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1.
Digital Innovation for Healthcare in COVID-19 Pandemic: Strategies and Solutions ; : 109-136, 2022.
Article in English | Scopus | ID: covidwho-2027769

ABSTRACT

Throughout history, pandemics have paved the way for the development of public health. The current COVID-19 pandemic is no different as it is taking advantage of our flat and interconnected world, posing a threat to global health at a pace as never seen before. This chapter presents an analysis of how digital health and gender empowerment can bridge the inequity gap caused and sustained by disparities related to social determinants of health. COVID-19 has struck certain groups disproportionately;this has increased the need for availability and accessibility of health services. Our findings suggest that COVID-19 is a gender-sensitive virus relying on access to digital health means. Multiple examples and case studies are provided to illustrate the relationship between inequity, gender, and digital health. Moving forward, the pandemic has crystallized the need for paradigm shifts. In this regard, the achievement of equity in health is one of the only ways to control and ultimately eradicate COVID-19 in order to leave no one behind. © 2022 Elsevier Inc. All rights reserved.

2.
J Med Internet Res ; 24(7): e35816, 2022 07 06.
Article in English | MEDLINE | ID: covidwho-1974502

ABSTRACT

BACKGROUND: Digital health is growing at a rapid pace, and digital health literacy has attracted increasing attention from the academic community. OBJECTIVE: The purposes of this study are to conduct a systematic bibliometric analysis on the field of digital health literacy and to understand the research context and trends in this field. METHODS: Methods: A total of 1955 scientific publications were collected from the Web of Science core collection. Institutional co-operation, journal co-citation, theme bursting, keyword co-occurrence, author co-operation, author co-citation, literature co-citation, and references in the field of digital health literacy were analyzed using the VOSviewer and CiteSpace knowledge mapping tools. RESULTS: The results demonstrate that the United States has the highest number of publications and citations in this field. The University of California System was first in terms of institutional contributions. The Journal of Medical Internet Research led in the number of publications, citations, and co-citations. Research areas of highly cited articles in the field of digital health literacy mainly include the definition and scale of health literacy, health literacy and health outcomes, health literacy and the digital divide, and the influencing factors of health literacy. CONCLUSIONS: We summarized research progress in the field of digital health literacy and reveal the context, trends, and trending topics of digital health literacy research through statistical analysis and network visualization. We found that digital health literacy has a significant potential to improve health outcomes, bridge the digital divide, and reduce health inequalities. Our work can serve as a fundamental reference and directional guide for future research in this field.


Subject(s)
Biomedical Research , Health Literacy , Bibliometrics , Humans , Publications , United States
3.
Inform Med Unlocked ; 30: 100934, 2022.
Article in English | MEDLINE | ID: covidwho-1945257

ABSTRACT

Background: Coronavirus (CoV) is a novel respiratory virus that can cause severe acute respiratory syndrome (SARS). It affects millions of people in the world and thousands of people in Ethiopia. In responding to this, digital health technologies help to reduce COVID-19 outbreaks by sharing accurate and timely COVID-19 related information. Additionally, digital solutions are used for remote consulting during the pandemic, in creating COVID-19 related awareness, for distribution of the vaccine, and so on. Therefore, this study aimed to assess digital health literacy to share COVID-19 related information and associated factors among healthcare providers who worked at COVID-19 treatment centers in the Amhara region, Northwest Ethiopia. Method: An institutional-based cross-sectional survey was conducted from April 4 to May 4, 2021. The study included 476 healthcare providers who worked at COVID-19 treatment centers in the Amhara region. A pretested, structured self-administered questionnaire was used to collect data. EpiData 4.6 and SPSS version 26 were used for data entry and analysis respectively. Bi-variable and Multivariable logistic regression analysis was used to identify factors associated with the dependent variable. A P-value of less than 0.05 was used to declare statistical significance. Result: A total of 456 respondents were participated in the study, with 95.8% response rate. Digital health literacy to share COVID-19 related information found to be 50.4% (95% CI: 46-55). Educational status [AOR = 4.37, 95% CI(2.08-9.17)], training [AOR = 3.00, 95% CI (1.80-5.00)], attitude [AOR = 1.99, 95% CI(1.18-3.36)], perceived usefulness [AOR = 2.01, 95% CI(1.22-3.32)], perceived ease of use [AOR = 2.00, 95% CI(1.25-3.21)] and smartphone access [AOR = 5.21, 95% CI(2.34-9.62)] were significantly associated with digital health literacy to sharing of COVID-19 related information at P-value less than 0.05. Conclusion: This finding indicated that approximately half of the respondents had digital health literacy to share COVID-19 related information which was inadequate. Improving respondents' educational status, computer training, smartphone access, perceived usefulness, perceived ease of use, and attitude was necessary to measure digital health literacy to sharing of COVID-19 related information.

