Abstract:
BACKGROUND:Health literacy research seems to lack a consensus on what aspects to include into literacy in the context of health and on how to operationalize these concepts for measurement purposes. In addition to health literacy, several other concepts, such as electronic health (eHealth) literacy and mental health literacy, have been developed across disciplines. This study examines how these different concepts are used when studying health-related competencies in Web contexts. OBJECTIVE:This study systematically reviews health literacy concepts and definitions and their operationalization in studies focused on Web-based health information environments. METHODS:A systematic literature search was conducted in April 2016 in 6 electronic databases with a limitation to articles in English published between January 2011 and April 2016. Altogether, 1289 unique records were identified and screened according to the predefined inclusion criteria: (1) original, peer-reviewed research articles written in English; (2) the topic of the article concerned literacy in the context of health; (3) informants of the study were lay people, not health professionals or students of the field; and (4) the focus of the study was placed on an Web-based information environment. In total, 180 full texts were screened, of which 68 were included in the review. The studies were analyzed with an emphasis on the used health literacy concepts and measures. RESULTS:On the basis of the included studies, several concepts are in use when studying health-related literacy in Web environments, eHealth literacy and health literacy being the most common ones. The reviewed studies represent a variety of disciplines, but mostly medical sciences. Typically, quantitative research methods are used. On the basis of the definitions for health literacy, 3 thematic categories were identified: general and skill-based, multidimensional, and domain-specific health literacy. Most studies adopted a domain-specific concept, followed by the ones that used a general and skill-based concept. Multidimensional concepts occurred least frequently. The general health literacy concepts were usually operationalized with reading comprehension measures, the domain-specific concepts with self-efficacy measures, and multidimensional concepts with several types of measures. However, inconsistencies in operationalization were identified. CONCLUSIONS:The results show that in studies conducted in Web-based information environments, several different health literacy concepts are in use, and there is no clear consensus on the definitions for these concepts. Future studies should place emphasis on the conceptual development of health literacy in Web contexts to gain better results on operationalization for measurement. Researchers are encouraged to provide clear operational definitions for the concepts they use to ensure transparency in reporting.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Huhta AM,Hirvonen N,Huotari MLdoi
10.2196/10273subject
Has Abstractpub_date
2018-12-19 00:00:00pages
e10273issue
12eissn
1439-4456issn
1438-8871pii
v20i12e10273journal_volume
20pub_type
杂志文章abstract::A growing number of investigators have commented on the lack of models to inform the design of behavioral intervention technologies (BITs). BITs, which include a subset of mHealth and eHealth interventions, employ a broad range of technologies, such as mobile phones, the Web, and sensors, to support users in changing ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3077
更新日期:2014-06-05 00:00:00
abstract:BACKGROUND:Use of mobile technology has made a huge impact on communication, access, and information/resource delivery to adolescents. Mobile technology is frequently used by adolescents. OBJECTIVE:The purpose of this study was to understand the health information needs of adolescents in the context of their everyday ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.2395
更新日期:2013-03-06 00:00:00
abstract:BACKGROUND:Digital health stations offer an affordable and accessible platform for people to monitor their health; however, there is limited information regarding the demographic profile of users and the health benefits of this technology. OBJECTIVE:This study aimed to assess the demographic representativeness of heal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14977
更新日期:2020-06-26 00:00:00
abstract:BACKGROUND:The electronic cigarette (e-cigarette) industry has grown in size and organizational complexity in recent years, most notably with the entry of major tobacco companies in 2012 and the proliferation of vape shops. Many brands maintain retail websites that present e-cigarette marketing claims and sell directly...
journal_title:Journal of medical Internet research
pub_type: 历史文章,杂志文章
doi:10.2196/jmir.8550
更新日期:2018-03-12 00:00:00
abstract:BACKGROUND:eHealth is widely used as a tool for improving health care delivery and information. However, distinct policies and strategies are required for its proper implementation and integration at national and international levels. OBJECTIVE:To determine the scope of policy issues faced by individuals, institutions...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.1633
更新日期:2012-02-17 00:00:00
abstract:BACKGROUND:There are few studies on the role of technology delivery mode on health intervention outcomes. Furthermore, the opportunity to examine potential mode effects on a program that is theory-based and integrates principles of communication and decision-making science to influence sexual and reproductive health ou...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/10398
更新日期:2018-08-29 00:00:00
abstract:BACKGROUND:Alcohol is often consumed in social contexts. An emerging social context in which alcohol is becoming increasingly apparent is social media. More and more young people display alcohol-related posts on social networking sites such as Facebook and Instagram. OBJECTIVE:Considering the importance of the social ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.9355
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:Sexual health services routinely screen for child sexual exploitation (CSE). Although sexual health services are increasingly provided online, there has been no research on the translation of the safeguarding function to online services. We studied expert practitioner views on safeguarding in this context. ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5911
更新日期:2017-02-14 00:00:00
abstract:BACKGROUND:The complex unfolding of the US opioid epidemic in the last 20 years has been the subject of a large body of medical and pharmacological research, and it has sparked a multidisciplinary discussion on how to implement interventions and policies to effectively control its impact on public health. OBJECTIVE:Th...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/21212
更新日期:2021-01-04 00:00:00
abstract:BACKGROUND:Decision support systems based on reinforcement learning (RL) have been implemented to facilitate the delivery of personalized care. This paper aimed to provide a comprehensive review of RL applications in the critical care setting. OBJECTIVE:This review aimed to survey the literature on RL applications for...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/18477
更新日期:2020-07-20 00:00:00
abstract:BACKGROUND:Low participation rates are one of the most serious disadvantages of Web-based studies. It is necessary to develop effective strategies to improve participation rates to obtain sufficient data. OBJECTIVE:The objective of this trial was to investigate the effect of emphasizing the incentive in the subject li...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.8561
