eHealth Literacy: Essential Skills for Consumer Health in a Networked World

Reviewer: Ronson, B Reviewer: Simms, M [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2006/2/e9/]Electronic health tools provide little value if the intended users lack the skills to effectively engage them. With nea...

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Published in:Journal of Medical Internet Research
Main Authors: Norman, Cameron D, Skinner, Harvey A
Language:English
Published: Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada 2006
Subjects:
Online Access:http://hdl.handle.net/1807/4915
https://doi.org/10.2196/jmir.8.2.e9
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author Norman, Cameron D
Skinner, Harvey A
author_facet Norman, Cameron D
Skinner, Harvey A
author_sort Norman, Cameron D
collection University of Toronto: Research Repository T-Space
container_issue 2
container_start_page e9
container_title Journal of Medical Internet Research
container_volume 8
description Reviewer: Ronson, B Reviewer: Simms, M [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2006/2/e9/]Electronic health tools provide little value if the intended users lack the skills to effectively engage them. With nearly half the adult population in the United States and Canada having literacy levels below what is needed to fully engage in an information-rich society, the implications for using information technology to promote health and aid in health care, or for eHealth, are considerable. Engaging with eHealth requires a skill set, or literacy, of its own. The concept of eHealth literacy is introduced and defined as the ability to seek, find, understand, and appraise health information from electronic sources and apply the knowledge gained to addressing or solving a health problem. In this paper, a model of eHealth literacy is introduced, comprised of multiple literacy types, including an outline of a set of fundamental skills consumers require to derive direct benefits from eHealth. A profile of each literacy type with examples of the problems patient-clients might present is provided along with a resource list to aid health practitioners in supporting literacy improvement with their patient-clients across each domain. Facets of the model are illustrated through a set of clinical cases to demonstrate how health practitioners can address eHealth literacy issues in clinical or public health practice. Potential future applications of the model are discussed.
genre Circumpolar Health
genre_facet Circumpolar Health
geographic Canada
geographic_facet Canada
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language English
op_collection_id ftunivtoronto
op_doi https://doi.org/10.2196/jmir.8.2.e9
op_relation National Center for Educational Statistics. National Assessment of Adult Literacy (NAAL): A First Look at the Literacy of America's Adults in the 21st Century. Washington, DC: Institute of Education Sciences, US Department of Education; 2005.
Statistics Canada. Building on Our Competencies: Canadian Results of the International Adult Literacy and Skills Survey, 2003. Ottawa, ON: Human Resources and Skills Development Canada and Statistics Canada; 2005.
Veenhof B, Clermont Y, Sciadas G. Literacy and Digital Technologies: Linkages and Outcomes. Ottawa, ON: Statistics Canada; 2005. URL: http://www.statcan.ca/bsolc/english/bsolc?catno=56F0004MIE2005012 [accessed 2006 Jun 16]
Barbot J. How to build an "active" patient? The work of AIDS associations in France. Soc Sci Med 2006 Feb;62(3):538-551.
Rootman I. Literacy and health in Canada: is it really a problem? Can J Public Health 2003;94(6):405-406.
Institute of Medicine. Health Literacy: A Prescription to End Confusion. Washington, DC: The National Academies Press; 2004.
Ratzan SC, Parker RM. Introduction. In: Seldon CR, Zorn M, Ratzan SC, Parker RM, editors. National Library of Medicine Current Bibliographies in Medicine: Health Literacy. NLM Pub. No. CBM 2000-1 ed. Washington, DC: National Institutes of Health, US Department of Health and Human Services; 2000.
Lai CKY, Arthur DG, Chau WWH. Implication of Internet growth on enhancing health of disadvantaged groups in China: a global perspective. J Clin Nurs 2004 Sep;13(6B):68-73.
Pillon S, Todini AR. eHealth in Antarctica: a model ready to be transferred to every-day life. Int J Circumpolar Health 2004 Dec;63(4):436-442.
