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Fulltext Digital self-efficacy as a mediator in the development of English teachers' digital literacy in higher education: Evidence from Guizhou, China

Luo Y, Sam TH, Tan RS

Acta Psychol (Amst), 2026 Oct;270:107757.
PMID: 42700657 DOI: 10.1016/j.actpsy.2026.107757

Digital transformation has become a strategic pathway toward sustainable and equitable education worldwide. For higher education English teachers, digital literacy is particularly vital for integrating technology into language teaching. However, empirical research examining the factors influencing teachers' digital literacy in underdeveloped and unevenly resourced regions such as Guizhou, China, remains limited. This study examines factors influencing the digital literacy of higher education English teachers in Guizhou, China, focusing on the mediating role of digital self-efficacy. Drawing on the Technology Acceptance Model and Social Cognitive Theory, an integrated framework was tested using PLS-SEM with data from 312 respondents. Results show that digital self-efficacy fully mediates the relationship between perceived usefulness and digital literacy, while partially mediating the relationships of perceived ease of use, professional learning communities, training, and government policy. The findings highlight the important role of self-efficacy in shaping digital literacy and offer practical implications for policymakers, administrators, and teachers. Beyond practical implications, this study contributes theoretically by explaining how perceptual factors and external supports jointly shape digital literacy through digital self-efficacy, while offering insights into the mechanisms underlying digital literacy formation in resource-constrained contexts.

Matched MeSH terms: Computer Literacy*
Fulltext Medical record abstraction in a hospital with paper-based records: experience of early career psychiatrists in northern Borneo

Ahmad Shahabuddin F, Wah KY, Buji RI, Zulkafli NS, Lee SW, Soon HL, et al.

BJPsych Int, 2020 May;17(2):43-44.
PMID: 32558818 DOI: 10.1192/bji.2019.29

We used medical record abstraction to conduct research in a psychiatric hospital with paper-based medical records. The challenges we encountered included: the difficulty in retrieving files; the extensive effort and time needed to extract clinical information; the lack of a standardised documentation system of medical records; and the need for advanced computer literacy. To promote future research using electronic medical records, potential solutions include creating a registry of all patients receiving treatment, as well as equipping busy clinicians with computer skills.

Matched MeSH terms: Computer Literacy
Exploring the eHealth literacy and mobile health application utilisation amongst Malaysian pharmacy students

Blebil AQ, Dujaili JA, Mohammed AH, Loh LL, Chung WX, Selvam T, et al.

J Telemed Telecare, 2023 Jan;29(1):58-71.
PMID: 35188826 DOI: 10.1177/1357633X221077869

INTRODUCTION: Pharmacy students should be eHealth literate by being skilful in searching, evaluating and applying online health information. Mobile health applications should be utilised when making clinical decisions to achieve optimal patient care with the ever-changing pharmacy practice. This study aims to explore the eHealth literacy and mobile health application utilisation amongst pharmacy undergraduates.
METHODS: A cross-sectional study was conducted from March to April 2021. An online survey, consisting of socio-demographic characteristics, Internet use, eHealth Literacy Scale and mobile health application utilisation, was distributed amongst pharmacy undergraduates in public and private universities in Malaysia. Data analysis included descriptive statistics, one-way analysis of variance test, Mann-Whitney U test and Kruskal-Wallis test.
RESULTS: A total of 415 participants completed the survey (response rate = 82.5%). The median eHealth Literacy Scale score (out of 40) was 31.0 ± 3.0 (interquartile range). More than one-third of participants (34.7%) were found to have low eHealth literacy. Many lacked confidence in making health decisions from online information (42.4%) and skills in distinguishing between high-quality and low-quality health resources (35.2%). Only 70.4% of the participants had mobile health applications installed on their smartphones and/or tablets. Some students felt that they were neither knowledgeable nor skilful enough to utilise mobile health applications (24.8%), whereas 23.9% were unaware of the mobile health applications available.
CONCLUSION: In summary, the eHealth literacy of Malaysian pharmacy students can be further enhanced by incorporating eHealth literacy-focused programmes into the curriculum. Moreover, pharmacy students' mobile health application utilisation can be improved through increased awareness and support from universities.

