AI Health Literacy, Trust in AI-Generated Health Videos, and Perceived Health Teaching Competency Among Barangay Health Workers
DOI:
https://doi.org/10.69569/jip.2026.429Keywords:
AI health literacy, Artificial intelligence, Barangay Health Workers, Health teaching competency, Trust in AI-generated health informationAbstract
Artificial intelligence (AI) has become an important source of health information among Barangay Health Workers (BHWs), creating opportunities for health education while highlighting the need for adequate AI health literacy and appropriate trust in AI-generated health information in teaching DOH-approved herbal medicines. However, it remains unclear whether BHWs’ AI health literacy and trust in AI-generated health videos relate to their perceived health teaching competency. This study examined relationships between AI health literacy, trust in AI-generated health videos, and perceived health teaching competency on DOH-approved herbal medicines among 111 middle-aged (40-59 years old) BHWs in Rizal, Philippines. A quantitative, descriptive-correlational design with purposive sampling was employed. Data were collected using adapted AI Literacy Scale (AILS) and Trust in AI-Generated Health Advice (TAIGHA) questionnaires and a researcher-developed Perceived Health Teaching Competency Questionnaire, all self-reported. Data were analyzed using descriptive and inferential statistics, including Pearson’s r, Chi-square, Cramer’s V, and the contingency coefficient. Results showed that BHWs had moderately high AI health literacy (M = 3.27, SD = 0.99) and trust in AI-generated health videos (M = 3.06, SD = 1.01), and moderately good perceived health teaching competency, with self-perceived knowledge rated highest (M = 3.36, SD = 1.03), followed by self-perceived attitude (M = 3.13, SD = 1.15) and self-perceived skills (M = 2.98, SD = 1.09). AI health literacy was positively correlated with self-perceived knowledge (r = .56), self-perceived skills (r = .65), and self-perceived attitude (r = .61). Similarly, trust was positively correlated with self-perceived knowledge (r = .77), self-perceived skills (r = .74), and self-perceived attitude (r = .78) (all p < .001). These findings highlight the need to strengthen AI health literacy and foster appropriate trust. Accordingly, the proposed AI Health Teaching Competency Enhancement Program (AI-HTCEP) aims to promote critical evaluation of AI-generated information and enhance evidence-based health teaching.
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Abedin, N., Hahn, P., Zeuzem, S., & Dultz, G. (2026). Healthcare professionals show high AI enthusiasm but limited knowledge: A cross-sectional study. PLOS Digital Health, 5(6), e0001433. https://doi.org/10.1371/journal.pdig.0001433
Abeo, A.N.A., Armstrong, S., Scriney, M., & Goss, H. (2025). Artificial intelligence techniques and health literacy: A systematic review. Mayo Clinic Proceedings: Digital Health, 3(4), Article 100269. https://doi.org/10.1016/j.mcpdig.2025.100269
Acosta, J. (2025). Perspective: Advancing public health education by embedding AI literacy. Frontiers in Digital Health, 7, 1584883. https://doi.org/10.3389/fdgth.2025.1584883
Baliola, M., Golpe, M., & Advincula-Lopez, L. (2024). Gains and challenges of the Barangay Health Worker (BHW) Program during COVID-19 in selected cities in the Philippines. Journal of Health Research, 38(1). https://doi.org/10.56808/2586-940X.1060
Chen, Z., Wu, T., Wu, X., Wang, J., Ke, S., Li, H., & Lin, R. (2025). The mediating effects of technology trust and perceived value in the relationship between eHealth literacy and attitude toward the usage of artificial intelligence in nursing: A cross-sectional study. BMC Nursing, 24(1), 989. https://doi.org/10.1186/s12912-025-03577-w
Chu-Ke, C., & Dong, Y. (2024). Misinformation and literacies in the era of generative artificial intelligence: A brief overview and a call for future research. Emerging Media, 2(1), 70–85. https://doi.org/10.1177/27523543241240285
El-Banna, M., Sajid, M.R., Rizvi, M.R., Sami, W., & McNelis, A. (2025). AI literacy and competency in nursing education: Preparing students and faculty members for an AI-enabled future—A systematic review and meta-analysis. Frontiers in Medicine, 12, Article 1681784. https://doi.org/10.3389/fmed.2025.1681784
