 10.1590/0034-7167-2020-1320.
[23]	LIN C Y, BROSTROM A, GRIFFITHS M D, et al. Psychometric evaluation of the persian Ehealth Literacy Scale (Eheals) among elder Iranians with heart failure[J]. Eval Health Prof, 2020, 43(4): 222-229. doi: 10.1177/0163278719827997
[24]	罗辉芳, 黄颜怡, 宋嘉婷, 等. 类风湿关节炎患者电子健康素养与服药依从性调查[J]. 中国临床研究, 2022, 35(4): 534-538. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202204019.htm LUO H F, HUANG Y Y, SONG J T, et al. Electronic health literacy and medication compliance in patients with rheumatoid arthritis[J]. Chinese Journal of Clinical Research, 2022, 35(4): 534-538. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202204019.htm
[25]	ROJANASUMAPONG A, JIRAPORNCHAROEN W, NANTSUPAWAT N, et al. Internet use, electronic health literacy, and hypertension control among the elderly at an urban primary care center in Thailand: a cross-sectional study[J]. Int J Environ Res Public Health, 2021, 18(18): 9574. DOI: 10.3390/ijerph18189574.
[26]	HE Y, GUO L N, ZAUSZNIEWSKI J A, et al. A reliability and validity study of the electronic health literacy scale among stroke patients in China[J]. Top Stroke Rehabil, 2021: 1-9. DOI: 10.1080/10749357.2021.2016100.
[27]	KAYSER L, KARNOE A, FURSTRAND D, et al. A multidimensional tool based on the eHealth literacy framework: development and initial validity testing of the eHealth Literacy Questionnaire (eHLQ)[J]. J Med Internet Res, 2018, 20(2): e36. DOI: 10.2196/jmir.8371.
[28]	CHENG C, ELSWORTH G, OSBORNE R H. Validity evidence based on relations to other variables of the eHealth Literacy Questionnaire (eHLQ): bayesian approach to test for Known-groups validity[J]. J Med Internet Res, 2021, 23(10): e30243. DOI: 10.2196/30243.
[29]	LIU P, YEH L L, WANG J Y, et al. Relationship between levels of digital health literacy based on the Taiwan digital health literacy assessment and accurate assessment of online health information: cross-sectional questionnaire study[J]. J Med Internet Res, 2020, 22(12): e19767. DOI: 10.2196/19767.
[30]	LI S J, YIN Y T, CUI G H, et al. The associations among health-promoting lifestyle, eHealth literacy, and cognitive health in older Chinese adults: a cross-sectional study[J]. Int J Environ Res Public Health, 2020, 17(7): e19767. DOI: 10.3390/ijerph17072263.
[31]	刘文娇, 秦文哲, 徐凌忠, 等. 泰安市老年人电子健康素养与生活满意度和生命质量关系[J]. 中国公共卫生, 2021, 37(9): 1333-1336. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202109005.htm LIU W J, QIN W Z, XU L Z, et al. Associations of e-health literacy with life satisfaction and quality of life among the elderly in Tai'an city[J]. Chinese Journal of Public Health, 2021, 37(9): 1333-1336. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGW202109005.htm
[32]	ERNSTING C, STUHMANN L M, DOMBROWSKI S U, et al. Associations of health App use and perceived effectiveness in people with cardiovascular diseases and diabetes: population-based survey[J]. JMIR Mhealth Uhealth, 2019, 7(3): e12179. DOI: 10.2196/12179.
[33]	LEUNG A Y M, PARIAL L L, TOLABING M C, et al. Sense of coherence mediates the relationship between digital health literacy and anxiety about the future in aging population during the COVID-19 pandemic: a path analysis[J]. Aging Ment Health, 2020, 26(3): 544-553.
[34]	WONG A K C, BAYUO J, WONG F K Y. Investigating predictors of self-care behavior among homebound older adults: the role of self-efficacy, eHealth literacy, and perceived social support[J]. J Nurs Scholarsh, 2021, 54(3): 287-285.
[35]	POURRAZAVI S, KOUZEKANANI K, BAZARGAN-HEJAZI S, et al. Theory-based e-Health literacy interventions in older adults: a systematic review[J]. Arch Public Health, 2020, 78(1): 72.
[36]	BEVILACQUA R, STRANO S, DI ROSA M, et al. eHealth literacy: from theory to clinical application for digital health improvement. Results from the ACCESS training experience[J]. Int J Environ Res Public Health, 2021, 18(22): 11800. DOI: 10.3390/ijerph182211800.
[37]	PERESTELO-PEREZ L, TORRES-CASTANO A, GONZALEZ-GONZALEZ C, et al. IC-Health Project: development of MOOCs to promote digital health literacy: first results and future challenges[J]. Sustainability, 2020, 12(16): 6642.
[38]	CHANG S J, YANG E, LEE K E, et al. Internet health information education for older adults: a pilot study[J]. Geriatr Nurs, 2021, 42(2): 533-539.
[39]	LEE O E K, KIM D H. Bridging the digital divide for older adults via Intergenerational Mentor-Up[J]. Res Social Work Prac, 2019, 29(7): 786-795.
[40]	WILDENBOS G A, JASPERS M W M, SCHIJVEN M P, et al. Mobile health for older adult patients: using an aging barriers framework to classify usability problems[J]. Int J Med Inform, 2019, 124: 68-77.
[41]	LATULIPPE K, HAMEL C, GIROUX D. Integration of conversion factors for the development of an inclusive eHealth tool with caregivers of functionally dependent older persons: social justice design[J]. JMIR Human Factors, 2020, 7(3): e18120. DOI: 10.2196/18120.
[42]	TERP R, KAYSER L, LINDHARDT T. Older patients' competence, preferences, and attitudes toward digital technology use: explorative study[J]. JMIR Human Factors, 2021, 8(2): e27005. DOI: 10.2196/27005.