使用GR-eHEALS问卷评估德国运动员的电子健康素养与健康结果之间的关联：一项验证和结果研究。

Association between eHealth literacy and health outcomes in German athletes using the GR-eHEALS questionnaire: a validation and outcome study.

作者信息

Geiger Sheila, Esser Anna Julia, Marsall Matthias, Muehlbauer Thomas, Skoda Eva-Maria, Teufel Martin, Bäuerle Alexander

机构信息

Clinic for Psychosomatic Medicine and Psychotherapy, LVR-University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Centre for Translational Neuro- and Behavioral Sciences (C-TNBS), University of Duisburg- Essen, 45147, Essen, Germany.

出版信息

BMC Sports Sci Med Rehabil. 2024 May 24;16(1):117. doi: 10.1186/s13102-024-00902-9.

DOI:10.1186/s13102-024-00902-9

PMID:38790069

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11127337/

Abstract

BACKGROUND

Athletes face various sports-related stressors, which may increase their risk for physical and mental health symptoms. With the internet as an important source of (health) information, it is important for athletes to have eHealth literacy, i.e. the ability to access, understand and use electronic health information and services. However, it is presently uncertain whether eHealth literacy of athletes is linked to better health outcomes such as reduced injury frequency and behaviours like decreased substance abuse.

METHODS

A cross-sectional study was conducted with N = 373 German athletes (229 females) from different types of sport (e.g., ball sports and water sports) who were included in the statistical analyses. The survey included medical, socio-demographic, eHealth- and sports-related data as well as the eHealth Literacy Scale (GR-eHEALS) questionnaire, which measures eHealth literacy. Confirmatory factor analyses and correlational analyses were performed to determine the convergent and discriminant (compared to the 8-item Impulsive Behavior-8 Scale) validity of the GR-eHEALS and to assess the relation between eHealth literacy scores and health outcomes.

RESULTS

The more frequently athletes had sustained minor or moderate injuries in the past, the higher the level of eHealth literacy they reported. Furthermore, consumption frequency of painkillers (r = .18, p = .002), sedatives (r = .12, p = .040), and cannabis (r = .29, p = .000) was significantly correlated with eHealth literacy scores. The confirmatory factor analysis of the GR-eHEALS showed an acceptable model fit with a 2-factor solution (information seeking and information appraisal). The GR-eHEALS showed good discriminant (r = - .09, p = .21) and convergent validity (digital confidence; r = .28, p < .001).

CONCLUSION

The GR-eHEALS is a valid instrument to assess eHealth literacy within the cohort of German athletes. Potential dangers of dealing with injury and psychological strain without reaching out for professional help should be considered.

摘要

背景

运动员面临各种与运动相关的压力源，这可能会增加他们出现身心健康症状的风险。互联网是（健康）信息的重要来源，对运动员来说，具备电子健康素养很重要，即获取、理解和使用电子健康信息及服务的能力。然而，目前尚不确定运动员的电子健康素养是否与更好的健康结果相关，如降低受伤频率以及减少药物滥用等行为。

方法

对来自不同运动类型（如球类运动和水上运动）的N = 373名德国运动员（229名女性）进行了一项横断面研究，并将其纳入统计分析。该调查包括医疗、社会人口统计学、电子健康和运动相关数据，以及测量电子健康素养的电子健康素养量表（GR - eHEALS）问卷。进行了验证性因素分析和相关性分析，以确定GR - eHEALS的收敛效度和区分效度（与8项冲动行为 - 8量表相比），并评估电子健康素养得分与健康结果之间的关系。

结果

运动员过去遭受轻微或中度损伤的频率越高，他们报告的电子健康素养水平就越高。此外，止痛药（r = 0.18，p = 0.002）、镇静剂（r = 0.12，p = 0.040）和大麻（r = 0.29，p = 0.000）的使用频率与电子健康素养得分显著相关。GR - eHEALS的验证性因素分析显示，采用双因素解决方案（信息寻求和信息评估）时模型拟合度可接受。GR - eHEALS显示出良好的区分效度（r = -0.09，p = 0.21）和收敛效度（数字信心；r = 0.28，p < 0.001）。