Research Progress on the Conceptual Evolution, Theoretical Modelling and Measurement Tools of Electronic Health Literacy

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-08-19 DOI:10.1111/jep.70248

Yun Wang, Xinwen Zhang, Lijing Wang, Meiyi Guo, Yanling Li, Lingling Li

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引用次数: 0

Abstract

Objective

This study aimed to collect and analyse electronic health (eHealth) and eHealth literacy (eHL)-related research, expound the development of eHL evaluation tools at home and abroad, provide reference for the theoretical and applied research of eHL in China and promote the improvement of eHL in the Chinese population.

Methods

By collating relevant research articles, the concept evolution, theoretical models and development of eHL at home and abroad were analysed and summarized; furthermore, the content, measurement performance and application of eHL were explored.

Results

The concept of eHL has not yet been generally recognized. There are six known theoretical models of eHL, namely the Lily Model, the Comprehensive Model of eHealth Literacy, Andersen's Behavioural Model of Health Services Use, the eHealth Literacy Extended User–Task–Context Matrix Model, the Comprehensive Model of eHealth Utilization and the eHealth Literacy Interactive Model. The above models have matured through research but have not been fully evaluated and empirically studied. The assessment tools of eHL, such as the eHealth Literacy Scale, Digital Health Literacy Instrument and Electronic Health Literacy Assessment Toolkit, are diverse for different populations and types of application scenarios; however, although the scales are rich, they are not ideally suited for use in China. Therefore, the concepts, models and scale tools for eHL continue to be explored and investigated.

Conclusion

At present, definitions of eHL-related concepts exist, and the models and measurement tools of eHL are diverse and rich; however, it is necessary to continue to explore the measurement tools suitable for Chinese people and enrich the theoretical basis and models in China.

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电子健康素养的概念演变、理论建模与测量工具研究进展

目的收集和分析电子健康（eHealth）和电子健康素养（eHL）相关研究，阐述国内外电子健康素养评价工具的发展，为国内电子健康素养的理论和应用研究提供参考，促进中国人群电子健康素养水平的提高。方法通过整理相关研究文章，对国内外eHL的概念演变、理论模型和发展进行分析和总结；进一步探讨了eHL的含量、测量性能及应用。结果eHL的概念尚未得到普遍认可。目前已知的eHL理论模型有6个，分别是Lily模型、电子健康素养综合模型、Andersen的健康服务使用行为模型、电子健康素养扩展用户-任务-上下文矩阵模型、电子健康利用综合模型和电子健康素养互动模型。以上模型经过研究已经成熟，但还没有得到充分的评价和实证研究。电子健康素养评估工具，如电子健康素养量表、数字健康素养工具和电子健康素养评估工具包，针对不同人群和不同类型的应用场景具有多样性；然而，尽管鳞片丰富，但它们并不理想地适合在中国使用。因此，eHL的概念、模型和尺度工具将继续被探索和研究。结论目前eHL相关概念的定义已经存在，eHL的模型和测量工具也多种多样、丰富；但是，有必要继续探索适合中国人的测量工具，丰富中国的理论基础和模型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.