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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Mar 15, 2018
Open Peer Review Period: Mar 16, 2018 - Aug 18, 2018
Date Accepted: Nov 25, 2018
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals’ Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting

Kayser L, Rossen S, Karnoe A, Elsworth G, Vibe-Petersen J, Christensen JF, Ried-Larsen M, Osborne RH

Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals’ Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting

J Med Internet Res 2019;21(2):e10377

DOI: 10.2196/10377

PMID: 30747717

PMCID: 6404640

Development of a multidimensional tool to measure individuals’ health technology readiness - The Readiness and enablement index for Health technology (READHY)

  • Lars Kayser; 
  • Sine Rossen; 
  • Astrid Karnoe; 
  • Gerald Elsworth; 
  • Jette Vibe-Petersen; 
  • Jesper Frank Christensen; 
  • Mathias Ried-Larsen; 
  • Richard H Osborne

ABSTRACT

Background:

The increasing digitalization of healthcare services with enhanced access to fast internet connections along with wide use of smartphones offers the opportunity to get health advice or treatment remotely. As a service provider, it is important to consider how consumers can take full advantage of available services and how this can create an enabling environment. However, it is important to consider the digital context and the attributes of current and future users such as their readiness, i.e. knowledge, skills and attitudes, including trust and motivation.

Objective:

To evaluate how a combination of the e-Health Literacy Questionnaire (eHLQ) with selected dimensions from the Health Education Impact Questionnaire (heiQ) and the Health Literacy Questionnaire (HLQ) can be used together as one instrument to characterize an individual’s level of health technology readiness and explore how the generated data can be used to create health technology readiness profiles of potential users of health technologies and digital health services.

Methods:

The instrument as well as sociodemographic questions was administered to a population of 305 citizens with a recent cancer diagnosis referred to rehabilitation in a setting that plans to introduce various technologies to assist the individuals. Properties of the READHY instrument were evaluated using confirmatory factor analysis (CFA), convergent and discriminant validity analysis and exploratory factor analysis (EFA). To identify different health technology readiness profiles in the population, the data were further analyzed using hierarchical and k-means cluster analysis.

Results:

The CFA found a suitable fit for the 13 factors with only one cross loading of one item between two dimensions. The convergent and discriminant validity analysis revealed many factor correlations suggesting that, in this population, a more parsimonious model might be achieved. EFA pointed to five to six constructs based on aggregates of the existing dimensions. The results were not satisfactory, so an eight-factor CFA was performed resulting in a good fit with only one item cross loading between two dimensions. Cluster analysis showed that data from the READHY instrument can be clustered to create meaningful health technology readiness profiles of users.

Conclusions:

The 13 dimensions from heiQ, HLQ and eHLQ can be used in combination to describe user’s health technology readiness level and degree of enablement. Further studies in other populations are needed to understand whether the associations between dimensions are consistent and if the number of dimensions can be reduced.


 Citation

Please cite as:

Kayser L, Rossen S, Karnoe A, Elsworth G, Vibe-Petersen J, Christensen JF, Ried-Larsen M, Osborne RH

Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals’ Health Technology Readiness: Initial Testing in a Cancer Rehabilitation Setting

J Med Internet Res 2019;21(2):e10377

DOI: 10.2196/10377

PMID: 30747717

PMCID: 6404640

Per the author's request the PDF is not available.

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