eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy

Gazibara, Tatjana; Cakic, Jelena; Cakic, Milica; Pekmezović, Tatjana; Grgurević, Anita

doi:10.1093/heapro/day028

Cited by 51 publications

(56 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The original assessment of the eHEALS carried out by Norman and Skinner [12] yielded a Cronbach’s alpha of 0.88. In other studies published to date, the Cronbach’s alpha ranged from 0.85 for the Serbian [57] to 0.93 for the Japanese [18] and the Dutch versions [15], and 0.95 for the Chinese version of the instrument [40]. Neter et al reported a Cronbach’s alpha coefficient of 0.86 for the six item version of the eHEALS scale [19].…”

Section: Discussionmentioning

confidence: 99%

“…It was also applied in surveys carried out on various groups of patients: recipients of ambulatory care [36,37], patients with chronic diseases [22,38,39,40,41], patients suffering from rheumatic diseases [15], human immunodeficiency virus (HIV) positive persons [42,43], primary lung cancer survivors [44], and parents of children with special health care needs [45,46]. Currently, there are also many national versions available, including German [47], Greek [48], Yidisz [19], Japanese [18], Dutch [15], Chinese [32,40], Korean [49], Turkish [50], Persian [35,51], Portuguese [33], Italian [52,53,54], Spanish [55,56], Arabic [31], and Serbian [57].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Reliability and Validity of the Telephone-Based and Online Polish eHealth Literacy Scale Based on Two Nationally Representative Samples

Duplaga

Sobecka

Wojcik

2019

IJERPH

View full text Add to dashboard Cite

Adequate ehealth literacy is one of the key instruments safeguarding people against unreliable health-related information obtained from the Internet. This paper presents an assessment of the reliability and the validity of a Polish version of the ehealth literacy scale (Pl-eHEALS). The assessment was carried out on the basis of two nationally representative samples of the Polish population. In the first survey of adults at least 50 years old, the technique of computer-assisted telephone interviewing (CATI) was applied. In the second survey of young adult women (18–35 years old), the technique of computer-assisted web interviewing (CAWI) was used. The reliability and the validity of the Pl-eHEALS was analyzed. There were no floor or ceiling effects revealed in either sample. The Cronbach’s alpha coefficients were 0.90 and 0.88, and Guttman split-half coefficients were 0.89 and 0.81, respectively. Exploratory factors analysis revealed single factor models in both cases. The sum of squared loadings in the first survey was 6.090 and accounted for 58.72% of the variance. In the second survey, the sum was 5.927 and was responsible for 55.06% of the variance. Hypothesis testing showed that, for older adults, higher ehealth literacy was prevalent in the respondents who used the Internet more frequently. Among young adult women, higher readiness to use the Internet as a primary source of health-related information and to undertake specific internet health-related activities was associated with higher ehealth literacy. The analysis reported in this paper confirmed the reliability and the validity of the instrument. It should be stressed that, prior to this study, there was no validated Polish version of the eHEALS that could be used with Polish-speaking respondents.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Reliability and Validity of the Telephone-Based and Online Polish eHealth Literacy Scale Based on Two Nationally Representative Samples

Duplaga

Sobecka

Wojcik

2019

IJERPH

View full text Add to dashboard Cite

show abstract

“…The eHEALS has been adapted to different languages in Asia [ 5 , 10 - 13 ] and Europe [ 14 - 18 ]. Furthermore, the psychometrics properties have been evaluated in different populations such as in students [ 4 , 12 , 15 , 19 , 20 ], adults [ 9 , 11 , 16 - 18 , 21 ], and patients with chronic diseases [ 5 , 14 , 22 , 23 ], as well as in different cultures in Australia [ 9 , 24 ] and North America [ 9 , 17 , 20 - 22 ]. The internal consistency reliability coefficient was shown to be acceptable (ranging from .80 to .90) in the majority of the linguistic versions of the eHEALS [ 4 , 11 - 13 , 15 - 19 , 23 ], indicating a reliable scale.…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, the psychometrics properties have been evaluated in different populations such as in students [ 4 , 12 , 15 , 19 , 20 ], adults [ 9 , 11 , 16 - 18 , 21 ], and patients with chronic diseases [ 5 , 14 , 22 , 23 ], as well as in different cultures in Australia [ 9 , 24 ] and North America [ 9 , 17 , 20 - 22 ]. The internal consistency reliability coefficient was shown to be acceptable (ranging from .80 to .90) in the majority of the linguistic versions of the eHEALS [ 4 , 11 - 13 , 15 - 19 , 23 ], indicating a reliable scale. According to construct validity, the majority of the studies supported a 1-factor model [ 5 , 10 , 12 - 14 , 16 , 22 , 23 , 25 ] recommended by the original scale [ 4 ], whereas a few other studies have recommended a 2-factor [ 11 , 15 , 18 ] or 3-factor [ 9 , 21 , 24 ] model.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of the Norwegian Version of the Electronic Health Literacy Scale (eHEALS) Among Patients After Percutaneous Coronary Intervention: Cross-Sectional Validation Study

