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Lewis CC, Taba M, Allen TB, Caldwell PH, Skinner SR, Kang M, Henderson H, Bray L, Borthwick M, Collin P, McCaffery K, Scott KM. Developing an Educational Resource Aimed at Improving Adolescent Digital Health Literacy: Using Co-Design as Research Methodology. J Med Internet Res 2024; 26:e49453. [PMID: 39110967 PMCID: PMC11339585 DOI: 10.2196/49453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 11/24/2023] [Accepted: 05/16/2024] [Indexed: 08/25/2024] Open
Abstract
BACKGROUND Adolescence is a key developmental period that affects lifelong health and is impacted by adolescents regularly engaging with digital health information. Adolescents need digital health literacy (DHL) to effectively evaluate the quality and credibility of such information, and to navigate an increasingly complex digital health environment. Few educational resources exist to improve DHL, and few have involved adolescents during design. The co-design approach may hold utility through developing interventions with participants as design partners. OBJECTIVE This project aimed to explore the co-design approach in developing an educational resource to improve adolescents' DHL. METHODS Adolescents (12-17 years old) attended 4 interactive co-design workshops (June 2021-April 2022). Participant perspectives were gathered on DHL and the design of educational resources to improve it. Data generated were analyzed through content analysis to inform educational resource development. RESULTS In total, 27 participants from diverse backgrounds attended the workshops. Insight was gained into participants' relationship with digital health information, including acceptance of its benefits and relevance, coupled with awareness of misinformation issues, revealing areas of DHL need. Participants provided suggestions for educational resource development that incorporated the most useful aspects of digital formats to develop skills across these domains. The following 4 themes were derived from participant perspectives: ease of access to digital health information, personal and social factors that impacted use, impacts of the plethora of digital information, and anonymity offered by digital sources. Initial participant evaluation of the developed educational resource was largely positive, including useful suggestions for improvement. CONCLUSIONS Co-design elicited and translated authentic adolescent perspectives and design ideas into a functional educational resource. Insight into adolescents' DHL needs generated targeted educational resource content, with engaging formats, designs, and storylines. Co-design holds promise as an important and empowering tool for developing interventions to improve adolescents' DHL.
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Affiliation(s)
- Callum C Lewis
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
| | - Melody Taba
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
- Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Tiffany B Allen
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
| | - Patrina Hy Caldwell
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
- The Children's Hospital at Westmead, Westmead, Australia
| | - S Rachel Skinner
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
- The Children's Hospital at Westmead, Westmead, Australia
| | - Melissa Kang
- General Practice Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Hamish Henderson
- Sydney School of Architecture, Design and Planning, The University of Sydney, Sydney, Australia
| | - Liam Bray
- Sydney School of Architecture, Design and Planning, The University of Sydney, Sydney, Australia
| | - Madeleine Borthwick
- Sydney School of Architecture, Design and Planning, The University of Sydney, Sydney, Australia
| | - Philippa Collin
- Institute for Culture and Society, Western Sydney University, Parramatta, Australia
| | - Kirsten McCaffery
- Sydney Health Literacy Lab, School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia
| | - Karen M Scott
- Specialty of Child and Adolescent Health, Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Westmead, Australia
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Chang FC, Chang C, Tao CC. Adolescent pursuit of health information online during the COVID-19 pandemic: The roles played by eHealth literacy and psychological distress. Glob Ment Health (Camb) 2023; 10:e51. [PMID: 37854426 PMCID: PMC10579651 DOI: 10.1017/gmh.2023.44] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 05/31/2023] [Accepted: 08/07/2023] [Indexed: 10/20/2023] Open
Abstract
COVID-19 has led to an increase in mental health problems for adolescents. In this study, we examined the factors related to the eHealth literacy of adolescents and how that impacted their pursuit of health information and mental health information online during the COVID-19 pandemic. We analyzed data from the 2020 Taiwan Communication Survey, which involved a total of 1,250 national representative adolescents who completed an online questionnaire. The results showed that two-thirds of adolescents reported searching for health information online, and about half of them reported searching for mental health information online during the COVID-19 pandemic. Multivariate analysis results indicated that adolescents who spent more time learning online, had higher levels of bonding social capital and self-determination, and had higher levels of parental active internet mediation were more likely to have higher levels of eHealth literacy. In addition, multivariate analysis results showed that adolescents who had higher levels of eHealth literacy and had higher depression and anxiety were more likely to seek health information and mental health information online. In conclusion, the levels of eHealth literacy and psychological distress of adolescents played a crucial role in their pursuit of health information and mental health information online during the COVID-19 pandemic.
