scholarly journals Measuring Electronic Health Literacy: Development, Validation, and Test of Measurement Invariance of a revised German version of the eHealth literacy scale (Preprint)

10.2196/28252 ◽  
2021 ◽  
Author(s):  
Matthias Marsall ◽  
Gerrit Engelmann ◽  
Eva-Maria Skoda ◽  
Martin Teufel ◽  
Alexander Bäuerle
Keyword(s):  
Health Literacy ◽  
Measurement Invariance ◽  
Literacy Development ◽  
German Version ◽  
Ehealth Literacy ◽  
Electronic Health

scholarly journals The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China

2018 ◽  
Vol 15 (7) ◽  
pp. 1553 ◽  
Author(s):  
Angela Chang ◽  
Peter Schulz
Keyword(s):  
Health Literacy ◽  
Health Information ◽  
Health Care Providers ◽  
Computer Literacy ◽  
Strong Association ◽  
Care Providers ◽  
Chronic Patients ◽  
Online Questionnaire ◽  
Ehealth Literacy ◽  
Electronic Health

The rapid rise of Internet-based technologies to disseminate health information and services has been shown to enhance online health information acquisition. A Chinese version of the electronic health literacy scale (C-eHEALS) was developed to measure patients’ combined knowledge and perceived skills at finding and applying electronic health information to health problems. A valid sample of 352 interviewees responded to the online questionnaire, and their responses were analyzed. The C-eHEALS, by showing high internal consistency and predictive validity, is an effective screening tool for detecting levels of health literacy in clinical settings. Individuals’ sociodemographic status, perceived health status, and level of health literacy were identified for describing technology users’ characteristics. A strong association between eHealth literacy level, media information use, and computer literacy was found. The emphasis of face-to-face inquiry for obtaining health information was important in the low eHealth literacy group while Internet-based technologies crucially affected decision-making skills in the high eHealth literacy group. This information is timely because it implies that health care providers can use the C-eHEALS to screen eHealth literacy skills and empower patients with chronic diseases with online resources.

scholarly journals Electronic Health Literacy in Individuals with Chronic Pain and Its Association with Psychological Function

2021 ◽  
Vol 18 (23) ◽  
pp. 12528
Author(s):  
Elena Castarlenas ◽  
Elisabet Sánchez-Rodríguez ◽  
Rubén Roy ◽  
Catarina Tomé-Pires ◽  
Ester Solé ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Health Literacy ◽  
Self Efficacy ◽  
Literacy Skills ◽  
Pain Interference ◽  
The Internet ◽  
Online Information ◽  
Ehealth Literacy ◽  
Electronic Health ◽  
The Relationship

Electronic health literacy skills and competences are important for empowering people to have an active role in making appropriate health care decisions. The aims of this cross-sectional study were to (1) examine the frequency of use of the Internet for seeking online information about chronic pain, (2) determine the level of eHealth literacy skills in the study sample, (3) identify the factors most closely associated with higher levels of eHealth literacy, and (4) examine self-efficacy as a potential mediator of the association between eHealth literacy and measures of pain and function in a sample of adults with chronic pain. One-hundred and sixty-one adults with chronic pain completed measures assessing internet use, eHealth literacy, pain interference, anxiety, depression, and pain-related self-efficacy. Results indicated that 70% of the participants are active users of the Internet for seeking information related to their health. The level of eHealth literacy skills was not statistically significantly associated with participants’ age or pain interference but was significantly negatively associated with both anxiety and depression. In addition, the findings showed that self-efficacy fully explained the relationship between eHealth literacy and depression and partially explained the relationship between eHealth literacy and anxiety. Self-efficacy should be considered as a treatment target in eHealth literacy interventions, due to its role in explaining the potential benefits of eHealth literacy.

scholarly journals Electronic Health Literacy Across the Lifespan: Measurement Invariance Study

