Patients' Technology Readiness and eHealth Literacy Implications for Adoption and Deployment of eHealth in the COVID-19 Era and Beyond

Lee, Wan Ling and Lim, Zi Jing and Tang, Lee Yoong and Yahya, Nor Aziyan and Varathan, Kasturi Dewi and Mohamed Ludin, Salizar and UNSPECIFIED (2021) Patients' Technology Readiness and eHealth Literacy Implications for Adoption and Deployment of eHealth in the COVID-19 Era and Beyond. Computers, Informatics, Nursing (CIN). pp. 1-7. ISSN 1538-2931 E-ISSN 1538-9774 (In Press)

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Abstract

The COVID-19 pandemic has rerouted the healthcare ecosystem by accelerating digital health, and rapid adoption of eHealth is partly influenced by eHealth literacy (eHL). This study aims to examine patients' eHL in relation to their “technology readiness”—an innate attitude that is underexplored in clinical research. A total of 276 adult inpatients with hypertension, diabetes mellitus, and coronary heart disease were surveyed cross-sectionally in 2019 using self-reported questionnaires: eHealth Literacy Scale and Technology Readiness Index (2.0). The study found moderate eHL (mean, 27.38) and moderate technology readiness (mean, 3.03) among patients. The hierarchical regression model shows that lower eHL scores were associated with patients of minor ethnicity (Malaysian Chinese), with an unemployed status, and having >1 cardiovascular risk (β = −0.136 to −0.215, R2 = 0.283, Ps < .005). Technology readiness is a strong determinant of eHL (ΔR2 = 0.295, P < .001) with its subdomains (optimism, innovativeness, and discomfort) significantly influencing eHL (|β| = 0.28-0.40, Ps < .001), except for the insecurity subdomain. Deployment of eHealth interventions that incorporate assessment of patients' eHL and technology readiness will enable targeted strategies, especially in resource-limited settings hit hard by the pandemic crisis.

Item Type:	Article (Journal)
Uncontrolled Keywords:	eHealth, Health literacy, mHealth, Technology acceptance, Technology adoption
Subjects:	R Medicine > RT Nursing > RT82 Nursing As A Profession
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Nursing > Department of Critical Care Nursing
Depositing User:	DR Salizar Mohamed Ludin
Date Deposited:	23 Nov 2021 09:46
Last Modified:	23 Nov 2021 09:46
URI:	http://irep.iium.edu.my/id/eprint/94014

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