Abstract：
BACKGROUND:Chronic disease patients are affected by low computer and health literacy, which negatively affects their ability to benefit from access to online health information. OBJECTIVE:To estimate reliability and confirm model specifications for eHealth Literacy Scale (eHEALS) scores among chronic disease patients using Classical Test (CTT) and Item Response Theory techniques. METHODS:A stratified sample of Black/African American (N=341) and Caucasian (N=343) adults with chronic disease completed an online survey including the eHEALS. Item discrimination was explored using bi-variate correlations and Cronbach's alpha for internal consistency. A categorical confirmatory factor analysis tested a one-factor structure of eHEALS scores. Item characteristic curves, in-fit/outfit statistics, omega coefficient, and item reliability and separation estimates were computed. RESULTS:A 1-factor structure of eHEALS was confirmed by statistically significant standardized item loadings, acceptable model fit indices (CFI/TLI>0.90), and 70% variance explained by the model. Item response categories increased with higher theta levels, and there was evidence of acceptable reliability (ω=0.94; item reliability=89; item separation=8.54). CONCLUSION:eHEALS scores are a valid and reliable measure of self-reported eHealth literacy among Internet-using chronic disease patients. PRACTICE IMPLICATIONS:Providers can use eHEALS to help identify patients' eHealth literacy skills.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Paige SR,Krieger JL,Stellefson M,Alber JMdoi
10.1016/j.pec.2016.09.008subject
Has Abstractpub_date
2017-02-01 00:00:00pages
320-326issue
2eissn
0738-3991issn
1873-5134pii
S0738-3991(16)30418-9journal_volume
100pub_type
杂志文章abstract：:Increases in patient participation in medical interactions have been achieved to date using structured waiting-room interviews. In this pilot study, a printed intervention was tested as an inexpensive alternative with potential for wider dissemination. Sixty-seven family medicine patients were assigned randomly to one...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0738-3991(88)90036-5
更新日期：1988-08-01 00:00:00
abstract：:With much of the developed world having the increasing sociologic and economic problems of an aging population, there is an increased awareness of educating patients to not only understand and follow the instructions of their medical teams but to have increased responsibility for their own care. Of all the chronic con...
journal_title：Patient education and counseling
pub_type： 历史文章,杂志文章
doi：10.1016/0738-3991(95)00735-i
更新日期：1995-09-01 00:00:00
abstract：OBJECTIVES:When a physician believes that the troubles of caring for a patient outweigh the rewards, he or she can move--"turf", the unwanted patient from his or her own to another physician's territory. Physicians receiving such patients can feel burdened by, and resentful about, caring for those who are "turfed" to t...
journal_title：Patient education and counseling
pub_type： 杂志文章
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abstract：OBJECTIVES:Approximately 6-20% of breast cancer patients undergoing lymph node surgery will develop lymphedema. At-risk individuals are encouraged to seek professional healthcare advice if symptoms arise. This study aimed to identify cognitive and affective factors associated with professional healthcare advice (PHCA) ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.10.010
更新日期：2018-03-01 00:00:00
abstract：:In this study, the relationship between (a) doctor's and patients' communication and (b) doctors' patient-centredness during the oncological consultation and patients' quality of life and satisfaction was examined. Consultations of 96 consecutive cancer patients were recorded and content analysed by means of the Roter...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(99)00108-1
更新日期：2000-09-01 00:00:00
abstract：:Objective Chronic fatigue syndrome (CFS) patients report limited social support, which can affect symptom severity. Friends are a key source of social support for young adults with CFS, but there is limited research on friends' responses to the CFS label. We explored the potential benefits or harms of the CFS label fo...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2018.10.011
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVES:to examine the relationship between literacy and asthma management with a focus on the oral exchange. METHODS:study participants, all of whom reported asthma, were drawn from the New England Family Study (NEFS), an examination of links between education and health. NEFS data included reading, oral (speaking...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.02.023
更新日期：2011-01-01 00:00:00
abstract：OBJECTIVE:To explore the association between frailty and medication adherence by modeling medication beliefs (i.e., necessity and concerns) as mediators among community-dwelling older patients. METHODS:This cross-sectional study was conducted among 780 Chinese older patients. Frailty, medication adherence and medicati...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.05.013
更新日期：2020-05-15 00:00:00
abstract：:Questionnaires were mailed to 1777 members of the Dutch public (response: 78%), measuring to what extent respondents appreciate life-prolonging treatment, even if it would seriously impair their quality of life. The association between these attitudes and personal characteristics and initiatives to engage in advance c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.10.012
更新日期：2005-11-01 00:00:00
abstract：OBJECTIVE:This study presents ongoing research aimed at understanding the suitability and impact of various decision aids (DAs) on patients with different chronic conditions in the Spanish National Health System. METHODS:A three-phase process was employed to develop and evaluate DAs for patients with hip or knee osteo...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2010.06.001
更新日期：2010-09-01 00:00:00
abstract：OBJECTIVE:The current objective is to validate the Medical Consultation Experience Questionnaire (MCEQ) and to examine distinctions between constructs of patient perceived alliance and experienced confusion in relation to key health outcomes. METHODS:A total of 857 participants were recruited online across two samples...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.09.028
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:Relatively few studies have tracked retention effects of stroke education in low- and high-risk groups. Such information is important to improve the design of stroke prevention programs. METHODS:The frequency of risk factors within the sample was defined as "high" if 30% or more of participants in that group...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.08.024
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVE:Smokers who are not ready to quit are a very difficult group to treat. Physicians, nurses, and nurse practitioners are in a unique position to encourage patients to quit smoking. However, the best approach to do so is not clear. METHODS:A two-group randomized controlled trial with 218 pack-a-day precontempla...