10.2196/10434 ◽  
2018 ◽  
Vol 20 (7) ◽  
pp. e10434 ◽  
Author(s):  
Samantha R Paige ◽  
M David Miller ◽  
Janice L Krieger ◽  
Michael Stellefson ◽  
JeeWon Cheong
Keyword(s):  
Health Literacy ◽  
Measurement Invariance ◽  
Electronic Health

Developing a fuzzy expert system for determining the levels of students' eHealth literacy (Preprint)

2019 ◽  
Author(s):  
Roghayeh Eskrootchi ◽  
Masoud Zavari ◽  
Chetan Kumar ◽  
Mohammadreza Alibeyk ◽  
Amir Ramezani
Keyword(s):  
Health Literacy ◽  
Expert System ◽  
Expert Systems ◽  
Rough Set Theory ◽  
Fuzzy Expert System ◽  
Ehealth Literacy ◽  
Significant Difference ◽  
Literacy Level ◽  
Electronic Health

BACKGROUND The concept of eHealth literacy refers to the ability of a person to access electronic health information, evaluate the information and apply the resulting knowledge in order to address or solve a health problem. In a society with higher levels of e-health literacy, health and aid in health care can be promoted by using electronic health tools. The first step of promoting eHealth literacy is to assess the current situation of society and determine its health literacy level. Although there are different methods for determination of the level of eHealth literacy in the existing studies, there is no way to measure the level of e-health literacy more precisely and realistically due to its subjective concept. OBJECTIVE This research aims to develop and implement a fuzzy expert system to determine the level of eHealth literacy. The system must be able to identify the weakness of students' e-health literacy in order to tailor services and information to the needs of the target group. In addition, the system could be a help for responsible organizations such as the Ministry of Health or the university to suggest intervention programs for improving the students' eHealth literacy based on the results. METHODS In this paper, different ways of measuring the individual’s literacy level were extracted. Due to the experts’ opinion, the Digital Health Literacy Instrument was selected and used to develop a rule-based fuzzy expert system to determine the levels of eHealth literacy. The reliability and validity of the expert system were evaluated based on the experts’ judgment and by asking for the participation of 50 students of Mashhad University of Medical Sciences. In order to decrease the calculation time and make the system easier to use, the fuzzy expert system was modified based on rough set theory, which caused a reduction in the number of rules from 300 to 159. RESULTS The comparison between the two fuzzy expert systems indicated that no significant difference was detected and both systems were succeeded in around 90% of the cases. CONCLUSIONS Determination of the levels of students’ electronic health literacy is a complex problem that includes uncertainty and inaccuracy. Due to the accuracy and agility of expert systems, it is recommended to use the fuzzy-rough expert system in order to overcome this problem.

Measuring Electronic Health Literacy: Development, Validation, and Test of Measurement Invariance of the 3-factor eHealth literacy inventory (3F-EHLI) (Preprint)

2021 ◽  
Author(s):  
Matthias Marsall ◽  
Gerrit Engelmann ◽  
Eva-Maria Skoda ◽  
Martin Teufel ◽  
Alexander Bäuerle
Keyword(s):  
Health Literacy ◽  
Measurement Invariance ◽  
Educational Level ◽  
Information Seeking ◽  
Criterion Validity ◽  
Information Evaluation ◽  
Ehealth Literacy ◽  
Health Related ◽  
Positive Correlations ◽  
Development And Validation

