IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i7p1553-d159404.html
   My bibliography  Save this article

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

Author

Listed:
  • Angela Chang

    (Department of Communication, University of Macau, E21, Avenida da Universidade, Taipa, Macau, China
    Institute of Communication and Health, Lugano University, Switzerland, Ex Laboratorio, Via Buffi 13, 6904 Lugano, Switzerland)

  • Peter J. Schulz

    (Institute of Communication and Health, Lugano University, Switzerland, Ex Laboratorio, Via Buffi 13, 6904 Lugano, Switzerland)

Abstract

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.

Suggested Citation

  • Angela Chang & Peter J. Schulz, 2018. "The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China," IJERPH, MDPI, vol. 15(7), pages 1-12, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1553-:d:159404
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/7/1553/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/7/1553/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Ying Wu & Lu Wang & Zhongyuan Cai & Luqi Bao & Pu Ai & Zisheng Ai, 2017. "Prevalence and Risk Factors of Low Health Literacy: A Community-Based Study in Shanghai, China," IJERPH, MDPI, vol. 14(6), pages 1-10, June.
    2. Yong-Bing Liu & Liu Liu & Yan-Fei Li & Yan-Li Chen, 2015. "Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese," IJERPH, MDPI, vol. 12(8), pages 1-12, August.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Joanna Burzyńska & Magdalena Rękas & Paweł Januszewicz, 2022. "Evaluating the Psychometric Properties of the eHealth Literacy Scale (eHEALS) among Polish Social Media Users," IJERPH, MDPI, vol. 19(7), pages 1-13, March.
    2. Wen Jiao & Peter Johannes Schulz & Angela Chang, 2024. "Addressing the role of eHealth literacy in shaping popular attitudes towards post-COVID-19 vaccination among Chinese adults," Palgrave Communications, Palgrave Macmillan, vol. 11(1), pages 1-11, December.
    3. Junjie Zhou & Tingting Fan, 2019. "Understanding the Factors Influencing Patient E-Health Literacy in Online Health Communities (OHCs): A Social Cognitive Theory Perspective," IJERPH, MDPI, vol. 16(14), pages 1-12, July.
    4. Mariusz Duplaga & Karolina Sobecka & Sylwia Wójcik, 2019. "The Reliability and Validity of the Telephone-Based and Online Polish eHealth Literacy Scale Based on Two Nationally Representative Samples," IJERPH, MDPI, vol. 16(17), pages 1-12, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ya Gao & Chen Chen & Hong Hui & Mingyue Chen & Ning Chen & Hong Chen & Weiming Zeng & Yan Wei & Zhaoxin Wang & Jianwei Shi, 2022. "Improving Health Literacy: Analysis of the Relationship between Residents’ Usage of Information Channels and Health Literacy in Shanghai, China," IJERPH, MDPI, vol. 19(10), pages 1-11, May.
    2. Tony Lee & Benjamin J. Becerra & Monideepa B. Becerra, 2023. "“ Seems Like There Is No Stopping Point at All Whatsoever ”: A Mixed-Methods Analysis of Public Health Workforce Perception on COVID-19 Pandemic Management and Future Needs," IJERPH, MDPI, vol. 20(14), pages 1-9, July.
    3. Chengbo Li & Mengyao Liu & Jin Zhou & Mei Zhang & Huanchang Liu & Yuting Wu & Hui Li & George W. Leeson & Tingting Deng, 2022. "Do Health Information Sources Influence Health Literacy among Older Adults: A Cross-Sectional Study in the Urban Areas of Western China," IJERPH, MDPI, vol. 19(20), pages 1-19, October.
    4. Yan Feng & Erpeng Liu & Zhang Yue & Qilin Zhang & Tiankuo Han, 2019. "The Evolutionary Trends of Health Behaviors in Chinese Elderly and the Influencing Factors of These Trends: 2005–2014," IJERPH, MDPI, vol. 16(10), pages 1-17, May.
    5. Jungwon Cho & Seungyeon Kim & Sangyoon Shin & Hyejin Yoo & Gi Hyue Park & Eunha Jeon & Eunsook Lee & Ho-Young Lee & Euni Lee, 2020. "Hospitalized Patients Accessing Information on Prescribed Medications from the Bedside Terminal: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(13), pages 1-10, July.
