{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T17:10:57Z","timestamp":1790356257296,"version":"4.1.0"},"reference-count":52,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,3]],"date-time":"2025-08-03T00:00:00Z","timestamp":1754179200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010398","name":"Metro South Hospital and Health Service","doi-asserted-by":"publisher","award":["RSS_2022_136"],"award-info":[{"award-number":["RSS_2022_136"]}],"id":[{"id":"10.13039\/100010398","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","award":["106081"],"award-info":[{"award-number":["106081"]}],"id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","award":["105215"],"award-info":[{"award-number":["105215"]}],"id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001030","name":"National Heart Foundation of Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001030","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.pec.2025.109278","type":"journal-article","created":{"date-parts":[[2025,8,5]],"date-time":"2025-08-05T21:40:15Z","timestamp":1754430015000},"page":"109278","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"special_numbering":"C","title":["Determining the digital health literacy and potential solutions to support people with complex chronic conditions to engage with digital models of care"],"prefix":"10.1016","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0232-5848","authenticated-orcid":false,"given":"Jaimon T.","family":"Kelly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1899-7534","authenticated-orcid":false,"given":"Liam J.","family":"Caffery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma E.","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6223-1697","authenticated-orcid":false,"given":"Soraia","family":"de Camargo Catapan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7756-5136","authenticated-orcid":false,"given":"Anthony C.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Isbel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7356-653X","authenticated-orcid":false,"given":"Hannah","family":"Mayr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2959-6824","authenticated-orcid":false,"given":"Lindsey","family":"Webb","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina L.","family":"Campbell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0929-110X","authenticated-orcid":false,"given":"Graeme A.","family":"Macdonald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff S.","family":"Coombes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shelley E.","family":"Keating","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3205-9165","authenticated-orcid":false,"given":"Ingrid J.","family":"Hickman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.pec.2025.109278_bib1","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1111\/1747-0080.12619","article-title":"Dietitians Australia position statement on telehealth","volume":"77","author":"Kelly","year":"2020","journal-title":"Nutr Diet"},{"key":"10.1016\/j.pec.2025.109278_bib2","unstructured":"NCD Alliance. Financing NCDs. NCD Alliance. Retrieved from \u3008https:\/\/ncdalliance.org\/why-ncds\/the-financial-burden-of-ncds\u3009. [Accessed 13 December 2023]."},{"issue":"10","key":"10.1016\/j.pec.2025.109278_bib3","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1177\/1357633X221119620","article-title":"Digital health experiences reported in chronic disease management: an umbrella review of qualitative studies","volume":"28","author":"Taylor","year":"2022","journal-title":"J Telemed Telecare"},{"key":"10.1016\/j.pec.2025.109278_bib4","article-title":"The clinical effectiveness of telehealth: a systematic review of meta-analyses from 2010 to 2019","author":"Snoswell","year":"2021","journal-title":"J Telemed Telecare"},{"key":"10.1016\/j.pec.2025.109278_bib5","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.vhri.2021.07.007","article-title":"Quantifying the societal benefits from telehealth: productivity and reduced travel","volume":"28","author":"Snoswell","year":"2022","journal-title":"Value Health Reg Issues"},{"issue":"10","key":"10.1016\/j.pec.2025.109278_bib6","article-title":"Determining if telehealth can reduce health system costs: scoping review","volume":"22","author":"Snoswell","year":"2020","journal-title":"J Med Int Res"},{"issue":"S1","key":"10.1016\/j.pec.2025.109278_bib7","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/hpja.387","article-title":"Health literacy, digital health literacy and the implementation of digital health technologies in cancer care: the need for a strategic approach","volume":"32","author":"Kemp","year":"2021","journal-title":"Health Promot J Aust J Aust Assoc Health Promot Prof"},{"key":"10.1016\/j.pec.2025.109278_bib8","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1002\/hpja.387","article-title":"Health literacy, digital health literacy and the