4.
Int J Environ Res Public Health ; 19(10)2022 05 20.
Article in English | MEDLINE | ID: covidwho-1862800

ABSTRACT

The Coronavirus Disease 19 (COVID-19) pandemic and the associated "infodemic" have shown the importance of surveillance and promotion of health literacy, especially for young adults such as university students who use digital media to a very high degree. This study aimed to assess the validity and reliability of the Italian version of the COVID-19 adapted version of the Digital Health Literacy Instrument (DHLI). This cross-sectional study is part of the COVID-19 University Students Survey involving 3985 students from two Italian universities. First, item analysis and internal consistency were assessed. Then, Principal Component Analysis (PCA) and Confirmatory Factor Analyses (CFA) were performed comparing different models. The Italian DHLI showed good psychometric characteristics. The protecting privacy subscale was excluded, given the criticalities presented in the validation process. CFA confirmed the four-factor structure, also including a high-order factor. This result allows using the scale to measure a global level of digital health literacy and consider its levels separately for each construct component: searching the web for information, evaluating reliability, determining personal relevance, and adding self-generated content.


Subject(s)
COVID-19 , Health Literacy , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Internet , Language , Reproducibility of Results , Students , Universities , Young Adult
5.
International Journal of Emerging Technologies in Learning (Online) ; 17(4):95-111, 2022.
Article in English | ProQuest Central | ID: covidwho-1857161

ABSTRACT

Nowadays spreading of COVID-19, people are more at home and less physi-cally active in the long run, which may affect their health. Moreover, cur-rently, there are many facilities that make human life more comfortable. Various technologies are being used to assist with daily activities. Including the perception of news has changed to the perception of news through the Internet. For this reason, this research has been working about intelligent digital learning platform to enhance digital health literacy, the research objec-tives are as follows. 1) synthesize documents and international research of intelligent digital learning platform to enhance digital health literacy 2) design an intelligent digital learning platform to enhance digital health literacy 3) as-sess the suitability of intelligent digital learning platform to enhance digital health literacy. Will use ten experts as assessors. Those ten peoples are divid-ed into five computer engineering technology experts and five medical technology experts who have more than five years of related experience. The research instruments were a suitability assessment form for in-telligent digital learning platform to enhance digital health literacy. The re-sults of this research found that the intelligent digital learning platform to enhance digital health literacy, was developed and it was appropriate.