Gallegos, I.N., Comidoy, M.D., Cabal, M.S., Acol, P.M., & Polistico, A. (2023). Communication needs of Barangay Health Workers situated at the city landfill of Davao, Philippines, in delivering health care services. The Journal of Development Communication, 34(1), 1–5. Retrieved from https://jdc.journals.unisel.edu.my/index.php/jdc/article/view/243
Gonçalves-Fernández, M.L., & Pino-Juste, M. (2025). Health literacy in healthy adults: A systematic review of recent evidence. Atención Primaria, 57(11), 103300. https://doi.org/10.1016/j.aprim.2025.103300
Hartigan-Go, K., Prieto, M.L.M., & Valenzuela, S. (2025). Important but neglected: A qualitative study on the lived experiences of Barangay Health Workers in the Philippines. Acta Medica Philippina, 59(9), 19–31. https://doi.org/10.47895/amp.vi0.9589
Holcomb, J., Ferguson, G., Thornton, L., & Highfield, L. (2022). Development of training curriculum to improve patient communication skills and social support among community health workers. HLRP: Health Literacy Research and Practice, 6(2). https://doi.org/10.3928/24748307-20220518-02
Iyamu, I., Wheelans, C., Haag, D., Roe, I., Chang, H.-J., Donelle, L., Ellis, U., McKee, G., Bartlett, S., & Gilbert, M. (2026). AI and algorithmic literacy among health workers: A scoping review through a digital health literacy lens. Frontiers in Public Health, 14, Article 1802392. https://doi.org/10.3389/fpubh.2026.1802392
Jongjiamdee, K., Pornwonglert, P., Na Bangchang, N., & Akarasereenont, P. (2025). Artificial intelligence in traditional medicine: Evidence, barriers, and a research roadmap for personalized care. Frontiers in Artificial Intelligence, 8, 1659338. https://doi.org/10.3389/frai.2025.1659338
Klingbeil, A., Grützner, C., & Schreck, P. (2024). Trust and reliance on AI—An experimental study on the extent and costs of overreliance on AI. Computers in Human Behavior, 160(108352), 108352–108352. https://doi.org/10.1016/j.chb.2024.108352
Kopka, M., Majeed, A., Spinelli, G., El-Osta, A., & Feufel, M. (2025). The Trust in AI-Generated Health Advice (TAIGHA) scale and short version (TAIGHA-S): A development and validation study. ArXiv.org. https://doi.org/10.48550/arxiv.2512.14278
Landrum, A.R., Verma, N., & Kehrberg, A. (2026). Trusting generative AI for health advice: Preregistered survey experiment. Journal of Medical Internet Research, 28, e97882. https://doi.org/10.2196/97882
Muhtar, S.M., Amir, A.S., & Arya, N. (2024). Utilizing social media for public health advocacy and awareness in digital health communication. Majority Science Journal, 2(1), 270–278. https://doi.org/10.61942/msj.v2i1.96
Nero, F.D. (2026). A cross-sectional study on the competency in delivering health services among Barangay Health Workers in Metro Vigan: Basis for the conduct of a competency-based training program. The Open Public Health Journal, 19, e18749445431349. https://doi.org/10.2174/0118749445431349251219053855
Niňal, R.R., & Apas, R., Jr. (2021). Assessment of health service delivery trainings of Barangay Health Workers in selected barangays of Kiblawan, Davao del Sur. International Journal of Research and Innovation in Social Science, 5(10), 178–188. https://rsisinternational.org/journals/ijriss/Digital-Library/volume-5-issue-10/178-188.pdf
Nong, Y., Cui, J., He, Y., Zhang, P., & Zhang, T. (2024). Development and validation of an AI literacy scale. Journal of Artificial Intelligence Research, 1(1), 17–26. https://doi.org/10.70891/jair.2024.100029
Nong, P., & Platt, J. (2025). Patients’ trust in health systems to use artificial intelligence. JAMA Network Open, 8(2), e2460628. https://doi.org/10.1001/jamanetworkopen.2024.60628
Ocasio, M., Fashjian, J., Haywood, C., Davenport, T., Wennerstrom, A., Johnson, M., Saberi, P., & Fernández, M.I. (2026). Community health workers and social media: Benefits, drawbacks, and training needs. mHealth, 12, 1. https://doi.org/10.21037/mhealth-20251-68
Okolo, C., Agarwal, D., Dell, N., & Vashistha, A. (2024). “If it is easy to understand, then it will have value”: Examining perceptions of explainable AI with community health workers in rural India. Proceedings of the ACM on Human-Computer Interaction, 8(CSCW1), Article 71, 1–28. https://doi.org/10.1145/3637348
