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

• Published in: International journal of environmental research and public health Vol. 15; no. 7; p. 1553
• Main Authors: Chang, Angela, Schulz, Peter J
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 23.07.2018; MDPI
• Subjects: Adolescent; Adult; Adults; Aged; China; Chronic Disease; Chronic illnesses; Communication; Computer literacy; Data processing; Decision making; Economic growth; Female; Generalized linear models; Health care; Health education; Health literacy; Health Literacy - statistics & numerical data; Health problems; Health Status; Humans; Industrialized nations; Information literacy; Internet; Internet resources; Male; Middle Aged; Older people; Patients; Public health; Quantitative psychology; Researchers; Skills; Studies; Surveys and Questionnaires; Telemedicine; University students; Validity; Young Adult; China; Switzerland; Macao; health status; health promotion; Internet; literacy knowledge; mobile use
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph15071553

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.