E-Health Literacy and Factors Affecting it in Patients Admitted to a University Hospital in Iran

Authors

  • Hadi Lotfnezhad Afshar Department of Health Information Technology, School of Paramedical, Urmia University of Medical Sciences, Urmia, Iran.

Keywords:

Mobile Health, Health literacy, Hospital, E-Health

Abstract

Background: Rapid ICT advancements have affected all aspects of life, and healthcare is no exception. Given the significance of E-Health literacy in the current century and its effect on society and the healthcare system, it seems necessary for patients to have adequate health literacy. However, the lack of essential health literacy leads to the low self-management of diseases.

Objective: This study aimed to investigate E-Health literacy and factors affecting it in patients admitted to a University hospital in Iran.

Methods: This cross-sectional study was conducted in Imam Khomeini University Hospital of Urmia, Iran, in 2019. Data were collected using the Persian version of the E-Health Literacy Questionnaire filled by patients. Participants were selected using simple random sampling. Personal and demographic variables were also collected, and their correlation with E-Health literacy was investigated. The Independent-samples t-test and ANOVA were used to compare different groups.

Results: In this study, 200 patients (103 males and 97 females) (t/f = 41.916), (p=0.000) participated. The mean score of E-Health literacy in patients under study was 25.51 (standard deviation=5.098) which was low and unsatisfactory. Findings suggest that over half of participants were unable to identify and evaluate the quality of online health resources and over half of participants in this study trust online information although they fail to differentiate high quality resources from low quality ones.

Conclusion: Identifying and assessing E-Health literacy of patients is an effective step in improving their health literacy. Findings suggest that these patients need to improve and develop their knowledge of E-Health.

References

Tavousi M, Ebadi M, Azin A, Shakerinejad G, Hashemi A, Fattahi E, et al. Definitions of health literacy: a review of the literature. PAYESH. 2014; 13(1): 119-124

Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC public health. 2012;12(1):1-13. DOI: 10.1186/1471-2458-12-80. PMID: 22276600, PMCID: PMC3292515.

Macdonald JJ, Smith A, Gethin A, Sliwka G, Monaem A, Powell KJ. Pathways to despair: a study of male suicide (aged 25-44). Public Health Res. 2014; 4(2): 62-70. doi: 10.5923/j.phr.20140402.03.

Kickbusch I, Wait S, Maag D. Navigating health: The role of health literacy. 1st ed. Alliance for Health and the Future. 2005.

Baker DW, Wolf MS, Feinglass J, Thompson JA, Gazmararian JA, Huang JJAoim. Health literacy and mortality among elderly persons. Arch Intern Med. 2007;167(14): 1503-9. DOI: 10.1001/archinte.167.14.1503. PMID: 17646604.

Javadzade H. Health literacy among adults of Isfahan, Iran. Health Sys Res. 2013; 9(5): 540-549.

Park JY, June KJ. Influencing factors on functional health literacy among the rural elderly. J Korean Acad Community Health Nurs. 2011; 22(1): 75-85. DOI: https://doi.org/10.12799/jkachn.2011.22.1.75.

MK Booysen. An assessment of the computer literacy status of nurse managers in a private hospital group in the nelson mandela metropolitan university. Faculty of Health Sciences. 2009.

Norman CD, Skinner HAJ. eHEALS: the eHealth literacy scale. J Med Internet Res. 2006;8(4):e27. DOI: 10.2196/jmir.8.4.e27. PMID: 17213046, PMCID: PMC1794004.

Vahedian-Azimi A, Ebadi A, Saadat S, Ahmadi FJ. Intelligence care: a nursing care strategy in respiratory intensive care unit. IRCMJ. 2015;17(11). DOI: 10.5812/ircmj.20551. PMID: 26734480, PMCID: PMC4698142.

Segal J, Sacopulos M, Sheets V, Thurston I, Brooks K, Puccia RJ. Online doctor reviews: do they track surgeon volume, a proxy for quality of care?. J Med Internet Res. 2012;14(2):e50. DOI: 10.2196/jmir.2005. PMID: 22491423, PMCID: PMC3376525.

