Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Wang, Yinuo; Song, Yuting; Zhu, Yaru; Ji, Heqian; Wang, Aimin

doi:10.3390/ijerph19106092

Cited by 23 publications

(11 citation statements)

References 56 publications

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“…Our study found that age was correlated with EHL, as measured by both eHEALS and eHeLiOS-SB. This finding agrees with several previously published papers on the association between demographic variables such as age and eHealth literacy levels as measured by eHEALS, [26][27][28][29][30] such as one study of 262 20 to 65 year olds in Taiwan, which found that EHL levels were negatively associated with age. 26 Another study conducted in older adults by Wang et al similarly found that EHL levels as measured by eHEALS were lower on average in the older adult population than they were in university students.…”

Section: (72)supporting

confidence: 92%

“…26 Another study conducted in older adults by Wang et al similarly found that EHL levels as measured by eHEALS were lower on average in the older adult population than they were in university students. 30 We believe that younger people have better EHL due to exposure to the internet and various types of online portals at a younger age in more recent generations. Cognitive decline in older populations may also be a factor, but we believe that increased exposure to the internet and technology among younger patients is likely the more significant contributor.…”

Section: Discussionmentioning

confidence: 93%

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Assessing Electronic Health Literacy at an Urban Academic Hospital

et al. 2023

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Background. Residents of the Bronx suffer marked health disparities due to socioeconomic and other factors. The COVID-19 pandemic worsened these health outcome disparities and healthcare access disparities, especially with the abrupt transition to online care. Objectives. This study classified electronic health literacy (EHL) among patients at an urban, academic hospital in the Bronx, and assessed for associations between EHL levels and various demographic characteristics. Methods. We designed a cross-sectional, observational study in adults 18 years or older presenting to the Montefiore Einstein Center for Cancer Care (MECCC) Department of Radiation Oncology or the Montefiore Department of Medicine in the Bronx. We assessed EHL using the eHealth Literacy Scale (eHEALS) survey, a previously validated tool, and our newly developed eHealth Literacy Objective Scale-Scenario Based (eHeLiOS-SB) tool. Results. A total of 97 patients recruited from the Montefiore MECCC and Department of Medicine participated in this study. There was a statistically significant association between age and EHL as assessed by both eHEALS and eHeLiOS-SB, with older adults having lower EHL scores. Additionally, a question designed to assess general attitudes toward digital health technologies found that most participants had a positive attitude toward such applications. Conclusions. Many patients, especially older adults, may require additional support to effectively navigate telehealth. Further research is warranted to optimize telemedicine strategies in this potentially-marginalized population and ultimately to create telehealth practices accessible to patients of all ages and demographics.

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Section: (72)supporting

confidence: 92%

Section: Discussionmentioning

confidence: 93%

Assessing Electronic Health Literacy at an Urban Academic Hospital

et al. 2023

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“…Previous studies found that the self‐efficacy of both type II diabetes and haemodialysis patients was positively correlated with self‐care ability (Bağ & Mollaoğlu, 2010; Lee et al, 2016). A survey of 425 community elders from 3 communities in China showed that self‐efficacy and self‐care ability mediated a chain mediating effect, namely electronic health literacy → self‐efficacy → self‐care ability → health‐promoting behaviour (Wang, Song et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Analysis of the factors and moderating role of self‐care ability among patients with breast cancer‐related lymphedema

Jiang

Chen

2022

Journal of Clinical Nursing

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Aims and objectives:To analyse the status quo and influencing factors of self-care ability in breast cancer-related lymphedema (BCRL) patients and explore the moderating role of social support between self-efficacy and self-care ability, to provide references for clinical intervention. Background:The 'gold standard' for the treatment of lymphedema is two-stage Complete Decongestion Therapy (CDT). Due to the high frequency of patients seeking treatment and CDT is not covered by medical insurance, resulting the medical cost is high, and a set integrated course of edema treatment cannot be completed.Nevertheless, with sufficient self-care ability, patients can reduce the frequency of outpatient and inpatient treatments, and initiate detumescence procedures with affordable home care. Accordingly, it is necessary to pay attention to the self-care ability of BCRL patients.Design: A descriptive and cross-sectional study following the STROBE guideline checklist.Methods: From June 2021 to January 2022, 156 BCRL patients were selected as convenience samples. Questionnaires were administered to the patients using the sociodemographic information questionnaire, the exercise of self-care agency scale, Chinese version of strategies used by people to promote health, and social support rating scale. Spearman rank correlation was used to analyse the relationship among the three, and univariate and multiple linear regression were used for factor analysis and process to explore the moderating role of social support. Results:The total score of self-care ability of BCRL patients was 41.00 (32.50, 51.00).The self-efficacy and social support of BCRL patients were positively correlated with the total score and its dimensions of self-care ability. Disease duration, severity and difficulty raising limbs were negative correlation factors influencing the self-care ability of BCRL patients, and self-efficacy and social support were positive correlation factors, which could explain 77.8% of the total variation. The moderating role of social support between self-efficacy and self-care ability was significant, and its moderating role boundary value was 15.70. Conclusions:The self-care ability of BCRL patients is at a low level. The longer duration of lymphedema, the more serious degree of edema, the more difficulty raising limbs, the lower self-efficacy and the less social support, the poorer self-care ability | 927 JIANG and CHEN

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“…Digital technology has also been shown to help them lose weight and prevent chronic diseases such as hypertension and diabetes [19]. In terms of mental health, the elderly's use of digital technologies improves their self-efficacy [20], and the ability to connect with the outside world through digital media reduces loneliness [21]. However, they also face challenges with digital health services and some experience anxiety due to their inability to master the technologies [22].…”

Section: Literature Reviewmentioning

confidence: 99%

Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

Zhou

Ogihara

et al. 2022

IJERPH

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The aging transformation of digital health services faces issues of how to distinguish influencing factors, redesign services, and effectively promote measures and policies. In this study, in-depth interviews were conducted, and grounded theory applied to open coding, main axis coding, and selective coding to form concepts and categories. Trajectory equifinality modeling clarified the evolution logic of digital transformation. Based on the theory of service ecology, a digital health service aging model was constructed from the “macro–medium–micro” stages and includes governance, service, and technology transformation paths. The macro stage relies on organizational elements to promote the institutionalization of management and guide the transformation of governance for value realization, including the construction of three categories: mechanism, indemnification, and decision-making. The meso stage relies on service elements to promote service design and realize service transformation that is suitable for aging design, including the construction of three categories: organization, resources, and processes. The micro stage relies on technical elements to practice experiencing humanization, including the construction of three categories: target, methods, and evaluation. These results deepen the understanding of the main behaviors and roles of macro-organizational, meso-service, and micro-technical elements in digital transformation practice and have positive significance for health administrative agencies to implement action strategies.

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Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Cited by 23 publications

References 56 publications

Assessing Electronic Health Literacy at an Urban Academic Hospital

Assessing Electronic Health Literacy at an Urban Academic Hospital

Analysis of the factors and moderating role of self‐care ability among patients with breast cancer‐related lymphedema

Behavioral Patterns of Supply and Demand Sides of Health Services for the Elderly in Sustainable Digital Transformation: A Mixed Methods Study

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