Matched MeSH terms: Computer Literacy
Training strategy for nursing staff in using computers in hospitals--a Malaysian viewpoint

Mohamad SB, Coote L, Lane V

Stud Health Technol Inform, 1997;46:418-23.
PMID: 10175434 DOI: 10.3233/978-1-60750-890-8-418

The ability of hospitals to fulfil their roles--of information processing and dissemination, and of quality patient care provider--is influenced by the availability of supporting information systems. Using computers in wards, which is a change process, introduces new working practices accompanied by attitudinal and knowledge alterations in the users. This paper suggests that as a practical approach users need to be consulted and assessed prior to the introduction of computers in their work places. A questionnaire survey, the main purpose of which was to determine the potential users' responses and to measure their computer competencies, was sent to 183 nursing staff in several hospitals. Results show that the respondents have slightly positive attitudes towards computers even though 85% of them were computer illiterate. A training strategy is needed to increase competencies and to develop more favourable attitudes, which can be monitored using four training indicators.

Matched MeSH terms: Computer Literacy*
Utilization of information technology in medical education: a questionnaire survey of students in a Malaysian institution

Nurjahan MI, Lim TA, Yeong SW, Foong AL, Ware J

Med J Malaysia, 2002 Dec;57 Suppl E:58-66.
PMID: 12733195

OBJECTIVE: The objective of this survey was to obtain a self-reported assessment of the use of Information and Communication Technology (ICT) by medical students at the International Medical University, Malaysia.
MATERIALS AND METHODS: Students' perceived skills and extent of usage of ICT were evaluated using a questionnaire. Chi-square analysis were performed to ascertain the association between variables. Further statistical testing using Chi-square test for trend was done when one of the variables was ordered, and Spearman rank correlation when both variables were ordered.
RESULTS: Overall, (98%) of students responded to the questionnaire. Twenty seven students (5.7%) did not use a computer either in the university or at home. Most students surveyed reported adequate skills at word processing (55%), e-mailing (78%) and surfing the internet (67%).
CONCLUSION: The results suggests that in order to increase the level of computer literacy among medical students, positive steps would need to be taken, for example the formal inclusion of ICT instruction in the teaching of undergraduate medicine. This will enhance medical students' ability to acquire, appraise, and use information in order to solve clinical and other problems quickly and efficiently in the course of their studies, and more importantly when they graduate.

Matched MeSH terms: Computer Literacy
Fulltext Survey of computer literacy among patients with schizophrenia: potential of developing a computerised cognitive remediation program in Kota Bharu, Malaysia.

Alwi, M.N.M., Roslaili, R., Noraniza Hayati, M.N., Harris, A.W.F.

Malaysian Journal of Psychiatry, 2006;14(1):23-28.
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The aim of the study was to acquire background information on computer literacy among schizophrenia patients in Kota Bharu, Malaysia, prior to the introduction of a computerised cognitive remediation programme in the local setting.
Method: Fifty consenting consecutive patients with schizophrenia attending the Universiti Sains Malaysia Hospital psychiatric clinic were surveyed using the Computer Literacy Scale (CLS), a scale designed to specifically look at their level of computer knowledge, confidence and attitude towards computers.
Results: The majority of the patients studied have had schizophrenia for 5 years or less. While the majority of them have used computers befoie, about half had a poor level of knowledge, although they showed reasonable confidence and a positive attitude towards computers. Few played computer games.
Conclusions: Implementation of a computerised cognitive remediation programme in the Malaysian setting has a promising potential based on the results of this study but the programme needs to be adapted in light of the negative attitudes towards the use of games.
Study site: Psychiatric clinc, Hospital Universiti Sains Malaysia (HUSM), Kelantan, Malaysia

