Predictors of High eHealth Literacy in Primary Lung Cancer Survivors

Milne, Robin; Puts, Martine; Papadakos, Janet; Le, Lisa W.; Milne, Victoria; Hope, Andrew; Catton, Pamela; Giuliani, Meredith

doi:10.1007/s13187-014-0744-5

Cited by 80 publications

(106 citation statements)

References 22 publications

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“…14 Another study, however, evaluated e-health literacy among lung cancer survivors and found that they demonstrated low e-health literacy; higher e-health was correlated with the level of education and access to e-resources. 15 A survey of cancer survivors and cancer-free subjects found that health literacy and cancer-specific literacy were not greater among the survivors compared with those who were cancer free. 16 In this study the authors reported that there was an education effect and that higher literacy scores were correlated with a college education or greater compared with those with lower education levels.…”

Section: Discussionmentioning

confidence: 99%

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Desmond¹,

Jackson²,

Waterbor³

2017

Southern Medical Journal

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Objectives The purpose of this investigation was to describe cancer survivorship based on the Behavioral Risk Factor Surveillance System (BRFSS) cancer survivorship modules in Alabama, Georgia and Mississippi, conducted in 2012 and 2014, and to investigate disparities across the US Deep South region. Methods The optional BRFSS cancer survivorship module was introduced in 2009. Data from Alabama (2012), Georgia (2012), and Mississippi (2014) were assessed. Demographic factors were analyzed through weighted regression for risk of receiving cancer treatment summary information and follow-up care. Results Excluding nonmelanoma skin cancer cases, a total of 1105 adults in the Alabama 2012 survey, 571 adults in the Georgia 2012 survey, and 442 adults in the 2014 Mississippi survey reported ever having cancer and were available for analysis. Among Alabamians, those with a higher level of education (odds ratio [OR] 1.4, 95% confidence interval [CI] 1.1–1.7) and higher income (OR 1.3, 95% CI 1.1–1.6) were more likely to receive a written summary of their cancer treatments. Adults older than age 65 were only half as likely to receive a written summary of cancer treatments compared with adults 65 years or younger (OR 0.5, 95% CI 0.3–0.8). We found no significant differences in receipt of treatment summary by race or sex. Among those who reported receiving instructions from a doctor for follow-up care, these survivors tended to have a higher level of education, higher income, and were younger (younger than 65 years). Receipt of written or printed follow-up care was positively associated with higher income (OR 1.4, 95% CI 1.1–1.8) and inversely associated with age older than 65 years (OR 0.9, 95% CI 0.1–0.6) in Georgia. Conclusions Addressing the gap identified between survivorship care plan development by the health team and the delivery of it to survivors is important given the evidence of disparities in the receipt of survivorship care plans across survivor age and socioeconomic status in the Deep South.

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Section: Discussionmentioning

confidence: 99%

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Desmond¹,

Jackson²,

Waterbor³

2017

Southern Medical Journal

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“…12 In the past several years, the eHEALS has been used for adults in a variety of study settings. 31,32 In our previous study with patients recruited from an ambulatory clinic (N = 69; mean age, 45.5 + 13.30) 33 the calculated alpha coefficient was .93. The patients who spent more time on the web demonstrated higher scores on the eHEALS ( r = .42, p = .03).…”

Section: Literature Reviewmentioning

confidence: 94%

Testing Reliability and Validity of the eHealth Literacy Scale (eHEALS) for Older Adults Recruited Online

Chung

Nahm²

2015

CIN: Computers, Informatics, Nursing

169

143

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Currently, vast amounts of health information and health management tools are available to the public online. To maximize the benefits of these eHealth technologies, it is important to assess the eHealth literacy of individuals. The eHealth Literacy Scale (eHEALS) has been used widely in the past several years, but mainly in younger populations. The purpose of this study was to test the psychometric aspects of the eHEALS for older adults using a secondary data analysis (N = 866, mean age, 62.8 ± 8.5 years). Reliability of the eHEALS was examined by calculating alpha coefficients and conducting test-retest procedures. Its validity was assessed using exploratory factor analysis and the hypothesis testing procedure. Findings demonstrated that eHEALS was internally consistent (α = .94) and stable (t [244] = −1.48, p = .140). The exploratory factor analysis yielded a single factor structure explaining 67.3% of the variance. The hypothesis testing also supported the validity of eHEALS. In recent years, there have been great efforts to use eHealth interventions to engage patients in health care and to help them manage their own health. Our study suggests that the eHEALS, a short screening tool for eHealth literacy, can be successfully used for older adults.

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“…Although digital literacy is a relatively new concept in psycho-oncology, similar findings have begun to emerge in this area. For example, in a survey of lung cancer survivors, selfperceived digital literacy was generally low and inversely related to age (Milne et al, 2015).…”

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confidence: 99%

Digital literacy linked to engagement and psychological benefits among breast cancer survivors in Internet‐based peer support groups

et al. 2019

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Objective Internet‐based peer support groups (ISGs) represent an innovative, scalable approach to addressing information and support needs of cancer survivors. However, this innovation may not benefit survivors equally due to population variance in digital literacy. This study examined how digital literacy influences level of engagement in and psychological benefits from participating in ISGs for breast cancer (N = 183). Methods Secondary analysis of data from a randomised trial of ISGs that included behavioural measures of engagement, subjective ratings and psychological distress symptoms. Results Digital literacy was positively related to education level (p = .005). Relative to women with high digital literacy, those with lower digital literacy were more likely to report difficulties using the ISG and to value the user's guide and facilitator assistance (all p's < .05). Digital literacy was negatively correlated with computer anxiety pre‐intervention, distress before and after online chat during the intervention and post‐intervention depressive symptoms (all p's < .05). Conclusion Low digital literacy is associated with computer anxiety and barriers to ISG use, as well as distress during and after ISG use. Digital literacy must be taken into account when designing or delivering innovative digital interventions for cancer survivors.

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Predictors of High eHealth Literacy in Primary Lung Cancer Survivors

Cited by 80 publications

References 22 publications

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Disparities in Cancer Survivorship Indicators in the Deep South Based on BRFSS Data: Recommendations for Survivorship Care Plans

Testing Reliability and Validity of the eHealth Literacy Scale (eHEALS) for Older Adults Recruited Online

Digital literacy linked to engagement and psychological benefits among breast cancer survivors in Internet‐based peer support groups

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