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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

2025-03-20Research article Open access
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dc.contributor.authorthe HLS19 Consortium of the WHO Action Network M-POHL
dc.contributor.authorLevin-Zamir, Diane
dc.contributor.authorBroucke, Stephan Van den
dc.contributor.authorBíró, Éva
dc.contributor.authorBøggild, Henrik
dc.contributor.authorBruton, Lucy
dc.contributor.authorGani, Saskia Maria De
dc.contributor.authorFinbråten, Hanne Søberg
dc.contributor.authorGibney, Sarah
dc.contributor.authorGriebler, Robert
dc.contributor.authorGriese, Lennert
dc.contributor.authorGuttersrud, Øystein
dc.contributor.authorKlocháňová, Zuzana
dc.contributor.authorKucera, Zdenek
dc.contributor.authorLe, Christopher
dc.contributor.authorLink, Thomas
dc.contributor.authorMancini, Julien
dc.contributor.authorMiksova, Dominika
dc.contributor.authorSchaeffer, Doris
dc.contributor.authorSilva, Carlota Ribeiro da
dc.contributor.authorSørensen, Kristine
dc.contributor.authorStraßmayr, Christa
dc.contributor.authorArriaga, Miguel Telo de
dc.contributor.authorVrdelja, Mitja
dc.contributor.authorPelikan, Jürgen
dc.date.accessioned2025-07-16T10:17:04Z
dc.date.available2025-07-16T10:17:04Z
dc.date.issued2025-03-20
dc.description.abstractIntroduction: 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.eng
dc.identifier.doi10.3389/fpubh.2025.1472706
dc.identifier.eid105002147301
dc.identifier.issn2296-2565
dc.identifier.pmcPMC11966570
dc.identifier.pmid40182520
dc.identifier.urihttp://hdl.handle.net/10400.14/53931
dc.identifier.wos001458554400001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDigital health literacy
dc.subjectDigital health literacy measurement
dc.subjecteHealth literacy
dc.subjectHealth information technology literacy
dc.subjectHLS
dc.subjectM-POHL
dc.subjectMeasurement scale validation
dc.titleHLS19-DIGI - a new instrument for measuring digital health literacy: development, validation and associations with determinants and health outcomes in 13 countrieseng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.titleFrontiers in Public Health
oaire.citation.volume13
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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