Nutbeam DJSs, medicine. The evolving concept of health literacy. Soc Sci Med. 2008;67(12):2072-8. DOI: 10.1016/j.socscimed.2008.09.050. PMID: 18952344.

Chan CV, Kaufman DRJ. A framework for characterizing eHealth literacy demands and barriers. J Med Internet Res. 2011;13(4):e94. DOI: 10.2196/jmir.1750. PMID: 22094891, PMCID: PMC3222196

Lewis T. Seeking health information on the internet: lifestyle choice or bad attack of cyberchondria? Media, Culture & Society. 2006;28(4):521–539. doi: 10.1177/0163443706065027.

Osei Asibey B, Agyemang S, Boakye Dankwah A. The Internet Use For Health Information Seeking among Ghanaian university students: a cross-sectional study. Int J Telemed Appl. 2017;2017:9. doi: 10.1155/2017/1756473. PMID: 29225620, PMCID: PMC5684546.

Norman CD, Skinner HAJ. eHealth literacy: essential skills for consumer health in a networked world. J Med Internet Res. 2006;8(2):e506. DOI: 10.2196/jmir.8.2.e9. PMID: 16867972, PMCID: PMC1550701.

Xesfingi S, Vozikis A. eHealth literacy: in the quest of the contributing factors. Interact J Med Res. 2016;5(2):e4749. DOI: 10.2196/ijmr.4749. PMID: 27226146, PMCID: PMC4899620.

Eysenbach G, Jadad ARJ. Evidence-based patient choice and consumer health informatics in the Internet age. J Med Internet Res. 2001;3(2):e19. DOI: 10.2196/jmir.3.2.e19. PMID: 11720961, PMCID: PMC1761898.

Yousefi M, Assariarani A, Sahabi B, Kazemnejad A, Fazaeli S. Development of Electronic Health and Household’s Health Expenditure Reduction. JHIM. 2014;10(6):876-86.

Tubaishat A, Habiballah L. eHealth literacy among undergraduate nursing students. Nurse Educ Today. 2016;42:47-52. DOI: 10.1016/j.nedt.2016.04.003. PMID: 27237352.

Yang S-C, Luo Y-F, Chiang C-HJ. The associations among individual factors, eHealth literacy, and health-promoting lifestyles among college students. J Med Internet Res. 2017;19(1):e15. DOI: 10.2196/jmir.5964. PMID: 28073739, PMCID: PMC5263862.

Park H, Cormier E, Gordon G, Baeg JH. Identifying health consumers’ eHealth literacy to decrease disparities in accessing eHealth information. Comput Inform Nurs. 2016;34(2):71-6. DOI: 10.1097/CIN.0000000000000205. PMID: 26657619.

Dashti S, Peyman N, Tajfard M, Esmaeeli H. E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: a pilot study. Electron Physician. 2017;9(3):3966. DOI: 10.19082/3966. PMID: 28461871, PMCID: PMC5407229.

Rasouli HR, Farajzadeh MA, Tadayon AH. Evaluation of e-health literacy and its predictor factors among patients referred to a military hospital in Tehran, Iran, 2017. J Mil Med. 2018;20(1):83-92.

Ghazimirsaeed S, Ghaemizade M. E-Health Literacy among Postgraduate Students in Tehran University of Medical Sciences, Iran, during 2015-2016. Health Inf Manage 2018;14(6):243-8.

Bazm S, Mirzaei M, Fallahzadeh H, Bazm RJ. Validity and reliability of Iranian version of eHealth literacy scale. JCHR. 2016;5(2):121-30.

Bora JK, Saikia N. Gender differentials in self-rated health and self-reported disability among adults in India. PLoS One. 2015;10(11):e0141953. DOI: 10.1371/journal.pone.0141953. PMID: 26536133, PMCID: PMC4633186.

Jerdén L, Burell G, Stenlund H, Weinehall L, Bergström EJ. Gender differences and predictors of self-rated health development among Swedish adolescents. J Adolesc Health. 2011;48(2):143-50. Doi: https://doi.org/10.1016/j.jadohealth.2010.06.005.

