ArticleHealth literacy research and practice2023
e-Health Literacy Scale, Patient Attitudes, Medication Adherence, and Internal Locus of Control.
Article in Health literacy research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Health behaviours as a mediator between health locus of control and cardiovascular risk in young adults with congenital heart defects.Scientific reports · 2026Article
- The mediating role of E-health literacy and physical literacy in developing nutrition, physical activity, and health beliefs.Frontiers in public health · 2026Article
- A cross-sectional study on the impact of administrative procedures and medical staff services on patient satisfaction with trust in public sector hospitals: the moderating role of e-health knowledge.BMC health services research · 2025Article
- eHealth Literacy and Trust in Health Information Sources.Healthcare (Basel, Switzerland) · 2025Article
- Identifying Dimensions and Items for a Questionnaire to Assess Medication Adherence in Men and Women with Ischemic Heart Disease: Insights from the GENADHECAR Study.Patient preference and adherence · 2025Article
- Digital Technology Characteristics and Literacy Among Families With Children With Asthma: Cross-Sectional Study.JMIR pediatrics and parenting · 2023Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
backgroundHealth literacy is related to a variety of health outcomes, including disease control, health-related quality of life, and risk for death. Few studies have investigated the relation of electronic health literacy (e-health literacy) to outcomes or the mechanism by which they may be related.
methodsSecondary data were drawn from participants in a larger study on chronic disease self-management who were age 40 years and older, had at least one chronic health condition and a health literacy score of 8th grade or below on the validated short form of the Rapid Estimate of Adult Literacy in Medicine. Participants completed the e-Health Literacy Scale (eHEALS), the Multidimensional Health Locus of Control scale, a modified version of the Attitudes Toward Health Care Providers Scale (ATHCPS), the Wake Forest Physician Trust Scale (WFPTS), and the Gonzalez-Lu adherence questionnaire. Hypothesized relations were evaluated in a bootstrapped path analytic model using the Mplus statistical software. KEY
resultsParticipants included 334 individuals (mean age: 57.5 years; 173 women and 161 men) with Black, Indigenous, and People of Color accounting for 83.3% of the participants and White individuals making up 16.7% of the participants. Model results showed that after controlling for age, education, gender, and race, the eHEALS score was significantly related to the ATHCPS and WFPTS but not to the Gonzalez-Lu adherence questionnaire (
conclusionsIn this study, e-health literacy was related to important patient attitude and behavior variables via locus of control. This finding has implications for the importance of improving patients' ability to use the internet to access and effectively use health information. [
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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.