Rodrigues RJ, Risk A. eHealth in Latin America and the Caribbean: development and policy issues. J Med Internet Res 2003 Mar 31;5(1):e4
Tatsumi H, Mitani H, Haruki Y, Ogushi Y. Internet medical usage in Japan: current situation and issues. J Med Internet Res 2001 Mar 17;3(1):E12
Gray NJ, Klein JD, Noyce PR, Sesselberg TS, Cantrill JA. The Internet: a window on adolescent health literacy. J Adolesc Health 2005 Sep;37(3):243.
Norman CD, Chirrey S, Skinner HA. Consumer perspectives on e-Health. In: Skinner HA. Promoting Health through Organizational Change. San Francisco, CA: Benjamin Cummings; 2002:315-334.
Mccray AT. Promoting health literacy. J Am Med Inform Assoc 2005;12(2):152-163.
Eng TR. The e-Health Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. Princeton, NJ: The Robert Wood Johnson Foundation; 2001.
Oh H, Rizo C, Enkin M, Jadad A. What is eHealth?: a systematic review of published definitions. World Hosp Health Serv 2005;41(1):32-40.
Friere P. Pedagogy of the Oppressed. New York: Continuum; 1970.
Lankshear C, McLaren PL, editors. Critical Literacy: Politics, Praxis, and the Postmodern. Albany, NY: SUNY Press; 1993.
Tyner K. Literacy in a Digital World. Mahwah, NJ: Lawrence Erlbaum Associates; 1998.
Global Reach. Global Internet Statistics: Sources& References 2005.
American Library Association Presidential Committee on Information Literacy. Final Report. Washington, DC: American Library Association; 1989. URL: http://www.ala.org/ala/acrl/acrlpubs/whitepapers/presidential.htm#opp
Feuerstein M. Media literacy in support of critical thinking. Journal of Educational Media 1999;24(1):43-54.
Potter WJ. Theory of Media Literacy: A Cognitive Approach. Thousand Oaks, CA: Sage; 2004.
Health literacy: report of the Council on Scientific Affairs. Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association. JAMA 1999 Feb 10;281(6):552-557.
Logan RK. The Fifth Language: Learning a Living in the Computer Age. Toronto, ON: Stoddart; 1995.
Skinner H, Biscope S, Poland B. Quality of internet access: barrier behind internet use statistics. Soc Sci Med 2003 Sep;57(5):875-880.
Skinner H, Biscope S, Poland B, Goldberg E. How adolescents use technology for health information: implications for health professionals from focus group studies. J Med Internet Res 2003 Dec 18;5(4):e32
Laugksch RC. Scientific literacy: a conceptual overview. Science Education 2000;84(1):71-94.
Claeson B, Martin E, Richardson W, Schoch-Spana M, Taussig K. Scientific literacy: what it is, why it is important, and why scientists think we don't have it. In: Nader L, editor. Naked Science: Anthropological Inquiry into Boundaries, Power, and Knowledge. New York: Routledge; 1996:101-116.
Gregory J, Miller S. Science in Public: Communication, Culture, and Credibility. New York: Plenum; 1998.
