ArticleJournal of medical Internet research2021
Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation 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 23 papers, 3 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Systematic review of the measurement properties of patient-reported outcome measures (PROMs) of eHealth literacy in adult populations.Systematic reviews · 2026Pooled it
- Psychosocial Determinants of Hand Hygiene, Facemask Wearing, and Physical Distancing During the COVID-19 Pandemic: A Systematic Review and Meta-analysis.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022Pooled it
- Measuring health literacy: A systematic review and bibliometric analysis of instruments from 1993 to 2021.PloS one · 2022Pooled it
- Get Health'e': A Pilot Test of a Digital Health Literacy Intervention for Young Adults.Health literacy research and practice · 2024Trial
- Psychosocial Mediators of Web-Based Interventions for Promoting a Healthy Lifestyle Among Chinese College Students: Secondary Analysis of a Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- How Many Instruments Do We Need? Strengths, Weaknesses, and Potentials for Further Developments of Digital Health Literacy Measurement Instruments: Narrative Overview of Reviews and Content Analysis.Interactive journal of medical research · 2026Review
- Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.Journal of medical Internet research · 2026Article
- Associations between eHealth literacy and 24-hour movement behaviors in older adults: the mediating and moderating roles of self-efficacy.Frontiers in medicine · 2026Article
- Electronic Health Literacy, Psychological Distress, and Quality of Life in Urological Cancer Patients: A Longitudinal Study During Transition from Inpatient to Outpatient Care.Current oncology (Toronto, Ont.) · 2025Observational
- Enhancing digital health literacy in adolescents: evaluation of a co-designed educational app.BMC public health · 2025Article
- The Adult Inpatient eHealth Literacy Scale (AIPeHLS): Development and Validation Study.Journal of medical Internet research · 2025Article
- eHealth Literacy Assessment Instruments: Scoping Review.Journal of medical Internet research · 2025Article
- eHealth Literacy and Participation in Remote Blood Pressure Monitoring Among Patients With Hypertension: Cross-Sectional Study.Journal of medical Internet research · 2025Article
- Decoding e-health literacy among Palestinian adolescents: a qualitative study in the West bank.BMC public health · 2025Article
- Relationship Between Pregnant Women's eHealth Literacy and Their Attitudes Toward Sexuality.Brain and behavior · 2025Article
- Electronic Health Literacy Scale-Web3.0 for Older Adults with Noncommunicable Diseases: Validation Study.Journal of medical Internet research · 2024Article
- Prospective association of eHealth literacy and health literacy with physical activity among Chinese college students: a multiple mediation analysis.Frontiers in public health · 2024Article
- Association of 24-hour movement guideline adherence, mental health and quality of life in young adults: the role of e-Health literacy.Frontiers in public health · 2024Article
- Further Examination of the Psychometric Properties of the Multicomponent Mental Health Literacy Scale: Evidence from Chinese Elite Athletes.International journal of environmental research and public health · 2022Article
- Relationships between Perfectionism, Extra Training and Academic Performance in Chinese Collegiate Athletes: Mediating Role of Achievement Motivation.International journal of environmental research and public health · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundeHealth literacy (EHL) refers to a variety of capabilities that enable individuals to obtain health information from electronic resources and apply it to solve health problems. With the digitization of health care and the wide availability of health apps, a more diverse range of eHealth skills is required to properly use such health facilities. Existing EHL measurements focus mainly on the skill of obtaining health information (Web 1.0), whereas skills for web-based interactions (Web 2.0) and self-managing health data and applying information (Web 3.0) have not been well measured.
objectiveThis study aims to develop an EHL scale (eHLS) termed eHLS-Web3.0 comprising a comprehensive spectrum of Web 1.0, 2.0, and 3.0 skills to measure EHL, and evaluate its validity and reliability along with the measurement invariance among college students.
methodsIn study 1, 421 Chinese college students (mean age 20.5, SD 1.4 years; 51.8% female) and 8 health experts (mean age 38.3, SD 5.9 years; 87.5% female) were involved to develop the eHLS-Web3.0. The scale development included three steps: item pool generation, content validation, and exploratory factor analysis. In study 2, 741 college students (mean age 21.3, SD 1.4 years; 52.2% female) were recruited from 4 Chinese cities to validate the newly developed eHLS-Web3.0. The construct validity, convergent validity, concurrent validity, internal consistency reliability, test-retest reliability, and measurement invariance across genders, majors, and regions were examined by a series of statistical analyses, including confirmatory factor analysis (CFA) and multigroup CFAs using SPSS and Mplus software packages.
resultsBased on the item pool of 374 statements collected during the conceptual development, 24 items (4-10 items per subscale) were generated and adjusted after cognitive testing and content validity examination. Through exploratory factor analysis, a 3-factor eHLS-Web3.0 was finally developed, and it included acquisition (8 items), verification (6 items), and application (10 items). In study 2, CFAs supported the construct validity of the 24-item 3D eHLS-Web3.0 (χ
conclusionsThe 24-item 3D eHLS-Web3.0 proved to be a reliable and valid measurement tool for EHL in the Web 3.0 context among Chinese college students.
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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.