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. Author manuscript; available in PMC: 2020 Oct 4.
Published in final edited form as: J Health Commun. 2019 Oct 4;24(10):737–748. doi: 10.1080/10810730.2019.1666940

Table 1.

eHealth Literacy Dimensions: eHealth Expert and End-User Feedback

eHealth Literacy
Dimension
Skills, Behaviors, and Attributes of eHealth Literacy
Experts (N = 6) Lay End-Users (N = 25)
Functional eHealth Literacy

Basic skills in reading and typing about health effectively function on the Internet.
  • Comfort and confidence in using a computer or mobile device

  • Navigate to and around a website using a browser, or to download, install, and use a mobile application (app)

  • Navigate social media and other social online environments

  • Vision or ability to use visual acuity-enhancing software

  • Mobility of fingers and hands in entering text, navigating webpages, clicking

  • Understand right to privacy

  • Comprehension of common language and medical language

  • Baseline understanding of the US health care system and local resources

  • Knowledge of existing health organizations and resources

  • Know which digital device you can use to easily access the information you want

  • Healthy eyesight to view an illuminated screen

  • Know how to access the Internet

  • Use different features of digital devices (e.g., dictation vs. text)

  • Use a keyboard to efficiently type

  • Know the difference between apps, widgets, and social media

  • Save health information on an online form without losing it

  • Interpret multimedia messages

  • Calculate healthcare costs, coupons, risk

  • Remember health website log-in and passwords

  • Track behaviors on an online health portal

  • Know technology language (e.g. “copy and paste”)

  • Know basic health language

  • Be aware of relevant health organizations

Communicative eHealth Literacy

The ability to collaborate, adapt, and control communication about health with users on social online environments with multimedia.
  • Know how online communication works, both technologically (forums, group chats, email listserv, etc.) and socially (common abbreviations, use of emojis, online communication etiquette).

  • Send messages to other online users via text or voice

  • Knowledge of web “etiquette”

  • Self-disclose personal information on the Internet

  • Debate about personal beliefs on the Internet

  • Communicate health wants/needs with other users

  • Share information and experiences to help others

  • Ask questions to other users

  • Understand other online users’ health perceptions

  • Respect other online users’ beliefs about health

  • Develop a desired relationship on the Internet

  • Respect other online users’ personal boundaries

  • Protect your online privacy/personal information

  • Sensing when someone is bothered or doesn’t want to talk (non-verbal online communication)

Critical eHealth Literacy

The ability to evaluate the credibility, relevance, and risks of sharing and receiving health information on the Internet.
  • Identify relevant resources

  • Evaluate the validity, currency, accuracy, and objectivity of resources

  • Assess the credibility and quality of health information accessed

  • Know how to judge the quality of information accessed

  • Perceive threats to privacy and know protection efforts

  • Identify fraudulent websites and sources of information

  • Know when an online source is safe to disclose personal information

  • Know when an online source is fake

  • Know when an online source is trying to sell you something

  • Know what a credible health source is on the Internet

  • Identify relevant online materials about health

  • Identify online groups of people with similar interests

  • Question or “double-check” the health information provided from diverse online sources

Translational eHealth Literacy

The ability to apply health knowledge gained from the Internet across diverse ecological contexts.
  • Using technology to pursue one’s health

  • Follow medical directions from healthcare providers

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  • Make changes to your health behaviors based on feedback from different online sources

  • Use health information from the Internet to help a friend

  • Use health information from the Internet to help yourself