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

Table 3.

The role of electronic health literacy and users in intervention development.

Authors (year) Developmental frameworks eHealth literacy or other literacy assessment or application of user-centered principles or user involvement
Agyapong et al (2017) [37]
  • Cognitive behavioral therapy principles

  • Content written in partnership with patients

Anand et al (2016) [38]
  • Integrative behavioral modification strategy

  • Social cognitive social learning theories

  • Goal setting theory

  • Transtheoretical model

  • Pilot study

Arora et al (2014) [39]
  • Not reported

  • Not reported

Bennett et al (2018) [40]
  • Social cognitive theory

  • Interactive obesity treatment approach

  • Not reported

Bond et al (2010) [41]
  • Not reported

  • Not reported

Broekhuizen et al (2016) [42] and Wijsman et al (2013) [43]
  • Transtheoretical model

  • I-Change model

  • Not reported

Buller et al (2008) [44]
  • Social cognitive theory

  • Diffusion of innovations model

  • Focus groups

  • Usability testing

Carroll et al (2019) [45]
  • Capability, opportunity, motivation, and behavior model for behavior change

  • Community-based participatory research

  • eHealth Literacy Scale used to measure eHealth literacy as one of the secondary outcomes

  • Participatory research involving users

Caster et al (2017) [46]
  • Not reported

  • Focus groups

Chen et al (2016) [47]
  • Not reported

  • Not reported

Chen et al (2018) [48]
  • Not reported

  • Not reported

Choi et al (2012) [49]a
  • Adaptation of the sadness internet-delivered cognitive behavioral therapy program

  • Not reported

Dang et al (2017) [50]
  • Not reported

  • Not reported

Dear et al (2015) [51]a
  • Previous studies

  • Not reported

Dugas et al (2018) [52]
  • Not reported

  • Not reported

Fortmann et al (2017) [53]
  • Not reported

  • Not reported

Gilmore et al (2017) [54]
  • Learning theory

  • Theory of planned behavior

  • Theory of reasoned actions

  • Social cognitive theory

  • Not reported

Griffin et al (2018) [55]
  • Social cognitive theory

  • Not reported

Hacking et al (2016) [56]
  • Social cognitive theory

  • Not reported

Hageman et al (2014) [57]
  • Pender’s Health Promotion Model based on social cognitive theory

  • Not reported

Herring et al (2017) [58]
  • Social cognitive theory

  • Social ecological model

  • Focus groups

  • Semistructured interviews

Hill et al (2006) [59] and Weinert et al (2008) [87]
  • Not reported

  • Pilot study

Hong et al (2015) [60]
  • Theory of goal setting

  • Usability testing

Ingersoll et al (2015) [61]
  • IMBb model of adherence

  • Social action theory

  • Functional English literacy assessed by Wide Range Achievement Test 4

  • Focus groups

  • Interviews

  • Usability testing

Jarvis et al (2019) [62]
  • Theoretical framework of loneliness

  • Literature review

  • Developed by a cognitive behavioral therapy specialist psychologist, a mental health nurse, and a mobile health expert

  • Not reported

Joseph et al (2015) [63]
  • Social cognitive theory

  • Not reported

Kamal et al (2015) [64]
  • The health belief model

  • Social cognitive theory

  • Michie’s taxonomy of behavioral change

  • Not reported

King et al (2013) [65]
  • Social cognitive theory

  • Transtheoretical model

  • Participatory formative research

Kiropoulos et al (2011) [66]
  • Not reported

  • Not reported

Lee et al (2014) [67] and Lee et al (2016) [68]
  • Fogg behavioral model

  • Community advisory group

  • Focus groups

  • Usability testing

Lee et al (2017) [69]
  • Fogg behavioral model

  • Health belief model

  • Concept of persuasive technology

  • Community advisory group

  • Focus groups

  • Usability testing

MacDonell et al (2016) [70]
  • Principles of motivational interviewing

  • IMB skills model

  • Pilot testing

Marcus et al (2016) [71]
  • Social cognitive theory

  • Transtheoretical model

  • Health literacy assessed by the Short Test of Functional Health Literacy

  • Focus groups

Mauriello et al (2016) [72]
  • Transtheoretical model of behavior change

  • Usability testing

Miller et al (2018) [73]
  • Not reported

  • Health literacy assessed by asking a single question, “how confident are you filling out medical forms by yourself?”

  • Pilot testing

Moussa et al [74]
  • Not reported

  • Not reported

Neafsey et al (2011) [75]
  • Social cognitive theory

  • Health literacy assessed by Rapid Estimate of Adult Literacy in Medicine

  • Usability testing

  • Pilot testing

Nelson et al (2016) [76]
  • Adapted from the SuperEgo mobile communications platform

  • Usability testing

Neuenschwander et al (2013) [77]
  • Kolb’s learning styles and experiential learning model

  • Use of the US Department of Health and Human Services’ Research-based Web Design and Usability Guidelines

  • Previous users’ needs and requests


  • Pilot testing

Phelan et al (2017) [78]
  • Social cognitive theory

  • Based on the diabetes prevention program and Look Ahead lifestyle interventions

  • Not reported

Rubinstein et al (2016) [79]
  • Transtheoretical model

  • Health belief model

  • Focus groups

  • Pilot study

Ryan et al (2013) [80]
  • Social cognitive theory

  • Not reported

Steinberg et al (2013) [81]
  • Interactive obesity treatment approach

  • Not reported

Tessaro et al (2007) [82]
  • Health belief model

  • Social learning theory

  • Social support theory

  • Focus groups

Titov et al (2015) [83]a
  • Psychological principles

  • Not reported

Ünlü Ince et al (2013) [84]
  • Not reported

  • Not reported

Wahbeh et al [85]
  • Modification of the mindfulness-based cognitive therapy and mindfulness-based stress reduction

  • Not reported

Wayne et al (2015) [86]
  • Motivational interviewing

  • Cognitive behavioral therapy

  • Pilot study

aAdaptations of similar programs.

bIMB: Information, Motivation and Behavior Skills