Frontier College. Home page. URL: http://www.frontiercollege.ca/english/main.htm [accessed 2005 Dec 18]
National Literacy Trust. Home page. URL: http://www.literacytrust.org.uk/ [accessed 2005 Dec 18]
National Research and Development Centre for Adult Literacy and Numeracy. Home page. URL: http://www.nrdc.org.uk/ [accessed 2005 Dec 18]
National Center on Adult Literacy. Home page. URL: http://ncal.literacy.upenn.edu/ncal.html [accessed 2005 Dec 18]
Office ofCSfEMLintUK. Home page. URL: http://www.ofcom.org.uk/consult/condocs/strategymedialit/ [accessed 2005 Dec 18]
National Institute of Adult Continuing Education (NIACE). Media guide. URL: http://www.niace.org.uk/alw/2006/Themes/media.htm [accessed 2006 Jan 5]
Media Awareness Network. Home page. URL: http://www.media-awareness.ca/english/index.cfm [accessed 2005 Dec 18]
American Library Association. Information Literacy. URL: http://www.ala.org/ala/acrl/acrlstandards/informationliteracycompetency.htm [accessed 2005 Dec 18]
Chartered Institute of Library and Information. Home page. URL: http://www.cilip.org.uk/ [accessed 2005 Dec 18]
Phillip Morris USA. Home page. URL: http://www.phillipmorrisusa.com/ [accessed 2005 Dec 18]
TeenNet Research Program. The Smoking Zine. URL: http://www.smokingzine.org/ [accessed 2005 Dec 18]
Health Canada. Quit 4 Life. URL: http://www.quit4life.com/ [accessed 2005 Dec 18]
DISCERN. Home page URL: http://www.discern.org.uk/ [accessed 2005 Dec 18]
Griffiths KM, Christensen H. Website quality indicators for consumers. J Med Internet Res 2005;7(5):e55
Davis D, Evans M, Jadad A, Perrier L, Rath D, Ryan D, et al. The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003 Jul 5;327(7405):33-35
doi:10.2196/jmir.8.2.e9
Norman CD, Skinner HA. eHealth Literacy: Essential Skills for Consumer Health in a Networked World. J Med Internet Res 2006;8(2):e9.
1438-8871
http://hdl.handle.net/1807/4915
op_rights Copyright (cc) Retained by author(s) under a Creative Commons License: http://creativecommons.org/licenses/by/2.0/
op_rightsnorm CC-BY
publishDate 2006
publisher Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada
record_format openpolar
spelling ftunivtoronto:oai:localhost:1807/4915 2025-01-16T21:31:19+00:00 eHealth Literacy: Essential Skills for Consumer Health in a Networked World Norman, Cameron D Skinner, Harvey A 2006 2577 bytes 2080 bytes 2028 bytes 826 bytes 35759 bytes 1817 bytes 6682 bytes 125 bytes 51697 bytes 17925 bytes 45056 bytes 25951 bytes image/jpeg text/plain application/octet-stream image/gif text/html http://hdl.handle.net/1807/4915 https://doi.org/10.2196/jmir.8.2.e9 en eng Gunther Eysenbach; Centre for Global eHealth Innovation, Toronto, Canada National Center for Educational Statistics. National Assessment of Adult Literacy (NAAL): A First Look at the Literacy of America's Adults in the 21st Century. Washington, DC: Institute of Education Sciences, US Department of Education; 2005. Statistics Canada. Building on Our Competencies: Canadian Results of the International Adult Literacy and Skills Survey, 2003. Ottawa, ON: Human Resources and Skills Development Canada and Statistics Canada; 2005. Veenhof B, Clermont Y, Sciadas G. Literacy and Digital Technologies: Linkages and Outcomes. Ottawa, ON: Statistics Canada; 2005. URL: http://www.statcan.ca/bsolc/english/bsolc?catno=56F0004MIE2005012 [accessed 2006 Jun 16] Barbot J. How to build an "active" patient? The work of AIDS associations in France. Soc Sci Med 2006 Feb;62(3):538-551. Rootman I. Literacy and health in Canada: is it really a problem? Can J Public Health 2003;94(6):405-406. Institute of Medicine. Health Literacy: A Prescription to End Confusion. Washington, DC: The National Academies Press; 2004. Ratzan SC, Parker RM. Introduction. In: Seldon CR, Zorn M, Ratzan SC, Parker RM, editors. National Library of Medicine Current Bibliographies in Medicine: Health Literacy. NLM Pub. No. CBM 2000-1 ed. Washington, DC: National Institutes of Health, US Department of Health and Human Services; 2000. Lai CKY, Arthur DG, Chau WWH. Implication of Internet growth on enhancing health of disadvantaged groups in China: a global perspective. J Clin Nurs 2004 