Digital Technology Use for Health and eHealth Literacy in a Very Remote Aboriginal Community in the Northern Territory, Australia: A Community‐Based Study.

Introduction: Digital technologies can significantly improve access to healthcare, education and social services. However, there is limited evidence on the extent of ownership and use of digital devices in remote Aboriginal communities. This study aimed to examine digital technology use, internet av...

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Published in:Australian Journal of Rural Health Vol. 34; no. 3; pp. 1 - 12
Main Authors: Khanal, Vishnu, Saurman, Emily, Newton, Nicki, Von Huben, Amy, Wilson, Kureisha, Comachio, Josielli, Coombes, Karina, Puruntatameri, Alexandar, Norris, Sarah, Makeham, Meredith, Dickson, Michelle, Taylor, Sean, Burgess, Paul, Cockayne, Tamsin, Reeve, David, Edwards, David, Lloyd, Alison, Wakerman, John, Shaw, Tim, Russell, Deborah
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jun2026
Online Access:View this record in EBSCOhost
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      dt: Jun2026
      vid: 34
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/ajr.70210
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        atl: Digital Technology Use for Health and eHealth Literacy in a Very Remote Aboriginal Community in the Northern Territory, Australia: A Community‐Based Study.
      aug:
        au:
          Khanal, Vishnu
          Saurman, Emily
          Newton, Nicki
          Von Huben, Amy
          Wilson, Kureisha
          Comachio, Josielli
          Coombes, Karina
          Puruntatameri, Alexandar
          Norris, Sarah
          Makeham, Meredith
          Dickson, Michelle
          Taylor, Sean
          Burgess, Paul
          Cockayne, Tamsin
          Reeve, David
          Edwards, David
          Lloyd, Alison
          Wakerman, John
          Shaw, Tim
          Russell, Deborah
        affil: Menzies School of Health Research, Remote Health Systems and Climate Change Centre, Charles Darwin University, Alice Springs Northern Territory,, Australia
      sug:
        subj:
          Digital Technology Utilization
          Aboriginal Australians Psychosocial Factors
          Rural Population Psychosocial Factors
          Internet Access Evaluation
          Internet Utilization
          Intention Evaluation
          Health Literacy
          Digital Health
          Human
          Funding Source
          Northern Territory
          Male
          Female
          Cross Sectional Studies
          Structured Questionnaires
          Scales
          Descriptive Statistics
          Data Analysis Software
          Health Information
          Access to Information
          Middle Age
          Age Factors
          Cellular Phone
          Text Messaging
          Rural Areas
          Middle Aged: 45-64 years
          Male
          Female
      ab: Introduction: Digital technologies can significantly improve access to healthcare, education and social services. However, there is limited evidence on the extent of ownership and use of digital devices in remote Aboriginal communities. This study aimed to examine digital technology use, internet availability and use, intention to use technology for health and eHealth literacy in a very remote Aboriginal community in the Northern Territory (NT), Australia. Methods: A face‐to‐face community‐based structured survey was implemented by local Aboriginal community‐based researchers in a very remote island community of the NT. Results: Approximately 20% (n = 46) of the community participated in the study. Seventeen respondents did not own a digital device. While 17 reported having no internet access, two‐thirds of those who had internet access (n = 29) were using prepaid mobile data. Twenty‐three of the participants reported accessing health information online and eight reported having received a text message reminder about a health appointment. Only three individuals did not want to use a digital device for health. The mean score for eHealth literacy was 23.7; range 8–40. Overall, younger respondents (18–44 years) had higher eHealth literacy than those aged 45 and over. Conclusion: The use of digital technologies was common; however, its application for healthcare was limited, despite community members' interest in using devices to access health information. Limited use, together with low eHealth literacy scores, and gaps in internet connectivity and mobile phone ownership suggest unmet needs for more accessible community digital infrastructure (e.g., community WiFi), and greater personal access to devices. Summary: What is already known on this topic? ○People living in remote and very remote communities have difficulty accessing digital technologies, with access barriers including financial and geographic issues.○Digital technologies are being increasingly used to support and provide health services in Australia.What this paper adds ○The vast majority of remote residents participating in this survey wanted to use digital technologies to support their health.○Mobile phone ownership and use were common, despite service limitations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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