ArticleJournal of medical Internet research2021
Arabic Version of the Electronic Health Literacy Scale in Arabic-Speaking Individuals in Sweden: Prospective Psychometric Evaluation Study.
Article in Journal of medical Internet research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 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
- Factors influencing the e-health literacy in cancer patients: a systematic review.Journal of cancer survivorship : research and practice · 2023Pooled it
- 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
- Measuring eHealth Literacy in the European Economic Area, Switzerland, and the United Kingdom: Scoping Review.Journal of medical Internet research · 2026Article
- Co-Creation, Translation, and Localization of a Trauma-Informed Digital Mental Health Intervention for Frontline Workers: Protocol for a Multi-Country Feasibility Study.JMIR research protocols · 2026Article
- Modeling Behavioral Determinants of Following and Verifying AI-Generated Health Advice: The Roles of eHealth Literacy, Cognitive Load, and Technology Self-Efficacy.Journal of multidisciplinary healthcare · 2026Article
- Article
- Correlates and Detection of Digital Health Literacy in Patients With Colorectal Carcinoma or Non-Hodgkin Lymphoma: Cross-Sectional Study.JMIR cancer · 2025Article
- eHealth Literacy Assessment Instruments: Scoping Review.Journal of medical Internet research · 2025Article
- eHealth Literacy and Trust in Health Information Sources.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Future health technology trends, policy, and governance perspective: the Turkish case.Health research policy and systems · 2024Article
- eHealth literacy of migrant domestic workers in Hong Kong in the COVID-19 pandemic: A mixed methods study.PloS one · 2024Article
- Rational Drug and Antibiotic Use Status, E-Health Literacy in Syrian Immigrants and Related Factors: A Cross-Sectional Study.Antibiotics (Basel, Switzerland) · 2023Article
- The Association between Electronic Health Literacy and Oral Health Outcomes among Dental Patients in Saudi Arabia: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- Validity and reliability of the swedish versions of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires.BMC public health · 2023Article
- Validity and reliability of the arabic version of the HLS-EU-Q16 and HLS-EU-Q6 questionnaires.BMC public health · 2023Article
- Examining Ethnic Disparities in Digital Healthcare Services Utilization: Insights from Israel.Journal of multidisciplinary healthcare · 2023Article
- Childhood environmental harshness and unpredictability negatively predict eHealth literacy through fast life-history strategy.Frontiers in psychology · 2023Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth information is often communicated through the internet. It is vital for the end user to have a range of digital skills as well as understand the information to promote their health. There is a valid and reliable 8-item instrument, the Electronic Health Literacy Scale (eHEALS), that evaluates these skills. The number of Arabic-speaking people migrating to Sweden and to other parts of the world is increasing due to unstable military and political situations in their countries of origin. Poor health and limited health literacy have been described in this population in Sweden. Still, to our knowledge, an Arabic version of eHEALS has not been tested for validity or reliability. Thus, Arabic-speaking populations in Sweden cannot be included in studies measuring eHealth literacy, which does not support equal treatment in health care.
objectiveThe aim of this study was to translate and adapt the original English eHEALS version into Arabic and to evaluate its psychometric properties.
methodsThe eHEALS was rigorously translated, adapted, and evaluated for content validity. We conducted prospective psychometric evaluation with natively Arabic-speaking participants living in Sweden. Construct validity, factor structure, internal consistency, and test-retest reliability were evaluated using Spearman correlation, principal component analysis, Cronbach α, and weighted quadratic Cohen κ, respectively.
resultsThe study population consisted of Arabic-speaking participants (n=298; age: mean 41.8 years, SD 10.5). Construct validity was supported with weak and moderate correlations. Principal component factor analysis revealed a one-factor structure. Internal consistency was high (Cronbach α=0.92); test-retest reliability was acceptable (weighted quadratic Cohen κ=0.76). Evaluation indicated that eHealth literacy threshold values should be dichotomized (limited and sufficient) rather than trichotomized (inadequate, problematic, and sufficient).
conclusionsThe Arabic version of eHEALS, a unidimensional scale that is valid and reliable for measuring eHealth literacy among natively Arabic-speaking people in Sweden, was found to be acceptable and feasible in a general population.
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