SynthesisBMC geriatrics2023
Diagnostic accuracy of eHealth literacy measurement tools in older adults: a systematic review.
Synthesis in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
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Who cites it
13 citing papers in PubMed.
- Development of Data-Driven Models for Just-in-Time Digital Self-Management Advice to Improve Physical Functioning in Hip and Knee Osteoarthritis: Protocol for the e-cOAch Cross-Over Study.JMIR research protocols · 2026Article
- Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.Journal of medical Internet research · 2026Article
- Article
- Association between social capital, eHealth literacy, and digital health literacy among undergraduate students in China: a multigroup analysis based on gender differences.Frontiers in public health · 2026Article
- Digital health literacy and associated factors among community-dwelling older adults with multimorbidity: a cross-sectional study.Frontiers in public health · 2026Article
- The impact of digital reverse mentoring on older adults' digital literacy: mediating roles of self-perceptions of aging and self-efficacy.Innovation in aging · 2026Article
- Digital Divide in Awareness, Want, and Adoption Across Diverse eHealth Services: Cross-Sectional Survey of Inpatients in Jinan, China.Journal of medical Internet research · 2025Article
- Implementation of Telehealth Among Older People: A Challenge and Opportunity for Latin America and the Caribbean-A Literature Review.Healthcare (Basel, Switzerland) · 2025Review
- Understanding Health Information Needs: An Evaluation of Co-Design Video-Assisted Education.Journal of cancer education : the official journal of the American Association for Cancer Education · 2025Article
- Neonatal nurses' e-health literacy and technology‑mediated clinical practice: a cross-sectional analysis of digital health competencies and practice patterns.BMC nursing · 2025Article
- A Smartphone Is Not Enough: Telehealth Attendance and the Digital Divide.Health care science · 2025Article
- Digital health literacy among older adults in China: a cross-sectional study on prevalence and influencing factors.Frontiers in public health · 2025Article
- Electronic Health Literacy Scale-Web3.0 for Older Adults with Noncommunicable Diseases: Validation Study.Journal of medical Internet research · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Canada, virtual health care rapidly expanded during the COVID-19 pandemic. There is substantial variability between older adults in terms of digital literacy skills, which precludes equitable participation of some older adults in virtual care. Little is known about how to measure older adults' electronic health (eHealth) literacy, which could help healthcare providers to support older adults in accessing virtual care. Our study objective was to examine the diagnostic accuracy of eHealth literacy tools in older adults.
methodsWe completed a systematic review examining the validity of eHealth literacy tools compared to a reference standard or another tool. We searched MEDLINE, EMBASE, CENTRAL/CDSR, PsycINFO and grey literature for articles published from inception until January 13, 2021. We included studies where the mean population age was at least 60 years old. Two reviewers independently completed article screening, data abstraction, and risk of bias assessment using the Quality Assessment for Diagnostic Accuracy Studies-2 tool. We implemented the PROGRESS-Plus framework to describe the reporting of social determinants of health.
resultsWe identified 14,940 citations and included two studies. Included studies described three methods for assessing eHealth literacy: computer simulation, eHealth Literacy Scale (eHEALS), and Transactional Model of eHealth Literacy (TMeHL). eHEALS correlated moderately with participants' computer simulation performance (r = 0.34) and TMeHL correlated moderately to highly with eHEALS (r = 0.47-0.66). Using the PROGRESS-Plus framework, we identified shortcomings in the reporting of study participants' social determinants of health, including social capital and time-dependent relationships.
conclusionsWe found two tools to support clinicians in identifying older adults' eHealth literacy. However, given the shortcomings highlighted in the validation of eHealth literacy tools in older adults, future primary research describing the diagnostic accuracy of tools for measuring eHealth literacy in this population and how social determinants of health impact the assessment of eHealth literacy is needed to strengthen tool implementation in clinical practice. PROTOCOL REGISTRATION: We registered our systematic review of the literature a priori with PROSPERO (CRD42021238365).
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