BACKGROUND The World Wide Web has become an essential source of health information. Especially the COVID-19 pandemic has shown that the amount and the quality of information provided can lead to an information overload. Therefore, people do need certain skills to search, identify and evaluate information from the internet. In the context of health information, these competences are described as eHealth literacy, which could be confirmed as predictor of various health-related outcomes. Existing instruments assessing eHealth literacy reveal limitation of methodological standards of test development and validation. Furthermore, existing scales do not cover the entire cognitive processes, which are proposed within the construct of eHealth literacy. OBJECTIVE The objective of this study is the development and validation of an extended eHealth literacy scale to provide an economic and empirically confirmed measurement of eHealth literacy in German language. METHODS For development, items from 2 international, validated instruments were merged to cover a wide bandwidth of the construct of eHealth literacy. Translation into German followed scientific guidelines and recommendations ensuring content validity. A convenience sample of N=470 German-speaking people was collected from October to November 2020. Validation was carried out by confirmatory factor analysis. Correlations were performed to examine for convergent, discriminant, and criterion validity. Additionally, analyses of measurement invariance of gender, age, and educational level were conducted. RESULTS Analyses revealed a 3-factorial model of eHealth literacy. By item-reduction, the 3 factors information seeking, information identification, and information evaluation were measured with 11 items reaching good model fits (CFI: 0.959 ; TLI: 0.945; RMSEA: 0 .068; SRMR: 0.045). Convergent validity was confirmed by positive correlations of information seeking, information identification, and information evaluation with health literacy (r=0.43, P<.001; r= 0.53, P<.001; r= 0.55, P<.001, respectively). No significant correlations with impulsivity (r=-0.06, P=.16; r=-0.08, P=.08; r=-0.08, P=.10, respectively) confirmed discriminant validity. Criterion validity was supported by positive correlations of information identification and information evaluation with mental health (r=0.29, P<.001; r= 0.21, P<.001, respectively). Analyses with further variables confirmed convergent, discriminant and criterion validity. Strict measurement invariance of gender (CFI: 0.941; TLI: 0.941 ; RMSEA: 0.073; SRMR: 0.059), age (CFI: 0.943; TLI: 0.943 ; RMSEA: 0.070; SRMR: 0 .053), and educational level (CFI: 0.956; TLI: 0.959 ; RMSEA: 0.059; SRMR: 0.060) was confirmed. CONCLUSIONS Following scientific suggestions for translation and performing analyses confirming 3-factorial structure, we developed the 3-factor eHealth literacy inventory (3F-EHLI) as an economic and valid assessment of eHealth literacy. By verifying measurement invariance of gender, age, and educational level, the 3F-EHLI is an applicable measurement independently of these main sociodemographic variables. The 3F-EHLI represents a valid and economic instrument international further development of the measurement of the important health-related construct of eHealth literacy.

scholarly journals A Reliability and Validity Study of the electronic Health Literacy Scale Among Stroke Patients in China

2021 ◽  
Author(s):  
Yu He ◽  
Lina Guo ◽  
Yanjin Liu ◽  
Jaclene A. Zauszniewski ◽  
Miao Wei ◽  
...  
Keyword(s):  
Health Literacy ◽  
Reliability And Validity ◽  
Tertiary Hospital ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Ehealth Literacy ◽  
Demographic Questionnaire ◽  
Electronic Health ◽  
Cross Sectional Design ◽  
Test Retest Reliability

Abstract Aim: This study was designed to attain Chinesization of the electronic Health Literacy Scale and to examine the reliability and validity for evaluating compliance and effectiveness of electronic health literacy among stroke patients in China.Design: This is a cross-sectional design.Methods: A demographic questionnaire, the electronic Health Literacy Scale（e-HLS）and the eHealth Literacy Scale (eHEALS) were administered to a sample of 648 patients with ischemic stroke recruited from November to December 2020 in a tertiary hospital.Results: The Cronbach’α coefficient on the e-HLS-CHI was 0.907. Kappa consistency coefficient of test-retest reliability was 0.691(p<0.05). The Content Validity Index (CVI) indicated that the content of this scale was considered to be meaningful. Three factors were extracted by Exploratory Factor Analysis (EFA), accounting for 90.84% of the total variance. The factors loading on 19 items ranged from 0.806 to 0.944. Confirmatory Factory Analysis (CFA) revealed that three factors of e-HLS-CHI fit well ( NFI = 0.979, RFI = 0.955, IFI = 0.987, TLI = 0.972, CFI=0.987, RMSEA = 0.070, CMIN/DF= 2.586). Good simultaneous validity was suggested by the positive correlation of 0.94 (p<0.001) between the e-HLS-CHI and eHEALS. When using eHEALS as the standard, the area under the ROC curve of e-HLS-CHI was 0.896 (95% CI: 0.831-0.960, p<0.001). The sensitivity and specificity were 97.8% and 70.4% respectively, indicating that it has good predictive validity.Conclusions: The e-HLS can be used to evaluate electronic health literacy of stroke patients in China after translation and debugging.Impact: This study proves that e-HLS can be used in strokep atients in China. And it can be considered for the investigation of other types of patients and provide new ideas for disease prevention.

