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Over half of Arab adults with chronic diseases possess high digital health literacy scoresOlder adults with chronic diseases show lower digital health literacy

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Key Takeaway
Note that over half of patients with chronic diseases possess high digital health literacy, though older adults may require more support.

This cross-sectional survey evaluated the digital health literacy (DHL) of 405 Arab adults managing chronic conditions including Diabetes Mellitus, Hypertension, and Rheumatoid Arthritis in Qatar. The study utilized the eHEALS tool to measure participants' ability to find, evaluate, and use information from online sources.

The primary finding was a mean DHL score of 24.9 ± 7.6. Specifically, 53.1% of the participants were classified as having high digital health literacy (eHEALS ≥ 27). However, the study identified significant demographic variations; participants aged ≥60 years had significantly lower odds of achieving a high DHL score compared to younger cohorts.

The authors note that while many patients have sufficient skills, there is a need for targeted interventions to translate these assessments into individualized self-care guidance. These include simplified digital tools and Arabic-language resources to bridge the gap for those with lower literacy levels. The study's cross-sectional design means it identifies associations rather than establishing direct causality between demographics and literacy levels.

How this fits prior evidence

This finding addresses a gap in understanding patient readiness for technology-based management of chronic diseases like hypertension and rheumatoid arthritis. While previous evidence indicates that digital interventions can improve heart failure monitoring, results for medication adherence remain inconsistent. This study provides specific baseline data on the digital health literacy of a population managing these conditions, specifically noting that 53.1% have high literacy, which informs how tailored digital tools might be implemented to improve outcomes.

Managing a chronic condition like diabetes or rheumatoid arthritis often requires navigating complex medical information. For many patients in Qatar, this journey now involves digital tools and online resources. A study of 405 adults with these conditions found that while 53.1% had high digital health literacy, there is a clear gap based on age.

Researchers found that patients aged 60 and older were significantly less likely to have high digital health literacy compared to younger patients. This suggests that as we move toward more digital healthcare, older adults may need extra support to navigate the technology safely and effectively.

Because this was a cross-sectional survey, it shows a snapshot of current skills rather than how people learn over time. To help everyone manage their health, experts suggest creating simpler tools and providing resources in local languages like Arabic to ensure no one is left behind by the digital shift.

What this means for you:
Older adults with chronic illnesses are less likely to have the digital skills needed to navigate online health tools.

Common questions

Who does this finding affect?

This study focused on 405 Arab adults living in Qatar who were managing chronic conditions like diabetes, hypertension, and rheumatoid arthritis. The findings specifically highlight that patients aged 60 and older are less likely to have high digital health literacy scores compared to their younger counterparts.

What is digital health literacy?

Digital health literacy is the ability to find, understand, and use information from online sources to manage your health. In this study, over half of the participants scored high on this measure, but those over age 60 faced more challenges with these digital tools.

How can technology be made better for older patients?

To help all patients manage their conditions, experts suggest creating simplified digital tools and providing resources in Arabic. These changes aim to make it easier for everyone, regardless of age or tech experience, to access the information they need for self-care.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJun 2026
View Original Abstract ↓
Digital health literacy (DHL)- the ability to access, understand, evaluate, and apply health information from digital sources- is increasingly essential for chronic disease self-management. Despite rapid digital health advancements in the Arab region, evidence on DHL among patients with chronic diseases remains limited. Our recent systematic review found no studies addressing DHL in this population. This study aimed to assess DHL and its associated sociodemographic and behavioral factors among Arab adults with diabetes (DM), hypertension (HTN), and rheumatoid arthritis (RA) in Qatar. A cross-sectional survey was conducted among Arab adults recruited from outpatient clinics at Hamad General Hospital, Qatar. Eligible participants were aged ≥18 years and diagnosed with DM, HTN and/or RA. The survey included the eHealth Literacy Scale (eHEALS), sociodemographic and clinical questions, digital technology use, physical activity, the Patient Activation Measure (PAM), and self-reported behavior change. Descriptive statistics, bivariate analyses, and multivariable logistic regression identified determinants of high DHL (eHEALS ≥27). A total of 405 participants were included [mean age 53.8 (SD 12.6) years; 69.6% male]. The mean DHL score was 24.9 ± 7.6, with 53.1% classified as having high DHL. In multivariable analysis, participants aged ≥60 years had significantly lower odds of high DHL compared to those DHL among Arab adults with chronic diseases in Qatar is moderate, with significant disparities by age, education, and digital engagement. Targeted interventions that translate DHL assessments into individualized self-care guidance, including simplified digital tools, accessible Arabic-language resources, and structured patient education, are needed to ensure that improved literacy translates directly into better chronic disease self-management outcomes.
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