ArticleMedicine 2.0
Development of a Questionnaire and Cross-Sectional Survey of Patient eHealth Readiness and eHealth Inequalities.
Article in Medicine 2.0. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies.BMC medical informatics and decision making · 2016Pooled it
- The Impact of Superfast Broadband, Tailored Booklets for Households, and Discussions With General Practitioners on Personal Electronic Health Readiness: Cluster Factorial Quasi-Randomized Control Trial.Journal of medical Internet research · 2019Trial
- Digital Health Literacy in Patients With Heart Failure in Times of Pandemic.Computers, informatics, nursing : CIN · 2022Article
- Inequities in Health Care Services Caused by the Adoption of Digital Health Technologies: Scoping Review.Journal of medical Internet research · 2022Article
- Validity and reliability of the Persian version of the Patient readiness to engage in health information technology (PRE-HIT) instrument.BMC primary care · 2022Article
- Article
- Group differences in health literacy are ameliorated in ehealth literacy.Health psychology and behavioral medicine · 2021Article
- Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting.Journal of medical Internet research · 2019Article
- eHealth literacy, Internet and eHealth service usage: a survey among cancer patients and their relatives.Journal of cancer research and clinical oncology · 2017Article
- Social Health Inequalities and eHealth: A Literature Review With Qualitative Synthesis of Theoretical and Empirical Studies.Journal of medical Internet research · 2017Review
- Use of Information and Communication Technologies Among Older People With and Without Frailty: A Population-Based Survey.Journal of medical Internet research · 2017Article
- Older people going online: its value and before-after evaluation of volunteer support.Journal of medical Internet research · 2015Article
- Baby boomers' adoption of consumer health technologies: survey on readiness and barriers.Journal of medical Internet research · 2014Article
Corrections and comments
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Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany speak of the digital divide, but variation in the opportunity of patients to use the Internet for health (patient eHealth readiness) is not a binary difference, rather a distribution influenced by personal capability, provision of services, support, and cost. Digital divisions in health have been addressed by various initiatives, but there was no comprehensive validated measure to know if they are effective that could be used in randomized controlled trials (RCTs) covering both non-Internet-users and the range of Internet-users.
objectiveThe aim of this study was to develop and validate a self-completed questionnaire and scoring system to assess patient eHealth readiness by examining the spread of scores and eHealth inequalities. The intended use of this questionnaire and scores is in RCTs of interventions aiming to improve patient eHealth readiness and reduce eHealth inequalities.
methodsBased on four factors identified from the literature, a self-completed questionnaire, using a pragmatic combination of factual and attitude questions, was drafted and piloted in three stages. This was followed by a final population-based, cross-sectional household survey of 344 people used to refine the scoring system.
resultsthe patient ehealth readiness questionnaire (perq) includes questions used to calculate four subscores: patients' perception of (1) provision, (2) their personal ability and confidence, (3) their interpersonal support, and (4) relative costs in using the Internet for health. These were combined into an overall PERQ score (0-9) which could be used in intervention studies. Reduction in standard deviation of the scores represents reduction in eHealth inequalities.
conclusionsPERQ appears acceptable for participants in British studies. The scores produced appear valid and will enable assessment of the effectiveness of interventions to improve patient eHealth readiness and reduce eHealth inequalities. Such methods need continued evolution and redevelopment for other environments. Full documentation and data have been published to allow others to develop the tool further.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.