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. 2020 Aug 13;22(8):e18476. doi: 10.2196/18476

Table 1.

Examples of intervention components that likely address electronic health literacy domains derived from the eHealth Literacy Framework.

Descriptions Examples of intervention components
1. Using technology to process health information

Able to read, write, and remember; apply basic numerical concepts; and understand context-specific language (such as health, technology, and English) as well as critically appraise information. Know when, how, and what information to use
  • Contains information about health conditions

  • Contains health information in a format that can easily be understood (such as text in low reading grade, video, graphics, animations, graphs, stories, examples, culturally or locally relevant materials)

  • Contains information that can help make decisions

  • Can use the system to share information with family, friends, and health professionals

  • Can use the system to organize or record personal health information (such as recording or monitoring activities, journal, diary, worksheets)

  • Provides access to other information resources

2. Understanding of health concepts and language

Know about basic physiological functions and own current health status. Aware of risk factors and how to avoid them or reduce their influence on own health
  • Contains information that one can take responsibility for one’s own health (such as setting personal goals or plans, monitoring health, practical skills or tips, practical and usable information such as recipes, activities or opportunities to join events, and download information)

  • Tailored information, instructions or personal guidance, and chat sessions

  • Homework assignments or tests of knowledge or evaluation

  • Provide easy-to-use tools for measurements or assessment or monitoring

3. Ability to actively engage with digital services

Being comfortable using digital services for handling information
  • Easy navigation around the system

  • Detailed and easy-to-understand instructions

  • Provide training or a manual to use the system

4. Feel safe and in control

Feel that they have the ownership of personal data stored in the system and that their data are safe and can be accessed only by people to whom the data are relevant (such as own doctor and nurse)
  • Unique username and password protected

  • Secure website or database or communication

  • Provide means to ensure privacy

  • Closed system to which only authorized personnel have access

  • Can maintain anonymity if needed

5. Motivated to engage with digital services

Feel that engaging in the use of digital services will be useful for them in managing their health
  • Incentives to return to use the systems

  • Encouragement to continue to use the systems

  • Alerts and notifications

  • Quick response to queries

  • Provides tailored feedback, progress reports, or support

  • Provides new content regularly

  • Regular meetup sessions or discussion forums

  • Provides peer or professional support

  • Quick and easy communication (such as sending or receiving emails, asking questions, and inquiries)

6. Access to digital services that work

Have access to digital services that the users trust to be working when they need it and as they expect it to work
  • Provides access to the hardware or system

  • Provides technical support

  • Can be accessed anytime anywhere

  • Access to tools or devices that can be integrated into the system

7. Digital services that suit individual needs

Have access to digital services that suit the specific needs and preferences of the users. This includes responsive features of both the information technology and health care system as well as adaptation of devices and interfaces to be used by people with physical and mental disabilities
  • Consists of accessibility features such as change of font size or audio function

  • Easy to use, efficient, and user-friendly interface (such as large buttons and large icon)

  • Available in users’ preferred language