PDF(Pubmed)
Abstract：
BACKGROUND: There has been a rapid expansion of digital health care services, making the need for measuring and improving digital health readiness a priority. In response, our study team developed the Mobile-Centered Digital Health Readiness: Health Literacy and Equity Scale (mDiHERS) to measure digital health readiness.
OBJECTIVE: We aim to develop and validate a scale that assesses digital health readiness, encompassing literacy and equity, and to ensure the effective use of mobile-centered digital health services.
METHODS: This study was conducted from October 2021 to October 2022 to develop and validate the mDiHERS. Participants included patients with inflammatory bowel disease, which is a chronic condition requiring continuous management, and experts in medical and nursing informatics. The scale development involved a literature review, focus group interviews, and content validity evaluations. A total of 440 patients with inflammatory bowel disease were recruited for the validation phase, with 403 completing the survey. The scale\'s validity and reliability were assessed through exploratory factor analysis and Cronbach α. The scale was translated into English by translators and bilingual and native researchers, ensuring its applicability in diverse settings.
RESULTS: The mDiHERS consists of 36 items across 6 domains, with a 5-point Likert scale for responses. The validation process confirmed the scale\'s construct validity, with 4 factors explaining 65.05% of the total variance. The scale\'s reliability was established with Cronbach α values ranging from 0.84 to 0.91. The scale\'s development considered the technical proficiency necessary for engaging with health mobile apps and devices, reflecting the importance of subjective confidence and objective skills in digital health literacy.
CONCLUSIONS: The mDiHERS is a validated tool for measuring patients\' readiness and ability to use digital health services. The mDiHERS assesses user characteristics, digital accessibility, literacy, and equity to contribute to the effective use of digital health services and improve accessibility. The development and validation of the mDiHERS emphasize the importance of confidence and competence in managing health digitally. Continuous improvements are necessary to ensure that all patients can benefit from digital health care.
OBJECTIVE: We aim to develop and validate a scale that assesses digital health readiness, encompassing literacy and equity, and to ensure the effective use of mobile-centered digital health services.
METHODS: This study was conducted from October 2021 to October 2022 to develop and validate the mDiHERS. Participants included patients with inflammatory bowel disease, which is a chronic condition requiring continuous management, and experts in medical and nursing informatics. The scale development involved a literature review, focus group interviews, and content validity evaluations. A total of 440 patients with inflammatory bowel disease were recruited for the validation phase, with 403 completing the survey. The scale\'s validity and reliability were assessed through exploratory factor analysis and Cronbach α. The scale was translated into English by translators and bilingual and native researchers, ensuring its applicability in diverse settings.
RESULTS: The mDiHERS consists of 36 items across 6 domains, with a 5-point Likert scale for responses. The validation process confirmed the scale\'s construct validity, with 4 factors explaining 65.05% of the total variance. The scale\'s reliability was established with Cronbach α values ranging from 0.84 to 0.91. The scale\'s development considered the technical proficiency necessary for engaging with health mobile apps and devices, reflecting the importance of subjective confidence and objective skills in digital health literacy.
CONCLUSIONS: The mDiHERS is a validated tool for measuring patients\' readiness and ability to use digital health services. The mDiHERS assesses user characteristics, digital accessibility, literacy, and equity to contribute to the effective use of digital health services and improve accessibility. The development and validation of the mDiHERS emphasize the importance of confidence and competence in managing health digitally. Continuous improvements are necessary to ensure that all patients can benefit from digital health care.
摘要：
背景：数字医疗保健服务迅速扩展，将测量和改善数字健康准备的需要作为优先事项。作为回应,我们的研究团队开发了以移动为中心的数字健康准备情况:健康素养和公平量表(mDiHERS)来衡量数字健康准备情况.
目标：我们的目标是开发和验证评估数字健康准备的量表，包括识字和公平，并确保有效使用以移动为中心的数字医疗服务。
方法：这项研究于2021年10月至2022年10月进行，以开发和验证mDiHERS。参与者包括炎症性肠病患者，这是一种需要持续管理的慢性病，和医学和护理信息学专家。量表的开发涉及文献综述，焦点小组访谈,和内容效度评价。总共招募了440名炎症性肠病患者进行验证阶段，403完成调查。通过探索性因子分析和Cronbachα评估量表的效度和信度。翻译以及双语和母语研究人员将该量表翻译成英文，确保其在不同环境中的适用性。
结果：mDiHERS由6个领域的36个项目组成，用5分的李克特量表来回答。验证过程证实了量表的结构有效性，4个因素解释了总方差的65.05%。量表的可靠性是由Cronbachα值在0.84到0.91之间建立的。该量表的开发考虑了参与健康移动应用程序和设备所需的技术熟练程度，反映了主观信心和客观技能在数字健康素养中的重要性。
结论：mDiHERS是衡量患者使用数字医疗服务的准备和能力的有效工具。mDiHERS评估用户特征，数字可访问性,识字，和公平有助于有效利用数字医疗服务，提高可及性。mDiHERS的开发和验证强调了信心和能力在数字化管理健康方面的重要性。需要不断改进，以确保所有患者都能从数字医疗保健中受益。
目标：我们的目标是开发和验证评估数字健康准备的量表，包括识字和公平，并确保有效使用以移动为中心的数字医疗服务。
方法：这项研究于2021年10月至2022年10月进行，以开发和验证mDiHERS。参与者包括炎症性肠病患者，这是一种需要持续管理的慢性病，和医学和护理信息学专家。量表的开发涉及文献综述，焦点小组访谈,和内容效度评价。总共招募了440名炎症性肠病患者进行验证阶段，403完成调查。通过探索性因子分析和Cronbachα评估量表的效度和信度。翻译以及双语和母语研究人员将该量表翻译成英文，确保其在不同环境中的适用性。
结果：mDiHERS由6个领域的36个项目组成，用5分的李克特量表来回答。验证过程证实了量表的结构有效性，4个因素解释了总方差的65.05%。量表的可靠性是由Cronbachα值在0.84到0.91之间建立的。该量表的开发考虑了参与健康移动应用程序和设备所需的技术熟练程度，反映了主观信心和客观技能在数字健康素养中的重要性。
结论：mDiHERS是衡量患者使用数字医疗服务的准备和能力的有效工具。mDiHERS评估用户特征，数字可访问性,识字，和公平有助于有效利用数字医疗服务，提高可及性。mDiHERS的开发和验证强调了信心和能力在数字化管理健康方面的重要性。需要不断改进，以确保所有患者都能从数字医疗保健中受益。
