Evidence map›Paper›PMID 37996858›Full record

ArticleBMC psychology2023

Preliminary validity testing of the eHealth Literacy Questionnaire (eHLQ): a Confirmatory Factor Analysis (CFA) in Norwegian hospitalized patients.

Å Hermansen, M H Andersen, C R Borge, K G Dahl, M H Larsen, K Lønning, K B Meyer, T K Vidnes, A K Wahl

Abstract read
In one paragraph

Article in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  5. Article
  6. eHealth Literacy Assessment Instruments: Scoping Review.Journal of medical Internet research · 2025
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Å HermansenDepartment of Social Work, Child Welfare and Social Policy, Faculty of Social Sciences, Oslo Metropolitan University, Oslo, Norway. asmuhe@oslomet.no.ORCID http://orcid.org/0000-0002-0826-0689
M H AndersenDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
C R BorgeDepartment of Interdisciplinary Health. Institute of Health and Society, Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.
K G DahlDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
M H LarsenLovisenberg Diaconale University College, Oslo, Norway.
K LønningDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
K B MeyerDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
T K VidnesDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
A K WahlDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-5545-5710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo perform the first psychometric analysis of the Norwegian version of the eHLQ using confirmative factor analysis (CFA) procedures in a population of patients admitted to hospital using a cross-sectional design. The eHLQ consists of 35 items capturing the 7-dimensional eHealth Literacy Framework (eHLF) which describes users' attributes, user's interaction with technologies and user's experience with digital health systems.

methodsThe 7 independent scales of the eHLQ was translated from Danish and culturally adapted into the Norwegian language following a standardised protocol. Assessment of construct validity of the eHLQ was undertaken using data from a cross-sectional survey of 260 patients hospitalized at a Norwegian University Hospital in the Oslo area during a two-week period in June 2021. The analysis included using correlation analysis (Pearsons R), internal consistency (Cronbach's alpha) and confirmatory factor analysis (CFA).

resultsAll factor loadings were high to acceptable (i.e. > 0.6), except for five items which had somewhat lower loadings. Regarding internal consistency, alpha ranged from 0.73 to 0.90. For optimal CFA fit for the different scale models, correlated residuals were required for five of the seven scales. Overall our analysis shows an intermediate fit of the orginal construct. Scale intercorrelations were all below 0.8, indicating an overall acceptable discriminant validity between the 7 dimensions.

conclusionsThe results from the CFA analysis indicate that for almost all 7 eHLQ scales, an acceptable model fit was achieved. The 260 hospitalized patients included in this study represented a variety of diagnoses, recruited from a geographically limited area. Further studies on psychometric properties of the Norwegian version of eHLQ in larger samples, diverse settings and by using more comprehensive approaches are warranted.

Indexed as

LiteracyTelemedicineCross-Sectional StudiesFactor Analysis, StatisticalHumansLanguageNorwayPsychometricsReproducibility of ResultsSurveys and QuestionnairesConfirmatory Factor AnalysisEhealth literacyeHealth Literacy Questionnaire (eHLQ)Hospitalization

Identifiers

PMID37996858
PMCPMC10668391

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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.