Assessment of eHealth Literacy in Healthcare Service Users: Construction and Validation of a Measurement Instrument.

Q2 Medicine

Clinical Practice and Epidemiology in Mental Health Pub Date : 2025-07-29 eCollection Date: 2025-01-01 DOI:10.2174/0117450179393541250722062947

Juan Morales, César Augusto Eguia

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引用次数: 0

Abstract

Introduction: eHealth literacy is influenced by Internet access and is associated with health status. The aim of this study was to develop and validate an instrument called eHealth-Much to measure eHealth literacy in users of healthcare services.

Methods: An instrumental research design was used. Content validity was assessed by expert judgment and quantified using Aiken's V coefficient. A polychoric correlation matrix was used for the items. Sample adequacy was assessed through the Kaiser-Meyer-Olkin (KMO) index and Bartlett's test of sphericity before conducting exploratory factor analysis (EFA). The EFA was conducted using the Weighted Least Squares (WLS) extraction method with Oblimin rotation. Reliability was assessed using Cronbach's Alpha (α) and McDonald's Omega (ω) coefficients.

Results: Twelve experts from five different countries participated in the content validation process, obtaining a V coefficient of 0.93 (95% CI: 0.79-0.97). A total of 1,068 health service users of both sexes participated in the construct validity testing. The median age was 32 years (IQR: 13, Q1: 26, Q3: 39; Min: 17, Max: 78). The KMO index was 0.92 (Bartlett's test, p < 0.001). The EFA suggested four factors labeled "Digital Literacy" (WLS1), "Digital Self-Management" (WLS4), "Digital Skill" (WLS3), and "Scientific Empowerment" (WLS2), which together explained 59.3% of the total variance. The reliability coefficients obtained were 0.86 for Cronbach's alpha and 0.90 for McDonald's omega. Percentile ranks and normative scores were also established for the sample.

Discussion: The factorial structure obtained theoretically supports the multidimensionality of the construct, aligning with previous models of digital health literacy.

Conclusion: The scale demonstrates adequate levels of validity and reliability. It may be considered a viable option for use in both primary care settings and hospital environments. Further studies are recommended to expand the psychometric analysis.

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医疗服务使用者电子健康素养评估：测量工具的建构与验证。

电子健康素养受互联网接入的影响，并与健康状况相关。本研究的目的是开发和验证一种名为eHealth- much的工具，以衡量医疗保健服务用户的电子健康素养。方法：采用仪器研究设计。内容效度采用专家判断法评估，采用艾肯V系数量化。对各项目采用了多元相关矩阵。在进行探索性因素分析（EFA）之前，通过Kaiser-Meyer-Olkin （KMO）指数和Bartlett球度检验来评估样本充分性。采用Oblimin旋转加权最小二乘（WLS）提取法进行EFA。采用Cronbach's Alpha （α）和McDonald's Omega （ω）系数评估信度。结果：来自5个不同国家的12位专家参与了内容验证过程，V系数为0.93 （95% CI: 0.79-0.97）。共有1068名男女卫生服务使用者参与了构念效度检验。中位年龄为32岁（IQR: 13, Q1: 26, Q3: 39; Min: 17, Max: 78）。KMO指数为0.92 （Bartlett检验，p < 0.001）。全民教育提出了“数字素养”（WLS1）、“数字自我管理”（WLS4）、“数字技能”（WLS3）和“科学赋权”（WLS2）四个因素，它们共同解释了总方差的59.3%。得到的信度系数Cronbach's alpha为0.86,McDonald's omega为0.90。还为样本建立了百分位排名和规范分数。讨论：获得的析因结构在理论上支持结构的多维性，与先前的数字健康素养模型一致。结论：该量表具有足够的效度和信度。它可以被认为是在初级保健环境和医院环境中使用的可行选择。建议进一步研究以扩大心理测量分析。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Practice and Epidemiology in Mental Health Medicine-Psychiatry and Mental Health

CiteScore

5.30

自引率

0.00%

发文量

期刊介绍： Clinical Practice & Epidemiology in Mental Health is an open access online journal, which publishes Research articles, Reviews, Letters in all areas of clinical practice and epidemiology in mental health covering the following topics: Clinical and epidemiological research in psychiatry and mental health; diagnosis, prognosis and treatment of mental health conditions; and frequencies and determinants of mental health conditions in the community and the populations at risk; research and economic aspects of psychiatry, with special attention given to manuscripts presenting new results and methods in the area; and clinical epidemiologic investigation of pharmaceutical agents. Clinical Practice & Epidemiology in Mental Health, a peer reviewed journal, aims to provide the most complete and reliable source of information on current developments in the field. The emphasis will be on publishing quality articles rapidly and freely available worldwide.