eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project

Improving patient adherence and compliance with digital health interventions requires the creation of eHealth literacy resources. This study examines the creation and application of a novel eHealth literacy tool for home-based balance physiotherapy as part of the TeleRehaB DSS project. This tool eva...

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Main Authors: Konstantinos Georgas, Konstantinos Bromis, Theodoros P. Vagenas, Olympia Giannakopoulou, Nikolaos Vasileiou, Ioannis Kouris, Maria Haritou, George K. Matsopoulos
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1535582/full
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author Konstantinos Georgas
Konstantinos Bromis
Theodoros P. Vagenas
Olympia Giannakopoulou
Nikolaos Vasileiou
Ioannis Kouris
Maria Haritou
George K. Matsopoulos
author_facet Konstantinos Georgas
Konstantinos Bromis
Theodoros P. Vagenas
Olympia Giannakopoulou
Nikolaos Vasileiou
Ioannis Kouris
Maria Haritou
George K. Matsopoulos
author_sort Konstantinos Georgas
collection DOAJ
description Improving patient adherence and compliance with digital health interventions requires the creation of eHealth literacy resources. This study examines the creation and application of a novel eHealth literacy tool for home-based balance physiotherapy as part of the TeleRehaB DSS project. This tool evaluates patients’ digital literacy, in particular their ability to use the Internet of Things (IoT), Augmented Reality (AR) and smart device technologies. The tool addresses the challenge of low treatment adherence by utilizing models to monitor compliance in real time and adjust treatment recommendations accordingly. The TeleRehaB DSS integrates this literacy tool to maximize resource allocation and improve patient engagement. Testing and validation has shown the system’s ability to improve therapeutic outcomes and increase patient involvement. This strategy not only addresses the real-world difficulties of implementing digital health systems, but also advances the growing body of knowledge on improving treatment adherence through customized digital literacy assessments. When developing effective health technologies, the capabilities of users must be taken into account, especially for older people or those with limited digital literacy, as this study highlights.
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institution Matheson Library
issn 2673-253X
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publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Digital Health
spelling doaj-art-a7e7dbe9a2f94d6d90a24d1c65763cd22025-07-31T05:37:30ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-07-01710.3389/fdgth.2025.15355821535582eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS projectKonstantinos Georgas0Konstantinos Bromis1Theodoros P. Vagenas2Olympia Giannakopoulou3Nikolaos Vasileiou4Ioannis Kouris5Maria Haritou6George K. Matsopoulos7iomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, Greeceiomedical Engineering Laboratory, Institute of Communication and Computer Systems, NTUA, Athens, GreeceImproving patient adherence and compliance with digital health interventions requires the creation of eHealth literacy resources. This study examines the creation and application of a novel eHealth literacy tool for home-based balance physiotherapy as part of the TeleRehaB DSS project. This tool evaluates patients’ digital literacy, in particular their ability to use the Internet of Things (IoT), Augmented Reality (AR) and smart device technologies. The tool addresses the challenge of low treatment adherence by utilizing models to monitor compliance in real time and adjust treatment recommendations accordingly. The TeleRehaB DSS integrates this literacy tool to maximize resource allocation and improve patient engagement. Testing and validation has shown the system’s ability to improve therapeutic outcomes and increase patient involvement. This strategy not only addresses the real-world difficulties of implementing digital health systems, but also advances the growing body of knowledge on improving treatment adherence through customized digital literacy assessments. When developing effective health technologies, the capabilities of users must be taken into account, especially for older people or those with limited digital literacy, as this study highlights.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1535582/fulldigital healtheHealth literacyhealth technologymobile health (mHealth)patient adherencetelerehabilitation
spellingShingle Konstantinos Georgas
Konstantinos Bromis
Theodoros P. Vagenas
Olympia Giannakopoulou
Nikolaos Vasileiou
Ioannis Kouris
Maria Haritou
George K. Matsopoulos
eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
Frontiers in Digital Health
digital health
eHealth literacy
health technology
mobile health (mHealth)
patient adherence
telerehabilitation
title eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
title_full eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
title_fullStr eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
title_full_unstemmed eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
title_short eHealth literacy assessment as a promoter of user adherence in using digital health systems and services. A case study for balance physiotherapy in the TeleRehaB DSS project
title_sort ehealth literacy assessment as a promoter of user adherence in using digital health systems and services a case study for balance physiotherapy in the telerehab dss project
topic digital health
eHealth literacy
health technology
mobile health (mHealth)
patient adherence
telerehabilitation
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1535582/full
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