The Role of E-Health Literacy in Preventive Behaviors for COVID-19: A Systematic Review

Document Type : Systematic Review

Authors

1 Ferdows school of Paramedical and Health, Birjand University of Medical Sciences, Birjand, Iran

2 Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran

3 Social Determinants of Health Research Center, Gonabad University of medical sciences, Gonabad, Iran

4 Department of Health Information Technology, Ferdows School of Health and Allied Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran.

Abstract

Background and Objective: E-health literacy is a set of skills that evaluates health information in electronic information resources. Due to the importance of COVID-19 prevention, the present systematic review investigated the role of e-health literacy in preventive behaviors for COVID-19.

Materials and Methods: A systematic review was performed following the principles of PRISMA. The main databases including the Scopus, Web of Science, and PubMed databases were searched on August 2, 2021, without restrictions in publication time. The selected keywords were combined via Boolean operators including “Computer Literacy, » «Telehealth literacy, » «Mobile health literacy, » «Electronic health literacy, » «E-Health literacy,» «E-health literacy,» «Health technology literacy,» «Digital health literacy,» «Health Information literacy,» «Digital literacy,» «Technology literacy,» «Internet literacy,» «Online health literacy,» «Online health information literacy» and the words related to the COVID-19. Inclusion criteria consisted of original articles, which evaluated the effect of e-health literacy on the preventive behavior toward COVID-19.

Results: Among 694 retrieved articles, eight papers were eventually included in this study, four studies examined the effect of e-health literacy on the acceptance of health behaviors and general behaviors. Moreover, one study reviewed the role of e-health literacy in enhancing preventive behaviors and preventing related infections. Another study investigated the effect of socioeconomic status on e-health literacy and adherence to prevention guidelines. Another research developed and implemented digital health literacy to promote mother, child, and family health regarding disease prevention. Moreover, health behaviors related to COVID-19, health literacy, and e-health literacy were investigated in another study.

Conclusion: Enhancing the levels of e-health literacy is one of the recognized methods to increase the observance and adherence to the guidelines which was designated to control and prevention of the COVID-19 disease. Accordingly, relevant organizations and institutions, including the Ministry of Health, universities, and medical centers, need to design and develop appropriate training programs in this context.

Keywords

References

1- Jahanpeyma P, Shamsi A, Nejad Rahim R, Aghazadeh Sarhangipour K. Knowledge of the Covid-19 Virus, From Diagnosis to Prevention and Treatment: A Narrative Review. Military Caring Sciences. 2020;7(3):289-300.
https://doi.org/10.29252/mcs.7.3.289
 
2- Hermans L, Van den Broucke S, Gisle L, Demarest S, Charafeddine R. Mental health, compliance with measures and health prospects during the COVID-19 epidemic: the role of health literacy. BMC Public Health. 2021;21(1):1-9.
https://doi.org/10.1186/s12889-021-11437-w
PMid:34243741 PMCid:PMC8270766  
 
3- Tehrani H. Mental health stigma related to novel coronavirus disease (COVID‐19) in older adults. Geriatrics & Gerontology International. 2020;20(8):796-7.
https://doi.org/10.1111/ggi.13985
PMid:32639082 PMCid:PMC7361788  
 
4- Adeyoyin SOJLP, Practice. A Survey of the Needs and Utilization of Health Information among Young Adults in Abeokuta, Ogun State, Nigeria. 2015:1.  
 
5- Li X, Liu Q. Social Media Use, eHealth Literacy, Disease Knowledge, and Preventive Behaviors in the COVID-19 Pandemic: Cross-Sectional Study on Chinese Netizens. J Med Internet Res. 2020;22(10):e19684.
https://doi.org/10.2196/19684
PMid:33006940 PMCid:PMC7581310  
 
6- Nutbeam D. The evolving concept of health literacy. Social Science & Medicine. 2008;67(12):2072-8.
https://doi.org/10.1016/j.socscimed.2008.09.050
PMid:18952344  
 
7- Jafari Y, Vahedian-Shahroodi M, Tehrani H, Haresabadi M, Shariati M. The relationship between caregivers' health literacy and the behavior of women with multiple sclerosis. Iranian Journal of Obstetrics, Gynecology and Infertility. 2018;21(7):71-64..  
 
8- NaseriBooriAbadi T, Sadoughi F, Sheikhtaheri A. The Status of Electronic Health Literacy in people with Hearing Impairment: Content Analysis Approach. Journal of Health Literacy. 2021;6(3):9-23.  
 
