ArticleJournal of medical Internet research2025
Digital Health Literacy Questionnaire for Older Adults: Instrument Development and Validation Study.
Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- [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 · 2026Article
- Measuring eHealth Literacy in the European Economic Area, Switzerland, and the United Kingdom: Scoping Review.Journal of medical Internet research · 2026Article
- Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.Journal of medical Internet research · 2026Article
- Perceived Nursing Interruptions During Medication Administration: Development and Validation of a Questionnaire Among Chinese Nurses.Journal of nursing management · 2026Article
- Cervical cancer screening uptake questionnaire (CCSTQ) for women: instrument development and validation.BMC women's health · 2025Article
- What might influence the elderly willingness to participate in "shared elderly care"? A mixed methods study.Frontiers in medicine · 2025Article
- The negative association between health status and digital health literacy among Chinese youth: a cross-sectional study on Chinese general social survey.Frontiers in public health · 2025Article
- Exploring digital health literacy clusters in a Norwegian stroke survivor population-A cross-sectional study (NORFAST).Digital healthArticle
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Authors and funding
7 authors.
Funding
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Abstract
backgroundThe integration of digital technology into older adult health and care has enhanced the intelligence of health and older adult care products and services while also transforming how seniors acquire and share health information. Assessing older adults' digital health literacy (DHL) is crucial for developing targeted interventions.
objectiveThis study aims to develop and validate a DHL assessment questionnaire for older adults. It also seeks to evaluate the questionnaire's scientific validity and feasibility among community-dwelling older adults in China, providing a reliable tool for assessing their level of DHL.
methodsA literature review, focus group discussions, and the Delphi method were used to construct the questionnaire item pool and perform item screening. Item analysis was conducted for comprehensive evaluation, and questionnaire validity was assessed through construct validity (exploratory factor analysis, confirmatory factor analysis, convergent validity, and discriminant validity), content validity, and criterion-related validity. Reliability was analyzed using Cronbach alpha coefficient, split-half reliability, and test-retest reliability.
resultsThe study included 710 participants. Item analysis indicated that the questionnaire had strong discriminant validity. Correlation coefficient analysis showed that the item-total correlation coefficients ranged from 0.497 to 0.920 (P<.01). After multiple exploratory factor analyses, 6 common factors were extracted, with a cumulative variance contribution rate of 73.745%. Confirmatory factor analysis demonstrated a good model fit (χ
conclusionsThis study developed a questionnaire specifically designed to assess DHL in older adults through a scientifically rigorous and systematic process. The questionnaire demonstrates strong psychometric properties and can serve as an empirical tool for health professionals to design personalized intervention policies and enhance health service delivery.
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