Evidence map›Paper›PMID 41398315›Full record

SynthesisHealth promotion international2025

Examining the relationship between health literacy and eHealth literacy in adult populations: a systematic review and meta-analysis.

Georgina Edwards, Diana Dorstyn, Melissa Oxlad

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Health promotion international, 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

3 authors.

Georgina EdwardsSchool of Psychology, The University of Adelaide, North Terrace, Adelaide, SA 5000, Australia.ORCID 0009-0005-4724-7347
Diana DorstynSchool of Psychology, The University of Adelaide, North Terrace, Adelaide, SA 5000, Australia.ORCID 0000-0002-7799-8177
Melissa OxladSchool of Psychology, The University of Adelaide, North Terrace, Adelaide, SA 5000, Australia.ORCID 0000-0001-9067-6706

Funding

Australian Government Research Training Program Scholarship
6 · The paper itself

Abstract

Despite their conceptual similarities and importance for effective health management, the relationship between health literacy and eHealth literacy remains poorly understood. This systematic review investigated the statistical association between health literacy and eHealth literacy in adults, along with study-level moderators and biopsychosocial correlates. CINAHL, Embase, Emcare, PubMed, ProQuest, PsycINFO, and Web of Science were searched until January 2025. Methodological reporting quality (QualSyst Checklist) was assessed and between-study heterogeneity explored using random and mixed-effects modeling. Twenty-three observational studies (N = 25 505 participants), all characterized by high methodological quality, were included. A weak positive relationship between overall health literacy and eHealth literacy was identified [r = 0.29, CI (0.21, 0.37)], with Category 2/comprehensive measures of health literacy correlating more strongly with eHealth literacy than Category 1/functional measures. Individual-level factors, including higher educational attainment, economic advantage, positive health behaviors, strong self-efficacy, and the ability to use digital resources were consistently linked to higher health literacy and eHealth literacy. The findings suggest that health literacy and eHealth literacy should continue to be researched in tandem to understand their impact on health outcomes in the digital age. Further research is also needed to understand how the surrounding environment, together with individual factors such as age and cultural background, influences the development of health literacy and eHealth literacy. Such studies are crucial for addressing disparities and enhancing access to health information and services.

Indexed as

Health LiteracyTelemedicineAdultHealth BehaviorHumansSelf Efficacyhealth behaviorhealth literacymeasuresocial determinants of healthsystematic review

Identifiers

PMID41398315
PMCPMC12705269

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.