9- Izadi L, Taghdisi MH, Ghadami M, Delavar A, Sarokhani B. Identification of Effective Factors Decision Making in Crisis in Media rganization: A Systematic Review with Emphasis on Media literacy in Health Crisis (CORONA PANDEMIC. Iranian Journal of Health Education and Health Promotion. 2020;8(4):390-406.
https://doi.org/10.29252/ijhehp.8.4.390  
 
10- Xu R, Zhou L, Wong E, Wang D. The Association Between Patients' eHealth Literacy and Satisfaction With Shared Decision-making and Well-being: Multicenter Cross-sectional Study. J Med Internet Res. 2021;23(9):e26721.
https://doi.org/10.2196/26721
PMid:34559062 PMCid:PMC8501410  
 
11- Norman C. eHealth literacy 2.0: problems and opportunities with an evolving concept. Journal of medical Internet research. 2011;13(4):e125.
https://doi.org/10.2196/jmir.2035
PMid:22193243 PMCid:PMC3278111  
 
12- Berger AC, Wizemann T. Generating Evidence for Genomic Diagnostic Test Development: Workshop Summary: National Academies Press; 2011.  
 
13- Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health. 2012;12(1):80.
https://doi.org/10.1186/1471-2458-12-80
PMid:22276600 PMCid:PMC3292515  
 
14- Quinn S, Bond R, Nugent C. Quantifying health literacy and eHealth literacy using existing instruments and browser-based software for tracking online health information seeking behavior. Computers in Human Behavior. 2017;69:256-67.
https://doi.org/10.1016/j.chb.2016.12.032  
 
15- Blackstock OJ, Cunningham CO, Haughton LJ, Garner RY, Norwood C, Horvath KJ. Higher eHealth literacy is associated with HIV risk behaviors among HIV-infected women who use the Internet. The Journal of the Association of Nurses in AIDS Care: JANAC. 2016;27(1):102.
https://doi.org/10.1016/j.jana.2015.09.001
PMid:26456347 PMCid:PMC4695307  
 
16- Yang B, Xia L, Huang R, Chen P, Luo D, Liu Q, et al. Relationship between eHealth literacy and psychological status during COVID-19 pandemic: A survey of Chinese residents. J Nurs Manag. 2021;29(4):805-12.
https://doi.org/10.1111/jonm.13221
PMid:33269492 PMCid:PMC7753302  
 
17- Hua J, Shaw R. Corona virus (Covid-19)"infodemic" and emerging issues through a data lens: The case of china. International journal of environmental research and public health. 2020;17(7):2309.
https://doi.org/10.3390/ijerph17072309
PMid:32235433 PMCid:PMC7177854  
 
18- Guo Z, Zhao S, Guo N, Wu Y, Weng X, Wong J, et al. Socioeconomic Disparities in eHealth Literacy and Preventive Behaviors During the COVID-19 Pandemic in Hong Kong: Cross-sectional Study. J Med Internet Res. 2021;23(4):e24577.
https://doi.org/10.2196/24577
PMid:33784240 PMCid:PMC8048711  
 
19- Chong Y, Cheng H, Chan H, Chien W, Wong S. COVID-19 pandemic, infodemic and the role of eHealth literacy. Int J Nurs Stud. 2020;108:103644.
https://doi.org/10.1016/j.ijnurstu.2020.103644
PMid:32447127 PMCid:PMC7255119  
 
20- Atarodi A, Dastani M, Ghorbani M, Atarodi A. The Role of Mass Media and Social Media in Developing Awareness of Self-Care Behavior against the Outbreak of Covid-19. Library Philosophy and Practice. 2021.  
 
21- Dalili Shoaei M, Dastani M. The Role of Twitter During the COVID-19 Crisis: A Systematic Literature Review. Acta Informatica Pragensia. 2020;9(2):154-69.
https://doi.org/10.18267/j.aip.138  
 
22- Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Systematic Reviews. 2021;10(1):89.
https://doi.org/10.1186/s13643-021-01626-4
PMid:33781348 PMCid:PMC8008539  
 
23- An L, Bacon E, Hawley S, Yang P, Russell D, Huffman S, et al. Relationship Between Coronavirus-Related eHealth Literacy and COVID-19 Knowledge, Attitudes, and Practices among US Adults: Web-Based Survey Study. J Med Internet Res. 2021;23(3):e25042.
https://doi.org/10.2196/25042
PMid:33626015 PMCid:PMC8006897  
 
24- Anumudu CE, Ibrahim AM. Susceptibility awareness via media platforms is the key for curbing the spread of COVID-19 infections: Evidence from the health belief model perspective. International Journal of Media and Information Literacy. 2020;5(2):123-33.
https://doi.org/10.13187/ijmil.2020.2.123  
 
25- Guo Z, Zhao SZ, Guo N, Wu Y, Weng X, Wong JY, et al. Socioeconomic Disparities in eHealth Literacy and Preventive Behaviors During the COVID-19 Pandemic in Hong Kong: Cross-sectional Study. J Med Internet Res. 2021;23(4):e24577.
https://doi.org/10.2196/24577
PMid:33784240 PMCid:PMC8048711  
 