et al. 2020

View full text Add to dashboard Cite

Background Web-based technology has recently become an important source for sharing health information with patients after an acute cardiac event. Therefore, consideration of patients’ perceived electronic health (eHealth) literacy skills is crucial for improving the delivery of patient-centered health information. Objective The aim of this study was to translate and adapt the eHealth Literacy Scale (eHEALS) to conditions in Norway, and to determine its psychometric properties. More specifically, we set out to determine the reliability (internal consistency, test-retest) and construct validity (structural validity, hypotheses testing, and cross-cultural validity) of the eHEALS in self-report format administered to patients after percutaneous coronary intervention. Methods The original English version of the eHEALS was translated into Norwegian following a widely used cross-cultural adaptation process. Internal consistency was calculated using Cronbach α. The intraclass correlation coefficient (ICC) was used to assess the test-retest reliability. Confirmatory factor analysis (CFA) was performed for a priori-specified 1-, 2-, and 3-factor models. Demographic, health-related internet use, health literacy, and health status information was collected to examine correlations with eHEALS scores. Results A total of 1695 patients after percutaneous coronary intervention were included in the validation analysis. The mean age was 66 years, and the majority of patients were men (1313, 77.46%). Cronbach α for the eHEALS was >.99. The corresponding Cronbach α for the 2-week retest was .94. The test-retest ICC for eHEALS was 0.605 (95% CI 0.419-0.743, P<.001). The CFA showed a modest model fit for the 1- and 2-factor models (root mean square error of approximation>0.06). After modifications in the 3-factor model, all of the goodness-of-fit indices indicated a good fit. There was a weak correlation with age (r=–0.206). Between-groups analysis of variance showed a difference according to educational groups and the eHEALS score, with a mean difference ranging from 2.24 (P=.002) to 4.61 (P<.001), and a higher eHEALS score was found for patients who were employed compared to those who were retired (mean difference 2.31, P<.001). The eHEALS score was also higher among patients who reported using the internet to find health information (95% CI –21.40 to –17.21, P<.001), and there was a moderate correlation with the patients’ perceived usefulness (r=0.587) and importance (r=0.574) of using the internet for health information. There were also moderate correlations identified between the eHEALS score and the health literacy domains appraisal of health information (r=0.380) and ability to find good health information (r=0.561). Weak correlations with the mental health composite score (r=0.116) and physical health composite score (r=0.116) were identified. Conclusions This study provides new information on the psychometric properties of the eHEALS for patients after percutaneous coronary intervention, suggesting a multidimensional rather than unidimensional construct. However, the study also indicated a redundancy of items, indicating the need for further validation studies. Trial Registration ClinicalTrials.gov NCT03810612; https://clinicaltrials.gov/ct2/show/NCT03810612

show abstract

“…Only in 1 study from Slovenia did we find the validation of an extended version of 20 items (6 factors) including the Web 2.0 parameter as discussed earlier by Norman [49,50]. In 21 cases, the authors preferred a combination of the original scale adding questions to assess health-related internet use and internet use in general [17,25,27-29,31,51-64]. The reliability in the majority of the studies was quite high, that is, over 0.80.…”

Section: Resultsmentioning

confidence: 99%

Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study

Efthymiou¹,

Middleton²,

Charalambous³

et al. 2019

J Med Internet Res

View full text Add to dashboard Cite

BackgroundAs the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist the work of carers at home. Measuring the levels of electronic health (eHealth) literacy is of top priority to facilitate inclusion of this population and develop training programs to enhance eHealth literacy skills.ObjectiveThis study aimed to adapt the eHealth Literacy Scale (eHeals) for carers of people with dementia, who speak Greek as their native language and live in Greece and Cyprus, and to test the reliability and validity of the scale for carers.MethodsThe content validity of the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) was assessed with an expert panel (N=10). A descriptive study with face-to-face interviews among 101 primary carers of people with dementia was conducted. In addition to the eHeals-Carer to assess their perceived eHealth literacy, participants responded to a brief questionnaire regarding characteristics of internet use and provided sociodemographic data. The internal consistency of the tool and the construct validity via an exploratory factor analysis (EFA) were explored.ResultsThe Mean Item-Level Content Validity Index (CVI) and Scale-Level CVI Average was 0.93. The participants were mostly women (75.2%, 76/101), aged less than 60 years (67.3%, 68/101) with secondary education. The internal consistency was estimated at a Cronbach alpha of .83. Two factors were extracted from the EFA: information seeking questions 1 to 5 (factor 1) and evaluation questions 6 to 8 (factor 2).ConclusionseHeals-Carer is the first perceived eHealth literacy tool adapted for carers of people with dementia. The use of Web-based services available for carers could help them and improve the health care system in the long term. In Greece and Cyprus, there is a lack of services, and improving the digital skills of carers could provide them with the means to support themselves at home and improve care provision.International Registered Report Identifier (IRRID)RR2-10.2196/resprot.8080

show abstract

eHealth and adolescents in Serbia: psychometric properties of eHeals questionnaire and contributing factors to better online health literacy

Cited by 51 publications

References 23 publications

The Reliability and Validity of the Telephone-Based and Online Polish eHealth Literacy Scale Based on Two Nationally Representative Samples

The Reliability and Validity of the Telephone-Based and Online Polish eHealth Literacy Scale Based on Two Nationally Representative Samples

Psychometric Properties of the Norwegian Version of the Electronic Health Literacy Scale (eHEALS) Among Patients After Percutaneous Coronary Intervention: Cross-Sectional Validation Study

Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study

Contact Info

Product

Resources

About