Matched MeSH terms: Computer Literacy
Fulltext Intergenerational instructional strategies and elderly preferences for digital applications: A Malaysian case study

Ahmad NA, Mohd Ali MA, Tengku Shahdan TS

PLoS One, 2025;20(8):e0328481.
PMID: 40811349 DOI: 10.1371/journal.pone.0328481

INTRODUCTION: As Malaysia transitions into an ageing society, older adults increasingly face challenges in acquiring digital literacy, which impacts their ability to engage with essential online services, financial transactions, healthcare applications and communication platforms. The percentage of individuals aged 65 and above in Malaysia rose from 7.2% in 2022 to 7.4% in 2023, highlighting the growing needs for digital inclusion among this demographic. While internet adoption among older individuals is increasing, many still struggle due to psychological, cognitive, and physical barriers. Factors such as low self-efficacy, fear of complexity, and age-related physical limitations hinder their effective use of digital applications. Despite government initiatives such as MyDigital and the Malaysia Digital Economy Blueprint, gaps in digital literacy persist among older adults. Research suggests that intergenerational programs (IPs), where younger individuals assist older adults in learning digital skills, can bridge this gap. These programs promote collaborative learning, reduce social isolation, and foster meaningful intergenerational relationships. However, existing instructional strategies within IPs often fail to accommodate the specific learning needs and preferences of older adults, limiting their effectiveness. Addressing these instructional gaps is essential to ensuring older adults' successful integration into the digital world.
AIMS: This study aims to investigate the preferences of older adult individuals in Malaysia regarding digital applications and to propose effective intergenerational instructional strategies that enhance their digital learning experiences.
METHODS: This qualitative study explores older adults' preferences for digital applications and their experiences with intergenerational instructional strategies in Malaysia. A total of 26 older adults and 13 young instructors participated in digital applications workshops at two Pusat Aktiviti Warga Emas (PAWE) centres on August, 2024. Older adults were paired with young instructors in small groups to guide them in using digital applications through hands-on learning. Data collection involved semi-structured interviews before and after the sessions, as well as observations. Thematic analysis is used to analyse interview data, identifying key insights into improving digital learning for older adults in Malaysia.
RESULTS: The study, conducted at two PAWE centres in Perak, Malaysia, explored intergenerational digital learning between 26 older adults (ages 59-82) and 13 young instructors (ages 20-24). Findings highlight the importance of structured instructional strategies, including interactive learning, direct instruction, and clear communication, to enhance digital literacy among older adults. Personalized learning approaches, small group discussions, and adapting content to individual needs improve engagement and comprehension. Smartphone familiarity plays a key role, with participants favouring WhatsApp and Facebook for communication. Older adults face challenges such as fear of complexity, physical limitations, and security concerns, while young instructors benefit from training to improve communication and instructional skills. The program fosters confidence, intergenerational bonding, and digital inclusion, demonstrating the value of tailored learning strategies in bridging the digital divide.

Matched MeSH terms: Computer Literacy
Fulltext Perceived skill and utilisation of information technology in medical education among final year medical students, Universiti Putra Malaysia

Lim TA, Wong WH, Lim KY

Med J Malaysia, 2005 Oct;60(4):432-40.
PMID: 16570704

The objective of this survey was to obtain a self-reported assessment of the use of information technology (IT) by final year medical students. Two hundred and sixty five students responded to a questionnaire survey. 81.5% of students considered their computer skills adequate, while 87.9% had access to computers outside the campus. Most students reported adequate skills at word processing, e-mailing and surfing the Internet. Fifty three percent of students spent three hours or more each week on the computer. While students indicated a general willingness to access Internet-based materials, further steps need to be taken to increase the use of this method of instruction.

Matched MeSH terms: Computer Literacy*