Christina Cheng|Alison Beauchamp|Gerald R. Elsworth|Richard H. Osborne
Applying the Electronic Health Literacy Lens: Systematic Review of Electronic Health Interventions Targeted at Socially Disadvantaged Groups
Swinburne University of Technology|Deakin University|Monash University|Australian Institute for Musculoskeletal Science|Sunshine Hospital|Western Health|University of Melbourne|Swinburne University of Technology|Swinburne University of Technology
background electronic health ehealth potential improve health outcomes however ehealth systems need match ehealth literacy needs users equitably adopted socially disadvantaged groups lower access skills use technologies risk digitally marginalized leading potential widening health disparities objective systematic review aims explore role ehealth literacy user involvement developing ehealth interventions targeted socially disadvantaged groups methods systematic search conducted across 10 databases ehealth interventions targeted older adults ethnic minority groups lowincome groups lowliteracy groups rural communities ehealth literacy framework used examine ehealth literacy components reviewed interventions results analyzed using narrative synthesis results total 51 studies reporting results 48 interventions evaluated studies targeted older adults ethnic minorities 2 studies focusing lowliteracy groups ehealth literacy considered development studies ehealth literacy assessment conducted user involvement designing interventions limited ehealth intervention developmental frameworks rarely used strategies assist users engaging technical systems seldom included interventions accessibility features limited results included studies also provided inconclusive evidence effectiveness ehealth interventions conclusions findings highlight ehealth literacy generally overlooked developing ehealth interventions targeted socially disadvantaged groups whereas evidence effectiveness interventions limited ensure equal access inclusiveness age ehealth ehealth literacy disadvantaged groups needs addressed help avoid digital divide assist realization recent technological advancements importantly improve health equity