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Role of electronic health literacy and insight into cancer among health workers and patients

A review

Bibliographic Data

ID22077341
AuthorsYuehan Zhang (0000-0003-2197-8617, China Medical University), Zijing Wu (0000-0001-9563-8258, China Medical University, corresponding author)
Year2026
Volume14
Pages1781759-1781759
Publication date2026-05-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2026.1781759
PMID42293606
OpenAlexW7162793646
LanguageEN
References cited21

Background: Digital technologies in oncology require patients and health workers to possess adequate electronic health literacy (eHealth literacy). Yet, the extent to which this literacy influences cancer-specific insights, ranging from knowledge to clinical behavior, remains fragmented. Objective: This scoping review systematically mapped the literature on eHealth literacy across oncology populations and characterized its associations with cognitive, behavioral, evaluative, and psychological outcomes. Methods: Adhering to PRISMA-ScR, we searched PubMed and Scopus through December 15, 2025. We included English-language primary studies measuring eHealth literacy in oncology populations and linking it to outcomes like screening or adherence. Results: Among 65 included studies, 50% focused on patients, with limited attention to survivors (9.7%) or the workforce (6.5%). The eHealth Literacy Scale (eHEALS) was the dominant metric (66%), while performance-based instruments were rare. Evidence clustered heavily around proximal outcomes such as digital readiness and information appraisal. Conversely, distal endpoints, including adherence and quality of life, were underrepresented. While associations with information engagement were positive, evidence linking literacy to clinical behaviors remains sparse. Conclusion: eHealth literacy is a key determinant of digital engagement; however, the evidence base is limited by the predominance of cross-sectional designs, reliance on self-reported measures, and substantial heterogeneity across studies. Advancing the field requires longitudinal designs, objective assessments, and a focus on the oncology workforce

Digital health · Digital Literacy · eHealth · Health literacy · Information literacy · Literacy · MEDLINE · Workforce · Global Cancer Incidence and Screening · Health Literacy and Information Accessibility · Social Media in Health Education

  • eHeals

    Open Access•Cameron D Norman, Harvey A Skinner•Journal of Medical Internet…•2006

  • Varieties of Uncertainty in Health Care

    Open Access•Paul K J Han, William M P Klein et al.•Medical Decision Making•2011

  • Progress and Persistent Disparities in Patient Access to Electronic Health Information

    Open Access•Chelsea Richwine•JAMA Health Forum•2023

  • Embracing life while confronting mortality

    Open Access•Guanghui Qiao, Yusi Fu et al.•Tourism Management•2026

Citation velocityhistorical
Highly citedNo

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