implementation of digital health technologies in cancer care: the need for a strategic approach","volume":"32","author":"Kemp","year":"2021","journal-title":"Health Promot J Aust"},{"key":"10.1016\/j.pec.2025.109278_bib9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12911-016-0359-3","article-title":"Understanding factors affecting patient and public engagement and recruitment to digital health interventions: a systematic review of qualitative studies","volume":"16","author":"O\u2019connor","year":"2016","journal-title":"BMC Med Inform Decis Mak"},{"key":"10.1016\/j.pec.2025.109278_bib10","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2023.1109323","article-title":"The role of digital literacy in achieving health equity in the third millennium society: a literature review","volume":"11","author":"Campanozzi","year":"2023","journal-title":"Front Public Health"},{"key":"10.1016\/j.pec.2025.109278_bib11","series-title":"Global strategy on digital health 2020-2025","author":"World Health Organization","year":"2021"},{"issue":"2","key":"10.1016\/j.pec.2025.109278_bib12","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s11577-017-0454-1","article-title":"How to construct a mixed methods research design","volume":"69","author":"Schoonenboom","year":"2017","journal-title":"Kolner Z fur Soziol und Soz"},{"issue":"2","key":"10.1016\/j.pec.2025.109278_bib13","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1258\/jhsrp.2007.007074","article-title":"The quality of mixed methods studies in health services research","volume":"13","author":"O'cathain","year":"2008","journal-title":"J Health Serv Res Policy"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib14","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1186\/s12913-024-11383-4","article-title":"Utilizing technology for diet and exercise change in complex chronic conditions across diverse environments (U-DECIDE): feasibility randomised controlled trial","volume":"24","author":"Brown","year":"2024","journal-title":"BMC Health Serv Res"},{"issue":"7","key":"10.1016\/j.pec.2025.109278_bib15","doi-asserted-by":"crossref","DOI":"10.2196\/37556","article-title":"Utilizing technology for diet and exercise change in complex chronic conditions across diverse environments (U-DECIDE): protocol for a randomized controlled trial","volume":"11","author":"Brown","year":"2022","journal-title":"JMIR Res Protoc"},{"key":"10.1016\/j.pec.2025.109278_bib16","doi-asserted-by":"crossref","DOI":"10.1186\/1471-2296-7-21","article-title":"The single item literacy screener: evaluation of a brief instrument to identify limited Reading ability","volume":"7","author":"Morris","year":"2006","journal-title":"BMC Fam Pract"},{"issue":"4","key":"10.1016\/j.pec.2025.109278_bib17","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.8.4.e27","article-title":"eHEALS: the ehealth literacy scale","volume":"8","author":"Norman","year":"2006","journal-title":"J Med Internet Res"},{"issue":"11","key":"10.1016\/j.pec.2025.109278_bib18","doi-asserted-by":"crossref","DOI":"10.2196\/30644","article-title":"Ehealth literacy instruments: systematic review of measurement properties","volume":"23","author":"Lee","year":"2021","journal-title":"J Med Internet Res"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib19","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1186\/s12889-025-21354-x","article-title":"Effectiveness of ehealth literacy interventions: a systematic review and meta-analysis of experimental studies","volume":"25","author":"Barbati","year":"2025","journal-title":"BMC Public Health"},{"issue":"2","key":"10.1016\/j.pec.2025.109278_bib20","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1111\/j.1440-172X.2012.02017.x","article-title":"Nominal group technique: an effective method for obtaining group consensus","volume":"18","author":"Harvey","year":"2012","journal-title":"Int J Nurs Pract"},{"issue":"9","key":"10.1016\/j.pec.2025.109278_bib21","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1177\/1049732305276687","article-title":"Three approaches to qualitative content analysis","volume":"15","author":"Hsieh","year":"2005","journal-title":"Qual Health Res"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib22","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/1471-2288-13-117","article-title":"Using the framework method for the analysis of qualitative data in multi-disciplinary health research","volume":"13","author":"Gale","year":"2013","journal-title":"BMC Med Res Methodol"},{"key":"10.1016\/j.pec.2025.109278_bib23","doi-asserted-by":"crossref","DOI":"10.2196\/48623","article-title":"Factors influencing telehealth service use and health outcomes in patients undergoing continuous ambulatory peritoneal dialysis: cross-sectional study","volume":"25","author":"Praha","year":"2023","journal-title":"J Med Internet Res"},{"issue":"Fall","key":"10.1016\/j.pec.2025.109278_bib24","first-page":"1","article-title":"The