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

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  • 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
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    References listed on IDEAS

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    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.
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    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. 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.
    3. 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.

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