ArticleJMIR mHealth and uHealth2020
The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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Who cites it
37 citing papers in PubMed, 3 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
- 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
- Factors Associated with e-Health Literacy Among Older Adults in Klang Valley, Malaysia: A Cross-Sectional Survey.Healthcare (Basel, Switzerland) · 2026Article
- Assessment of electronic health literacy and its associated factors among internet -using primary health care attendees in Mansoura district, Egypt: a cross-sectional study.BMC public health · 2026Article
- A patient-derived benchmark for evaluating large language models in connective tissue diseases: blinded multi-stakeholder assessment and guideline comparison.Rheumatology international · 2026Observational
- Measuring eHealth Literacy in the European Economic Area, Switzerland, and the United Kingdom: Scoping Review.Journal of medical Internet research · 2026Article
- Understanding digital health literacy in the arab world: a study of arab adults with diabetes, hypertension, and rheumatoid arthritis residing in Qatar.Frontiers in digital health · 2026Article
- A qualitative study of patient experiences and expectations around hospital care during exacerbations of chronic obstructive pulmonary disease - a health CASCADE study.BMC pulmonary medicine · 2025Article
- Validation of the eHealth Literacy Scale Instrument in a Restless Legs Syndrome Population: Classical Test Theory and Rasch Analysis Study.Journal of medical Internet research · 2025Article
- eHealth Literacy Assessment Instruments: Scoping Review.Journal of medical Internet research · 2025Article
- eHealth Literacy and Its Association With Demographic Factors, Disease-Specific Factors, and Well-Being Among Adults With Type 1 Diabetes: Cross-Sectional Survey Study.JMIR diabetes · 2025Article
- Assessment of communication environment and health literacy of patients on chronic hemodialysis: a multicenter observational study (SMEL-HD study).Clinical and experimental nephrology · 2025Observational
- Psychometric Analysis of the eHealth Literacy Scale in Portuguese Older Adults (eHEALS-PT24): Instrument Development and Validation.Journal of medical Internet research · 2025Article
- Evaluating the Impact of Digital Support on Parental Stress in Swedish Child Health Care: Results From an Intervention Study.International journal of pediatrics · 2025Article
- Health and eHealth Literacy of Patients With Diabetes in Low-Income Countries: Perspective From Guinea and Burkina Faso.JMIR diabetes · 2024Article
- Measuring electronic health literacy in the context of diabetes care: psychometric evaluation of a Persian version of the condition-specific eHealth literacy scale for diabetes.BMC medical informatics and decision making · 2024Article
- Digital health literacy, vaccine information sources, and vaccine acceptance among parents in Ontario: Quantitative findings from a mixed methods study.PLOS global public health · 2024Article
- Rational Drug and Antibiotic Use Status, E-Health Literacy in Syrian Immigrants and Related Factors: A Cross-Sectional Study.Antibiotics (Basel, Switzerland) · 2023Article
- Health literacy in individuals with knee pain-a mixed methods study.BMC public health · 2023Article
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4 authors.
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Abstract
backgroundTo enhance the efficacy of information and communication, health care has increasingly turned to digitalization. Electronic health (eHealth) is an important factor that influences the use and receipt of benefits from Web-based health resources. Consequently, the concept of eHealth literacy has emerged, and in 2006 Norman and Skinner developed an 8-item self-report instrument to measure these skills: the eHealth Literacy Scale (eHEALS). However, the eHEALS has not been tested for reliability and validity in the general Swedish population and no threshold values have been established.
objectiveThe aim of this study was to translate and adapt eHEALS into a Swedish version; evaluate convergent validity and psychometric properties; and determine threshold levels for inadequate, problematic, and sufficient eHealth literacy.
methodsProspective psychometric evaluation study included 323 participants equally distributed between sexes with a mean age of 49 years recruited from 12 different arenas.
resultsThere were some difficulties translating the English concept health resources. This resulted in this concept being translated as health information (ie, Hälsoinformation in Swedish). The eHEALS total score was 29.3 (SD 6.2), Cronbach alpha .94, Spearman-Brown coefficient .96, and response rate 94.6%. All a priori hypotheses were confirmed, supporting convergent validity. The test-retest reliability indicated an almost perfect agreement, .86 (P<.001). An exploratory factor analysis found one component explaining 64% of the total variance. No floor or ceiling effect was noted. Thresholds levels were set at 8 to 20 = inadequate, 21 to 26 = problematic, and 27 to 40 = sufficient, and there were no significant differences in distribution of the three levels between the Swedish version of eHEALS and the HLS-EU-Q16.
conclusionsThe Swedish version of eHEALS was assessed as being unidimensional with high internal consistency of the instrument, making the reliability adequate. Adapted threshold levels for inadequate, problematic, and sufficient levels of eHealth literacy seem to be relevant. However, there are some linguistic issues relating to the concept of health resources.
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