ArticleDigital health
Exploring digital health literacy clusters in a Norwegian stroke survivor population-A cross-sectional study (NORFAST).
Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors influencing digital health literacy in stroke patients based on social cognitive theory: a mixed-methods systematic review.Frontiers in public health · 2026Pooled it
- Current Status and Associated Factors of Technophobia Toward Digital Health Technologies Among Older Patients With Stroke: Mixed Methods Study.Journal of medical Internet research · 2026Article
- Measuring eHealth Literacy in the European Economic Area, Switzerland, and the United Kingdom: Scoping Review.Journal of medical Internet research · 2026Article
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Authors and funding
7 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Background: Digital health technologies play a pivotal role in stroke prevention and rehabilitation. However, variations in digital health literacy (DHL) among stroke survivors may impede effective use of these tools. Understanding DHL-profiles and their influencing factors is essential for tailoring interventions. Aim: This study aimed to identify DHL-profiles among stroke survivors and possible associations with sociodemographic and clinical characteristics. Methods: We conducted a cross-sectional study with 177 first-time stroke patients (2021-2022) from the Norwegian stroke registry. DHL was measured using the eHealth Literacy Questionnaire. Cluster analysis identified DHL profiles, and multinomial regression explored associations with sociodemographic and clinical variables. Results: Three distinct DHL-profiles emerged: Novices (26%), Cautious users (57%), and Navigators (17%). Novices exhibited notable DHL limitations, cautious users demonstrated moderate proficiency, and navigators displayed a high level of proficiency. Participants aged ≥67 years were five times more likely to be Novices compared to Cautious users. Lower education and cognitive functioning increased novice likelihood, whereas living alone decreased the chance of being a Navigator. Conclusions: Diverse DHL-profiles among stroke survivors highlight the need for personalized digital health services. Tailored interventions, developed through co-design and addressing specific DHL challenges, may improve equitable access and enhance usability, ultimately promoting health equity.
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