Accepted for/Published in: JMIR Mental Health
Date Submitted: Apr 19, 2021
Open Peer Review Period: Apr 19, 2021 - Jun 14, 2021
Date Accepted: Jul 13, 2021
(closed for review but you can still tweet)
Digital health literacy in bipolar disorder: An international web-based survey
ABSTRACT
Background:
Online resources can support people with bipolar disorder (BD) to improve their knowledge and self-management. However, publicly available resources are heterogeneous in terms of their quality and ease of use. Characterising digital health literacy (the skillset that enable people to navigate and make use of health information in an online context) in BD will support the development of educational resources.
Objective:
The aim of this study was to develop understanding of digital health literacy and its predictors in people with BD.
Methods:
A web-based survey was used to explore self-reported digital health literacy (as measured by the eHEALS) in people with BD. Multiple regression was used to evaluate potential predictors, including demographic/clinical characteristics and technology use.
Results:
A total of 919 respondents (77.9% Female; Mean age=36.9) completed the survey. Older age (β = 0.09, P = 0.01), postgraduate education (β = 0.11, P = 0.01), and current use of self-management apps related to BD (β = 0.13, P<0.001) were associated with higher eHEALS ratings.
Conclusions:
Levels of self-reported digital health literacy were comparable or higher than other studies in the general population and specific physical/mental health conditions. However, individuals with BD who are younger, have completed less education, or are less familiar with mental health apps may require extra support to safely and productively navigate online health resources. Relevant educational initiatives are discussed. Future research should evaluate skill development interventions for less digitally literate groups. Clinical Trial: N/A
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