Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument

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

doi:10.1080/10810730.2019.1666940

Cited by 53 publications

(75 citation statements)

References 34 publications

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“…The TeHLI consisted of 18 items to reflect four aspects of the TMeHL such as functional (4 items), communicative (5 items), critical (5 items), translational (4 items). On a 5-point scale from 1 (strongly disagree) to 5 (strongly agree) was used for each item (Paige et al, 2019). The Cronbach's of four domains of TeHLI were 0.91; 0.92; 0.88; 0.92, respectively.…”

Section: Transactional Ehealth Literacy Instrumentmentioning

confidence: 99%

“…Recent work by Paige and colleagues created a tool with which to measure eHealth literacy (Paige et al, 2019). The Transactional eHealth Literacy Instrument (TeHLI) is a multidimensional instrument to measure increasing levels of eHealth literacy, based on the Transactional Model of eHealth Literacy (TMeHL) (Paige et al, 2018): functional (the ability to successfully read and write about health using technological devices), communicative (the ability to control, adapt, and collaborate communication about health with others in online social environments), critical (the ability to evaluate the relevance, trustworthiness, and risks of sharing and receiving health-related information on the Internet), and translational eHealth literacy (the ability to apply health-related information from the Internet in different contexts).…”

Section: Introductionmentioning

confidence: 99%

“…The Transactional eHealth Literacy Instrument (TeHLI) is a multidimensional instrument to measure increasing levels of eHealth literacy, based on the Transactional Model of eHealth Literacy (TMeHL) (Paige et al, 2018): functional (the ability to successfully read and write about health using technological devices), communicative (the ability to control, adapt, and collaborate communication about health with others in online social environments), critical (the ability to evaluate the relevance, trustworthiness, and risks of sharing and receiving health-related information on the Internet), and translational eHealth literacy (the ability to apply health-related information from the Internet in different contexts). However, research is needed to test the TeHLI with younger adults (Paige et al, 2019). This article aims to validate the TeHLI to see which components of the tool (how many components and which components included) would be the best fit statistically and whether the tool can be applied to groups of different characteristics (i.e.…”

Section: Introductionmentioning

confidence: 99%

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Factorial Structure of the Transactional eHealth Literacy Among Vietnamese Youth: An Instrument Validation Study

Vu²,

Kessel

et al. 2021

Preprint

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The progression into the Digital Age has brought an array of novel skill requirements. Unlike traditional literacy, there are currently few measures that can reliably measure eHealth literacy. The Transactional Model of eHealth Literacy and subsequent Transactional eHealth Literacy Instrument may provide a feasible option for measuring eHealth literacy. However, this instrument has yet to be validated, which is the aim of this study. We conducted an online cross-sectional study among 236 Vietnamese young people. Using exploratory factor analysis, we ensured that a model consisting of four factors had the best fit (RMSEA = 0.116; CFI = 0.907) and the highest internal consistency (Cronbach’s α = 0.96). A confirmatory factor analysis tested measurement invariance at four levels: configural, metric, scalar, and strict invariance. Only metric invariance was partially invariant, while the rest tested fully invariant. Even with partial metric invariance, there is reason to assume that functional, communicative, critical, and translational eHealth literacy (the four levels according to the transactional model) are consistently measured when deploying the Transactional eHealth Literacy Instrument across groups. In other words, this study suggests the instrument can be used for comparisons across groups and has the potential to generate high-quality data usable for informing change agents as to whether a particular population is proficient enough to adopt novel eHealth innovations.

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Section: Transactional Ehealth Literacy Instrumentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factorial Structure of the Transactional eHealth Literacy Among Vietnamese Youth: An Instrument Validation Study

Vu²,

Kessel

et al. 2021

Preprint

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“…Introduced by Paige et al (2019), the Transactional eHealth Literacy Instrument (TeHLI) is one of the most recent measures of eHealth literacy. The researchers examine eHealth literacy from a communication perspective and emphasise the importance of the transactional component to eHealth literacy.…”

Section: The Transactional Ehealth Literacy Instrument (Tehli)mentioning

confidence: 99%

“…The dimensions of eHealth literacy in the TMeHL are organised hierarchically, extending beyond the basic use of technology to more advanced information and communication skills. Paige et al (2019) developed a questionnaire based on this model and performed rigorous testing procedures to produce the TeHLI. The TeHLI is made up of 18 items and is intended for use in the evaluation of a patient's eHealth literacy skills in terms of strength and weakness in the functional, communicative, critical and translational components.…”

Section: Translational Ehealth Literacymentioning

confidence: 99%

Measures of eHealth Literacy: Options for the Malaysian Population

Azlan

2019

JKMJC

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Health literacy is an important component to the self-management of one's health decisions. As information on the Internet becomes more easily accessible, individuals need to be properly equipped to seek and evaluate the health information available to them. Digital health literacy, or eHealth literacy, refers to an array of skills required to properly seek, access, understand and apply health information on the Internet. To date, a number of different models and instruments have been developed to measure eHealth literacy, including the eHealth Literacy Scale (eHEALS), the eHealth Literacy Framework (eHLF), the Digital Health Literacy Instrument (DHLI), the eHealth Literacy Questionnaire (eHLQ), the eHealth Literacy Assessment Toolkit (eHLA) and the Transactional eHealth Literacy Instrument (TeHLI). While some of these instruments rely on the individual's self-assessment of eHealth literacy, others also test for functional information, communication and technological competencies. This paper presents these different eHealth literacy instruments and how they have been applied in current research. The similarities and differences between the instruments are examined. The discussion concludes with a summary of the measures and potential ways forward in developing an eHealth Literacy instrument for the Malaysian population. It is hoped that this paper may benefit researchers, health care providers, practitioners, ministries and governing bodies interested in understanding eHealth literacy and its measures.

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eHealth

Duduciuc

Barbaros

Ionescu

2022

The International Encyclopedia of Health Communication

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Historically, digital development and emerging interactive technologies shaped a landscape in which health communication, disease prevention, accurate diagnosis, and symptoms management are at the tip of patients' fingers. eHealth, an umbrella term for using digital technologies and innovations in the healthcare sector, puts the patients at the core of the medical processes, offering a variety of tools for them to understand and cope with their conditions in a more active and informed way. The patient is directly involved in the rehabilitation process and the medical practitioner is assisted to give higher quality diagnoses and to maintain constant communication, using digital extensions (like avatars, Artificial Intelligence, robots, chatbots). This entry provides an overview of the meaning of eHealth in health communication and related fields. We highlight the distinction between eHealth, mHealth, iHealth, interactive health communication, health informatics, etc., and we present the principal theoretical and empirical direction of the eHealth research. The large‐scale adoption of technological innovation comes with benefits and advantages in terms of speed, accuracy, and personalization, but the risks and limitations of digital instruments should be analyzed, looking at the criticism of the concept and future research directions in legal, ethical, and psychosocial areas. It is crucial to understand the impact of eHealth on health communication and the shifting paradigm in the medical domain because developers, creators, health practitioners, and even policymakers and governments need to carefully design a context in which medical processes, clinicians, and new digital technologies can improve the lives of patients.

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Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument

Cited by 53 publications

References 34 publications

Factorial Structure of the Transactional eHealth Literacy Among Vietnamese Youth: An Instrument Validation Study

Factorial Structure of the Transactional eHealth Literacy Among Vietnamese Youth: An Instrument Validation Study

Measures of eHealth Literacy: Options for the Malaysian Population

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