Variables influencing digital health literacy in older adults: a systematic review and meta-analysis.

Purpose: This study aimed to synthesize existing evidence on digital health literacy (DHL) among older adults and to estimate the associations between related influencing factors through a systematic literature review and meta-analysis. Methods: A systematic review and meta-analysis were conducted i...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 4; pp. 651 - 668
Autores principales: Park, Jin Hwa, Mun, Eun Ju
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Korean Society of Nursing Science Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 55
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      pub: Korean Society of Nursing Science
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        atl: Variables influencing digital health literacy in older adults: a systematic review and meta-analysis.
      aug:
        au:
          Park, Jin Hwa
          Mun, Eun Ju
        affil: College of Nursing, Daegu Catholic University, Daegu, Korea
      sug:
        subj:
          Digital Health In Old Age
          Health Literacy In Old Age
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Embase
          Cochrane Library
          CINAHL Database
          Sociodemographic Factors
          Quality of Life
          Cognition
          Chronic Disease
          Health Status
          Health Promotion
          Health Behavior
          Self Care
          Self-Efficacy
          Support, Social
          Phobic Disorders
          Digital Technology
          Digital Health Utilization
          Checklists
          Aged
          Aged: 65+ years
      ab: Purpose: This study aimed to synthesize existing evidence on digital health literacy (DHL) among older adults and to estimate the associations between related influencing factors through a systematic literature review and meta-analysis. Methods: A systematic review and meta-analysis were conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-Analysis of Observational Studies in Epidemiology (MOOSE) guidelines. Literature searches were performed across PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and DBPIA. The search and screening process was conducted from December 24, 2023, to March 31, 2025. Effect sizes (ESr) using correlation coefficient for each variable were calculated, and meta-analyses were performed using Microsoft Excel and R version 4.3.1. Results: Forty-seven variables were identified, including two demographic, six physical, six behavioral, 23 psychosocial, and 10 cognitive factors. Meta-analysis results showed that physical, behavioral, psychosocial, and cognitive factors had significant effects on DHL. Among these, digital information level (ESr=.62; 95% confidence interval [CI], 0.55 to 0.69) within the cognitive domain and technophobia (ESr= -.55; 95% CI, -0.47 to -0.40) within the psychosocial domain demonstrated the largest ESr. Conclusion: Among factors influencing DHL, digital information level and technophobia showed the strongest associations. These findings suggest that improving DHL in older adults requires a dual approach targeting both cognitive and psychosocial dimensions--enhancing digital information skills while reducing technophobia--to effectively support digital engagement and health empowerment in this population (PROSPERO registration number: CRD42023487486).
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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