Huang CL, Yang S-C, Chiang C-H. The Associations between Individual Factors, eHealth Literacy, and Health Behaviors among College Students. Int J Environ Res Public Health. 2020;17(6):2108. DOI: 10.3390/ijerph17062108. PMID: 32235749, PMCID: PMC7143736.

Richtering SS, Hyun K, Neubeck L, Coorey G, Chalmers J, Usherwood T, et al. eHealth literacy: predictors in a population with moderate-to-high cardiovascular risk. JMIR Hum Factors. 2017;4(1):e4. DOI: 10.2196/humanfactors.6217. PMID: 28130203, PMCID: PMC5303199.

Fung IC-H, Hao Y, Cai J, Ying Y, Schaible BJ, Yu CM, et al. Chinese social media reaction to information about 42 notifiable infectious diseases. PLoS One. 2015;10(5):e0126092. DOI: 10.1371/journal.pone.0126092. PMID: 25946020, PMCID: PMC4422708.

Mitsutake S, Shibata A, Ishii K, Oka KJ. Association of eHealth literacy with colorectal cancer knowledge and screening practice among internet users in Japan. J Med Internet Res. 2012;14(6):e153. DOI: 10.2196/jmir.1927. PMID: 23149453, PMCID: PMC3510729.

Van der Vaart R, Van Deursen AJ, Drossaert CH, Taal E, van Dijk JA, van de Laar MAJ. Does the eHealth Literacy Scale (eHEALS) measure what it intends to measure? Validation of a Dutch version of the eHEALS in two adult populations. J Med Internet Res. 2011;13(4):e86. DOI: 10.2196/jmir.1840. PMID: 22071338, PMCID: PMC3222202.

Park H, Lee E. Self-reported eHealth literacy among undergraduate nursing students in South Korea: a pilot study. Nurse Educ Today. 2015;35(2):408-413. DOI: 10.1016/j.nedt.2014.10.022. PMID: 25466791.

Stellefson M, Hanik B, Chaney B, Chaney D, Tennant B, Chavarria EAJ. eHealth literacy among college students: a systematic review with implications for eHealth education. J Med Internet Res. 2011;13(4):e102. DOI: 10.2196/jmir.1703. PMID: 22155629, PMCID: PMC3278088.

Tomás C, Queirós P, Ferreira TJ. Analysis of the psychometric properties of the Portuguese version of an eHealth literacy assessment tool. Revista de Enfermagem Referencia. 2014;4(2):19-28. DOI: 10.12707/RIV14004.

Hanik B, Stellefson MJIE. E-Health Literacy Competencies among Undergraduate Health Education Students: A Preliminary Study. JoHE. 2011;14:46-58.

Knapp C, Madden V, Wang H, Sloyer P, Shenkman EJ. Internet use and eHealth literacy of low-income parents whose children have special health care needs. J Med Internet Res. 2011;13(3):e75. DOI: 10.2196/jmir.1697. PMID: 21960017, PMCID: PMC3222184.

Neter E, Brainin EJ. eHealth literacy: extending the digital divide to the realm of health information. J Med Internet Res. 2012;14(1):e19. DOI: 10.2196/jmir.1619. PMID: 22357448, PMCID: PMC3374546.

Choi NG, & DiNitto DM. The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/internet use. Journal of Medical Internet Research, 15(5), e93. doi: 10.2196/jmir.2645. PMID: 23639979, PMCID: PMC3650931.

Stellesfson M, Hanik B, Chaney B, Chaney D, Tennat B, Chavarria EA. eHealth literacy among college students: a systematic review with implications for eHealth education. J Med Internet Res. 2011;13:4. DOI: 10.2196/jmir.1703. PMID: 22155629, PMCID: PMC3278088.

Robb M, Shellenbarger TJO-L. Influential factors and perceptions of eHealth literacy among undergraduate college students. Online J. Nurs. Inform. 2014;18(3).

Brown CA, Dickson R. Healthcare students'e-literacy skills. J Allied Health. 2010;39(3):179-184. PMID: 21174023.

Manafò E, Wong S. Assessing the eHealth literacy skills of older adults: A preliminary study. J. Consum. 2012;16(4):369-81. DOI: 10.1080/15398285.2012.701163.

Downloads

Published

2022-07-17