Chinese Journal of Nursing Education >
Digital health literacy assessment tool for older adults based on COSMIN guidelines：a systematic review
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.
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 . DOI: 10.3761/j.issn.1672-9234.2025.12.014
| [1] | Zhao BY, Huang L, Cheng X, et al. Digital health literacy and associated factors among Internet users from China:a cross-sectional study[J]. BMC Public Health, 2024, 24(1):908. |
| [2] | WHO. Global strategy on digital health 2020-2025[EB/OL].(2021-08-18). https://www.who.int/publications/i/item/97892400-20924. |
| [3] | 王强芬. 数字化转型背景下老年人就医困境的逻辑分析[J]. 中国卫生事业管理, 2023, 40(7):531-535. |
| [4] | 任侨侨, 郑凯, 陈超亿, 等. 健康老龄化视域下老年人数字化医疗卫生服务空间水平及影响因素研究[J]. 中国医院管理, 2025, 45(7):38-42. |
| [5] | 谢永飞, 刘轶锋. 健康老龄化视角下的老年数字鸿沟:成因与治理[J]. 中央民族大学学报(哲学社会科学版), 2024, 51(5):125-134. |
| [6] | 国务院办公厅印发关于切实解决老年人运用智能技术困难实施方案的通知[EB/OL].[2025-03-10]. https://www.gov.cn/zhengce/content/2020-11/24/content_5563804.htm. |
| [7] | 国务院关于印发全民科学素质行动规划纲要(2021—2035年)的通知[EB/OL].[2025-10-08]. https://www.gov.cn/gongbao/content/2021/content_5623051.htm. |
| [8] | 张露露, 陈欢, 罗欢, 等. 基于健康测量工具的共识标准对癌症复发恐惧评估工具的系统评价[J]. 中国全科医学, 2023, 26(17):2138-2146. |
| Zhang LL, Chen H, Luo H, et al. Fear of cancer recurrence assessment tools based on COSMIN:a systematic review[J]. Chin Gen Pract, 2023, 26(17):2138-2146. | |
| [9] | Mokkink LB, Elsman EBM, Terwee CB. COSMIN guideline for systematic reviews of patient-reported outcome measures version 2.0[J]. Qual Life Res, 2024, 33(11):2929-2939. |
| [10] | 陈祎婷, 彭健, 沈蓝君, 等. COSMIN方法介绍:结合一项系统评价实例进行解读[J]. 护理研究, 2021, 35(9):1505-1510. |
| Chen YT, Peng J, Shen LJ, et al. Introduction of COSMIN method:interpretation of COSMIN method combined with a systematic evaluation example[J]. Chin Nurs Res, 2021, 35(9):1505-1510. | |
| [11] | 陈祎婷, 沈蓝君, 彭健, 等. 改良版定量系统评价证据分级方法对患者报告结局测量工具的评价[J]. 解放军护理杂志, 2020, 37(10):57-60. |
| [12] | 刘思奇, 付晶晶, 孔德辉, 等. 社区老年人数字健康素养评估量表的编制及信效度检验[J]. 护理研究, 2021, 35(23):4169-4174. |
| Liu SQ, Fu JJ, Kong DH, et al. Development and reliability and validation test of the digital health literacy assessment scale for the community-dwelling elderly[J]. Chin Nurs Res, 2021, 35(23):4169-4174. | |
| [13] | Green G. Electronic health literacy among older adults:deve-lopment and psychometric validation of the Hebrew version of the electronic health literacy questionnaire[J]. Int J Med Inform, 2025, 194:105691. |
| [14] | Xie LY, Hu HH, Lin JE, et al. Psychometric validation of the Chinese digital health literacy instrument among Chinese older adults who have Internet use experience[J]. Int J Older People Nurs, 2024, 19(1):e12568. |
| [15] | Scherrenberg M, Falter M, Kaihara T, et al. Development and internal validation of the digital health readiness question-naire:prospective single-center survey study[J]. J Med Internet Res, 2023, 25:e41615. |
| [16] | Choi J, Choi S, Song K, et al. Everyday digital literacy ques-tionnaire for older adults:instrument development and valida-tion study[J]. J Med Internet Res, 2023, 25:e51616. |
| [17] | Cai WF, Liang W, Liu HX, et al. Electronic health literacy scale-Web 3.0 for older adults with noncommunicable diseases:validation study[J]. J Med Internet Res, 2024, 26:e52457. |
