IJGPNInternational Journal of General Practice Nursing2981-94152981-9423Bio-Byword Scientific Publishing Pty. Ltd.10.26689/ijgpn.v3iSpecial.13944ArticleThe Current Situation and Strategies for Cultivating Digital Health Literacy in Chronic Noncommunicable Disease Management: A Mini Reviewhttps://artdesignp.com/journal/IJGPN/3/0/10.26689/ijgpn.v3iSpecial.13944ZhangXin,WangYan,GaoJianwen,GeJuan,PengShuzhi2025302025-12-31Chronic noncommunicable diseases (NCDs) have become a major burden on global health, posing multifaceted challenges to health systems worldwide. These challenges encompass difficulties in patients’ self-management and insufficient medical resources in prevention and treatment. Digital health intervention, which leverages digital technology to deliver personalized medical services, has emerged as a promising solution to improve the efficiency of chronic disease management. However, its effectiveness is significantly influenced by the level of digital health literacy. This mini review synthesizes the current situation of the lack of digital health literacy among patients with chronic diseases, identifying the main factors leading to the deficiency, and proposes effective strategies to address it. Furthermore, by integrating the current landscape with future technological and healthcare trends, this review projects the potential trajectory of digital health literacy in chronic disease management, that is, short-term technology adaptation, medium-term equitable coverage, and long-term educational integration. With the collaborative promotion and joint efforts of all parties, the application of emerging scientific and technological advances will make chronic disease management more efficient. In conclusion, enhancing digital health literacy is the key path to achieving efficient management of chronic diseases and health equity.

World Health Organisation (WHO), 2024, Noncommunicable Diseases, viewed October 10, 2025, https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Zhang T, Jiang H, Xu X, et al., 2025, Non-Communicable Disease Burden in China, 1990–2023: Evidence from the Global Burden of Disease Study 2023. Chin Med J (Engl), advanced publication.

Pedersen BK, Saltin B, 2015, Exercise as Medicine – Evidence for Prescribing Exercise as Therapy in 26 Different Chronic Diseases. Scandinavian Journal of Medicine & Science in Sports, 25(S3): 1–72.

Cavallo M, Morgana G, Dozzani I, et al., 2023, Unraveling Barriers to a Healthy Lifestyle: Understanding Barriers to Diet and Physical Activity in Patients with Chronic Non-Communicable Diseases. Nutrients, 15(15): 3473.

Jenkins C L, Imran S, Mahmood A, et al., 2022, Digital Health Intervention Design and Deployment for Engaging Demographic Groups Likely to Be Affected by the Digital Divide: Protocol for a Systematic Scoping Review. JMIR Research Protocols, 11(3): e32538.

Kardan M, Jung A, Iqbal M, et al., 2024, Efficacy of Digital Interventions on Physical Activity Promotion in Individuals with Noncommunicable Diseases: An Overview of Systematic Reviews. BMC Digital Health, 2(40).

Qiu CS, Lunova T, Greenfield G, et al., 2025, Determinants of Digital Health Literacy: International Cross-Sectional Study. Journal of Medical Internet Research, (27): e66631.

Wamala Andersson S, Gonzalez MP, 2025, Digital Health Literacy—A Key Factor in Realizing the Value of Digital Transformation in Healthcare. Frontiers in Digital Health, (7): 1461342.

Quaosar G, Hoque MR, Bao Y, 2018, Investigating Factors Affecting Elderly’s Intention To Use M-Health Services: An Empirical Study. Telemed J E Health, 24(4): 309–314.

Lee PA, Greenfield G, Pappas Y. 2018, Patients’ Perception of Using Telehealth for Type 2 Diabetes Management: A Phenomenological Study. BMC Health Serv Res, 18(1): 549.

Adam R, de Bruin M, Burton CD, et al., 2017, What Are the Current Challenges of Managing Cancer Pain and Could Digital Technologies Help? BMJ Support Palliat Care, 8(2): 204–212.

Gao Z, 2021, An Exploration of the Relationship between Electronic Health Literacy and Quality of Life of Patients with Chronic Diseases in Tai’an City, thesis, Shandong University.

Moon Z, Zuchowski M, Moss-Morris R, et al., 2022, Disparities in Access to Mobile Devices and e-Health Literacy among Breast Cancer Survivors. Support Care Cancer, 30(1): 117–126.

Rangraz Jeddi F, Nabovati E, Hamidi R, et al., 2020, Mobile Phone Usage in Patients with Type II Diabetes and Their Intention to Use It for Self-Management: A Cross-Sectional Study in Iran. BMC Med Inform Decis Mak, 20(1): 24.

Chesser A, Burke A, Reyes J, et al., 2016, Navigating the Digital Divide: A Systematic Review of eHealth Literacy in Underserved Populations in the United States. Inform Health Soc Care, 41(1): 1–19.

