From: E-health literacy in older adults: an evolutionary concept analysis
Dimensions | Sub-dimensions | Findings from literature |
---|---|---|
Antecedents | Personal factors | |
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 |  | Frequency of internet use [43] |
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 | Health status | |
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 | Attitude toward online | |
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 |  | Computer confidence [41] |
 |  | Types of preferred sources [31] |
 | Social-economic factors | |
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 |  | Number of e-devise [44] |
 |  | Need for assistance [30] |
 | Cultural factors | Perceived usefulness and Zon e-health information [15, 23, 29, 30, 40, 43, 48] |
 |  | |
 |  | Historical background [29] |
Attributes | Active information seeking | Information-seeking needs/recognition the importance of health promotion [23] |
 |  | Benefit to well-being [55] |
 |  | |
 |  | Seeking information in professional website and personal blogs [13] |
 | Two-way interactive communication | |
 |  | Real-time interactive communication/no delay with need for speed [32] |
 |  | Searching for information to understand what doctors say/information to develop questions without hesitant [33, 39,40,41] |
 |  | Control over online experience/management of information needs [32] |
 |  | Bidirectional flow of information and active role in their health care [15, 57] |
 | Information utilization and sharing | Adaption of dynamic nature of the internet [23] |
 |  | Information utilization/availability of a wealth of information [41] |
 |  | Acquired familiarity and accessibility [30] |
 |  | Application of online knowledge to solve health problem [17] |
 |  | Self-belief in an ability to evaluate online health content [55] |
 |  | Opportunity to help older adults [44] |
 |  | Constantly updated and engaged interactively/delivering self-management and health promotion information [47] |
 |  | Scheduled medical appointment on the internet [56] |
 |  | Online health information changed continuously and ranged variously [13] |
Consequences | Increased health interest | Patient knowledge and expectations regarding health care [29] |
 |  | Enhanced knowledge [50] |
 |  | Medical equality and inequality [43] |
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 |  | Expansion of health interest and expectancy level of health information [17] |
 | Health behavior promotion | Coping with the stressful situation [58] |
 |  | Promoted patient self-management [15] |
 |  | Medication usage/physical condition [46] |
 |  | Lifestyle changes [33] |
 |  | Chronic disease management [31] |
 |  | Capacity to engage in health protective behavior [50] |
 |  | Prevention diseases/Health maintenance/Health promotion/Improvement of health care quality and outcome [56] |
 |  | |
 | Active decision making | Understanding/monitoring/complement to health providers’ decisions to choose [58] |
 |  | Enhanced communication with health professionals/decisions making of one’s health and self-diagnosis [15] |
 |  | Demanding alternative treatments/active participation [41] |
 |  | Active decision-making behavior in doctor visit and communication [17] |