Shuo Xiong, Long Zuo, Qiwei Chen, Zhang Zeliang, Mohd Nor Akmal Khalid
A Serious Game ("Fight With Virus") for Preventing COVID-19 Health Rumors: Development and Experimental Study
JMIR serious games
digital determinants health ddoh including access technological tools digital health literacy internet access function independently barriers health assessment ddoh routine within healthcare systems although addressing ddoh could help mitigate differential health outcomes digital divide assess role individuallevel factors ddoh patient enrollment use patient portal multimodal crosssectional survey developed deployed 11424 individuals based preferred mode language documented within electronic medical record based technology acceptance model enrollment patient portal intent use patient portal outcomes interest perceived usefulness ease use assessed determine construct validity exploratory investigations included individuallevel ddoh including internet device access availability technological support medical complexity symptom burden individual relationship healthcare system digital health literacy counts n proportions used describe response categories unadjusted adjusted odds ratios reported study included 1850 respondents 11424 invited 162 response rate majority female 583 white 772 average age 63 years validation technology acceptance model measures perceived ease use ie using patient portal require lot mental effort patient portal easy use perceived usefulness ie usefulness patient portal send receive messages providers schedule appointments refill medications positively associated enrollment intent use patient portal within adjusted models perceived ease use perceived usefulness constructs addition constructs digital health literacy knowing health resources available internet aor35 95 ci 1866 portal ease use aor28 95 ci 16 50 portal usefulness aor24 95 ci 14 42 significantly associated patient portal enrollment factors associated patient portal enrollment intent use included comfortable reading speaking english reported use internet surf web send receive emails home internet access access technology devices computer tablet smartphone etc assessing addressing individuallevel ddoh including digital health literacy access digital tools technologies support relational aspects patients social support systems healthcare providers could help mitigate reduce disparities health focusing efforts assess address individuallevel ddoh opportunity improve digitally driven healthcare delivery outcomes like access experience structural outcomes like bias built within algorithms created incomplete representation across communities