6.
Int J Environ Res Public Health ; 19(7)2022 03 30.
Article in English | MEDLINE | ID: covidwho-1841380

ABSTRACT

Digital health literacy influences decision-making in health. There are no validated instruments to evaluate the digital literacy about COVID-19 in Spanish-speaking countries. This study aimed to validate the Digital Health Literacy Instrument (DHLI) about COVID-19 adapted to Spanish (COVID-DHLI-Spanish) in university students and to describe its most important results. A cross-sectional study was developed with 2318 university students from Spain, Puerto Rico, and Ecuador. Internal consistency was measured with Cronbach's alpha and principal component analysis. Construct validity was analyzed using Spearman's correlations and the Kruskal-Wallis test. The internal consistency of the questionnaire was good for the global scale (Cronbach's alpha 0.69, 95% CI 0.67) as well as for its dimensions. A total of 51.1% (n = 946) of students had sufficient digital literacy, 40.1% (n = 742) had problematic digital literacy, and 8.8% (n = 162) had inadequate digital literacy. The DHLI was directly and significantly correlated with age, subjective social perception, sense of coherence, and well-being (p < 0.001). The average digital literacy was higher in men than in women, in students older than 22 years, and in those with greater satisfaction with online information (p < 0.001). The COVID-DHLI-Spanish is useful for measuring the digital literacy about COVID-19 in Spanish-speaking countries. This study suggests gaps by gender and socioeconomic perception.


Subject(s)
COVID-19 , Health Literacy , COVID-19/epidemiology , Cross-Sectional Studies , Female , Health Literacy/methods , Humans , Male , Psychometrics , Reproducibility of Results , Students , Surveys and Questionnaires , Universities
7.
JMIR Res Protoc ; 11(3): e32538, 2022 Mar 18.
Article in English | MEDLINE | ID: covidwho-1770901

ABSTRACT

BACKGROUND: Digital health interventions refer to interventions designed to support health-related knowledge transfer and are delivered via digital technologies, such as mobile apps. Digital health interventions are a double-edged sword: they have the potential to reduce health inequalities, for example, by making treatments available remotely to rural populations underserved by health care facilities or by helping to overcome language barriers via in-app translation services; however, if not designed and deployed with care, digital health interventions also have the potential to increase health inequalities and exacerbate the effects of the digital divide. OBJECTIVE: The aim of this study is to review ways to mitigate the digital divide through digital health intervention design, deployment, and engagement mechanisms sensitive to the needs of digitally excluded populations. METHODS: This protocol outlines the procedure for a systematic scoping review that follows the methodology recommended by the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) guidance. The following databases will be searched for primary research studies published in English from October 1, 2011, to October 1, 2021: Cochrane Library, Epistemonikos, NICE Evidence, PROSPERO, PubMed (with MEDLINE and Europe PMC), and Trip. In addition, the following sources of gray literature will be searched: Conference Proceedings Citation Index, Health Management Information Consortium, International HTA Database, OpenGrey, The Grey Literature Report, Google Scholar Basic Search UK, MedNar Deep Web Search Engine, and Carrot2. We will select publications that meet the following inclusion criteria: primary research papers that evaluated digital health interventions that describe features of digital health intervention design and deployment that enable or hinder access to and engagement with digital health interventions by adults from demographic groups likely to be affected by the digital divide (eg, older age, minority ethnic groups, lower income, and lower education level). A random selection of 25 publications identified from the search will be double screened by four reviewers. If there is >75% agreement for included/excluded publications, the team will continue to screen all the identified publications. For all included publications, study characteristics will be extracted by one author and checked for agreement by a second author, with any disagreements resolved by consensus among the study team. Consultation digital health intervention design and deployment, and digital health intervention users will also be conducted in parallel. RESULTS: The review is underway and is anticipated to be completed by September 2022. CONCLUSIONS: The results will have implications for researchers and policy makers using digital health interventions for health improvement peripandemic and post pandemic, and will inform best practices in the design and delivery of digital health interventions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/32538.

8.
Int J Environ Res Public Health ; 19(6)2022 03 19.
Article in English | MEDLINE | ID: covidwho-1760608

ABSTRACT

The COVID-19 pandemic and the concomitant infodemic have emphasized the importance of digital health literacy (DHL) to global public health research and practice. The aim of this study was to examine information-seeking behavior, the ability to find, understand and deal with health information among university college students in Denmark and/in addition we wanted to examine the impact of their close social network on students' ability to find and understand health information. This research was carried out as part of the COVID-HL university student survey by using a uniform questionnaire consisting of elaborated scales. Data were collected from a cross-sectional survey conducted at University College South during 4 weeks in April and May 2020. To capture DHL, four subscales of the DHL instrument were adapted to the pandemic context. A total of 59.9% of the students have sufficient DHL-most students find it rather easy to find information and are satisfied with the information they find on the internet. However, some (28.1%) students find it difficult to judge the quality and reliability of the information. Students with a sufficient level of DHL are more likely to seek information through search engines and websites of official institutions, while students with a limited level of DHL more often use social media for health information. Students with sufficient DHL more often share health information and less often ask for support in their network.


