Table 2.
Overview of included studies.
Study | Study design, sample size, and setting | Study purpose | Study framework | Sample characteristics | Definition of eHealth literacy |
Blackstock et al, 2016 [28] | Cross-sectional, N=63, February-April, 2014; 6 community-based organizations providing social and clinical services to people living with HIV | To examine the relationship between eHealth literacy and HIV transmission risk behaviors in internet-using women with HIV | No study framework reported | 100% female; median age, 49 (IQRa 44-54) years; 54.0% (34/63) non-Hispanic black; 36.5% (23/63) Hispanic; 38.1% (24/63) <high school education; 85.7% (54/63) prescribed ARTb; 87.3% (55/63) owned a cell phone; 58.7% (37/63) had a computer or tablet | “The ability to find, under-stand, & evaluate health information from electronic sources and apply this information to a specific health problem” (Norman and Skinner, 2006 [13]) |
Kim et al, 2015 [29] | Cross-sectional, June 2012-August 2013, N=895, AIDS Support Organization | To determine the proportion of people living with HIV who are literate and also use mobile phones in rural Uganda | No study framework reported | 76.4% (684/895) female; median age, 44 (IQR 44-50) years; 65% (581/895) <high school education; median time on HIV medications, 6.8 (IQR 5.8-7.7) years; 82.8% (741/895) owned a mobile phone; 73.0% (653/895) can read and write | Ability to read and write |
Krishnan et al, 2015 [30] | Cross-sectional, N=359, no specified date, 3 sites at 2 nongovernmental organizations providing health care | To examine the use of communication technology and acceptance of mHealth among HIV-infected Peruvian men who have sex with men and TGWc to gauge the feasibility of an mHealth-enabled HIV-risk reduction program | No study framework reported | 77.7% (279/359) male; 13.3% (48/359) TGW; mean age, 34 (SD 8.11) years; 2.2% (8/359) <high school education; 53.3% (131/246) completed college; 87.2% (313/359) currently on ART; 59.6% (214/359) had access to a standard cell phone; 30.1% (108/359) had access to a smartphone; 37.3% (134/359) used landlines; 35.4% (127/359) accessed a laptop or computer | Definition of eHealth literacy not reported |
Ownby et al, 2012 [26] | Quasi-experimental, N=124, May 2010-December 2011, Urban and suburban HIV clinics | To evaluate whether an Information-Motivation-Behavioral Skills Model–based electronic intervention can improve health literacy and medication adherence | Information-Motivation-Behavioral Skills model | 29% female (36/124); mean age, 47.1 (SD 8.69) years; 63% (78/124) black; 37% (46/124) <high school education; mean, 11.6 (SD 7.18) years on ART; mean Test of Functional Health Literacy in Adults score, 88.48 (SD 14.16) | “The degree to which individuals have the capacity to obtain, process, & understand basic health information & services needed to make appropriate health decisions” (Nielsen-Bohlman et al, 2004 [36]) |
Robinson et al, 2010 [27] | Quasi-experimental, N=18, July, 2008, HIV-positive care center in a hospital setting | To determine if computer skills and internet health educational intervention will improve the perceived knowledge of internet health resources and confidence using the internet for health questions | No study framework reported | 55.6% (10/18) female; mean age, 46 (range 34-69) years; 61.1% (11/18) African American; 27.8% (5/18) Caucasian; 44.4% (8/18) high school education or less; 72% (13/18) have regular internet access; 23% (3/13) sought health information in the internet in the past 3 months | The “capacity to acquire, understand & use information in ways which promote & maintain good health” |
Siedner et al, 2015 [24] | Experimental, N=385, HIV clinic of the Mbarara Regional Referral Hospital | To identify predictors of uptake of a mHealth app and evaluate the efficacy of various short message service text message formats to optimize the confidentiality and accessibility | Concepts derived from the Technology Acceptance Model and the Unified Theory of Technology Acceptance and Use of Technology | 65.2% (251/385) female; median age 32 (IQR 26-39) years; 62.4% (240/385) primary education or less; 67.5% (260/385) could read a complete sentence; 81.8% (315/385) had a mobile phone | Definition of eHealth literacy not reported |
Woods et al, 2016 [25] | Cross-sectional, N=67, neuroAIDS research center, which recruits from local HIV clinics and community-based organizations | To evaluate the effects of HIV-associated neurocognitive disorders on 2 internet-based tests of health care management | No study framework reported | 9.0% (6/67) female; 68.7% (46/67) HIV+ and 31.3% (21/67) HIV- mean age 45.5 (SD 9.2) years; 53.7% (36/67) Caucasian; 19.4% (13/67) Hispanic; mean education level 13.2 (SD 2.5) years; 95.7% (44/46) prescribed ART; 86.6% (58/67) use a home computer; 76.1% (51/67) own a smartphone; 67.2% (45/67) use the internet daily | “The capacity to obtain, communicate, process, & understand basic health information & services to make appropriate health decisions” (Patient Protection & Affordable Care Act, 2010 [37]) |
aIQR: interquartile range.
bART: antiretroviral therapy.
cTGW: transgender women.