METHODS article
Front. Digit. Health
Sec. Health Technology Implementation
Volume 7 - 2025 | doi: 10.3389/fdgth.2025.1535582
This article is part of the Research TopicMultifactorial balance assessment, falls prevention and rehabilitationView all 11 articles
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
Provisionally accepted
Konstantinos Georgas*
Konstantinos Bromis*Theodoros P VagenasOlympia GiannakopoulouNikolaos Vasileiou
Ioannis Kouris
MARIA HARITOUGeorge Matsopoulos- Institute of Communication and Computer Systems (ICCS), Athens, Greece
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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.
Keywords: Digital Health, EHealth literacy, health technology, Mobile health (mHealth), patient adherence, telerehabilitation
Received: 18 Dec 2024; Accepted: 22 Apr 2025.
Copyright: © 2025 Georgas, Bromis, Vagenas, Giannakopoulou, Vasileiou, Kouris, HARITOU and Matsopoulos. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Konstantinos Georgas, Institute of Communication and Computer Systems (ICCS), Athens, Greece
Konstantinos Bromis, Institute of Communication and Computer Systems (ICCS), Athens, Greece
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