Health Lit Res Pract. 2023 Apr;7(2):e80-e88. doi: 10.3928/24748307-20230417-01. Epub 2023 May 8.
Health literacy is related to a variety of health outcomes, including disease control, health-related quality of life, and risk for death. Few studies have investigated the relation of electronic health literacy (e-health literacy) to outcomes or the mechanism by which they may be related.
Secondary data were drawn from participants in a larger study on chronic disease self-management who were age 40 years and older, had at least one chronic health condition and a health literacy score of 8th grade or below on the validated short form of the Rapid Estimate of Adult Literacy in Medicine. Participants completed the e-Health Literacy Scale (eHEALS), the Multidimensional Health Locus of Control scale, a modified version of the Attitudes Toward Health Care Providers Scale (ATHCPS), the Wake Forest Physician Trust Scale (WFPTS), and the Gonzalez-Lu adherence questionnaire. Hypothesized relations were evaluated in a bootstrapped path analytic model using the Mplus statistical software.
Participants included 334 individuals (mean age: 57.5 years; 173 women and 161 men) with Black, Indigenous, and People of Color accounting for 83.3% of the participants and White individuals making up 16.7% of the participants. Model results showed that after controlling for age, education, gender, and race, the eHEALS score was significantly related to the ATHCPS and WFPTS but not to the Gonzalez-Lu adherence questionnaire ( < .05). The eHEALS score was significantly related to the Multidimensional Health Locus of Control scale. Analysis of indirect effects showed that a portion of the relation between e-health literacy and patient attitude and adherence was mediated by internal locus of control (all < .05).
In this study, e-health literacy was related to important patient attitude and behavior variables via locus of control. This finding has implications for the importance of improving patients' ability to use the internet to access and effectively use health information. [].
健康素养与多种健康结果相关，包括疾病控制、健康相关生活质量和死亡风险。很少有研究调查电子健康素养（e-Health Literacy）与结果之间的关系，或它们可能相关的机制。
从一项更大的慢性病自我管理研究中抽取了参与者的二级数据，这些参与者年龄在 40 岁及以上，至少有一种慢性病，且在经过验证的成人医学快速估计识字能力简短形式测试中，健康素养得分在 8 年级或以下。参与者完成了电子健康素养量表（eHEALS）、多维健康控制源量表、健康照护提供者态度量表（ATHCPS）的改良版、威克森林医师信任量表（WFPTS）和冈萨雷斯-卢依从性问卷。使用 Mplus 统计软件在 bootstrap 路径分析模型中评估了假设关系。
参与者包括 334 人（平均年龄：57.5 岁；173 名女性和 161 名男性），其中黑人、原住民和有色人种占 83.3%，白人占 16.7%。模型结果表明，在控制年龄、教育程度、性别和种族后，eHEALS 评分与 ATHCPS 和 WFPTS 显著相关，但与冈萨雷斯-卢依从性问卷无关（<.05）。eHEALS 评分与多维健康控制源量表显著相关。间接效应分析表明，电子健康素养与患者态度和依从性之间的部分关系是通过内部控制源介导的（均<.05）。
在这项研究中，电子健康素养通过控制源与重要的患者态度和行为变量相关。这一发现对于提高患者利用互联网获取和有效使用健康信息的能力的重要性具有启示意义。
