Electronic Health Literacy Across the Lifespan: Measurement Invariance Study

Paige, Samantha R.; Miller, M. David; Krieger, Janice L.; Stellefson, Michael; Cheong, JeeWon

doi:10.2196/10434

Cited by 91 publications

(132 citation statements)

References 68 publications

(95 reference statements)

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“…12,22,28 This was also concluded in the initial work by Norman and Skinner. 16 On the other hand, several studies have also shown an inherent structure with two 12,19,23,24 or three 12,30 factors reflecting the underlying content of electronic health literacy, as previously described.…”

Section: Introductionmentioning

confidence: 55%

“…This tendency is also reported in other studies. 23,30 For instance, Paige et al 30 found that older adults experienced greater challenges regarding eHealth resource awareness, information seeking skills, and ability to evaluate and act upon online health information, compared with younger adults. However, the Internet use among older people is steadily increasing, as they search and visit websites for on-line health information and discussion.…”

Section: Discussionmentioning

confidence: 99%

“…16,28,30 The one-factor structure of the scale is described as advantageous because it allows health-care professionals to easily understand and use it as a whole in clinical settings. 28 However, other studies have found limited evidence to support unidimensionality, 19,30 mostly including either a two-or three-factor model and reflecting the underlying theoretical assumptions and aspects of the scale. The first factor included five items reflecting information awareness and information seeking, and the second factor included three items reflecting information engagement.…”

Section: Discussionmentioning

confidence: 99%

“…This result is in line with other studies that have found that the eHEALS consists of two dimensions, defined to measure information seeking and information appraisal. 19,24,30,32 As Karnoe and Kayser 20 claim, the eHEALS is an easy tool to administer, but it provides a concept-based measure for eHealth literacy without thoroughly investigate whether inadequate eHealth literacy is a result of insufficient health literacy, digital literacy, or a combination hereof. In another study, van der Vaart et al 22 found a weak correlation between the eHEALS and people's internet use, as the scale was unable to differentiate between those with high and low internet skills.…”

Section: Discussionmentioning

confidence: 99%

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<p>Testing Measurement Properties of the Norwegian Version of Electronic Health Literacy Scale (eHEALS) in a Group of Day Surgery Patients</p>

Dale¹,

Lüthi²,

Skaraas³

et al. 2020

JMDH

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Background and Aim: In order to assess patients' ability to search, understand, and benefit from Internet-based information, several screening tools have been developed. One of these tools, which has been widely used, is the eHealth Literacy Scale (eHEALS). The aim of this study was to examine the measurement properties of the Norwegian version of the eHEALS, as it was used in a group of patients undergoing day surgery. Methods: A cross-sectional survey study was conducted among 119 patients scheduled for day surgical treatment in a Norwegian hospital. The questionnaire included the screening tool eHEALS, which contains 8 items for assessing a person's information awareness skills, information seeking skills, and skills to evaluate and act based on the information. Cronbach's alpha coefficients and item-total correlations were assessed for estimating reliability of the eHEALS. Exploratory factor analysis with Oblimin rotation was used for assessing the validity of the scale. Eigenvalue was set to 1.0. Results: A Cronbach's alpha coefficient of 0.89 for the total scale, values >0.82 for Alpha if Item Deleted, and moderate to high item-total correlations supported the homogeneity and internal consistency of the scale. A two-component solution explained a total of 74.8% of the variance, with the first component explaining 59.53% of the variance in the scale and included the items reflecting information awareness and seeking. The second component explained 15.23% of the variance, including items reflecting the ability to evaluate and act. Conclusion: The reliability of the Norwegian version of eHEALS, used in a group of patients undergoing day surgery, was good. The internal structure, with two distinct factors, is in line with several previous studies. The eHEALS appears to be an appropriate tool for assessing eHealth literacy among this patient group.

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Section: Introductionmentioning

confidence: 55%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

<p>Testing Measurement Properties of the Norwegian Version of Electronic Health Literacy Scale (eHEALS) in a Group of Day Surgery Patients</p>

Dale¹,

Lüthi²,

Skaraas³

et al. 2020

JMDH

View full text Add to dashboard Cite

show abstract

“…26 Physicians, and pharmacists are more trusted sources than online information, and it is a proven that older adults are less vulnerable to web-health. 27 On the other hand, preliminary results of online usage for pregnancy check in Netherlands women have found that 50% of them made their decisions through the internet. 28 Oncology patients are using the internet to get information about their disease and were happy to receive useful website links through their physicians.…”

Section: Survey 34mentioning

confidence: 99%

Factors affecting the quality and reliability of online health information

et al. 2020

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Background Internet represents a relevant source of information, but reliability of data that can be obtained by the web is still an unsolved issue. Non-reliable online information may have a relevance, especially in taking decisions related to health problems. Uncertainties on the quality of online health data may have a negative impact on health-related choices of citizens. Objective This work consisted in a cross-sectional literature review of published papers on online health information. The two main research objectives consisted in the analysis of trends in the use of health web sites and in the quality assessment and reliability levels of web medical sites. Methods Literature research was made using four digital reference databases, namely PubMed, British Medical Journal, Biomed, and CINAHL. Entries used were “trustworthy of medical information online,” “survey to evaluate medical information online,” “medical information online,” and “habits of web-based health information users”. Analysis included only papers published in English. The Newcastle Ottawa Scale was used to conduct quality checks of selected works. Results Literature analysis using the above entries resulted in 212 studies. Twenty-four articles in line with study objectives, and user characteristics were selected. People more prone to use the internet for obtaining health information were females, younger people, scholars, and employees. Reliability of different online health sites is an issue taken into account by the majority of people using the internet for obtaining health information and physician assistance could help people to surf more safe health web sites. Conclusions Limited health information and/or web literacy can cause misunderstandings in evaluating medical data found in the web. An appropriate education plan and evaluation tools could enhance user skills and bring to a more cautious analysis of health information found in the web.

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eHealth Literacy

Parker¹,

Paige²

2022

The International Encyclopedia of Health Communication

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The concept and measurement of eHealth literacy have evolved over the past decades alongside technological advancements. In general, eHealth literacy refers to an individual's capacity to locate, evaluate, exchange, and use information from health communication technologies to benefit themselves and others. eHealth resources have the potential to enhance global healthcare systems and alleviate equity gaps in access and delivery, and scientific consensus remains that an array of health outcomes are related to eHealth literacy. Patient–clinician relationships, informed health decision making, healthcare engagement, and health behaviors are known to be positively influenced by eHealth literacy. Individuals lacking adequate eHealth literacy, however, cannot realize these benefits. eHealth literacy remains an important consideration for healthcare systems in designing, implementing, and disseminating ICTs. This entry describes the dynamic concept of eHealth literacy, its evolving definition, measurements, and practical applications.

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Electronic Health Literacy Across the Lifespan: Measurement Invariance Study

Cited by 91 publications

References 68 publications

<p>Testing Measurement Properties of the Norwegian Version of Electronic Health Literacy Scale (eHEALS) in a Group of Day Surgery Patients</p>

<p>Testing Measurement Properties of the Norwegian Version of Electronic Health Literacy Scale (eHEALS) in a Group of Day Surgery Patients</p>

Factors affecting the quality and reliability of online health information

eHealth Literacy

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