impact of health literacy on a patient's decision to adopt a personal health record","volume":"9","author":"Noblin","year":"2012","journal-title":"Perspect Health Inf Manag"},{"issue":"14","key":"10.1016\/j.pec.2025.109278_bib25","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19148309","article-title":"Approaches to improvement of digital health literacy (eHL) in the context of Person-Centered care","volume":"19","author":"Busse","year":"2022","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"10.1016\/j.pec.2025.109278_bib26","doi-asserted-by":"crossref","DOI":"10.2196\/25299","article-title":"Conducting internet-based Visits for onboarding populations with limited digital literacy to an mhealth intervention: development of a Patient-Centered approach","volume":"5","author":"Hernandez-Ramos","year":"2021","journal-title":"JMIR Form Res"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib27","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1038\/s41746-020-00325-z","article-title":"A digital health intervention for cardiovascular disease management in primary care (CONNECT) randomized controlled trial","volume":"3","author":"Redfern","year":"2020","journal-title":"NPJ Digit Med"},{"issue":"11","key":"10.1016\/j.pec.2025.109278_bib28","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2021-060393","article-title":"Preventing chronic disease in overweight and obese patients with low health literacy using ehealth and teamwork in primary healthcare (HeLP-GP): a cluster randomised controlled trial","volume":"12","author":"Parker","year":"2022","journal-title":"BMJ Open"},{"issue":"12","key":"10.1016\/j.pec.2025.109278_bib29","doi-asserted-by":"crossref","DOI":"10.2196\/40341","article-title":"Building digital literacy in older adults of low socioeconomic status in Singapore (Project Wire Up): nonrandomized controlled trial","volume":"24","author":"Ngiam","year":"2022","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.pec.2025.109278_bib30","doi-asserted-by":"crossref","DOI":"10.2196\/48166","article-title":"Effectiveness of digital health literacy interventions in older adults: single-arm meta-analysis","volume":"25","author":"Dong","year":"2023","journal-title":"J Med Internet Res"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib31","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/10810730.2015.1131773","article-title":"Health literacy and weight change in a digital health intervention for women: a randomized controlled trial in primary care practice","volume":"21","author":"Lanpher","year":"2016","journal-title":"J Health Commun"},{"issue":"3","key":"10.1016\/j.pec.2025.109278_bib32","doi-asserted-by":"crossref","first-page":"193","DOI":"10.3390\/jal2030016","article-title":"Digital health solutions for chronic illnesses: a systematic review of mobile health apps and quality analysis with mobile app rating scale","volume":"2","author":"Vaitkien\u0117","year":"2022","journal-title":"J Ageing Longev"},{"key":"10.1016\/j.pec.2025.109278_bib33","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1007\/s10639-014-9346-4","article-title":"Digital competence\u2013an emergent boundary concept for policy and educational research","volume":"21","author":"Ilom\u00e4ki","year":"2016","journal-title":"Educ Inf Technol"},{"key":"10.1016\/j.pec.2025.109278_bib34","doi-asserted-by":"crossref","DOI":"10.2196\/51616","article-title":"Everyday digital literacy questionnaire for older adults: instrument development and validation study","volume":"25","author":"Choi","year":"2023","journal-title":"J Med Internet Res"},{"issue":"8","key":"10.1016\/j.pec.2025.109278_bib35","doi-asserted-by":"crossref","DOI":"10.1016\/j.heliyon.2022.e10380","article-title":"Available tools to evaluate digital health literacy and engagement with ehealth resources: a scoping review","volume":"8","author":"Faux-Nightingale","year":"2022","journal-title":"Heliyon"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib36","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1186\/s13643-022-02076-2","article-title":"Ehealth literacy measurement tools: a systematic review protocol","volume":"11","author":"D\u00e9l\u00e9troz","year":"2022","journal-title":"Syst Rev"},{"key":"10.1016\/j.pec.2025.109278_bib37","author":"D\u00e9l\u00e9troz","year":"2023","journal-title":"Systematic review of the measurement properties of patient-reported outcome measures (PROMs) of eHealth literacy in adult populations"},{"issue":"10","key":"10.1016\/j.pec.2025.109278_bib38","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1080\/10810730.2019.1666940","article-title":"Transactional ehealth literacy: developing and testing a multi-dimensional instrument","volume":"24","author":"Paige","year":"2019","journal-title":"J Health Commun"},{"key":"10.1016\/j.pec.2025.109278_bib39","doi-asserted-by":"crossref","DOI":"10.2196\/44024","article-title":"Exploring functions and