Evidence map›Paper›PMID 39137409›Full record

ArticleJournal of medical Internet research2024

Development and Validation of a Mobile-Centered Digital Health Readiness Scale (mDiHERS): Health Literacy and Equity Scale.

Hana Kim, Rebecca Schnall, Nagyeom Yoon, Seong-Joon Koh, Jisan Lee, Jae Hee Cheon

Abstract readValidation Study
In one paragraph

Article in Journal of medical Internet research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. [Development and psychometric validation of the User Experience Scale for Artificial Intelligence QuestionZhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
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  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Era of Digital Healthcare: Emergence of the Smart Patient.Healthcare informatics research · 2025
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hana KimDepartment of Nursing, Hoseo University, Asan, Republic of Korea.ORCID 0000-0002-0877-5869
Rebecca SchnallSchool of Nursing, Columbia University, New York, NY, United States.ORCID 0000-0003-2184-4045
Nagyeom YoonDepartment of Nursing, Gangneung-Wonju National University, Wonju, Republic of Korea.ORCID 0009-0003-7574-6739
Seong-Joon KohDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0001-8001-8777
Jisan Lee *Department of Nursing, Gangneung-Wonju National University, Wonju, Republic of Korea.ORCID 0000-0002-9039-7448
Jae Hee Cheon *Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.ORCID 0000-0002-2282-8904

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere 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.

objectiveWe 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.

methodsThis 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.

resultsThe 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.

conclusionsThe 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.

Indexed as

Health LiteracyTelemedicineAdultDigital HealthFemaleFocus GroupsHumansInflammatory Bowel DiseasesMaleMiddle AgedMobile ApplicationsPsychometricsReproducibility of ResultsSurveys and Questionnairesadoptionassessmentassessmentsbowelchronicdigital healthe-healtheHealthgastroenterologygastrointestinalGIhealth equityhealth literacyIBDinflammationinflammatoryinflammatory bowel diseasesinternal medicineliteracymeasuremeasurementmeasurementsmeasuresmHealthmobile healthmobile phonepatient participationreadinessscalescalestelemedicinevalidatevalidation

Identifiers

PMID39137409
PMCPMC11350292

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Registered trials

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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.