26- Hong KJ, Park NL, Heo SY, Jung SH, Lee YB, Hwang JH. Effect of e-Health Literacy on COVID-19 Infection-Preventive Behaviors of Undergraduate Students Majoring in Healthcare. Healthcare (Basel). 2021;9(5).
https://doi.org/10.3390/healthcare9050573
PMid:34066120 PMCid:PMC8151528  
 
27- Jafree SR, Bukhari N, Muzamill A, Tasneem F, Fischer F. Digital health literacy intervention to support maternal, child and family health in primary healthcare settings of Pakistan during the age of coronavirus: study protocol for a randomised controlled trial. BMJ Open. 2021;11(3):e045163.
https://doi.org/10.1136/bmjopen-2020-045163
PMid:33653760 PMCid:PMC7929637  
 
28- Khamis RM, Geng Y. Social media usage in health communication and its implications on public health security: A case study of covid-19 in Zanzibar. Online Journal of Communication and Media Technologies. 2021;11(1).
https://doi.org/10.30935/ojcmt/9575  
 
29- Li S, Cui G, Kaminga AC, Cheng S, Xu H. Associations Between Health Literacy, eHealth Literacy, and COVID-19-Related Health Behaviors Among Chinese College Students: Cross-sectional Online Study. J Med Internet Res. 2021;23(5):e25600.
https://doi.org/10.2196/25600
PMid:33822734 PMCid:PMC8104003  
 
30- Do BN, Tran TV, Phan DT, Nguyen HC, Nguyen TT, Nguyen HC, Ha TH, Dao HK, Trinh MV, Do TV, Nguyen HQ. Health literacy, eHealth literacy, adherence to infection prevention and control procedures, lifestyle changes, and suspected COVID-19 symptoms among health care workers during lockdown: Online survey. Journal of medical Internet research. 2020;22(11):e22894.
https://doi.org/10.2196/22894
PMid:33122164 PMCid:PMC7674138  
 
31- Mitsutake S, Shibata A, Ishii K, Oka K. Associations of eHealth literacy with health behavior among adult internet users. Journal of medical Internet research. 2016;18(7):e192.
https://doi.org/10.2196/jmir.5413
PMid:27432783 PMCid:PMC4969548  
 
32- Raisi Filabadi ZR, Estebsari F, Milani AS, Feizi S, Nasiri M. Relationship between electronic health literacy, quality of life, and self-efficacy in Tehran, Iran: A community-based study. Journal of Education and Health Promotion. 2020;9.
https://doi.org/10.4103/jehp.jehp_63_20
PMid:32953904 PMCid:PMC7482644  
 
33- Sabahi A, Ahmadian L, Mirzaee M, Khajouei R. Patients' preferences for receiving laboratory test results. Am J Manag Care. 2017;23(4):e113-e9.  
 
34- Ventola C. Social media and health care professionals: benefits, risks, and best practices. journal for formulary management. 2014;39(7):491-520.  
 
35- Eriksson-Backa K, Ek S, Niemelä R, Huotari M. Health information literacy in everyday life: a study of Finns aged 65-79 years. Health informatics journal. 2012;18(2).
https://doi.org/10.1177/1460458212445797
PMid:22733677  
 
36- Perazzo J, Reyes D, Webel A. A Systematic Review of Health Literacy Interventions for People Living with HIV. AIDS and Behavior. 2017;21(3):812-21.
https://doi.org/10.1007/s10461-016-1329-6
PMid:26864691 PMCid:PMC5484044  
 
37- Shi Y, Ma D, Zhang J, Chen B. In the digital age: a systematic literature review of the e-health literacy and influencing factors among Chinese older adults. Journal of Public Health. 2021.
https://doi.org/10.1007/s10389-021-01604-z
PMCid:PMC8175232  
 
38- Bodie GD, Dutta MJ. Understanding health literacy for strategic health marketing: eHealth literacy, health disparities, and the digital divide. Health marketing quarterly. 2008 Jul 2;25(1-2):175-203.
https://doi.org/10.1080/07359680802126301
PMid:18935884  
 
39- Viswanath K, Finnegan Jr JR. The knowledge gap hypothesis: Twenty-five years later. Annals of the International Communication Association. 1996 Jan 1;19(1):187-228.
https://doi.org/10.1080/23808985.1996.11678931  
 
40- Sentell T, Vamos S, Okan O. Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19. International Journal of Environmental Research and Public Health. 2020;17(9):3010.
https://doi.org/10.3390/ijerph17093010
PMid:32357457 PMCid:PMC7246523  
 
41- Luo S, Xin M, Wang S, Zhao J, Zhang G, Li L, et al. Behavioural intention of receiving COVID-19 vaccination, social media exposures and peer discussions in China. Epidemiol Infect. 2021;149:e158.
https://doi.org/10.1017/S0950268821000947
PMid:33888165 PMCid:PMC8267342  

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