Subject(s)
COVID-19 , Health Literacy , COVID-19/epidemiology , Cross-Sectional Studies , Denmark/epidemiology , Humans , Information Seeking Behavior , Pandemics , Reproducibility of Results , Students , Universities
9.
Int J Environ Res Public Health ; 19(6)2022 03 14.
Article in English | MEDLINE | ID: covidwho-1742457

ABSTRACT

Digital health literacy is crucial in accessing and applying health information in the COVID-19 pandemic period. Young college students are exposed daily to digital technologies, and they have further increased the use of digital information during the COVID-19 period. This study aimed to adapt DHLI into Korean and to assess the psychometric properties, during the COVID-19 pandemic period. A cross-sectional, nationwide, and web-based survey was conducted among 604 Korean undergraduates from 23 December 2020 to 8 January 2021. On the basis of the Digital Health Literacy Instrument (DHLI) by the Global COVID HL Network, the Korean questionnaire was developed by group translation, expert reviews, and forward-backward translation for validation. The scale reliability and validity were examined using Cronbach's alpha and confirmatory factor analysis. Results support the theoretical and empirical four-factor structure (search, express, evaluate, use) in the coronavirus-related DHL among Korean University students. Internal reliability of the overall scale was high (Cronbach's α = 0.908). The four-factor model was supported by confirmatory factor analysis (GFI = 0.972, CFI = 0.984, TLI = 0.978, RMSEA = 0.045). This study revealed that the COVID-DHL-K is a valid and reliable measure with appropriate psychometric characteristics.


Subject(s)
COVID-19 , Health Literacy , COVID-19/epidemiology , Cross-Sectional Studies , Humans , Pandemics , Reproducibility of Results , Republic of Korea/epidemiology , Students
10.
International Journal of Emerging Technologies in Learning ; 17(4):95-111, 2022.
Article in English | Scopus | ID: covidwho-1742789

ABSTRACT

Nowadays spreading of COVID-19, people are more at home and less physically active in the long run, which may affect their health. Moreover, currently, there are many facilities that make human life more comfortable. Various technologies are being used to assist with daily activities. Including the perception of news has changed to the perception of news through the Internet. For this reason, this research has been working about intelligent digital learning platform to enhance digital health literacy, the research objectives are as follows. )1 synthesize documents and international research of intelligent digital learning platform to enhance digital health literacy )2design an intelligent digital learning platform to enhance digital health literacy )3 assess the suitability of intelligent digital learning platform to enhance digital health literacy.Will use ten experts as assessors. Those ten peoples are divided into five computer engineering technology experts and five medical technology experts who have more than five years of related experience. The research instruments were a suitability assessment form for intelligent digital learning platform to enhance digital health literacy.The results of this research found that the intelligent digital learning platform to enhance digital health literacy, was developed and it was appropriate © 2022, International Journal of Emerging Technologies in Learning. All Rights Reserved.

