Health Literacy and Health Information Technology Adoption: The Potential for a New Digital Divide.
Health Literacy and Health Information Technology Adoption: The Potential for a New Digital Divide.
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DOI：
10.2196/jmir.6349
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发表时间：
2016-10-04
影响因子：
7.4
通讯作者：
Pounders K
中科院分区：
文献类型：
--
作者：
Mackert M;Mabry-Flynn A;Champlin S;Donovan EE;Pounders K
大约一半的美国成年人表现出低健康素养，因此难以找到和使用健康信息。健康素养低与负面结果有关，包括整体健康状况较差。健康信息技术（HIT）通过电子工具（包括患者门户网站、可穿戴技术和移动的应用程序）直接向患者提供健康信息。然而，由于对HIT隐私和信息共享的误解，这些信息对患者的直接可用性可能会变得复杂。这项研究的目的是确定健康素养是否与患者使用四种类型的HIT工具相关：健身和营养应用程序，活动跟踪器和患者门户网站。此外，我们试图探索健康素养是否与患者对这些HIT工具的易用性和有用性的感知，以及患者对HIT工具提供的隐私的感知以及对政府，媒体，技术公司和医疗保健的信任有关。这项研究是对这些相互关联的概念的第一次大规模调查。参与者为4974名美国成年人（n=2102，42.26%男性，n=3146，63.25%白色，平均年龄43.5，SD 16.7岁）。参与者完成了最新的生命体征健康素养措施，并指出他们的实际使用HIT工具，以及这些应用程序的易用性和有用性。参与者还回答了有关信息隐私和机构信任以及人口统计项目的问题。交叉表格分析表明，健康素养的充分与不足与健身应用程序（P=.02），营养应用程序（P<.001），活动跟踪器（P<.001）和患者门户网站（P<.001）的使用显著相关。此外，在控制人口统计学因素后，更高的健康素养与所有HIT工具的更大感知易用性和感知有用性显著相关。关于HIT和机构信任的隐私感知，健康素养较高的患者通常表现出对HIT工具的隐私感知降低，包括健身应用程序（P<.001）和营养应用程序（P<.001）。健康素养与对政府（P<.001）、媒体（P<.001）和科技公司（P<.001）的信任呈负相关。有趣的是，健康素养得分与对医疗保健的信任呈正相关（P=.03）。健康素养低的患者不太可能使用HIT工具或认为它们简单或有用，但他们认为HIT信息是私人的。鉴于技术的快速发展，迫切需要进一步了解健康素养如何与HIT应用程序的采用和使用相关。这将确保所有用户都能从这些技术进步中获得充分的健康益处，同时保护健康信息隐私，并确保用户与他们信任的组织和提供商进行合作。
Approximately one-half of American adults exhibit low health literacy and thus struggle to find and use health information. Low health literacy is associated with negative outcomes including overall poorer health. Health information technology (HIT) makes health information available directly to patients through electronic tools including patient portals, wearable technology, and mobile apps. The direct availability of this information to patients, however, may be complicated by misunderstanding of HIT privacy and information sharing. The purpose of this study was to determine whether health literacy is associated with patients’ use of four types of HIT tools: fitness and nutrition apps, activity trackers, and patient portals. Additionally, we sought to explore whether health literacy is associated with patients’ perceived ease of use and usefulness of these HIT tools, as well as patients’ perceptions of privacy offered by HIT tools and trust in government, media, technology companies, and health care. This study is the first wide-scale investigation of these interrelated concepts. Participants were 4974 American adults (n=2102, 42.26% male, n=3146, 63.25% white, average age 43.5, SD 16.7 years). Participants completed the Newest Vital Sign measure of health literacy and indicated their actual use of HIT tools, as well as the perceived ease of use and usefulness of these applications. Participants also answered questions regarding information privacy and institutional trust, as well as demographic items. Cross-tabulation analysis indicated that adequate versus less than adequate health literacy was significantly associated with use of fitness apps (P=.02), nutrition apps (P<.001), activity trackers (P<.001), and patient portals (P<.001). Additionally, greater health literacy was significantly associated with greater perceived ease of use and perceived usefulness across all HIT tools after controlling for demographics. Regarding privacy perceptions of HIT and institutional trust, patients with greater health literacy often demonstrated decreased privacy perceptions for HIT tools including fitness apps (P<.001) and nutrition apps (P<.001). Health literacy was negatively associated with trust in government (P<.001), media (P<.001), and technology companies (P<.001). Interestingly, health literacy score was positively associated with trust in health care (P=.03). Patients with low health literacy were less likely to use HIT tools or perceive them as easy or useful, but they perceived information on HIT as private. Given the fast-paced evolution of technology, there is a pressing need to further the understanding of how health literacy is related to HIT app adoption and usage. This will ensure that all users receive the full health benefits from these technological advances, in a manner that protects health information privacy, and that users engage with organizations and providers they trust.
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影响因子：
2.8
作者：
Boonstra A;Broekhuis M
通讯作者：
Broekhuis M
DOI：
10.1002/asi.21122
发表时间：
2009-10-01
影响因子：
--
作者：
Child, Jeffrey T.;Pearson, Judy C.;Petronio, Sandra
通讯作者：
Petronio, Sandra
影响因子：
3.9
作者：
Meppelink, Corine S.;Smit, Edith G.;van Weert, Julia C. M.
通讯作者：
van Weert, Julia C. M.
影响因子：
7.3
作者：
DAVIS, FD
通讯作者：
DAVIS, FD
影响因子：
3.9
作者：
Mackert, Michael;Champlin, Sara;Guadagno, Marie
通讯作者：
Guadagno, Marie