Evidence map›Paper›PMID 42019007›Full record

SynthesisJMIR human factors2026

Psychometric Properties of Digital Divide Measurement Instruments in Health Contexts: Systematic Review.

Noelia Navas-Echazarreta, Elena Chover-Sierra, César Rubio-Tarazón, Raquel María Martínez-Pascual, Pablo Del Pozo-Herce, Jesús Martínez-Tofé, Raúl Juárez-Vela, Antonio Martínez-Sabater

Abstract readSystematic Review
In one paragraph

Synthesis in JMIR human factors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Noelia Navas-EchazarretaResearch Group GRUPAC, Pre-departmental Biomedical Sciences and Health Specialties Unit, Faculty of Health Sciences, University of La Rioja, C/ Duquesa de la Victoria, 88, Logroño, 26004, Spain, 941299059.ORCID 0000-0002-0804-5209
Elena Chover-SierraNursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, University of Valencia, Valencia, Spain.ORCID 0000-0002-4141-6956
César Rubio-TarazónNursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, University of Valencia, Valencia, Spain.ORCID 0009-0002-6770-0768
Raquel María Martínez-PascualNursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, University of Valencia, Valencia, Spain.ORCID 0009-0001-5750-5689
Pablo Del Pozo-HerceResearch Group GRUPAC, Pre-departmental Biomedical Sciences and Health Specialties Unit, Faculty of Health Sciences, University of La Rioja, C/ Duquesa de la Victoria, 88, Logroño, 26004, Spain, 941299059.ORCID 0000-0002-2652-4895
Jesús Martínez-ToféResearch Group GRUPAC, Pre-departmental Biomedical Sciences and Health Specialties Unit, Faculty of Health Sciences, University of La Rioja, C/ Duquesa de la Victoria, 88, Logroño, 26004, Spain, 941299059.ORCID 0000-0001-7893-7918
Raúl Juárez-VelaResearch Group GRUPAC, Pre-departmental Biomedical Sciences and Health Specialties Unit, Faculty of Health Sciences, University of La Rioja, C/ Duquesa de la Victoria, 88, Logroño, 26004, Spain, 941299059.ORCID 0000-0003-3597-2048
Antonio Martínez-SabaterResearch Group GRUPAC, Pre-departmental Biomedical Sciences and Health Specialties Unit, Faculty of Health Sciences, University of La Rioja, C/ Duquesa de la Victoria, 88, Logroño, 26004, Spain, 941299059.ORCID 0000-0002-6440-1431

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The digital divide constitutes a growing form of social inequality, influencing access to, use of, and benefit from digital health technologies. Accurate assessment of this phenomenon requires psychometrically sound measurement instruments, especially in health care contexts. Objective: This systematic review aimed to identify and evaluate the psychometric properties of instruments developed to measure the digital divide, with a particular focus on their application in health-related settings. Methods: A systematic review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) 2020 and COSMIN (Consensus-Based Standards for the Selection of Health Measurement Instruments) guidelines. Literature searches were performed in PubMed, Scopus, Dialnet, and Web of Science for studies published between 2015 and 2025. Inclusion criteria required studies to report a psychometric evaluation of instruments measuring the digital divide. Results: Four studies met the inclusion criteria (ranging from 875 to 1337 participants). The identified scales primarily measured digital skills and capital. All studies reported adequate internal consistency, with Cronbach α coefficients ranging from 0.70 to 0.94. Structural validity was confirmed through factor analysis in all studies. However, data on temporal stability and responsiveness were absent. Conclusions: Existing instruments show potential for assessing digital inequality in health, but further psychometric validation and cultural adaptation are required. Nursing professionals are encouraged to lead efforts in developing and validating context-sensitive instruments to promote digital health equity.

Indexed as

Digital DividePsychometricsDigital HealthHumansReproducibility of Resultsdigital dividedigital healthhealth inequalitiesmeasurement instrumentsnursingpsychometric propertiessystematic review

Identifiers

PMID42019007
PMCPMC13102327

What OpenQuestion holds

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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.