11.
Health Promot J Austr ; 2022 Feb 06.
Article in English | MEDLINE | ID: covidwho-1669422

ABSTRACT

BACKGROUND: Health literacy is an important skill to deal with information and positively influences individual and community health. Information concerning health is available from a plethora of online resources. The concept of digital health literacy has gained prominence with the pandemic. The absence of valid tools to analyse digital literacy levels are scant. This study aims to translate, adapt and validate the Portuguese version of the Digital Health Literacy Instrument (DHLI) as used in the global COVID-HL Network. METHODS: Participants were mostly students from social sciences, psychology, education and health sciences. The Portuguese version of the DHLI contained five dimensions each consisting of three items. An online survey with university students (n = 1815, 75.1% female, average age: 24.15 years) was administered to test the validity of the Portuguese version of the DHLI. Data were analysed using exploratory and confirmatory factor analysis. Pearson correlations were also studied. RESULTS: Two items revealed symmetry and kurtosis problems. We chose to eliminate them from the analysis. Different exploratory factor analysis attempts were made, obtaining two possible models to be tested in the confirmatory factor analysis: a three-factor model and a four-factor model. A four-factor structure of the instrument (information searching, adding self-generated content, evaluating reliability, determining relevance) was supported by confirmatory factor analysis and had good internal consistency. CONCLUSIONS: The Portuguese version of the Digital Health Literacy Instrument met adequate psychometric criteria. Therefore, it can be confidently used in Portuguese students' assessment of digital health literacy. Representative studies are needed to shed light on different target groups and their COVID-19-related DHLI.

12.
JMIR Form Res ; 6(1): e32764, 2022 Jan 28.
Article in English | MEDLINE | ID: covidwho-1662528

ABSTRACT

BACKGROUND: As health care systems shift to greater use of telemedicine and digital tools, an individual's digital health literacy has become an important skillset. The Veterans Health Administration (VA) has invested resources in providing digital health care; however, to date, no study has compared the digital health skills and preparedness of veterans receiving care in the VA to veterans receiving care outside the VA. OBJECTIVE: The goal of the research was to describe digital health skills and preparedness among veterans who receive care within and outside the VA health care system and examine whether receiving care in the VA is associated with digital preparedness (reporting more than 2 digital health skills) after accounting for demographic and social risk factors. METHODS: We used cross-sectional data from the 2016-2018 National Health Interview Survey to identify veterans (aged over 18 years) who obtain health care either within or outside the VA health care system. We used multivariable logistic regression models to examine the association of sociodemographic (age, sex, race, ethnicity), social risk factors (economic instability, disadvantaged neighborhood, low educational attainment, and social isolation), and health care delivery location (VA and non-VA) with digital preparedness. RESULTS: Those who received health care within the VA health care system (n=3188) were younger (age 18-49 years: 33.3% [95% CI 30.7-36.0] vs 24.2% [95% CI 21.9-26.5], P<.01), were more often female (34.7% [95% CI 32.0-37.3] vs 6.6% [95% CI 5.5-7.6], P<.01) and identified as Black (13.1% [95% CI 11.2-15.0] vs 10.2% [95% CI 8.7-11.8], P<.01), and reported greater economic instability (8.3% [95% CI 6.9-9.8] vs 5.5% [95% CI 4.6-6.5], P<.01) and social isolation (42.6% [95% CI 40.3-44.9] vs 35.4% [95% CI 33.4-37.5], P<.01) compared to veterans who received care outside the VA (n=3393). Veterans who obtained care within the VA reported more digital health skills than those who obtained care outside the VA, endorsing greater rates of looking up health information on the internet (51.8% [95% CI 49.2-54.4] vs 45.0% [95% CI 42.6-47.3], P<.01), filling a prescription using the internet (16.2% [95% CI 14.5-18.0] vs 11.3% [95% CI 9.6-13.0], P<.01), scheduling a health care appointment on the internet (14.1% [95% CI 12.4-15.8] vs 11.6% [95% CI 10.1-13.1], P=.02), and communicating with a health care provider by email (18.0% [95% CI 16.1-19.8] vs 13.3% [95% CI 11.6-14.9], P<.01). Following adjustment for sociodemographic and social risk factors, receiving health care from the VA was the only characteristic associated with higher odds (adjusted odds ratio [aOR] 1.36, 95% CI 1.12-1.65) of being digitally prepared. CONCLUSIONS: Despite these demographic disadvantages to digital uptake, veterans who receive care in the VA reported more digital health skills and appear more digitally prepared than veterans who do not receive care within the VA, suggesting a positive, system-level influence on this cohort.

