老年人数字健康素养评估工具的系统评价

doi:10.3761/j.issn.1672-9234.2025.12.014

摘要/Abstract

摘要：

目的系统评价老年人数字健康素养评估工具的测量属性及相关研究的方法学质量。方法计算机检索PubMed、Embase、CINAHL、Web of Science、中国知网、维普、万方、中国生物医学文献数据库中与老年人数字健康素养评估工具测量属性评价有关的研究，检索时限为建库至2025年3月9日。由2名研究者独立筛选文献、提取资料，采用基于共识的健康测量工具遴选标准（consensus-based standards for the selection of health measurement ins-truments，COSMIN）对纳入评估工具的测量属性及相关研究的方法学质量进行评价，并形成最终的工具推荐意见。结果共纳入11项研究，涉及8种老年人数字健康素养评估工具；均未报告评估工具的测量误差与反应度。有低质量及以上证据证明社区老年人数字健康素养评估量表与日常数字素养问卷内容效度、内部一致性为“充分”，该2种评估工具为A级推荐；其他评估工具均为B级推荐。结论社区老年人数字健康素养评估量表与日常数字素养问卷可暂被推荐，但其部分测量属性仍有待进一步验证。

关键词: 老年人, 数字健康素养, 评估工具, 测量学特性, 系统评价

Abstract:

Objective To systematically assess the quality of psychometric properties and methodological quality of digital health literacy assessment tools for older adults. Methods Computerized searches were conducted in CNKI，VIP，Wanfang Data，CBM，PubMed，Embase，CINAHL and Web of Science databases for studies related to the evaluation of psychometric properties and methodological quality of digital health literacy assessment tools for older adults from the database inception to March 9，2025. Two researchers independently screened the literature and extracted data. The Consensus-based Standards for the Selection of Health Measurement Instruments（COSMIN） were used to evaluate the assessment tools and formulate final recommendations. Results A total of 11 studies were included，involving eight digital health literacy assessment tools for older adults. None of the studies reported the measurement error or responsiveness of the assessment tools. Based on evidence of low quality or better，the Digital Health Literacy Assessment Tools for Community-Dwelling Older Adults and Everyday Digital Literacy Questionnaire demonstrated “sufficient” content validity and internal consistency. These two assessment tools received a Grade A recommendation. All other assessment tools were recommended as Grade B. Conclusion The Digital Health Literacy Assessment Tools for Community-Dwelling Older Adults and Everyday Digital Literacy Questionnaire can be tentatively recommended，although some measurement properties still need further verification.

Key words: Aged, Digital Health Literacy, Assessment Tool, Psychometrics Properties, Systematic Review

龚川萍, 何松峻, 何雨芳, 张宇佳, 李艳, 翟静波. 老年人数字健康素养评估工具的系统评价[J]. 中华护理教育, 2025, 22(12): 1497-1504.

GONG Chuanping, HE Songjun, HE Yufang, ZHANG Yujia, LI Yan, ZHAI Jingbo. Digital health literacy assessment tool for older adults based on COSMIN guidelines：a systematic review[J]. Chinese Journal of Nursing Education, 2025, 22(12): 1497-1504.

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