| [18] | Kim S, Park C, Park S, et al. Measuring digital health literacy in older adults:development and validation study[J]. J Med Internet Res, 2025, 27:e65492. |
| [19] | Paige SR, Stellefson M, Krieger JL, et al. Transactional eHealth literacy:developing and testing a multi-dimensional instrument[J]. J Health Commun, 2019, 24(10):737-748. |
| [20] | 陈雪姣, 韩文娟, 王静, 等. 电子健康素养量表在老年糖尿病病人中的信效度检验及其健康素养影响因素分析[J]. 循证护理, 2022, 8(15):2092-2095. |
| [21] | 周寒寒, 王静, 李岩. 中文版电子健康素养量表在我国社区老年人群中的信效度初步分析[J]. 医药高职教育与现代护理, 2019, 2(6):448-451. |
| [22] | Luz S, Nogueira P, Costa A, et al. Psychometric analysis of the eHealth literacy scale in Portuguese older adults(eHEALS-PT24):instrument development and validation[J]. J Med Internet Res, 2025, 27:e57730. |
| [23] | Terwee CB, Prinsen CC, Chiarotto A, et al. COSMIN methodo-logy for evaluating the content validity of patient-reported outcome measures:a Delphi study[J]. Qual Life Res, 2018, 27(5):1159-1170. |
| [24] | MacDermid JC. ICF linking and cognitive interviewing are complementary methods for optimizing content validity of outcome measures:an integrated methods review[J]. Front Rehabil Sci, 2021, 2:702596. |
| [25] | Miller C, Cross J, Jeffrey J, et al. Outcome measurement ins-truments for adult brachial plexus injury:a systematic review of development and measurement properties[J]. Disabil Rehabil, 2025, 47(18):4653-4663. |
| [26] | 严忠婷, 梁轶, 王芳, 等. 中文版高血压患者自我管理评估工具的系统评价[J]. 中华护理教育, 2024, 21(1):73-80. |
| Yan ZT, Liang Y, Wang F, et al. Chinese version of hyper-tension self-management assessment tools based on COSMIN guidelines:a systematic review[J]. Chin J Nurs Educ, 2024, 21 (1):73-80. | |
| [27] | 朱璐, 何竹, 赵息, 等. 中文版血液透析患者饮食与营养认知行为评估工具的系统评价[J]. 中华护理教育, 2024, 21(11):1371-1377. |
| Zhu L, He Z, Zhao X, et al. Systematic review of the Chinese version of the assessment tool for cognitive behavior of diet and nutrition among hemodialysis patients[J]. Chin J Nurs Educ, 2024, 21(11):1371-1377. | |
| [28] | 刘素香, 张华芳, 石亚君, 等. 成人糖尿病患者低血糖恐惧评估工具的系统评价[J]. 中华护理教育, 2024, 21(7):873-880. |
| Liu SX, Zhang HF, Shi YJ, et al. A systematic review of hypoglycemic fear assessment tools in adult diabetic patients[J]. Chin J Nurs Educ, 2024, 21(7):873-880. | |
| [29] | 周荭玫, 何林, 许辉, 等. 基于COSMIN指南对癌症患者疲劳评估工具的系统评价[J/OL]. 中国全科医学, 2025:1-10. (2025-03-11). http://kns.cnki.net/KCMS/detail/detail.aspx?filename=QKYX20250310001&dbname=CJFD&dbcode=CJFQ. |
| [30] | Chen PP, Zhang C, Liu GJ, et al. Psychometric properties of self-reported measures of psychological birth trauma in puer-perae:a COSMIN systematic review[J]. Qual Life Res, 2025, 34(2):289-304. |
| [31] | 彭健, 沈蓝君, 陈祎婷, 等. 对COSMIN-RoB清单中测量工具稳定性、测量误差和效标效度研究偏倚风险的清单解读[J]. 中国循证医学杂志, 2020, 20(11):1340-1344. |
| [32] | 陈艺蕾, 张晟, 柴菽彬, 等. 糖尿病中医疗效评价PRO量表的反应度研究[J]. 中华中医药杂志, 2020, 35(4):2031-2033. |
| [33] | Geng Y, Jie W, He Y, et al. Prevalence and patterns of mul-timorbidity among adults aged 18 years and older-China,2018[J]. China CDC Wkly, 2023, 5(2):35-39. |
| [34] | 袁平乔, 李泽梅, 韩瑶, 等. 人工智能在老年病人健康管理中的应用进展[J]. 实用老年医学, 2025, 39 (8):778-781,797. |
| [35] | 王晨琪, 肖洪玲, 吴亚轩, 等. 虚拟/增强现实技术在慢性病健康管理中的研究进展[J]. 职业与健康, 2025, 41(8):1138-1142. |
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