Evidence map›Paper›PMID 28872905›Full record

ArticleHealth communication2018

Web-based Health Information Seeking and eHealth Literacy among Patients Living with Chronic Obstructive Pulmonary Disease (COPD).

Michael L Stellefson, Jonathan J Shuster, Beth H Chaney, Samantha R Paige, Julia M Alber, J Don Chaney, P S Sriram

Abstract read
In one paragraph

Article in Health communication, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Factors influencing the e-health literacy in cancer patients: a systematic review.Journal of cancer survivorship : research and practice · 2023
    Pooled it
  3. Pooled it
  4. Article
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  7. [Relevance of eHealth Literacy (eHL) for health services research and practice - Part II].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026
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  16. eHealth Literacy and Trust in Health Information Sources.Healthcare (Basel, Switzerland) · 2025
    Article
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  18. Article
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15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michael L Stellefsona Department of Health Education and Promotion , East Carolina University.
Jonathan J Shusterb Department of Health Outcomes and Policy , University of Florida.
Beth H Chaneya Department of Health Education and Promotion , East Carolina University.
Samantha R Paigec Department of Health Education and Behavior , University of Florida.
Julia M Alberd Kinesiology Department , California Polytechnic State University.
J Don Chaneya Department of Health Education and Promotion , East Carolina University.
P S Srirame Division of Pulmonary and Critical Care Medicine, College of Medicine , University of Florida.

Funding

UF Clinical and Translational Science AwardKL2TR000065 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$1.6M
NCATS NIH HHS KL2 TR000065
6 · The paper itself

Abstract

Many people living with Chronic Obstructive Pulmonary Disease (COPD) have low general health literacy; however, there is little information available on these patients' eHealth literacy, or their ability to seek, find, understand, and appraise online health information and apply this knowledge to address or solve disease-related health concerns. A nationally representative sample of patients registered in the COPD Foundation's National Research Registry (N = 1,270) was invited to complete a web-based survey to assess socio-demographic (age, gender, marital status, education), health status (generic and lung-specific health-related quality of life), and socio-cognitive (social support, self-efficacy, COPD knowledge) predictors of eHealth literacy, measured using the 8-item eHealth literacy scale (eHEALS). Over 50% of the respondents (n = 176) were female (n = 89), with a mean age of 66.19 (SD = 9.47). Overall, participants reported moderate levels of eHealth literacy, with more than 70% feeling confident in their ability to find helpful health resources on the Internet. However, respondents were much less confident in their ability to distinguish between high- and low-quality sources of web-based health information. Very severe versus less severe COPD (β = 4.15), lower lung-specific health-related quality of life (β = -0.19), and greater COPD knowledge (β = 0.62) were significantly associated with higher eHealth literacy. Higher COPD knowledge was also significantly associated with greater knowledge (ρ = 0.24, p = .001) and use (ρ = 0.24, p = .001) of web-based health resources. Findings emphasize the importance of integrating skill-building activities into comprehensive patient education programs that enable patients with severe cases of COPD to identify high-quality sources of web-based health information. Additional research is needed to understand how new social technologies can be used to help medically underserved COPD patients benefit from web-based self-management support resources.

Indexed as

Health Knowledge, Attitudes, PracticeHealth LiteracyInformation Seeking BehaviorAdultAgedAged, 80 and overFemaleHumansInternetLinear ModelsMaleMiddle AgedPatientsPulmonary Disease, Chronic ObstructiveQuality of LifeRegistries

Identifiers

PMID28872905
PMCPMC6097958

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.