13.
5th International Conference on E-Society, E-Education and E-Technology, ICSET 2021 ; : 113-119, 2021.
Article in English | Scopus | ID: covidwho-1622100

ABSTRACT

The covid-19 pandemic situation has created significant changes in educational and public health systems;It changes both the dimensions of health promotion, health care, and disease prevention for citizens. Furthermore, Digital health literacy is an essential learning outcome for people in the ubiquitous healthcare ecosystem. Consequently, this all pushes educational and public health organizations have necessary to offer Technology-Enhanced Learning (TEL) to promote urgently digital health literacy for citizens. This study aimed to propose the conceptual framework of crowd context-based learning via IoT wearable technology to promote digital health literacy. The research objectives were to synthesize and evaluate the feasibility of the conceptual framework. The research methodology used in this study is mixed methods research. The results show that: (1) the novel conceptual framework has four elements: 1) cybergogical approach, 2) technological approach, 3) learning experience design, and 4) learning outcomes assessments;(2) All twelve specialists agreed that the novel conceptual framework had overall feasibility at a very high level . From the results, we anticipate that our conceptual framework could be used to referencing framework into practices for designing learning models and digital interventions to promote digital health literacy and health behavior change. Thus, this is an initial conceptual framework for moving towards the ĝ€next normal' in educational and public health systems. © 2021 ACM.

14.
Visc Med ; 96: 1-7, 2021 Oct 20.
Article in English | MEDLINE | ID: covidwho-1495752

ABSTRACT

BACKGROUND: Germany has seen rapid development in the digitization of medicine in recent years. Especially, the CO-VID-19 pandemic has dramatically accelerated this process. Nevertheless, it is accompanied by legal innovations that promote the application of digital tools as well as create respective remuneration options. Ultimately, this continued implementation of digital innovations and telemedicine approaches will lead to the improvement of care and the more efficient provision of medical services. SUMMARY: The article primarily describes the development and current status of digitization using 2 key examples of telemedicine and digital innovations - video consultation and digital health applications. Starting with the liberalization of remote treatment options, video consultation gained many users, especially during the COVID pandemic. The introduction of digital health applications with the possibility of reimbursement by the statutory health insurance funds has put Germany in a leading position in international comparison in this respect. KEY MESSAGES: Digitization in healthcare offers enormous opportunities both to professionals working in the healthcare sector and to patients. However, in order to successfully use digital tools in practice, the legal, organizational, and financial framework must be clarified. All medical professionals are well advised to further qualify themselves in this area in order to keep pace with developments.

15.
Front Digit Health ; 3: 739476, 2021.
Article in English | MEDLINE | ID: covidwho-1497065

ABSTRACT

Introduction: Digital health literacy (DHL) has recently been proposed as a means of enabling healthy decisions for protective behavior, preventive measures, and adherence with COVID-19 policies and recommendations especially in the era of the "infodemic". This study aimed to (1) identify COVID-19 related DHL and its association with online information seeking; (2) to elucidate COVID-19 related DHL as a mediator predictor between the importance of online information search and its association with subjective well-being among Vietnamese university students. Methods: A cross-sectional web-based survey was used to elicit the responses of Vietnamese students over 2 consecutive weeks (from April 25 to May 9, 2020, n = 1,003, 70.1% female students, mean age 21.4 ± 3.1). The online survey questionnaire collected data on the sociodemographic characteristics of participants, DHL about COVID-19, information seeking behavior, and subjective well-being. Mediation analysis was conducted using the importance of searching COVID-19 related information as independent variables, subjective well-being as a dependent variable, and DHL as a mediator variable. Results: Among 1,003 students, the mean (SD) of DHL related to COVID-19 was 2.87 ± 0.32. In the survey, 87.2% of the students reported sufficient well-being, while almost 13% reported low or very low well-being. The findings also indicated that search engines were the most popular platform for information seeking by Vietnamese students (95.3%) and 92.8% of participants had searched for information related to the current spread of COVID-19. Not searching for hygiene regulation as part of infection control and an average level of information satisfaction were associated with limited DHL (p < 0.05). The importance of online information searching related to COVID-19 increased the subjective well-being of students significantly and limited DHL (p < 0.05). DHL was found to mediate the relationship between the importance of online information searching and the subjective well-being of students. Conclusion: The finding provides insight into DHL about COVID-19 among university students, and their ability to find, understand, appraise, and use online health related information during lockdown throughout the first COVID-19 pandemic wave. DHL should be highlighted as a mediating factor that enhances the positive effect of the importance of information seeking on psychological well-being. However, further studies are needed to better define the mediating role of DHL across other factors.

