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E-HEALTH - E-SANTE - PHARMAGEEK

Proposing a Transactional Model of eHealth Literacy: Concept Analysis | JMIR

From www.jmir.org

eHealth literacy was conceptualized in 2006 as the ability of internet users to locate, evaluate, and act upon web-based health information.

 

Now, advances in eHealth technology have cultivated transactional opportunities for patients to access, share, and monitor health information. However, empirical evidence shows that existing models and measures of eHealth literacy have limited theoretical underpinnings that reflect the transactional capabilities of eHealth.

 

This paper describes a conceptual model based on the Transactional Model of Communication (TMC), in which eHealth literacy is described as an intrapersonal skillset hypothesized as being dynamic; reciprocal; and shaped by social, relational, and cultural contexts.

 

The objective of this study was to systematically examine eHealth literacy definitions, models, and measures to propose a refined conceptual and operational definition based on the TMC.

 

Systematic review evidence revealed incongruity between operational eHealth literacy included in definitions compared with literacies included within models and measures. Theoretical underpinnings of eHealth literacy also remain dismal.

 

Despite the transactional capabilities of eHealth, the role of “communication” in eHealth literacy remains underdeveloped and does not account for physical and cognitive processing abilities necessary for multiway transactions.

 

read the full study at https://www.jmir.org/2018/10/e10175/
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nrip's curator insight, October 8, 2018 1:39 AM

eHealth literacy is the ability of internet users to locate, evaluate, and act upon web-based health information. The result of this study identifies that the role of “communication” in eHealth literacy remains underdeveloped.

 

Current frameworks and technologies do not account for physical and cognitive processing abilities necessary for multiway transactions.

 

A study of the Consumption(access by patients) patterns of a majority of patient education resources will be interesting. It may shed light on this underdevelopment being required or not.

 
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Perceptions of e-Health, e-Health Literacy and Psychosocial Health, as Predictors of e-Health Use Among Caregivers of Children with Special Healthcare Needs

From online.liebertpub.com

Conclusions: Caregivers of children with special healthcare needs have notable levels of psychosocial challenges and those challenges are associated with their e-health resource seeking. Although e-health interventions, including ones that focus on child health education and caregiver support, may be the future of healthcare, a concerted effort is needed to educate caregivers about the benefits of e-health.


Objectives: In this study, we explored the relationships between the psychosocial health of caregivers of children with special healthcare needs and their e-health use. Additionally, the analysis examined moderating effects of a caregiver's perceptions of e-health and his or her e-health literacy on the associations among four domains of psychosocial health and e-health use.

Materials and Methods: To date, 313 caregivers of children, 12–18 years of age, with special healthcare needs have been recruited. Covariate-adjusted multivariable regressions determined associations between psychosocial health domains of caregivers and e-health use. E-health literacy and perceptions of e-health were further tested as moderators of the relationship between psychosocial health and e-health use.

Results: Among the caregiver population, 31% had problems with social functioning, 36.1% with communication, 43.3% with family relationships, and 46.3% with worrying for their child. After adjusting for demographic variables, e-health use was associated with poorer levels of social functioning, communication, worry, and family relationship.
E-health use was also associated with e-health literacy. Perceptions of e-health significantly moderated the relationships among social functioning, communication, and e-health, with the relationship being significantly stronger in caregivers with more positive perceptions of e-health.


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rob halkes's curator insight, February 5, 2016 5:49 AM

Perceptions of eHealth of caregivers, in this case: parents, influence its appreciation and use. Indeed as the researchers conclude: a concerted effort is needed to educate caregivers before its use, and based on our own experience to make the provision of ehealth ingrated in the care delivery process and to implement the needed accommodation in the organisation of healthcare.
See also here: eHealth the Introduction  Great research - we should have more of that!
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