更新日期:2018-02-08 00:00:00
abstract:BACKGROUND:Efficiently sharing health data produced during standard care could dramatically accelerate progress in cancer treatments, but various barriers make this difficult. Not sharing these data to ensure patient privacy is at the cost of little to no learning from real-world data produced during cancer care. Furth...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16810
更新日期:2020-03-20 00:00:00
abstract:BACKGROUND:A substantial proportion of parents of children on cancer treatment report psychological distress such as symptoms of post-traumatic stress (PTSS), depression, and anxiety. During their child's treatment many parents also experience an economic burden. OBJECTIVE:The aim of this study was to evaluate the lon...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.6852
更新日期:2017-07-27 00:00:00
abstract:BACKGROUND:Recruitment of health research participants through social media is becoming more common. In the United States, 80% of adults use at least one social media platform. Social media platforms may allow researchers to reach potential participants efficiently. However, online research methods may be associated wi...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/23021
更新日期:2020-10-07 00:00:00
abstract:BACKGROUND:A 2012 World Health Organization report recognizes betel nut use as an urgent public health threat faced by the Western Pacific region. However, compared with other addictive substances, little is known about how betel nuts are depicted on social media platforms. In particular, image-based social media platf...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13954
更新日期:2020-07-09 00:00:00
abstract::The rapid growth of online health communities and the increasing availability of relational data from social media provide invaluable opportunities for using network science and big data analytics to better understand how patients and caregivers can benefit from online conversations. Here, we outline a new network-bas...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/16337
更新日期:2020-07-28 00:00:00
abstract:BACKGROUND:Major depression accounts for the greatest burden of all diseases globally. The peak onset of depression occurs between adolescence and young adulthood, and for many individuals, depression displays a relapse-remitting and increasingly severe course. Given this, the development of cost-effective, acceptable,...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,评审
doi:10.2196/jmir.3304
更新日期:2014-09-16 00:00:00
abstract:BACKGROUND:Mobile mental-health trackers are mobile phone apps that gather self-reported mental-health ratings from users. They have received great attention from clinicians as tools to screen for depression in individual patients. While several apps that ask simple questions using face emoticons have been developed, t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.5598
更新日期:2016-08-04 00:00:00
abstract:BACKGROUND:Digital tools provide a unique opportunity to increase access to eye care. We developed a Web-based test that measures visual acuity and both spherical and cylindrical refractive errors. This test is Conformité Européenne marked and available on the Easee website. The purpose of this study was to compare the...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/14808
更新日期:2019-11-08 00:00:00
abstract:BACKGROUND:Nonpharmaceutical interventions (NPIs) (such as wearing masks and social distancing) have been implemented by governments around the world to slow the spread of COVID-19. To promote public adherence to these regimes, governments need to understand the public perceptions and attitudes toward NPI regimes and t...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,多中心研究
doi:10.2196/21419
更新日期:2020-09-03 00:00:00
abstract:BACKGROUND:Snowballing involves recursively pursuing relevant references cited in the retrieved literature and adding them to the search results. Snowballing is an alternative approach to discover additional evidence that was not retrieved through conventional search. Snowballing's effectiveness makes it best practice ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.3369
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:The Internet offers a great amount of health related websites, but concern has been raised about their reliability. Several subjective evaluation criteria and websites rating systems have been proposed as a help for the Internet users to distinguish among web resources with different quality, but their effic...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/jmir.1.1.e1
更新日期:1999-07-01 00:00:00
abstract:BACKGROUND:Health care portals have the potential to provide consumers with timely, transparent access to health care information and engage them in the care process. OBJECTIVE:The objective was to examine the use, utility, and impact on engagement in care and caregiver-provider communication of a client/family portal...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-04-06 00:00:00
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journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/12149
更新日期:2019-05-30 00:00:00
abstract:BACKGROUND:Increasing cases of diabetes, a general lack of routinely operational prevention, and a long history of separating disease prevention and treatment call for immediate engagement of frontier clinicians. This applies especially to village doctors who work in rural China where the majority of the nation's vast ...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
doi:10.2196/jmir.3228
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Only a few telemedicine applications have made their way into regular care. One reason is the lack of acceptance of telemedicine by potential end users. OBJECTIVE:The aim of this systematic review was to identify theoretical predictors that influence the acceptance of telemedicine. METHODS:An electronic se...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13117
更新日期:2019-05-21 00:00:00
abstract:BACKGROUND:Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consu...
journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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更新日期:2019-12-03 00:00:00
abstract:BACKGROUND:The use of eHealth tools (eg, the internet, mobile apps, and connected devices) in the management of chronic diseases and for rheumatoid arthritis is growing. eHealth may improve the overall quality of care provided to patients with chronic diseases. OBJECTIVE:The primary objective of this study was to desc...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/19998
更新日期:2021-01-29 00:00:00
abstract:BACKGROUND:The eHealth Literacy Scale (eHEALS) is one of only a few available measurement scales to assess eHealth literacy. Perhaps due to the relative paucity of such measures and the rising importance of eHealth literacy, the eHEALS is increasingly a choice for inclusion in a range of studies across different groups...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
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更新日期:2017-02-27 00:00:00
abstract:BACKGROUND:Women with or at high risk of diabetes have unique health concerns across their life course. Effective methods are needed to engage women living with diabetes to develop and carry out a patient-centered research agenda. OBJECTIVE:This study aimed to (1) describe the creation of DiabetesSistersVoices, a virt...
journal_title:Journal of medical Internet research
pub_type: 杂志文章
doi:10.2196/13312
更新日期:2019-05-10 00:00:00