predictors of digital health engagement among German Internet users: survey study","volume":"25","author":"Grimm","year":"2023","journal-title":"J Med Internet Res"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib40","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1186\/s12889-022-13599-7","article-title":"Adolescents\u2019 self-efficacy and digital health literacy: a cross-sectional mixed methods study","volume":"22","author":"Taba","year":"2022","journal-title":"BMC Public Health"},{"key":"10.1016\/j.pec.2025.109278_bib41","first-page":"1","article-title":"What is public trust in the healthcare system? A new conceptual framework developed from qualitative data in england","author":"Gille","year":"2020","journal-title":"Soc Theory Health"},{"issue":"10_","key":"10.1016\/j.pec.2025.109278_bib42","doi-asserted-by":"crossref","first-page":"16S","DOI":"10.1177\/1357633X231202275","article-title":"Trust and confidence in using telehealth in people with chronic kidney disease: a cross-sectional study","volume":"29","author":"Catapan","year":"2023","journal-title":"J Telemed Telecare"},{"key":"10.1016\/j.pec.2025.109278_bib43","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2023.105042","article-title":"A comparative analysis of digital health usage intentions towards the adoption of virtual reality in telerehabilitation","volume":"174","author":"Chan","year":"2023","journal-title":"Int J Med Inform"},{"issue":"2","key":"10.1016\/j.pec.2025.109278_bib44","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.3390\/ijerph110201359","article-title":"Influences of satisfaction with telecare and family trust in older Taiwanese people","volume":"11","author":"Tsai","year":"2014","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.pec.2025.109278_bib45","article-title":"Building on the momentum: sustaining telehealth beyond COVID-19","author":"Thomas","year":"2020","journal-title":"J Telemed Telecare"},{"issue":"10","key":"10.1016\/j.pec.2025.109278_bib46","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pdig.0000279","article-title":"Digital literacy as a new determinant of health: a scoping review","volume":"2","author":"Arias L\u00f3pez","year":"2023","journal-title":"PLoS Digit Health"},{"key":"10.1016\/j.pec.2025.109278_bib47","doi-asserted-by":"crossref","first-page":"1375","DOI":"10.2147\/JMDH.S269412","article-title":"Health professional digital capabilities frameworks: a scoping review","volume":"13","author":"Brice","year":"2020","journal-title":"J Multidiscip Healthc"},{"key":"10.1016\/j.pec.2025.109278_bib48","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijmedinf.2022.104867","article-title":"Health professionals' views of medical teleconsultation uptake in the Brazilian unified health system: a description using the NASSS framework","volume":"168","author":"Catapan","year":"2022","journal-title":"Int J Med Inform"},{"issue":"8","key":"10.1016\/j.pec.2025.109278_bib49","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1177\/1357633X16671241","article-title":"Telehealth coordinators in hospital based telehealth services: who are they and what do they do?","volume":"22","author":"Edirippulige","year":"2016","journal-title":"J Telemed Telecare"},{"issue":"2_","key":"10.1016\/j.pec.2025.109278_bib50","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1258\/1357633011937227","article-title":"The point-of-referral barrier\u2014a factor in the success of telehealth","volume":"7","author":"Smith","year":"2001","journal-title":"J Telemed Telecare"},{"issue":"12","key":"10.1016\/j.pec.2025.109278_bib51","doi-asserted-by":"crossref","first-page":"e925","DOI":"10.1016\/S2589-7500(23)00152-8","article-title":"Standardising the role of a digital navigator in behavioural health: a systematic review","volume":"5","author":"Perret","year":"2023","journal-title":"Lancet Digit Health"},{"issue":"1","key":"10.1016\/j.pec.2025.109278_bib52","doi-asserted-by":"crossref","first-page":"S80","DOI":"10.4103\/sja.SJA_203_17","article-title":"Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine","volume":"11","author":"Tsang","year":"2017","journal-title":"Saudi J Anaesth"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399125006457?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399125006457?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T09:46:57Z","timestamp":1772790417000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399125006457"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":52,"alternative-id":["S0738399125006457"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2025.109278","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Determining the digital health literacy and potential solutions to support people with complex chronic conditions to engage with digital models of care","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2025.109278","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"109278"}}