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Table 5 Summary of results (R: relevance; I: improvability; SR: self-ratability; + : consensus achieved; ?: sent to next round; × : rejection)

From: Development of a patient-reported outcome measure of digital health literacy for chronic patients: results of a French international online Delphi study

Construct

#. Items theme

Round 1

Round 2

Round 3

Finale decision

 

R

I

SR

R

I

SR

R

I

RS

 

Digital literacy

 + 

 + 

?

      

 + 

Use keyboard (e.g. to type words, phrases)

   

 + 

 + 

 + 

   

 + 

Using links on websites

   

 + 

 + 

 + 

   

 + 

Using a messaging system (e.g. writing an e-mail, instant message)

   

 + 

 + 

 + 

   

 + 

Assessment of the reliability of information on internet

 + 

 + 

 × 

      

 + 

Decide whether the information is reliable (based on research findings)

   

 + 

?

?

   

x

Reworded

Check different websites to see if they provide the same information

   

 + 

?

?

   

x

Reworded

Reworded for round 3: Find resources to check reliability of information (e.g. check different websites, ask health professionals)

      

 + 

 + 

?

 × 

Making a choice from all the information you find

   

 + 

?

?

 + 

 + 

 + 

 + 

Assessment of the relevance of information to personal health

 + 

 + 

?

      

 + 

Understanding information (e.g. simple vocabulary, short sentences, easy reading)

   

 + 

?

?

 + 

 + 

 + 

 + 

Apply the information you have found in your daily life

   

 + 

?

?

   

x

Redundant with below

Use the information found to make decisions (e.g. on diet, physical activity, emotional well-being)

   

 + 

 + 

?

 + 

 + 

 + 

 + 

Privacy

?

 + 

?

      

 + 

Know who can read the message

   

 + 

 + 

?

   

x

Reworded

Reworded for round 3: Knowing whether personal data protection standards are met

      

 + 

 + 

?

x

Share private information (e.g. your name, age, address)

   

 + 

?

 + 

 + 

 + 

 + 

 + 

Reworded in round 3: Do you feel confident sharing private information about your health online (e.g. diagnosis, medication, questions)?

      

 + 

?

 + 

x

Empowerment

 + 

 + 

 + 

      

 + 

Clearly state your question or health concern

   

 + 

 + 

 + 

   

 + 

Express your opinion, thoughts or emotions

   

 + 

 + 

 + 

   

 + 

Knowing which behaviors are good for your health

   

 + 

 + 

 + 

   

 + 

Introduced in round 3: Please indicate (tick) the activities for which you need help from someone (doctor, nurse, relative): and choice of suggestions

      

 + 

 + 

 + 

 +