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Published in: Osteoporosis International 7/2020

01-07-2020 | Original Article

Current level of technology use, health and eHealth literacy in older Canadians with a recent fracture—a survey in orthopedic clinics

Authors: C. Cherid, A. Baghdadli, M. Wall, N. E. Mayo, G. Berry, E. J. Harvey, A. Albers, S. G. Bergeron, S. N. Morin

Published in: Osteoporosis International | Issue 7/2020

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Abstract

Summary

Among older adults who have recently sustained a fracture, there is substantial adoption of mobile technology. Furthermore, health and eHealth literacy level reported by participants supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.

Introduction

Electronic health resources are increasingly used in the self-management of medical conditions. We aimed to identify the current level of technology adoption, health, and eHealth literacy among older adults with a recent fracture, to determine if the use of electronic interventions would be feasible and acceptable in this population.

Methods

Adults ≥ 50 years with recent fractures were invited to complete a self-administered survey composed of 21 questions, including an 8-item perceived eHealth literacy scale.

Results

A total of 401 participants completed the survey (women, 64%; ≥ 65 years, 59%; university education, 32%). Most participants reported no difficulty in reading printed health material (67%) and felt confident in filling out medical forms (65%). Younger age and higher levels of education were associated with higher health literacy. Most respondents (81%) owned at least one mobile device (smartphone, 49%; tablet, 45%). eHEALS scores were similar among men (29, IQR 24–32) and women (29, IQR 25–33), and between younger age group categories (50–64 years, 30; IQR 26–33; and 65–74 years, 29; IQR 25–32), but lower in the oldest age group (≥ 75 years, 24; IQR 21–29; p < 0.05). Compared with the youngest group, those ≥ 75 years had higher odds of an eHEALS < 26 (odds ratio, 4.2; 95% confidence interval 2.0–8.9) after adjusting for sex and education level.

Conclusion

There is significant adoption of mobile technology among older adults. Health and eHealth literacy reported by this study population supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.
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Literature
1.
go back to reference Mediati RD, Vellucci R, Dodaro L (2014) Pathogenesis and clinical aspects of pain in patients with osteoporosis. Clin Cases Miner Bone Metab 11(3):169–172PubMedPubMedCentral Mediati RD, Vellucci R, Dodaro L (2014) Pathogenesis and clinical aspects of pain in patients with osteoporosis. Clin Cases Miner Bone Metab 11(3):169–172PubMedPubMedCentral
17.
go back to reference Chew LD, Bradley KA, Boyko EJ (2004) Brief questions to identify patients with inadequate health literacy. Fam Med 36(8):588–594PubMed Chew LD, Bradley KA, Boyko EJ (2004) Brief questions to identify patients with inadequate health literacy. Fam Med 36(8):588–594PubMed
22.
go back to reference Hesse BW, Greenberg AJ, Peterson EB, Chou WS (2017) The Health Information National Trends Survey (HINTS): a resource for consumer engagement and health communication research. Stud Health Technol Inform 240:330–346PubMed Hesse BW, Greenberg AJ, Peterson EB, Chou WS (2017) The Health Information National Trends Survey (HINTS): a resource for consumer engagement and health communication research. Stud Health Technol Inform 240:330–346PubMed
35.
go back to reference Yadav L, Haldar A, Jasper U, Taylor A, Visvanathan R, Chehade M, Gill T (2019) Utilising digital health technology to support patient-healthcare provider communication in fragility fracture recovery: systematic review and meta-analysis. Int J Environ Res Public Health 16(20). https://doi.org/10.3390/ijerph16204047 Yadav L, Haldar A, Jasper U, Taylor A, Visvanathan R, Chehade M, Gill T (2019) Utilising digital health technology to support patient-healthcare provider communication in fragility fracture recovery: systematic review and meta-analysis. Int J Environ Res Public Health 16(20). https://​doi.​org/​10.​3390/​ijerph16204047
Metadata
Title
Current level of technology use, health and eHealth literacy in older Canadians with a recent fracture—a survey in orthopedic clinics
Authors
C. Cherid
A. Baghdadli
M. Wall
N. E. Mayo
G. Berry
E. J. Harvey
A. Albers
S. G. Bergeron
S. N. Morin
Publication date
01-07-2020
Publisher
Springer London
Published in
Osteoporosis International / Issue 7/2020
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-020-05359-3

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