16.
Int J Environ Res Public Health ; 18(16)2021 08 12.
Article in English | MEDLINE | ID: covidwho-1354958

ABSTRACT

The entire world is faced with the COVID-19 pandemic, which is also accompanied by an infodemic. This refers to the rapid spread of (accurate and false) information, mainly through internet usage increasing. Digital health literacy (DHL) is therefore important for addressing challenges related to online health information and services, as well as for navigation through the complex information landscape with huge amounts of different (and conflicting) information about COVID-19. The aim of this study is to examine the level of DHL in relation to COVID-19 in Slovenian university students and to determine online information-seeking behaviour in order to plan and prepare effective communication interventions for this sub-population. A cross-sectional survey, administered by an online questionnaire, was conducted to collect data on DHL. A total of 3621 students participated, of whom 70% were female and the average age was 22.65 years (SD = 4.65). Bivariate analyses were performed to assess the association of key characteristics with DHL. Overall, the results show that the level of DHL among students is sufficient. Most difficulties were reported in assessing the reliability of information (n = 1484, 49.3%). Approximately one third of the students (n = 847, 27.9%) reported having problems in finding information of their interest, and somewhat more (n = 900, 29.6%) reported difficulties in making a selection among all the information found. Students with a sufficient level of DHL are more likely to seek information through search engines and websites of official institutions, while students with a limited level of DHL more frequently reported using social media for health information searches. It is necessary to establish interventions for a systematic lift of the DHL and health literacy (HL) of all population groups.


Subject(s)
COVID-19 , Health Literacy , Adult , Cross-Sectional Studies , Female , Humans , Information Seeking Behavior , Internet , Pandemics , Reproducibility of Results , SARS-CoV-2 , Slovenia/epidemiology , Students , Surveys and Questionnaires , Universities , Young Adult
17.
Int J Environ Res Public Health ; 18(15)2021 Jul 30.
Article in English | MEDLINE | ID: covidwho-1335070

ABSTRACT

Low digital health literacy affects large percentages of populations around the world and is a direct contributor to the spread of COVID-19-related online misinformation (together with bots). The ease and 'viral' nature of social media sharing further complicate the situation. This paper provides a quick overview of the magnitude of the problem of COVID-19 misinformation on social media, its devastating effects, and its intricate relation to digital health literacy. The main strategies, methods and services that can be used to detect and prevent the spread of COVID-19 misinformation, including machine learning-based approaches, health literacy guidelines, checklists, mythbusters and fact-checkers, are then briefly reviewed. Given the complexity of the COVID-19 infodemic, it is very unlikely that any of these approaches or tools will be fully effective alone in stopping the spread of COVID-19 misinformation. Instead, a mixed, synergistic approach, combining the best of these strategies, methods, and services together, is highly recommended in tackling online health misinformation, and mitigating its negative effects in COVID-19 and future pandemics. Furthermore, techniques and tools should ideally focus on evaluating both the message (information content) and the messenger (information author/source) and not just rely on assessing the latter as a quick and easy proxy for the trustworthiness and truthfulness of the former. Surveying and improving population digital health literacy levels are also essential for future infodemic preparedness.


