One of our most distinctive powers is imagination, our capability to imagine or fantasize about possible futures. Systematic use of imagination can be a powerful method to analyze possible next steps in the present. In 2012, UNESCO coined the term Futures Literacy (plural: the future does not exist, FL), the ability that enables people to understand the role the “futures” play in our behaviour, and expectations. Imagination is a developable skill that allows us to separate expected futures from desired futures using fantasy. FL can be used as a method to achieve the 5 Inner Development Goals: 1. Being (relationship to self), 2. Thinking (cognitive skills), 3. Relating (caring for others and the world), 4. Working together (social skills ) and 5. Tackling (steering the transition). It is argued that using FL can lead to paradogical insights!
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It is argued that full social accessibility has become too complicated. We don't really need to apply lifelong literacy to low-literate people. Instead, we must curb the proliferation of increasingly complex systems with double (or even triple) authorization and lots of jargon. I therefore think that 18% low literacy is simply too little, only when 50% of the people belong to the low-literate group we may finally throw these systems aside. Where is sustainable living in human connection? If this is supposedly illiteracy, and our systems are so complex, it seems rather to indicate that we have drastically misplaced our priorities for people and their usefulness.
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BackgroundPeople from lower and middle socioeconomic classes and vulnerable populations are among the worst affected by the COVID-19 pandemic, thus exacerbating disparities and the digital divide.ObjectiveTo draw a portrait of e-services as a digital approach to support digital health literacy in vulnerable populations amid the COVID-19 infodemic, and identify the barriers and facilitators for their implementation.MethodsA scoping review was performed to gather published literature with a broad range of study designs and grey literature without exclusions based on country of publication. A search was created in Medline (Ovid) in March 2021 and translated to Medline, PsycINFO, Scopus and CINAHL with Full Text (EBSCOhost). The combined literature search generated 819 manuscripts. To be included, manuscripts had to be written in English, and present information on digital intervention(s) (e.g. social media) used to enable or increase digital health literacy among vulnerable populations during the COVID-19 pandemic (e.g. older adults, Indigenous people living on reserve).ResultsFive articles were included in the study. Various digital health literacy-enabling e-services have been implemented in different vulnerable populations. Identified e-services aimed to increase disease knowledge, digital health literacy and social media usage, help in coping with changes in routines and practices, decrease fear and anxiety, increase digital knowledge and skills, decrease health literacy barriers and increase technology acceptance in specific groups. Many facilitators of digital health literacy-enabling e-services implementation were identified in expectant mothers and their families, older adults and people with low-income. Barriers such as low literacy limited to no knowledge about the viruses, medium of contamination, treatment options played an important role in distracting and believing in misinformation and disinformation. Poor health literacy was the only barrier found, which may hinder the understanding of individual health needs, illness processes and treatments for people with HIV/AIDS.ConclusionsThe literature on the topic is scarce, sparse and immature. We did not find any literature on digital health literacy in Indigenous people, though we targeted this vulnerable population. Although only a few papers were included, two types of health conditions were covered by the literature on digital health literacy-enabling e-services, namely chronic conditions and conditions that are new to the patients. Digital health literacy can help improve prevention and adherence to a healthy lifestyle, improve capacity building and enable users to take the best advantage of the options available, thus strengthening the patient’s involvement in health decisions and empowerment, and finally improving health outcomes. Therefore, there is an urgent need to pursue research on digital health literacy and develop digital platforms to help solve current and future COVID-19-related health needs.