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Affiliation(s)
- Fong-Ching Chang
- Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei, Taiwan
| | - Chingching Chang
- Research Center for Humanities and Social Sciences, Academia Sinica, Taipei, Taiwan
| | - Chen-Chao Tao
- Department of Communication and Technology, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
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Bai X, Yao L, Duan C, Sun X, Niu G. Deviant Peer Affiliation and Adolescent Tobacco and Alcohol Use: The Roles of Tobacco and Alcohol Information Exposure on Social Networking Sites and Digital Literacy. Behav Sci (Basel) 2022; 12:bs12120478. [PMID: 36546961 PMCID: PMC9774642 DOI: 10.3390/bs12120478] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 11/21/2022] [Accepted: 11/22/2022] [Indexed: 11/29/2022] Open
Abstract
Due to the prevalence and severe harm of adolescent tobacco and alcohol use, researchers have been paying attention to its influencing factors. From the perspective of the ecological techno-subsystem theory, this study aimed to examine the correlations between deviant peer affiliation, tobacco and alcohol information exposure on social networking sites (SNSs), and adolescent tobacco and alcohol use, as well as the potential protective role of digital literacy. In total, 725 adolescents were recruited to participate in this study. The results showed that deviant peer affiliation was positively associated with adolescent tobacco and alcohol use, SNS tobacco and alcohol information exposure mediated this association, and digital literacy moderated the relationship between SNS information exposure and tobacco and alcohol use. Specifically, the association between SNS tobacco and alcohol information exposure and adolescent tobacco and alcohol use was weaker for those with high digital literacy. These findings not only explore the combined effects of offline and online risk factors but also provide guides for preventing adolescents' tobacco and alcohol use by cultivating and enhancing digital literacy.
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Affiliation(s)
- Xuqing Bai
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
| | - Liangshuang Yao
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
| | - Changying Duan
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
| | - Xiaojun Sun
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Correspondence: (X.S.); (G.N.)
| | - Gengfeng Niu
- School of Psychology, Central China Normal University, Wuhan 430079, China
- Key Laboratory of Adolescent Cyberpsychology and Behavior (CCNU), Ministry of Education, Wuhan 430079, China
- Correspondence: (X.S.); (G.N.)
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Tariku Seboka B, Hailegebreal S, Negash M, Mamo TT, Ali Ewune H, Gilano G, Yehualashet DE, Gizachew G, Demeke AD, Worku A, Endashaw H, Kassawe C, Amede ES, Kassa R, Tesfa GA. Predictors of Mental Health Literacy and Information Seeking Behavior Toward Mental Health Among University Students in Resource-Limited Settings. Int J Gen Med 2022; 15:8159-8172. [PMID: 36389023 PMCID: PMC9664927 DOI: 10.2147/ijgm.s377791] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Accepted: 11/03/2022] [Indexed: 09/03/2023] Open
Abstract
BACKGROUND This paper investigated mental health literacy level and information seeking behavior, and mental health-related information sources in limited-resource settings, in the case of Ethiopian university students. METHODS A cross-sectional, self-administered web-based survey was conducted among Dilla University students, from 1 January to 29 February 2022, with a total of 780 respondents. We presented descriptive statistics using mean, standard deviations, and proportions. Bivariate and multivariate logistic regression were employed to identify factors associated with mental health literacy and information seeking behavior of students. Further, path analysis was also employed. RESULTS The result showed 71 (9.1%) respondents had a diagnosed history of mental illness. Overall, 397 (50.9%) respondents were identified as having adequate mental health literacy and 420 (53.8%) sought mental health information. In multivariate analysis, mental health literacy was significantly associated with: being female (AOR = 2.8; 95% CI (1.5-5.4)), higher digital health literacy (AOR=2.8; 95% CI (1.5-5.4), seeking mental health-related information (AOR=1.6; 95% CI: (1.1-2.5)), having family with mental illness, and students in health-related programs (AOR = 2.1; 95% CI (1.0-4.2)). Furthermore, health-related programs, level of mental health literacy, exposure to mental health problems in the family, and were associated with information seeking behavior regarding mental health. Further, path analysis revealed significant positive associations of information seeking behavior and digital health literacy with mental health literacy. CONCLUSION The result indicated the status of university students' mental health literacy level and information seeking behavior were low and inadequate. This study suggests the need to improve students' digital health competencies by designing mental health literacy programs by collaboration of different stakeholders, and mental health literacy programs need to optimize access to internet and online resources in the university settings.
