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HLS19-DIGI - a new instrument for measuring digital health literacy: development, validation and associations with determinants and health outcomes in 13 countries
D. Levin-Zamir, S. Van den Broucke, É. Bíró, H. Bøggild, L. Bruton, SM. De Gani, H. Søberg Finbråten, S. Gibney, R. Griebler, L. Griese, Ø. Guttersrud, Z. Klocháňová, Z. Kucera, C. Le, T. Link, J. Mancini, D. Miksova, D. Schaeffer, C. Ribeiro da...
Language English
Document type Journal Article, Validation Study
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- MeSH
- Adult MeSH
- Factor Analysis, Statistical MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Surveys and Questionnaires standards MeSH
- Psychometrics MeSH
- Reproducibility of Results MeSH
- Aged MeSH
- Health Literacy * statistics & numerical data MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Validation Study MeSH
- Geographicals
- Europe MeSH
INTRODUCTION: Digital health information sources are playing an increasingly prominent role in health promotion, public health and in healthcare systems. Consequently, digital health literacy skills are likewise becoming increasingly important. METHODS: Using a concept validation approach, the aim of the study was to validate a digital health literacy measure applied in the European Health Literacy Survey 2019-2021 (HLS19) of the WHO M-POHL Network, analyzing data from 28,057 respondents from 13 European countries. RESULTS: The scale displayed high internal consistency. Confirmatory factor analysis (CFA) strengthened the hypothesized one-factor structure. In most countries, the data displayed acceptable fit to the unidimensional Rasch partial credit model (PCM). Pearson correlation with a measure of general health literacy showed sufficient discriminant validity, and a social gradient was found. Testing for predictive validity showed that the scale score predicts health-related outcomes. DISCUSSION: The study shows that considerable proportions of the general adult populations across countries in Europe have limited DHL skills. The level of DHL has direct potential consequences for some forms of health service utilization, in some countries. Implications of the study include recommendations for improving digital health literacy, promoting organizational health literacy and quality assurance for digital health information and resources.
Careum Foundation Careum Center for Health Literacy Zurich Switzerland
Careum School of Health Kalaidos University of Applied Sciences Zurich Switzerland
Communication Unit National Institute of Public Health Ljubljana Slovenia
Czech Health Literacy Institute Prague Czechia
Department of Community Health The Norwegian Directorate of Health Oslo Norway
Department of Health Dublin Ireland
Department of Health Education and Promotion Clalit Health Services Tel Aviv Israel
Direção Geral da Saúde Lisbon Portugal
Global Health Literacy Academy Risskov Denmark
Psychological Sciences Research Institute Université Catholique de Louvain Louvain la Neuve Belgium
School of Public Health Bielefeld University Bielefeld Germany
References provided by Crossref.org
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