TY  - JOUR
AU  - Kim, Hana
AU  - Schnall, Rebecca
AU  - Yoon, Nagyeom
AU  - Koh, Seong-Joon
AU  - Lee, Jisan
AU  - Cheon, Jae Hee
PY  - 2024
DA  - 2024/8/13
TI  - Development and Validation of a Mobile-Centered Digital Health Readiness Scale (mDiHERS): Health Literacy and Equity Scale
JO  - J Med Internet Res
SP  - e58497
VL  - 26
KW  - digital health
KW  - health literacy
KW  - health equity
KW  - inflammatory bowel diseases
KW  - telemedicine
KW  - patient participation
KW  - validation
KW  - validate
KW  - IBD
KW  - bowel
KW  - inflammatory
KW  - inflammation
KW  - gastrointestinal
KW  - GI
KW  - internal medicine
KW  - gastroenterology
KW  - scale
KW  - readiness
KW  - adoption
KW  - measure
KW  - measures
KW  - measurement
KW  - measurements
KW  - assessment
KW  - assessments
KW  - scales
KW  - eHealth
KW  - e-health
KW  - literacy
KW  - mHealth
KW  - mobile health
KW  - chronic
KW  - mobile phone
AB  - Background: There has been a rapid expansion of digital health care services, making the need for measuring and improving digital health readiness a priority. In response, our study team developed the Mobile-Centered Digital Health Readiness: Health Literacy and Equity Scale (mDiHERS) to measure digital health readiness. Objective: We aim to develop and validate a scale that assesses digital health readiness, encompassing literacy and equity, and to ensure the effective use of mobile-centered digital health services. Methods: This study was conducted from October 2021 to October 2022 to develop and validate the mDiHERS. Participants included patients with inflammatory bowel disease, which is a chronic condition requiring continuous management, and experts in medical and nursing informatics. The scale development involved a literature review, focus group interviews, and content validity evaluations. A total of 440 patients with inflammatory bowel disease were recruited for the validation phase, with 403 completing the survey. The scale’s validity and reliability were assessed through exploratory factor analysis and Cronbach α. The scale was translated into English by translators and bilingual and native researchers, ensuring its applicability in diverse settings. Results: The mDiHERS consists of 36 items across 6 domains, with a 5-point Likert scale for responses. The validation process confirmed the scale’s construct validity, with 4 factors explaining 65.05% of the total variance. The scale’s reliability was established with Cronbach α values ranging from 0.84 to 0.91. The scale’s development considered the technical proficiency necessary for engaging with health mobile apps and devices, reflecting the importance of subjective confidence and objective skills in digital health literacy. Conclusions: The mDiHERS is a validated tool for measuring patients’ readiness and ability to use digital health services. The mDiHERS assesses user characteristics, digital accessibility, literacy, and equity to contribute to the effective use of digital health services and improve accessibility. The development and validation of the mDiHERS emphasize the importance of confidence and competence in managing health digitally. Continuous improvements are necessary to ensure that all patients can benefit from digital health care. 
SN  - 1438-8871
UR  - https://www.jmir.org/2024/1/e58497
UR  - https://doi.org/10.2196/58497
DO  - 10.2196/58497
ID  - info:doi/10.2196/58497
ER  -