Kim HJ, Lee JM, 2018, Determinants of Mobile Digital Information Usage Among Senior Consumers: Focusing on Secondary Digital Divide. Family Environ Res, 56(6): 493–506.

Lee M, Kim H, Hong S, 2015, An Empirical Study of the Elderly’s Information Literacy on Their Happiness. Journal of the Korea Industrial Information Systems Research, 20(2): 125–131.

Kang H, Baek J, Chu SH, et al., 2023, Digital Literacy among Korean Older Adults: A Scoping Review of Quantitative Studies. Digital Health, (9): 1–23.

Wang W, Jiao M, Zhao X, et al., 2025, Assessment of eHealth Literacy Among Cardiovascular Disease Patients and Analysis of Influencing Factors. Front Public Health,13: 1587163.

Wubante SM, Tegegne MD, Melaku MS, et al., 2023, eHealth Literacy and Its Associated Factors in Ethiopia: Systematic Review and Meta-Analysis. PLoS One,18: e0282195.

Milne RA, Puts MT, Papadakos J, et al., 2015, Predictors of High eHealth Literacy in Primary Lung Cancer Survivors. J Cancer Educ, 30(4): 685–692.

AlShehri WS, Khojah YY, 2025, Impact of E-Health Literacy on Diabetes Self-Care Activities Among People With Type 2 Diabetes Attending Primary Healthcare Centers in Makkah City, Saudi Arabia: A Cross-Sectional Study. Cureus, 17(7): e87968.

Li J, 2019, Research on the Current Situation of Electronic Health Literacy in Patients with Coronary Heart Disease and Its Correlation with Quality of Life, thesis, Zhejiang Normal University.

Zhang H, Zhang X, Ma X, et al., 2025, Association between the e-Healthy Literacy and Cancer Prevention Consciousness in Rural China: Cancer Cognition Acting as a Mediator. Global Health Research and Policy, 10(1): 27.

Kan K, Morales L, Shah A, et al., 2023, Digital Technology Characteristics and Literacy Among Families With Children With Asthma: Cross-Sectional Study. JMIR Pediatr Parent, 6: e48822.

Zhang Y, Xu P, Sun Q, et al., 2023, Factors Influencing the E‑Health Literacy in Cancer Patients: A Systematic Review. Journal of Cancer Survivorship, 17(2): 425–440.

Sjöström A, Hajdarevic S, Hörnsten Å, et al., 2021, Experiences of Online COVID-19 Information Acquisition Among Persons with Type 2 Diabetes and Varying eHealth Literacy. Int J Environ Res Public Health, 18(24): 13240.

Li M, Ni P, Zuo T, et al., 2024, Cancer Literacy Differences of Basic Knowledge, Prevention, Early Detection, Treatment and Recovery: A Cross-Sectional Study of Urban and Rural Residents in Northeast China. Front Public Health, 12: 1367947.

World Health Organization, n.d., Global Strategy on Digital Health 2020–2025, viewed October 10, 2025, https://iris.who.int/handle/10665/344249

The Central Committee of the Communist Party of China and The State Council, 2016, Outline of the “Healthy China 2030” Plan, viewed October 10, 2025, https://www.nhc.gov.cn/guihuaxxs/c100132/201610/e5c594008e8846d0aa401f7f678b8a84.shtml

Raza SY, Norin U, Ogadimma EC, et al., 2025, Catenation between mHealth Application Advertisements and Cardiovascular Diseases: Moderation of Artificial Intelligence (AI)-Enabled Internet of Things, Digital Divide, and Individual Trust. BMC Public Health, 25(1): 1064.

Heo J, Chun M, Lee HW, et al., 2018, Social Media Use for Cancer Education at a Community-Based Cancer Center in South Korea. J Canc Educ, 33(4): 769–773.

Song L, Tatum K, Greene G, et al., 2017, eHealth Literacy and Partner Involvement in Treatment Decision Making for Men With Newly Diagnosed Localized Prostate Cancer. Oncol Nurs Forum, 44(2): 225–233.

Norman CD, Skinner HA, 2006, eHEALS: The eHealth Literacy Scale. J Med Internet Res, 8(4): e27.

Kayser L, Karnoe A, Furstrand D, et al., 2018, A Multidimensional Tool Based on the eHealth Literacy Framework: Development and Initial Validity Testing of the eHealth Literacy Questionnaire (eHLQ). J Med Internet Res, 20(2): e36.

Yoon J, Lee M, Ahn JS, et al., 2022, Development and Validation of Digital Health Technology Literacy Assessment Questionnaire. J Med Syst, 46(2): 13.

Zakaria N, Alfakhry O, Matbuli A, et al., 2018, Development of Saudi E-Health Literacy Scale for Chronic Diseases in Saudi Arabia: Using Integrated Health Literacy Dimensions. Int J Qual Health Care, 30(4): 321–328.