Summary

Among older adults who have recently sustained a fracture, there is substantial adoption of mobile technology. Furthermore, health and eHealth literacy level reported by participants supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.

Introduction

Electronic health resources are increasingly used in the self-management of medical conditions. We aimed to identify the current level of technology adoption, health, and eHealth literacy among older adults with a recent fracture, to determine if the use of electronic interventions would be feasible and acceptable in this population.

Methods

Adults ≥ 50 years with recent fractures were invited to complete a self-administered survey composed of 21 questions, including an 8-item perceived eHealth literacy scale.

Results

A total of 401 participants completed the survey (women, 64%; ≥ 65 years, 59%; university education, 32%). Most participants reported no difficulty in reading printed health material (67%) and felt confident in filling out medical forms (65%). Younger age and higher levels of education were associated with higher health literacy. Most respondents (81%) owned at least one mobile device (smartphone, 49%; tablet, 45%). eHEALS scores were similar among men (29, IQR 24–32) and women (29, IQR 25–33), and between younger age group categories (50–64 years, 30; IQR 26–33; and 65–74 years, 29; IQR 25–32), but lower in the oldest age group (≥ 75 years, 24; IQR 21–29; p < 0.05). Compared with the youngest group, those ≥ 75 years had higher odds of an eHEALS < 26 (odds ratio, 4.2; 95% confidence interval 2.0–8.9) after adjusting for sex and education level.

Conclusion

There is significant adoption of mobile technology among older adults. Health and eHealth literacy reported by this study population supports the development of interactive eHealth interventions toward fostering better patient engagement in skeletal health management.

中文翻译：

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最近发生骨折的加拿大老年人的当前技术使用水平、健康和电子健康素养水平——骨科诊所的一项调查。

概括

在最近遭受骨折的老年人中，大量采用了移动技术。此外，参与者报告的健康和电子健康素养水平支持开发交互式电子健康干预措施，以促进患者更好地参与骨骼健康管理。

介绍

电子健康资源越来越多地用于医疗状况的自我管理。我们旨在确定近期骨折的老年人中目前的技术采用水平、健康和电子健康素养水平，以确定在该人群中使用电子干预措施是否可行和可接受。

方法

邀请 50 岁以上近期骨折的成年人完成一项由 21 个问题组成的自我管理调查，其中包括 8 项感知电子健康素养量表。

结果

共有 401 名参与者完成了调查（女性，64%；≥ 65 岁，59%；大学教育，32%）。大多数参与者报告说阅读印刷的健康材料没有困难（67%），并且对填写医疗表格充满信心（65%）。年龄较小和受教育程度较高与较高的健康素养相关。大多数受访者 (81%) 至少拥有一部移动设备（智能手机，49%；平板电脑，45%）。eHEALS 评分在男性（29，IQR 24-32）和女性（29，IQR 25-33）之间以及在较年轻的年龄组之间（50-64 岁，30；IQR 26-33；和 65-74 岁， 29；IQR 25–32），但在最老的年龄组中较低（≥ 75 岁，24；IQR 21–29；p < 0.05)。与最年轻的组相比，在调整性别和教育水平后，那些 ≥ 75 岁的人的 eHEALS < 26 的几率更高（优势比，4.2；95% 置信区间 2.0-8.9）。

结论

老年人大量采用移动技术。本研究人群报告的健康和电子健康素养支持开发交互式电子健康干预措施，以促进患者更好地参与骨骼健康管理。