Sep;13(6B):68-73. Pillon S, Todini AR. eHealth in Antarctica: a model ready to be transferred to every-day life. Int J Circumpolar Health 2004 Dec;63(4):436-442. Rodrigues RJ, Risk A. eHealth in Latin America and the Caribbean: development and policy issues. J Med Internet Res 2003 Mar 31;5(1):e4 Tatsumi H, Mitani H, Haruki Y, Ogushi Y. Internet medical usage in Japan: current situation and issues. J Med Internet Res 2001 Mar 17;3(1):E12 Gray NJ, Klein JD, Noyce PR, Sesselberg TS, Cantrill JA. The Internet: a window on adolescent health literacy. J Adolesc Health 2005 Sep;37(3):243. Norman CD, Chirrey S, Skinner HA. Consumer perspectives on e-Health. In: Skinner HA. Promoting Health through Organizational Change. San Francisco, CA: Benjamin Cummings; 2002:315-334. Mccray AT. Promoting health literacy. J Am Med Inform Assoc 2005;12(2):152-163. Eng TR. The e-Health Landscape: A Terrain Map of Emerging Information and Communication Technologies in Health and Health Care. Princeton, NJ: The Robert Wood Johnson Foundation; 2001. Oh H, Rizo C, Enkin M, Jadad A. What is eHealth?: a systematic review of published definitions. World Hosp Health Serv 2005;41(1):32-40. Friere P. Pedagogy of the Oppressed. New York: Continuum; 1970. Lankshear C, McLaren PL, editors. Critical Literacy: Politics, Praxis, and the Postmodern. Albany, NY: SUNY Press; 1993. Tyner K. Literacy in a Digital World. Mahwah, NJ: Lawrence Erlbaum Associates; 1998. Global Reach. Global Internet Statistics: Sources& References 2005. American Library Association Presidential Committee on Information Literacy. Final Report. Washington, DC: American Library Association; 1989. URL: http://www.ala.org/ala/acrl/acrlpubs/whitepapers/presidential.htm#opp Feuerstein M. Media literacy in support of critical thinking. Journal of Educational Media 1999;24(1):43-54. Potter WJ. Theory of Media Literacy: A Cognitive Approach. Thousand Oaks, CA: Sage; 2004. Health literacy: report of the Council on Scientific Affairs. Ad Hoc Committee on Health Literacy for the Council on Scientific Affairs, American Medical Association. JAMA 1999 Feb 10;281(6):552-557. Logan RK. The Fifth Language: Learning a Living in the Computer Age. Toronto, ON: Stoddart; 1995. Skinner H, Biscope S, Poland B. Quality of internet access: barrier behind internet use statistics. Soc Sci Med 2003 Sep;57(5):875-880. Skinner H, Biscope S, Poland B, Goldberg E. How adolescents use technology for health information: implications for health professionals from focus group studies. J Med Internet Res 2003 Dec 18;5(4):e32 Laugksch RC. Scientific literacy: a conceptual overview. Science Education 2000;84(1):71-94. Claeson B, Martin E, Richardson W, Schoch-Spana M, Taussig K. Scientific literacy: what it is, why it is important, and why scientists think we don't have it. In: Nader L, editor. Naked Science: Anthropological Inquiry into Boundaries, Power, and Knowledge. New York: Routledge; 1996:101-116. Gregory J, Miller S. Science in Public: Communication, Culture, and Credibility. New York: Plenum; 1998. Frontier College. Home page. URL: http://www.frontiercollege.ca/english/main.htm [accessed 2005 Dec 18] National Literacy Trust. Home page. URL: http://www.literacytrust.org.uk/ [accessed 2005 Dec 18] National Research and Development Centre for Adult Literacy and Numeracy. Home page. URL: http://www.nrdc.org.uk/ [accessed 2005 Dec 18] National Center on Adult Literacy. Home page. URL: http://ncal.literacy.upenn.edu/ncal.html [accessed 2005 Dec 18] Office ofCSfEMLintUK. Home page. URL: http://www.ofcom.org.uk/consult/condocs/strategymedialit/ [accessed 2005 Dec 18] National Institute of Adult Continuing Education (NIACE). Media guide. URL: http://www.niace.org.uk/alw/2006/Themes/media.htm [accessed 2006 Jan 5] Media Awareness Network. Home page. URL: http://www.media-awareness.ca/english/index.cfm [accessed 2005 Dec 18] American Library Association. Information Literacy. URL: http://www.ala.org/ala/acrl/acrlstandards/informationliteracycompetency.htm [accessed 2005 Dec 18] Chartered Institute of Library and Information. Home page. URL: http://www.cilip.org.uk/ [accessed 2005 Dec 18] Phillip Morris USA. Home