Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study
Background and purpose: As digital health services become increasingly important in osteoarthritis treatment, understanding patients’ digital health literacy (eHL) is crucial, including those undergoing total hip and knee arthroplasty (THA/TKA). We primarily aimed to provide eHL norms in a represen...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2024-11-01
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| Series: | Acta Orthopaedica |
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| Online Access: | https://actaorthop.org/actao/article/view/42304 |
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| _version_ | 1850159343624781824 |
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| author | Turid Rognsvåg Ingrid K Nordmo Ingvild B Bergvad Anne M Fenstad Ove Furnes Anners Lerdal Maren F Lindberg Søren T Skou Mona Badawy |
| author_facet | Turid Rognsvåg Ingrid K Nordmo Ingvild B Bergvad Anne M Fenstad Ove Furnes Anners Lerdal Maren F Lindberg Søren T Skou Mona Badawy |
| author_sort | Turid Rognsvåg |
| collection | DOAJ |
| description |
Background and purpose: As digital health services become increasingly important in osteoarthritis treatment, understanding patients’ digital health literacy (eHL) is crucial, including those undergoing total hip and knee arthroplasty (THA/TKA). We primarily aimed to provide eHL norms in a representative group of Norwegian patients, and secondarily to examine the relationships between eHL and health-related quality of life (QoL).
Methods: We invited 800 randomly selected THA/TKA patients from the Norwegian Arthroplasty Register to complete a paper-based questionnaire, which included sociodemographic variables. eHL was measured using the eHealth Literacy Questionnaire (eHLQ) with 7 domains: Using technology, Understand, Engage, Control, Motivation, Access, and Needs, scored from 1 (strongly disagree) to 4 (strongly agree). The EuroQol EQ-5D-5L measured health-related QoL. We used multivariable regression to examine relationships between eHL domains and health-related QoL controlling for sociodemographic variables.
Results: Respondents’ (N = 383, 48%) mean age was 70 years (SD 9.0) and 246 (64%) were female. Mean eHLQ and the proportion of patients with low eHL (≤ 2.5) were Technology 2.7 (34%), Understanding 3.0 (14%), Engage 2.7 (28%), Control 3.2 (7.7%), Motivation 2.8 (35%), Access 2.8 (33%), and Needs 2.6 (46%). Low eHL correlated with older age and low education, but not with sex or type of surgery. Regression analyses showed that lower scores on the domains Technology, Engage, Control, Access, and Needs were associated with poorer QoL after adjusting for sociodemographic factors.
Conclusion: About one-third of THA/TKA patients have low eHL, and low eHL was associated with poor QoL.
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| format | Article |
| id | doaj-art-10b0c20718ba42f18062e84e7a28f1fc |
| institution | OA Journals |
| issn | 1745-3674 1745-3682 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj-art-10b0c20718ba42f18062e84e7a28f1fc2025-08-20T02:23:35ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822024-11-019510.2340/17453674.2024.42304Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional studyTurid Rognsvåg0Ingrid K Nordmo1Ingvild B Bergvad2https://orcid.org/0009-0000-4264-4574Anne M Fenstad3https://orcid.org/0000-0002-6429-0153Ove Furnes4https://orcid.org/0000-0001-8223-2515Anners Lerdal5https://orcid.org/0000-0002-7144-5096Maren F Lindberg6https://orcid.org/0000-0003-2074-2071Søren T Skou7https://orcid.org/0000-0003-4336-7059Mona Badawy8Coastal Hospital in Hagevik, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway; Department of Clinical Medicine, University of Bergen, Bergen, NorwaySurgical Department, Lovisenberg Diaconal Hospital, Oslo, NorwaySurgical Department, Lovisenberg Diaconal Hospital, Oslo; Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, NorwayThe Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, NorwayDepartment of Clinical Medicine, University of Bergen, Bergen; The Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, NorwayDepartment of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo; Research Department, Lovisenberg Diaconal Hospital, Oslo, NorwaySurgical Department, Lovisenberg Diaconal Hospital, Oslo; Department of Public Health Science, Institute of Health Science, Faculty of Medicine, University of Oslo, Oslo, NorwayCenter for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense; The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved–Slagelse–Ringsted Hospitals, Slagelse, DenmarkCoastal Hospital in Hagevik, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen, Norway Background and purpose: As digital health services become increasingly important in osteoarthritis treatment, understanding patients’ digital health literacy (eHL) is crucial, including those undergoing total hip and knee arthroplasty (THA/TKA). We primarily aimed to provide eHL norms in a representative group of Norwegian patients, and secondarily to examine the relationships between eHL and health-related quality of life (QoL). Methods: We invited 800 randomly selected THA/TKA patients from the Norwegian Arthroplasty Register to complete a paper-based questionnaire, which included sociodemographic variables. eHL was measured using the eHealth Literacy Questionnaire (eHLQ) with 7 domains: Using technology, Understand, Engage, Control, Motivation, Access, and Needs, scored from 1 (strongly disagree) to 4 (strongly agree). The EuroQol EQ-5D-5L measured health-related QoL. We used multivariable regression to examine relationships between eHL domains and health-related QoL controlling for sociodemographic variables. Results: Respondents’ (N = 383, 48%) mean age was 70 years (SD 9.0) and 246 (64%) were female. Mean eHLQ and the proportion of patients with low eHL (≤ 2.5) were Technology 2.7 (34%), Understanding 3.0 (14%), Engage 2.7 (28%), Control 3.2 (7.7%), Motivation 2.8 (35%), Access 2.8 (33%), and Needs 2.6 (46%). Low eHL correlated with older age and low education, but not with sex or type of surgery. Regression analyses showed that lower scores on the domains Technology, Engage, Control, Access, and Needs were associated with poorer QoL after adjusting for sociodemographic factors. Conclusion: About one-third of THA/TKA patients have low eHL, and low eHL was associated with poor QoL. https://actaorthop.org/actao/article/view/42304ArthroplastyDigital health litercyHipKneeOsteoarthrosis |
| spellingShingle | Turid Rognsvåg Ingrid K Nordmo Ingvild B Bergvad Anne M Fenstad Ove Furnes Anners Lerdal Maren F Lindberg Søren T Skou Mona Badawy Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study Acta Orthopaedica Arthroplasty Digital health litercy Hip Knee Osteoarthrosis |
| title | Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study |
| title_full | Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study |
| title_fullStr | Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study |
| title_full_unstemmed | Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study |
| title_short | Digital health literacy in Norwegian patients with hip and knee arthroplasty: normative data from a cross-sectional study |
| title_sort | digital health literacy in norwegian patients with hip and knee arthroplasty normative data from a cross sectional study |
| topic | Arthroplasty Digital health litercy Hip Knee Osteoarthrosis |
| url | https://actaorthop.org/actao/article/view/42304 |
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