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Affiliation(s)
| | | | - Misrak Negash
- Department of Psychiatry, Dilla University, Dilla, Ethiopia
| | | | | | - Girma Gilano
- Department of Health Informatics, Arbaminch University, Arbaminch, Ethiopia
| | | | | | | | - Aynadis Worku
- Department of Health Informatics, Debre Markos University, Debre Markos, Ethiopia
| | | | | | | | - Reta Kassa
- School of Public Health, Dilla University, Dilla, Ethiopia
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Faux-Nightingale A, Philp F, Chadwick D, Singh B, Pandyan A. Available tools to evaluate digital health literacy and engagement with eHealth resources: A scoping review. Heliyon 2022; 8:e10380. [PMID: 36090207 PMCID: PMC9449566 DOI: 10.1016/j.heliyon.2022.e10380] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2022] [Revised: 05/25/2022] [Accepted: 08/15/2022] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | | | - Baldev Singh
- University of Wolverhampton, Wolverhampton, UK
- Royal Wolverhampton Hospital, Wolverhampton, UK
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Brady SS, Jefferson SC, Saliares E, Porta CM, Patrick ME. Sex in the Context of Substance Use: A Study of Perceived Benefits and Risks, Boundaries, and Behaviors among Adolescents Participating in an Internet-Based Intervention. ARCHIVES OF SEXUAL BEHAVIOR 2022; 51:1741-1764. [PMID: 34792691 PMCID: PMC10260373 DOI: 10.1007/s10508-021-02173-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/24/2020] [Revised: 10/03/2021] [Accepted: 10/05/2021] [Indexed: 06/13/2023]
Abstract
Little research has examined adolescents' perspectives of sex with substance use. This study examined (1) adolescents' perceived benefits and risks of sex with substance use, as well as boundaries; (2) the potential for positive and negative social influences among adolescents when they discuss these topics; and (3) whether exposure to health-promoting content is associated with trajectories of sex with substance use over a 6-month period. To address the first two objectives, 176 comments were analyzed from 71 adolescents (90% female) aged 14-18 years who participated in an Internet-based sexual health promotion intervention and posted to at least one message board addressing sex with substance use. Adolescents' perceived benefits and risks of sex with substance use primarily reflected concern for the experience of sex in the moment; perceived risks and boundaries primarily reflected concern for the ability to develop and maintain meaningful relationships. Comments of 63% and 22% of adolescents, respectively, were evaluated to have potential for health-promoting and risk-promoting social influence. To address the third objective, trajectories of self-reported sex with substance use were compared between 89 intervention and 54 control participants. No significant differences were observed. However, a dose-response effect was observed; intervention participants who completed less than one third of assigned tasks reported increases in sex with alcohol or marijuana use over time, while no marked changes or much smaller changes in sex with substance use were observed among intervention participants who completed one third or more tasks. Implications for prevention and intervention programs are discussed.
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Affiliation(s)
- Sonya S Brady
- Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 South Second Street, Suite 300, Minneapolis, MN, 55454, USA.
| | - Suzanne C Jefferson
- University of Minnesota School of Public Health Alumni, Minneapolis, MN, USA
| | | | - Carolyn M Porta
- University of Minnesota School of Nursing, Minneapolis, MN, USA
| | - Megan E Patrick
- Survey Research Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, USA
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Wang Z, Sun Z. Can the adoption of health information on social media be predicted by information characteristics? ASLIB J INFORM MANAG 2020. [DOI: 10.1108/ajim-12-2019-0369] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
PurposeThis paper aims to explore the relationship between the characteristics of social media health information and its adoption. The purpose is to identify information characteristics that can be used to estimate the level of health information adoption in advance.Design/methodology/approachAccording to the Information Adoption Model (IAM), the study extracted ten information characteristics from the aspects of information quality and information source credibility. The sample data was collected from the top ten influential health accounts based on the Impact List of Sina Weibo to test the effectiveness of these characteristics in distinguishing information at different levels of adoption. The forecasting of information adoption level is regarded as a binary classification question in the study and support vector machine (SVM) is used to do the research.FindingsThe results indicate that ten information characteristics chosen in this study are related to information adoption. Based on these information characteristics, it is feasible to estimate the level of health information adoption, and the estimation accuracy is relatively high.Originality/valueA lot of work has been done in previous researches to reveal the factors that influence information adoption. The theoretical contribution of this work is to further discuss how to use the influencing factors to do some predictive work for information adoption. In practice, it will help health information publishers to disseminate high-quality health information more effectively as well as promote the adoption of health information.
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