Purpose: As Internet technology evolves, electronic health (e-health) literacy gradually becomes a key factor in healthy behaviors how among adult how among adolescents. However, little is known about the influencing parental factors of adolescent e-health literacy in family. Thus, the objective of this study was to systematically review the status quo, assessment tools, and influencing parental factors of e-health literacy of adolescents.
Methods: We conducted a comprehensive search in several databases, including PubMed, Scopus, Web of Science between January 2006 and December 2022. The following search term was used E-health literacy scale. Inclusion criteria were: (1) English article published between 2006 and 2022. (2) Literature Free full text or Open Access. Exclusion criteria were: (1) Reviews, books, letters to the editor, and abstracts of speeches.
Results: A total of 61 articles were included in this review, all of which were studies about electronic health (e-health) literacy scale. The e-Health Literacy Scale (eHEALS) was the most used measurement for e-health literacy. The study has identified the influencing factors of e-health literacy among adolescents in family, including age, gender, domicile place, parental education level, information-seeking behavior, and social support. In this review, influencing parental factors were divided into predisposing factors, contributing factors, and enabling factors. These findings of this review provide new ideas for both family members and healthcare professionals to improve eHealth literacy among adolescents. Further research is needed to develop and implement an easy-to-use e-health literacy scale for adolescents.
Conclusion: In addition, there is a need to develop easy-to-use and highly accessible online information platforms and mobile applications for e-health literacy among adolescents. In addition, family members should improve communication and discussion with them on the use and acquisition of electronic resources for disease prevention and motivation for a healthy lifestyle. Families of adolescent also be encouraged to offer them more support. The findings highlighted parents as significant role models in adolescents’ healthy behaviors. Therefore, further research to examine the role of parental factors in development of adolescents’ e-Health Literacy is required.

Keywords: E-health literacy; adolescents; parental influencing factors; systematic review.