Digital Literacy Pilot Intervention to Address Support, Literacy and Communication in Older Adults

Change in Health Team Communication as assessed by the CollaboRATE Scale Measure

时间窗: Baseline, 9 weeks

The CollaboRATE scale measure is a 3 item self-report questionnaire on patient's shared decision making. It is scored on a 10-point anchored scale, ranging from 0 ("no effort was made") to 9 ("every effort was made"). Higher scores indicate more shared decision making.

Change in health literacy as assessed by the Rapid Estimate of Adult Literacy in Medicine (REALM)

时间窗: Baseline, 9 weeks

The REALM screening tool assesses ability for respondent to correctly pronounce a list of common medical words and lay terms using the REALM Patient Word List. A score of 0-18 is 3rd grade and below, score of 19-44 is 4th to 6th grade, score of 45-60 is 7th to 8th grade, and a score of 61-66 is high school or above.

Change in Social engagement as assessed by the Lubben Social Network Scale

时间窗: Baseline, 9 weeks

The Lubben Social Network Scale is a 7-item questionnaire that measures the size of social networks of family and friends. The score ranges between 0 and 30, with higher scores indicated more social engagement.

Change in self-efficacy as assessed by the Coping Self-Efficacy Instrument

时间窗: Baseline, 9 weeks

Coping Self-Efficacy is a 13 item instrument on a scale of 0 ('can't do at all') to 10 ('certain can do'). A higher score indicates higher level of self-efficacy when implementing coping strategies. Score range 0-130.

Change in quality of life as assessed by the European Quality of Life (Euro-QOL-5D)

时间窗: Baseline, 9 weeks

The Euro-QOL-5D is a self-report measure that measures quality of life across 5 domains: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Response choices are severe, moderate or none (levels of disability) across domains. Questionnaire also includes a Visual Analog Scale, where respondents report their perceived health status ranging from 0 (the worst possible health status) to 100 (the best possible health status).

Change in digital health literacy as assessed by the Mobile Device Proficiency Questionnaire (MDPQ)

时间窗: Baseline, 9 weeks

The MDPQ is a 16-item questionnaire divided into 8 sub-scales. All items are on a 5-point scale with choices never tried (1), not at all (2), not very easily (3), somewhat easily (4), and to very easily (5). A low score indicates low mobile device proficiency.

Change in self-efficacy as assessed by the Self-Efficacy of Chronic Disease Management Instrument

时间窗: Baseline, 9 weeks

Self-Efficacy of Chronic Disease Management Instrument is a 6 item instrument on a visual analog scale, ranging from 1 (not at all confident) to 10 (totally confident). Lower scores indicate lower self-efficacy as indicated by confidence. Score range 6-60.

Change in Social engagement as assessed by the Krause-Borawski-Clark Support Interactions Scale

时间窗: Baseline, 9 weeks

The Krause-Borawski-Clark Support Interactions Scale is a 10-item self-reported questionnaire that measures social interactions. The scale is broken down into different domains; scores range from very often (4); fairly often (3); once in a while (2); never (1) or binary-- satisfied (1) or not satisfied (0) depending on domain within the questionnaire. Items are summed to form a single composite score range 10-40, Higher scores on the scale is associated with better personal perception and social support.

Change in digital health literacy as assessed by the Digital Health Care Literacy Scale

时间窗: Baseline, 9 weeks

The Digital Health Care Literacy scale is a 3-item questionnaire. Response options ranged from strongly disagree (0 points) to strongly agree (4 points). Total possible score options ranged from 0-12. Higher scores indicated higher digital health care literacy.