Electronic Health Literacy Scale for Carers of People With Chronic Diseases

2019 ◽  
Author(s):  
Areti Efthymiou ◽  
Nicos Middleton ◽  
Andreas Charalambous ◽  
Evridiki Papastavrou
Keyword(s):  
Health Literacy ◽  
Chronic Diseases ◽  
Electronic Health

Association of electronic health literacy with health‐promoting behaviours in adolescents

2021 ◽  
Vol 27 (2) ◽  
Author(s):  
Gülbahar Korkmaz Aslan ◽  
Asiye Kartal ◽  
Türkan Turan ◽  
Gülay Taşdemir Yiğitoğlu ◽  
Cansel Kocakabak
Keyword(s):  
Health Literacy ◽  
Health Promoting ◽  
Electronic Health

scholarly journals An International Review to Characterize the Role, Responsibilities, and Optimal Setting for Health Literacy Mediators

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110254
Author(s):  
Madeline Spencer ◽  
Nenagh Kemp ◽  
Vaughan Cruickshank ◽  
Claire Otten ◽  
Rosie Nash
Keyword(s):  
Health Literacy ◽  
Literacy Development ◽  
Recent Literature ◽  
Important Determinant ◽  
Literacy Education ◽  
International Review ◽  
Optimal Setting ◽  
Role Responsibilities ◽  
The Life Course

Health literacy is a critically important determinant of health and is influenced by access to supportive social networks and services. Global investment in education throughout the life course is required to support health literacy development. The aim of this review is to characterize the role, responsibilities, and the optimal setting for the emergent role of a Health Literacy Mediator (HLM). A scoping review of recent literature was conducted. The review revealed a lack of consensus on who should be teaching health literacy, and variability in confidence when teaching health literacy. Professionals reported facing barriers such as a lack of time, a lack of knowledge, and recognized that the health literacy needs of children worldwide are not being met. Further research into the role of HLM is required to determine who is best suited to this role and what their responsibilities will be to ensure consistent health literacy education.

scholarly journals Bijou: Engaging Young MSM in HIV Care Using a Mobile Health Strategy

2021 ◽  
Vol 20 ◽  
pp. 232595822110308
Author(s):  
Tiffany Chenneville ◽  
Hunter Drake ◽  
Kemesha Gabbidon ◽  
Carina Rodriguez ◽  
Lisa Hightow-Weidman
Keyword(s):  
Health Literacy ◽  
Self Efficacy ◽  
Retention In Care ◽  
Knowledge Retention ◽  
Hiv Care ◽  
Ehealth Literacy ◽  
Literacy Engagement ◽  
Southeastern Us ◽  
Post Test ◽  
Living With Hiv

Young men who have sex with men (YMSM) living with HIV experience challenges with retention in care, which negatively affects viral suppression. To address this, researchers piloted Bijou, a program designed to provide health education through electronically delivered behavior and risk reduction modules. Participants were 29 YMSM aged 19-24 living with HIV from the southeastern US. Participants completed pre, post, and 3-month follow-up (3MFU) surveys assessing knowledge, intervention acceptability, satisfaction, self-efficacy, ehealth literacy, and usability. Findings revealed significant improvement in knowledge and e-health literacy from pre-test to post-test but lost significance at 3MFU. Self-efficacy scores did not show significant differences from pre-test to post-test or 3MFU. Participants who completed all modules considered Bijou usable and acceptable; however, many did not complete the program. Findings suggest a need for adaptations to promote knowledge retention, e-health literacy, engagement over time, and research with a larger, more representative sample.

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