Theory-based E-health literacy interventions in older adults: a systematic review

Pourrazavi, Sara; Kouzekanani, Kamiar; Bazargan‐Hejazi, Shahrzad; Shaghaghi, Abdolreza; Hashemiparast, Mina; Fathifar, Zahra; Allahverdipour, Hamid

doi:10.1186/s13690-020-00455-6

Cited by 55 publications

(41 citation statements)

References 50 publications

(149 reference statements)

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“…It is possible that the patients would have had lower confidence with digital devices if they had been asked before the assessment, as the first assessment could have had a positive effect on their confidence already. Previous data supports that hypothesis and suggests that the use of technology itself leads to self-esteem enhancement (Pourrazavi et al, 2020; Vaportzis et al, 2018). Age had indeed a negative effect on the Tablet-experience score.…”

Section: Discussionmentioning

confidence: 60%

Symptom Monitoring based on Digital Data Collection During Inpatient Treatment of Schizophrenia Spectrum Disorders – a Feasibility Study

Herpertz

Richter

Barkhau

et al. 2021

Preprint

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Background: Digital acquisition of risk factors and symptoms based on patients self-reports represents a promising, cost-efficient and increasingly prevalent approach for standardized data collection in psychiatric clinical routine. While the feasibility of digital data collection has been demonstrated across a range of psychiatric disorders, studies investigating digital data collection in schizophrenia spectrum disorder patients are scarce. Hence, up to now our knowledge about the acceptability and feasibility of digital data collection in patients with a schizophrenia spectrum disorder remains critically limited. Objective: The objective of this study was to explore the acceptance towards and performance with digitally acquired assessments of risk and symptom profiles in patients with a schizophrenia spectrum disorder in comparison with patients with an affective disorder. Methods: We investigated the acceptance, the required support and the data entry pace of patients during a longitudinal digital data collection system of risk and symptom profiles using self-reports on tablet computers throughout inpatient treatment in patients with a schizophrenia spectrum disorder. As a benchmark comparison, findings in patients with schizophrenia spectrum disorder were evaluated in direct comparison with findings in affective disorder patients. The influence of sociodemographic data and clinical characteristics on the assessment was explored. The study was performed at the Department of Psychiatry at the University of Muenster between February 2020 and February 2021. Results: Of 82 patients diagnosed with a schizophrenia spectrum disorder who were eligible for inclusion 59.8% (n=49) agreed to participate in the study of whom 54.2% (n=26) could enter data without any assistance. Inclusion rates, drop-out rates and subjective experience ratings did not differ between patients with a schizophrenia spectrum disorder and patients with an affective disorder. Out of all participating patients, 98% reported high satisfaction with the digital assessment. Patients with a schizophrenia spectrum disorder needed more support and more time for the assessment compared to patients with an affective disorder. The extent of support of patients with a schizophrenia spectrum disorder was predicted by age, whereas the feeling of self-efficacy predicted data entry pace. Conclusion: Our results indicate that, although patients with a schizophrenia spectrum disorder need more support and more time for data entry than patients with an affective disorder, digital data collection using patients self-reports is a feasible and well-received method. Future clinical and research efforts on digitized assessments in psychiatry should include patients with a schizophrenia spectrum disorder and offer adequate support to reduce digital exclusion of these patients.

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Section: Discussionmentioning

confidence: 60%

Symptom Monitoring based on Digital Data Collection During Inpatient Treatment of Schizophrenia Spectrum Disorders – a Feasibility Study

Herpertz

Richter

Barkhau

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Banbury et al developed and tested an e-health literacy project in Australia, which was specifically designed for the elderly living in the community, resulting in improved access to health information among the older adults (Banbury et al 2016). Frequent practice of using the internet had a positive association with high e-health literacy (Liu et al 2020) and reduced anxiety about electronic devices (Pourrazavi et al 2020). As main healthcare providers, medical staff should carry out relevant training programs for elderly people to practice e-health resources.…”

Section: Discussionmentioning

confidence: 99%

In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults

Shi

Zhang

et al. 2021

J Public Health (Berl.)

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Aim This study aimed to explore the current status of e-health literacy among Chinese older adults, and to summarize and analyze the related influencing factors. Subject and methods Following the PRISMA Checklist, we searched MEDLINE, CINAHL Complete (EBSCO), PubMed, Embase, Cochrane Library, China National Knowledge Infrastructure, WanFang Data, and China Science and Technology Journal Database to identify the relevant literature published between January 2000 and December 2020. The Mixed Methods Assessment Tool (MMAT) was used to appraise the quality of the studies. Results Five articles were included for the systematic review. The results showed that the e-health literacy of Chinese older adults was low. Based on the social-ecological model, the influencing factors at the individual level included age, gender, educational attainment, socioeconomic status, physical and psychological conditions, frequency of internet use, and credibility perception of online health resources; at the interpersonal level, the influencing factors included marital status, being the family carer and being taught how to use internet to find health resources; at the social/community level, influencing factors included language barriers and cultural barriers.Conclusion Current e-health literacy among Chinese older adults is low, which is affected by a number of factors. Medical staff should provide detailed health information with guaranteed accuracy and reliability for elderly people. It is necessary to develop intervention programs tailored to varied educational needs of the elderly with different backgrounds (i.e., age, gender, educational attainment, and socioeconomic status) need to be developed in the near future. Family members are encouraged to teach older adults how to use e-health resource in appropriate ways.

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“…Older adults are, also, willing to engage in their care process, sharing information, and searching for online information. Although, low electronic health literacy limits their access [ 16 ].…”

Section: Country-specific Informationmentioning

confidence: 99%

Why Older People Seek Health Information Online: A Qualitative Study

et al. 2021

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Despite the increasing number of older adults’ growing need for health information, little is known about their motivation to seek online health information. This exploratory qualitative study was conducted to examine why older adults seek required health information through online sources. In this qualitative content analysis, we purposefully approached 19 older adults with age in the range between 60–75 (63.78 ± 3.8 years) in Tabriz, Iran. Data were collected via individual, semi-structured face-to-face interviews at a place and time convenient to the study participants from October 2018 to September 2019. We evaluated the content of recorded data until saturation was reached, using MAXQDA 10 software. Subsequently, four central motivational themes were emerged including being self-reliant, achieving a healthier life, seeking reliable sources of health information, and accumulating health information. Older adults seek health information based on their needs and expectations to achieve optimal health status. Our findings provide valuable information for nurses and other health care providers to facilitate older adults’ access to trusting and valid online health information. It further suggests that, with the consideration of COVID-19 pandemic, fact-checking skills of elderly in identifying and accessing credible information sources should be addressed in future health literacy interventions.

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Theory-based E-health literacy interventions in older adults: a systematic review

Cited by 55 publications

References 50 publications

Symptom Monitoring based on Digital Data Collection During Inpatient Treatment of Schizophrenia Spectrum Disorders – a Feasibility Study

Symptom Monitoring based on Digital Data Collection During Inpatient Treatment of Schizophrenia Spectrum Disorders – a Feasibility Study

In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults

Why Older People Seek Health Information Online: A Qualitative Study

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