{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T06:49:58Z","timestamp":1791614998443,"version":"4.3.4"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic kidney disease (CKD) care is\u00a0increasingly reliant on digital tools. However, diverse abilities among patients may create a digital divide, exacerbating disparities in health outcomes. Measuring digital health literacy is the first step towards gaining knowledge to develop targeted, patient-centred strategies. Due to a lack of available evidence, this study aimed to assess digital health literacy levels among patients with CKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A multicentre cross-sectional study was conducted between July 2024 - January 2025, enrolling CKD patients from three Nephrology Units in central and southern Italy. Data were collected through a questionnaire assessing: (I) sociodemographic data; (II) clinical variables; (III) digital health literacy, using the Health Literacy Population Survey 2019-Digital (HLS19-DIGI) tool; (IV)\u00a0health information-seeking modalities and behaviours, and digital training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 323 participants were enrolled (mean age 54.8 \u00b1 16.0 years). A \u2018problematic\u2019 level was found with regard to dealing with digital health information, and a \u2018sufficient\u2019 level was observed in interacting with digital health resources. Digital devices were used approximately one to three days per week. Older age and lower level of education were predictors of worse coping and interaction abilities, while these were higher among patients with better socio-economic status, without a caregiver, and who were physically active, and compliant with kidney disease medication and diet. Moreover, on the HLS19-DIGI, retired participants scored lower while digitally\u00a0trained individuals scored higher. Both seeking information beyond what is provided by health professionals and prior digital training were predictors of more frequent use of digital devices for health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Targeted interventions are warranted to promote digital health literacy and more frequent engagement with digital devices among CKD patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/joneph\/aajag118","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T11:42:26Z","timestamp":1777030946000},"page":"1289-1298","source":"Crossref","is-referenced-by-count":0,"title":["Digital health literacy in patients with chronic kidney\u00a0disease: a cross-sectional study"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7540-117X","authenticated-orcid":false,"given":"Melania","family":"Totaro","sequence":"first","affiliation":[{"name":"Department of Biomedicine and Prevention, \u201cTor Vergata\u201d University , Rome, RM 00133 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3622-6370","authenticated-orcid":false,"given":"Dania","family":"Comparcini","sequence":"additional","affiliation":[{"name":"Interdisciplinary Department of Medicine, \u201cAldo Moro\u201d University of Bari , Bari, BA 70121 ,","place":["Italy"]},{"name":"Center of Innovation in Nursing Research (CINR) - 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Center for Advanced Studies and Technology (CAST), \u201cG. d\u2019Annunzio\u201d University of Chieti-Pescara , Chieti, CH 66100 ,","place":["Italy"]},{"name":"Department of Precision and Regenerative Medicine and Jonian Area - (DiMePRe-J), Nephrology, Dialysis and Transplantation Unit, University of Bari Aldo Moro , Bari, BA 70121 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7334-8372","authenticated-orcid":false,"given":"Marco","family":"Fiorentino","sequence":"additional","affiliation":[{"name":"Department of Precision and Regenerative Medicine and Jonian Area - (DiMePRe-J), Nephrology, Dialysis and Transplantation Unit, University of Bari Aldo Moro , Bari, BA 70121 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara","family":"Forastefano","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, \u201cTor Vergata\u201d University , Rome, RM 00133 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1685-3081","authenticated-orcid":false,"given":"Flavia","family":"Minoia","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention, \u201cTor Vergata\u201d University , Rome, RM 00133 ,","place":["Italy"]},{"name":"Center of Innovation in Nursing Research (CINR) - 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