ArticleJournal of medical Internet research2019
The Psychometric Properties of the Chinese eHealth Literacy Scale (C-eHEALS) in a Chinese Rural Population: Cross-Sectional Validation Study.
Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.
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Who cites it
51 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Systematic review of the measurement properties of patient-reported outcome measures (PROMs) of eHealth literacy in adult populations.Systematic reviews · 2026Pooled it
- Definitions and measurement of health literacy in health and medicine research: a systematic review.BMJ open · 2022Pooled it
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- eHealth Literacy Instruments: Systematic Review of Measurement Properties.Journal of medical Internet research · 2021Pooled it
- Effectiveness of the Support From Community Health Workers and Health Care Professionals on the Sustained Use of Wearable Monitoring Devices Among Community-Dwelling Older Adults: Feasibility Randomized Controlled Trial.Journal of medical Internet research · 2024Trial
- Diverse Short Video Exposure and Post-Traumatic Growth among 2021 Henan Floods Victims: A 3-month Follow-up Study via Network Approach.The Psychiatric quarterly · 2026Article
- Evaluating eRAMP telecare for diabetes in outpatient clinics: a hybrid effectiveness-implementation study.NPJ digital medicine · 2026Article
- Digital Engagement and Cognitive Function Among Older Adults in China: Cross-Sectional Questionnaire Study and Moderated Mediation Model Analysis.Journal of medical Internet research · 2026Article
- Cancer cognition in basic education teachers: interactions with cancer fear, e-health literacy, and self-efficacy.BMC psychology · 2026Article
- Relationship between digital health literacy and self-assessment of health among older adults in Xuzhou City: based on the mediating effect of health self-management.Frontiers in public health · 2026Article
- Heterogeneity of eHealth literacy and treatment burden in older adults with heart failure: a multidimensional latent profile analysis.Frontiers in public health · 2026Article
- mHealth Use, Preferences, Barriers, and eHealth Literacy Among Patients With Inflammatory Bowel Disease: Survey Study.JMIR human factors · 2025Article
- Digital Divide in Awareness, Want, and Adoption Across Diverse eHealth Services: Cross-Sectional Survey of Inpatients in Jinan, China.Journal of medical Internet research · 2025Article
- Rasch analysis of the mobile version of the eHealth literacy scale for cardiovascular disease patients.Scientific reports · 2025Article
- Public understanding and misuse of antibiotics in China: insights from a comprehensive national survey.The Lancet regional health. Western Pacific · 2025Article
- Smart Technology Facilitated Patient-Centered Venous Thromboembolism Management (the SmaVTE Study): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- Role of introvert and extrovert personalities in perception of COVID-19's impact, psychological state, knowledge, infection, and preparedness preferences.BMC public health · 2025Article
- Psychometric Analysis of the eHealth Literacy Scale in Portuguese Older Adults (eHEALS-PT24): Instrument Development and Validation.Journal of medical Internet research · 2025Article
- Study protocol: A national cross-sectional study on psychology and behavior investigation of Chinese residents in 2023.Health care science · 2024Article
- Relationships Among eHealth Literacy, Physical Literacy, and Physical Activity in Chinese University Students: Cross-Sectional Study.Journal of medical Internet research · 2024Article
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2 authors.
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Abstract
backgroundThe eHealth Literacy Scale (eHEALS) is the most widely used instrument in health studies to measure individual's electronic health literacy. Nonetheless, despite the rapid development of the online medical industry and increased rural-urban disparities in China, very few studies have examined the characteristics of the eHEALS among Chinese rural people by using modern psychometric methods. This study evaluated the psychometric properties of eHEALS in a Chinese rural population by using both the classical test theory and item response theory methods.
objectiveThis study aimed to develop a simplified Chinese version of the eHEALS (C-eHEALS) and evaluate its psychometric properties in a rural population.
methodsA cross-sectional survey was conducted with 543 rural internet users in West China. The internal reliability was assessed using the Cronbach alpha coefficient. A one-factor structure of the C-eHEALS was obtained via principal component analysis, and fit indices for this structure were calculated using confirmatory factory analysis. Subsequently, the item discrimination, difficulty, and test information were estimated via the graded response model. Additionally, the criterion validity was confirmed through hypothesis testing.
resultsThe C-eHEALS has good reliability. Both principal component analysis and confirmatory factory analysis showed that the scale has a one-factor structure. The graded response model revealed that all items of the C-eHEALS have response options that allow for differentiation between latent trait levels and the capture of substantial information regarding participants' ability.
conclusionsThe findings indicate the high reliability and validity of the C-eHEALS and thus recommend its use for measuring eHealth literacy among the Chinese rural population.
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