Evidence map›Paper›PMID 40896843›Full record

SynthesisJMIR human factors2025

Tailoring for Health Literacy in the Design and Development of eHealth Interventions: Systematic Review.

Jan Wessel Hovingh, Cynthia Elderson-van Duin, Derek A Kuipers, Yanda van Rood, Geke D S Ludden, Denise J C Hanssen, Judith G M Rosmalen

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR human factors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jan Wessel HovinghDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands, 31 (0)50 361 61 61.ORCID 0009-0009-6491-6249
Cynthia Elderson-van DuinDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands, 31 (0)50 361 61 61.ORCID 0009-0000-7546-7850
Derek A KuipersFuture Design Center, Faculty of Tech and Design, NHL Stenden University of Applied Sciences, Groningen, The Netherlands.ORCID 0000-0003-0647-9019
Yanda van RoodDepartment of Psychiatry, Leiden University Medical Center, Leiden University, Leiden, The Netherlands.ORCID 0000-0003-4589-0476
Geke D S LuddenDepartment of Interaction Design, Department of Design, Production and Management, University of Twente, Enschede, The Netherlands.ORCID 0000-0003-4508-9865
Denise J C HanssenDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands, 31 (0)50 361 61 61.ORCID 0000-0003-0119-9608
Judith G M RosmalenDepartment of Psychiatry, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen, 9713 GZ, The Netherlands, 31 (0)50 361 61 61.ORCID 0000-0002-6393-0032

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tailoring is an important strategy to improve uptake and efficacy of medical information and guidance provided through eHealth interventions. Given the rapid expansion of eHealth, understanding the design rationale of such tailored interventions is vital for further development of and research into eHealth interventions aimed at improving health and healthy behavior. Objective: This systematic review examines the use of health literacy concepts through tailoring strategies in digital health interventions (eHealth) aimed at improving health and how these elements inform the overall design rationale. Methods: A systematic search of PubMed, PsycINFO, Web of Science, and ACM databases yielded 31 eligible randomized trials that focused on adult health improvement through eHealth interventions. Eligible studies compared tailored versus nontailored eHealth interventions for adults, excluding non-English papers and those addressing solely readability or targeting populations with accessibility barriers. Data extraction focused on study characteristics, health literacy components, tailoring methods, and design rationales, with study quality evaluated using Quality Assessment for Diverse Studies (QuADS) by independent reviewers. Results: Most interventions applied both cognitive and social health literacy concepts and predominantly used content matching as a tailoring strategy. Of all studies using content matching, most used one or more supporting theories as well as end-user data to inform the content matching. While choices for individual intervention components were mostly explicated, detailed descriptions of the design process were scarce, with only a few studies articulating an underlying narrative that integrated the most important chosen components. Conclusions: While tailored eHealth interventions demonstrate promise in enhancing health literacy and the trial design of the interventions overall was of good quality, inconsistent documentation of design rationales impedes replicability and broader application of the used eHealth concepts. This calls for more detailed reporting on the design choices of the intervention in efficacy studies, so that reported outcomes can be easier connected to choices made in the design of the eHealth intervention.

Indexed as

Health LiteracyTelemedicineHumansdesigndesign rationaledevelopmenteHealthhealth literacyPRISMAtailoring

Identifiers

PMID40896843
PMCPMC12404580

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.