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Open AccessArticle

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

1
Department of Communication, University of Macau, E21, Avenida da Universidade, Taipa, Macau, China
2
Institute of Communication and Health, Lugano University, Switzerland, Ex Laboratorio, Via Buffi 13, 6904 Lugano, Switzerland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2018, 15(7), 1553; https://doi.org/10.3390/ijerph15071553
Received: 26 June 2018 / Revised: 17 July 2018 / Accepted: 19 July 2018 / Published: 23 July 2018
(This article belongs to the Special Issue Health Literacy in Context—Settings, Media, and Populations)
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. View Full-Text
Keywords: literacy knowledge; health promotion; health status; Internet; mobile use literacy knowledge; health promotion; health status; Internet; mobile use
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Chang, A.; Schulz, P.J. The Measurements and an Elaborated Understanding of Chinese eHealth Literacy (C-eHEALS) in Chronic Patients in China. Int. J. Environ. Res. Public Health 2018, 15, 1553.

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