Harneel Kaur, Ammar Saad, Olivia Magwood, Qasem Alkhateeb, Christine Mathew, Gina Khalaf, Kevin Pottie
Understanding the health and housing experiences of refugees and other migrant populations experiencing homelessness or vulnerable housing: a systematic review using GRADE-CERQual
CMAJ open
achieve full potential useroriented ehealth projects need ensure match ehealth technology users ehealth literacy described knowledge skills however lack multifaceted ehealth literacy assessment tools suitable screening purposes objective study develop validate ehealth literacy assessment toolkit ehla assesses individuals health literacy digital literacy using mix existing newly developed scales 2011 2015 scales continuously tested developed iterative process led 7 tools included validation study ehla validation version consisted 4 healthrelated tools tool 1 functional health literacy tool 2 health literacy selfassessment tool 3 familiarity health health care tool 4 knowledge health disease 3 digitallyrelated tools tool 5 technology familiarity tool 6 technology confidence tool 7 incentives engaging technology tested 475 respondents general population sample outpatient clinic statistical analyses examined floor ceiling effects interitem correlations itemtotal correlations cronbach coefficient alpha cca rasch models rm examined fit data tools reduced items secure robust tools fit screening purposes reductions made based psychometrics face validity content validity tool 1 reduced items consequently consists 10 items overall fit rm acceptable anderson conditional likelihood ratio clr108 df9 p29 cca 67 tool 2 reduced 20 9 items overall fit loglinear rm acceptable anderson clr784 df45 p002 cca 85 tool 3 reduced 23 5 items final version showed excellent fit loglinear rm anderson clr477 df40 p19 cca 90 tool 4 reduced 12 6 items fit loglinear rm acceptable anderson clr421 df18 p001 cca 59 tool 5 reduced 20 6 items fit rm acceptable anderson clr303 df17 p02 cca 94 tool 6 reduced 5 4 items fit loglinear rm taking local dependency ld account acceptable anderson clr261 df21 p20 cca 91 tool 7 reduced 6 4 items fit loglinear rm taking ld differential item functioning account acceptable anderson clr230 df29 p78 cca 90 ehla consists 7 short robust scales assess individuals knowledge skills related digital literacy health literacy