Paakkari, O., Kulmala, M., Lyyra, N., Saaranen, T., Lindfors, P., & Tyrväinen, H. (2024). The core competencies of a health education teacher. Health Promotion International, 39(4), daae078. https://doi.org/10.1093/heapro/daae078
Querri, A., Ohkado, A., Kawatsu, L., Bermejo, J., Vianzon, A., Recidoro, M.J., & Medina, A. (2020). Assessment of the role of community health volunteers in delivering primary health care in Manila, the Philippines. Journal of International Health, 35(1), 15–25. https://doi.org/10.11197/jaih.35.15
Rahman, A.U., Saqia, B., Alsenani, Y., & Ullah, I. (2024). Data quality, bias, and strategic challenges in reinforcement learning for healthcare: A survey. International Journal of Data Informatics and Intelligent Computing, 3(3), 24–42. https://doi.org/10.59461/ijdiic.v3i3.128
Rahman, M.M., Babiker, A., & Ali, R. (2024). Motivation, concerns, and attitudes towards AI: Differences by gender, age, and culture. Lecture Notes in Computer Science, 15439, 375–391. https://doi.org/10.1007/978-981-96-0573-6_28
Ray, M.E., Rudolph, M., & Daugherty, K. (2025). Bloom's taxonomy in health professions education: Associations with exam scores, clinical reasoning, and instructional effectiveness. Currents in Pharmacy Teaching & Learning, 17(11), 102444. https://doi.org/10.1016/j.cptl.2025.102444
Rogers, A., Goore, L.L., Wamae, J., Starnes, J.R., Okong'o, S.O., Okoth, V., & Mudhune, S. (2023). Training and experience outperform literacy and formal education as predictors of community health worker knowledge and performance, results from Rongo sub-county, Kenya. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1120922
Salmons, J. (2023, February 3). Quantitative research with non-experimental designs. Sage Research Methods Community. https://tinyurl.com/683pxjbs
Solano-Kamaiko, I.R., Mishra, D., Dell, N., & Vashistha, A. (2024). Explorable explainable AI: Improving AI understanding for community health workers in India. Proceedings of the 2024 CHI Conference on Human Factors in Computing Systems. https://doi.org/10.1145/3613904.3642733
Sultan, M., Miller, E., Tikkanen, R. S., Singh, S., Kullu, A., Cometto, G., Fitzpatrick, S., Ajuebor, O., Gillon, N., Edward, A., Moleman, Y., Pandya, S., Park, I., Shen, J.Y., Yu, Y., Perry, H., Scott, K., & Closser, S. (2025). Competency-based education and training for Community Health Workers: A scoping review. BMC Health Services Research, 25(1), 263. https://doi.org/10.1186/s12913-025-12217-7
Sun, X., Ma, R., Wei, S., Cesar, P., Bosch, J., & Ali, A.E. (2025). Understanding trust toward human versus AI-generated health information through behavioral and physiological sensing. International Journal of Human-Computer Studies, 103714. https://doi.org/10.1016/j.ijhcs.2025.103714
Yadav, N., Pandey, S., Gupta, A., Dudani, P., Gupta, S., & Rangarajan, K. (2023). Data privacy in healthcare: In the era of artificial intelligence. Indian Dermatology Online Journal, 14(6), 788–792. https://doi.org/10.4103/idoj.idoj_543_23
Yumen, N.M. (2025). Computer literacy for Barangay Health Workers: Supporting the Philippines’ digital health transformation. Aloysian Interdisciplinary Journal of Social Sciences, Education, and Allied Fields, 1(5), 195–214. https://doi.org/10.5281/zenodo.15508037
Zavaleta-Monestel, E., Anchía-Alfaro, A., Rojas-Chinchilla, C., Quesada-Loria, D.F., & Arguedas-Chacón, S. (2025). Ethical and practical dimensions of artificial intelligence (AI) in healthcare: A comprehensive study of professional perceptions. Cureus. https://doi.org/10.7759/cureus.78416
Zeeb, H., & Dratva, J. (2025). Digital health literacy. In H. Zeeb, L. Maaß, T. Schultz, U. Haug, I. Pigeot, & B. Schüz (Eds.), Digital public health (pp. 249–266). Springer. https://doi.org/10.1007/978-3-031-90154-6_13
Zeng, Q., Zhu, J., Wang, Y., Su, S., & Huang, Y. (2026). Artificial intelligence self-efficacy and attitudes among nursing students: A multicenter network analysis of educational stratification. BMC Medical Education, 26, 299. https://doi.org/10.1186/s12909-026-08685-y
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