Subject(s)
COVID-19 , Health Literacy , Social Media , Communication , Humans , Pandemics , SARS-CoV-2
18.
Health Promot Int ; 37(1)2022 Feb 17.
Article in English | MEDLINE | ID: covidwho-1291866

ABSTRACT

The containment of infectious diseases is most successful when at-risk populations have a high level of relevant health literacy (HL). To achieve this both literacy needs and patterns of knowledge sharing must be understood within the context of the disease being studied. It is also important to understand these processes from both offline (HL) and online (eHL) perspectives and amongst demographics with access to different types of information and social capital, and who have different levels of vulnerability. This paper discusses the insights gained over a series of 30 interviews with the UK residents aged either 19 - 30 years of age or older than 70 years-focussing on how they seek, understand, evaluate and convey information about COVID-19 during the current pandemic. Using thematic analysis, we identified themes around motivations to seek information, the information journey, digital choice and engagement, dilemmas and challenges of managing and appraising information, and sharing information. There was little difference in the eHL between the two age groups who both had high levels of education and were sophisticated digital citizens. The COVID-19 pandemic highlights three dominant processes in managing complex and uncertain information: some individuals may suffer from information fatigue but there was no evidence of any impact on their behaviours; others seek and share information across many networks; and there were strikingly high levels of distrust leading to complex processes of meaning-making demanding critical health literacy skills.


Subject(s)
COVID-19 , Health Literacy , Telemedicine , Aged , Cross-Sectional Studies , Humans , Internet , Pandemics/prevention & control , SARS-CoV-2 , Surveys and Questionnaires , United Kingdom
19.
J Med Internet Res ; 23(4): e24586, 2021 04 20.
Article in English | MEDLINE | ID: covidwho-1194541

ABSTRACT

In the wake of the COVID-19 pandemic, the information stream has overflowed with accurate information, misinformation, and constantly changing guidelines. There is a great need for guidance on the identification of trustworthy health information, and official channels are struggling to keep pace with this infodemic. Consequently, a Facebook group was created where volunteer medical physicians would answer laypeople's questions about the 2019 novel coronavirus. There is not much precedence in health care professional-driven Facebook groups, and the framework was thus developed continuously. We ended up with an approach without room for debate, which fostered a sense of calmness, trust, and safety among the questioners. Substantial moderator effort was needed to ensure high quality and consistency through collaboration among the presently >200 physicians participating in this group. At the time of writing, the group provides a much-needed service to >58,000 people in Denmark during this crisis.


Subject(s)
COVID-19/epidemiology , Consumer Health Information/standards , Physicians , Social Media , Health Information Exchange , Humans , Medical Informatics/standards , Pandemics
20.
Int J Environ Res Public Health ; 18(8)2021 04 11.
Article in English | MEDLINE | ID: covidwho-1178259

ABSTRACT

Amid the COVID-19 pandemic, digital health literacy (DHL) has become a significant public health concern. This research aims to assess information seeking behavior, as well as the ability to find relevant information and deal with DHL among university students in Pakistan. An online-based cross-sectional survey, using a web-based interviewing technique, was conducted to collect data on DHL. Simple bivariate and multivariate linear regression was performed to assess the association of key characteristics with DHL. The results show a high DHL related to COVID-19 in 54.3% of students. Most of the Pakistani students demonstrated ~50% DHL in all dimensions, except for reliability. Multivariate findings showed that gender, sense of coherence and importance of information were found to be significantly associated with DHL. However, a negative association was observed with students' satisfaction with information. This led to the conclusion that critical operational and navigations skills are essential to achieve COVID-19 DHL and cope with stress, particularly to promote both personal and community health. Focused interventions and strategies should be designed to enhance DHL amongst university students to combat the pandemic.


Subject(s)
COVID-19 , Health Literacy , Cross-Sectional Studies , Humans , Information Seeking Behavior , Pakistan , Pandemics , Reproducibility of Results , SARS-CoV-2 , Students , Surveys and Questionnaires , Universities
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