Kantonsspital St.Gallen

Patient and healthcare professional eHealth literacy and needs for systemic sclerosis support: a mixed methods study

Agnes Kocher, Michael Simon, Andrew A Dwyer, Catherine Blatter, Jasmina Bogdanovic, Patrizia Künzler-Heule, Peter M Villiger, Diana Dan, Oliver Distler, Ulrich A Walker & Dunja Nicca


We engaged patients with systemic sclerosis (SSc) and healthcare professionals to assess electronic health (eHealth) literacy and needs relating to web-based support using internet-based information and communication technologies (ICT).

We employed an explanatory sequential mixed methods design. First, we conducted a cross-sectional survey in patients (n=101) and professionals (n=47). Next, we conducted three focus groups with patients, family members and professionals (n=17).

Of patients, 89.1% used ICT at least weekly for private communication. Patients reported relatively high comprehension of eHealth information ([Formula: see text] =6.7, 95% CI: 6.2 to 7.3, range 1-10), yet were less confident evaluating information reliability ([Formula: see text] =5.8, 95% CI: 5.1 to 6.4) and finding eHealth apps ([Formula: see text] =4.8, 95% CI: 4.2 to 5.4). Patients and professionals reported little experience with web-based self-management support. Focus groups revealed 'considering non-ICT-accessible groups and 'fitting patients' and professionals' technology as crucial for acceptability. In relation to understanding/appraising eHealth, participants highlighted that general SSc information is not tailored to individual's disease course. Recommendations included 'providing timely, understandable and safe information and 'empowering end-users in ICT and health decision-making skills. Professionals expressed concerns about lacking resources. Patients were concerned about data security and person-centredness. Key eHealth drivers included 'addressing end-user perceptions and 'putting people at the centre of technology.

Patients and professionals need education/training to support uptake of eHealth resources. Key elements include guiding patients to timely/reliable information and using eHealth to optimise patient-provider communication. Design that is responsive to end-users' needs and considers individuals with limited eHealth literacy and/or ICT access appears to be critical for acceptability.
citation Kocher A, Simon M, Dwyer A A, Blatter C, Bogdanovic J, Künzler-Heule P, Villiger P M, Dan D, Distler O, Walker U A, Nicca D. Patient and healthcare professional eHealth literacy and needs for systemic sclerosis support: a mixed methods study. RMD Open 2021; 7:.
type journal paper/review (English)
date of publishing 9-2021
journal title RMD Open (7/3)
ISSN electronic 2056-5933
PubMed 34475248
DOI 10.1136/rmdopen-2021-001783