page. URL: http://www.phillipmorrisusa.com/ [accessed 2005 Dec 18] TeenNet Research Program. The Smoking Zine. URL: http://www.smokingzine.org/ [accessed 2005 Dec 18] Health Canada. Quit 4 Life. URL: http://www.quit4life.com/ [accessed 2005 Dec 18] DISCERN. Home page URL: http://www.discern.org.uk/ [accessed 2005 Dec 18] Griffiths KM, Christensen H. Website quality indicators for consumers. J Med Internet Res 2005;7(5):e55 Davis D, Evans M, Jadad A, Perrier L, Rath D, Ryan D, et al. The case for knowledge translation: shortening the journey from evidence to effect. BMJ 2003 Jul 5;327(7405):33-35 doi:10.2196/jmir.8.2.e9 Norman CD, Skinner HA. eHealth Literacy: Essential Skills for Consumer Health in a Networked World. J Med Internet Res 2006;8(2):e9. 1438-8871 http://hdl.handle.net/1807/4915 Copyright (cc) Retained by author(s) under a Creative Commons License: http://creativecommons.org/licenses/by/2.0/ CC-BY Internet literacy public health health care electronic health information evaluation of electronic resources electronics telecommunications consumer health information patient education educational status computer network 2006 ftunivtoronto https://doi.org/10.2196/jmir.8.2.e9 2020-06-17T11:07:57Z Reviewer: Ronson, B Reviewer: Simms, M [This item is a preserved copy and is not necessarily the most recent version. To view the current item, visit http://www.jmir.org/2006/2/e9/]Electronic health tools provide little value if the intended users lack the skills to effectively engage them. With nearly half the adult population in the United States and Canada having literacy levels below what is needed to fully engage in an information-rich society, the implications for using information technology to promote health and aid in health care, or for eHealth, are considerable. Engaging with eHealth requires a skill set, or literacy, of its own. The concept of eHealth literacy is introduced and defined as the ability to seek, find, understand, and appraise health information from electronic sources and apply the knowledge gained to addressing or solving a health problem. In this paper, a model of eHealth literacy is introduced, comprised of multiple literacy types, including an outline of a set of fundamental skills consumers require to derive direct benefits from eHealth. A profile of each literacy type with examples of the problems patient-clients might present is provided along with a resource list to aid health practitioners in supporting literacy improvement with their patient-clients across each domain. Facets of the model are illustrated through a set of clinical cases to demonstrate how health practitioners can address eHealth literacy issues in clinical or public health practice. Potential future applications of the model are discussed. Other/Unknown Material Circumpolar Health University of Toronto: Research Repository T-Space Canada Journal of Medical Internet Research 8 2 e9
spellingShingle Internet
literacy
public health
health care
electronic health information
evaluation of electronic resources
electronics
telecommunications
consumer health information
patient education
educational status
computer network
Norman, Cameron D
Skinner, Harvey A
eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title_full eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title_fullStr eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title_full_unstemmed eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title_short eHealth Literacy: Essential Skills for Consumer Health in a Networked World
title_sort ehealth literacy: essential skills for consumer health in a networked world
topic Internet
literacy
public health
health care
electronic health information
evaluation of electronic resources
electronics
telecommunications
consumer health information
patient education
educational status
computer network
topic_facet Internet
literacy
public health
health care
electronic health information
evaluation of electronic resources
electronics
telecommunications
consumer health information
patient education
educational status
computer network
url http://hdl.handle.net/1807/4915
https://doi.org/10.2196/jmir.8.2.e9