    6. Wenna Wang & Yulin Zhang & Beilei Lin & Yongxia Mei & Zhiguang Ping & Zhenxiang Zhang, 2020. "The Urban-Rural Disparity in the Status and Risk Factors of Health Literacy: A Cross-Sectional Survey in Central China," IJERPH, MDPI, vol. 17(11), pages 1-12, May.
    7. Dai Su & Zhifang Chen & Jingjing Chang & Guangwen Gong & Dandan Guo & Min Tan & Yunfan Zhang & Yanchen Liu & Xinlan Chen & Xinlin Chen & Yingchun Chen, 2020. "Effect of Social Participation on the Physical Functioning and Depression of Empty-Nest Elderly in China: Evidence from the China Health and Retirement Longitudinal Survey (CHARLS)," IJERPH, MDPI, vol. 17(24), pages 1-15, December.
    8. Lara Lindert & Lukas Kühn & Paulina Kuper & Kyung-Eun (Anna) Choi, 2022. "Organizational Health Literacy in the Context of Employee Health: An Expert-Panel-Guided Scoping Review Protocol," IJERPH, MDPI, vol. 19(7), pages 1-9, April.
    9. Vieri Lastrucci & Chiara Lorini & Marco Del Riccio & Eleonora Gori & Fabrizio Chiesi & Andrea Moscadelli & Beatrice Zanella & Sara Boccalini & Angela Bechini & Francesco Puggelli & Renzo Berti & Paolo, 2021. "The Role of Health Literacy in COVID-19 Preventive Behaviors and Infection Risk Perception: Evidence from a Population-Based Sample of Essential Frontline Workers during the Lockdown in the Province o," IJERPH, MDPI, vol. 18(24), pages 1-14, December.
    10. Zijuan Huang & Jien Sze Ho & Qai Ven Yap & Yiong Huak Chan & Swee Yaw Tan & Natalie Koh Si Ya & Lip Ping Low & Huay Cheem Tan & Woon Puay Koh & Terrance Siang Jin Chua & Sungwon Yoon, 2022. "Patterns of motivators and barriers to heart health behaviors among adults with behavior-modifiable cardiovascular risk factors: A population-based survey in Singapore," PLOS ONE, Public Library of Science, vol. 17(1), pages 1-19, January.
    11. Yu Zhang & Xianglai Sang & Yibo Wu & Tuo Liu & Ran Niu & Lu Han & Qi Wang & Xiaocheng Liang, 2022. "Correlation between Frequency of Eating Out of Home and Dietary Intake, Sleep, and Physical Activity: A Survey of Young CDC Employees in China," IJERPH, MDPI, vol. 19(6), pages 1-10, March.
    12. Ewelina Chawłowska & Monika Karasiewicz & Agnieszka Lipiak & Rafał Staszewski & Mateusz Cofta & Maria Biskupska & Bogusz Giernaś & Agnieszka Zawiejska, 2022. "Oral Health Behaviours, Knowledge, and Literacy of Expectant Mothers: A Cross-Sectional Study among Maternity Ward Patients," IJERPH, MDPI, vol. 19(18), pages 1-16, September.
    13. Jing Liao & Bei Wu & Jing Mao & Ping Ni, 2020. "Preference for Aggressive End-of-Life Care among Advanced Cancer Patients in Wuhan, China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(18), pages 1-14, September.
    14. Gabriela Rolova & Beata Gavurova & Benjamin Petruzelka, 2020. "Exploring Health Literacy in Individuals with Alcohol Addiction: A Mixed Methods Clinical Study," IJERPH, MDPI, vol. 17(18), pages 1-20, September.
    15. Xueyan Chen & Tao Zhou & Di Wang, 2022. "The Impact of Multidimensional Health Levels on Rural Poverty: Evidence from Rural China," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    16. Andreia Costa & Rodrigo Feteira-Santos & Violeta Alarcão & Adriana Henriques & Teresa Madeira & Ana Virgolino & Miguel Arriaga & Paulo J. Nogueira, 2023. "Health Literacy among Older Adults in Portugal and Associated Sociodemographic, Health and Healthcare-Related Factors," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    17. Nida Buawangpong & Wachiranun Sirikul & Chanya Anukhro & Mathuramat Seesen & Aroon La-up & Penprapa Siviroj, 2022. "Health Information Sources Influencing Health Literacy in Different Social Contexts across Age Groups in Northern Thailand Citizens," IJERPH, MDPI, vol. 19(10), pages 1-19, May.
    18. Tuyen Van Duong & Thao T. P. Nguyen & Khue M. Pham & Kien T. Nguyen & Manh H. Giap & Tung D. X. Tran & Chi X. Nguyen & Shwu-Huey Yang & Chien-Tien Su, 2019. "Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam," IJERPH, MDPI, vol. 16(18), pages 1-11, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1553-:d:159404. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.