Evidence map›Paper›PMID 41214594›Full record

ArticleBMC public health2025

Enhancing digital health literacy in adolescents: evaluation of a co-designed educational app.

Annabelle Hawkins, Melody Taba, Patrina H Y Caldwell, Melissa Kang, S Rachel Skinner, Kirsten McCaffery, Karen M Scott

Abstract readEvaluation Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Annabelle HawkinsSpecialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-6149-5911
Melody TabaSpecialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-2954-1092
Patrina H Y CaldwellSpecialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-1124-6578
Melissa KangGeneral Practice Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-9438-2518
S Rachel SkinnerSpecialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-1970-9792
Kirsten McCafferySydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-2696-5006
Karen M ScottSpecialty of Child and Adolescent Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. karen.scott@sydney.edu.au.ORCID http://orcid.org/0000-0003-0721-6675

Funding

Australian Research Council DP200102051
6 · The paper itself

Abstract

backgroundWith more people turning to the unregulated environment of the internet for health information, digital health literacy is increasingly important to assess trustworthiness of online health information. Adolescents' digital health literacy has long been overlooked because of the false assumption that they possess advanced skills due to being raised in a digital age. It is important that adolescents are given opportunities to develop their digital health literacy, however there is a lack of relevant educational resources, especially self-directed online resources. With adolescents, we co-designed a digital health literacy educational resource. In this study we aimed to evaluate its effectiveness at enhancing adolescents' digital health literacy.

methodsThe study utilised a pre/post mixed-method design with 12-17-year-olds. One-on-one video conference meetings were held with participants. Participants completed a digital health literacy self-assessment survey and practical search task before and after using the brief educational resource misAdventures (10-15 min), then completed an evaluation survey. Survey data were analysed using descriptive statistics; the search task was analysed using an observational checklist; inductive content analysis of qualitative data identified key themes in search and appraisal behaviours.

resultsFor most of the 30 participants, there was a general increase in self-assessed digital health literacy post-intervention. Improvements in appraising the trustworthiness of online health information were seen across multiple search and appraisal skills, including choosing government or official health websites and cross-checking information. Most participants combed through search engine results listings to identify trustworthy sources rather than relying on Google suggestions or the top search result. Some skills, such as investigating bias, were not demonstrated pre- or post-intervention. Evaluation survey results indicated the app was easy to use (100% agreement), with 90% of participants reporting they could see they were learning while using the app and it would change how they use online health information.

conclusionUse of the co-designed educational resource misAdventures improved adolescents' digital health literacy and self-efficacy. Adolescents acknowledged they learnt through using the app and believed it would change the way they used online health information. A brief, self-directed digital educational resource can improve adolescents' ability and disposition to identify trustworthy health information online and on social media.

Indexed as

Health EducationHealth LiteracyMobile ApplicationsAdolescentChildFemaleHumansInternetMaleSurveys and QuestionnairesAdolescentsCritical health literacyDigital health informationDigital health literacyeHealth literacyInformation seeking behaviourInternetOnline health informationSocial mediaWebsites

Identifiers

PMID41214594
PMCPMC12599094

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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.