journal_title：Patient education and counseling
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.pec.2010.04.024
更新日期：2011-04-01 00:00:00
abstract：OBJECTIVE:New pharmacological measures assessing medication adherence, including longitudinal drug levels in hair, are emerging. Little is known, however, about how best to present results from such measures to patients and clinicians in comprehensive, easy-to-understand, acceptable formats. We, therefore, developed th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.12.029
更新日期：2019-06-01 00:00:00
abstract：:The effect of a pre-coronary angioplasty education and counselling program on knowledge and psychological status of patients and on knowledge and quality of life/coping status of their spouses was evaluated. Forty patients and their spouses participated in a pre-coronary angioplasty education and counselling program a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(97)00040-2
更新日期：1997-11-01 00:00:00
abstract：:Studies among patients, nurses, and doctors in Dutch hospitals reveal the need for health education. Patients are dissatisfied with the information received and feel that nurses and doctors fail to meet their expectations regarding health education. More attention needs to be given to older, alienated, and low socioec...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/0738-3991(84)90054-5
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVE:To explore contexts of experiences of physical activity perceived as beneficial or harmful for CFS patients. METHODS:A qualitative study with empirical data from two focus groups with purposive sampling. Mean age was 50, two of ten participants were male, and social demographics varied. Participants were inv...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.05.027
更新日期：2011-05-01 00:00:00
abstract：OBJECTIVE:This study explored the patient's experience of the doctor-patient relationship and information giving in health care. The views of patients with a range of literacy levels were examined. METHOD:321 patients at an in-patient cardiology unit provided the sample. The Health Literacy (HL) of participants was as...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.09.026
更新日期：2009-04-01 00:00:00
abstract：:General practitioners' (GPs') anti-smoking advice promotes patients' smoking cessation but little is known about how GPs use their short consultations to give advice. We used semi-structured interviews with 27 UK GPs to investigate how GPs believe they should advise smokers to stop and the reasons underpinning these b...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(03)00020-x
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:Researchers and clinicians acknowledge the complexity of planning for future medical treatment desired in the event of incapacitation. Unfortunately, many attempts to evaluate the quality of such difficult planning have been stymied by the lack of measures that can be shown to have validity. This study examin...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2005.05.003
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:Establish the inter-rater reliability and the concept, convergent and construct validity of an instrument for assessing the competency of physicians in patient education. METHODS:Three raters assessed the quality of patient education in 30 outpatient consultations with the CELI instrument. This instrument is...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.09.007
更新日期：2011-10-01 00:00:00
abstract：:Deregulation of emergency contraceptive pills (ECP) has led to pharmacy staff becoming a new provider group of ECP, together with nurse-midwives, who are already experienced in prescribing contraceptives. This postal questionnaire survey aimed to assess practices and attitudes towards ECP and the over-the-counter (OTC...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2003.08.008
更新日期：2004-10-01 00:00:00
abstract：OBJECTIVES:To evaluate if the contents of pain management websites include the current best practice self-management support strategies for people with persistent pain, are cultural tailored and to determine the website quality. METHODS:Websites were searched from three major search engines (Google, Bing, and Yahoo). ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2019.04.009
更新日期：2019-09-01 00:00:00
abstract：OBJECTIVE:To validate the Norwegian version of MAPPIN'SDM observer scales with regard to reliability, accuracy and the extent to which the scales include the essentials of the shared decision-making concept. METHODS:Three MAPPIN'SDM scales, focusing on the skills of doctor, patient and dyad, were applied to audiovisua...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2016.10.023
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:High adherence is needed to maintain antiretroviral therapy efficacy. Few attempts at therapeutic patient education (TPE) have been made in sub-Saharan Africa. We describe patients' achievements before intervention and identified needs, TPE programme implementation and evaluation, and patients' satisfaction....
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.01.021
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:Our aim was to gather community stakeholder input to inform the development of a digital system linking depression screening to decision support. METHODS:Views and feature requirements were identified through (1) focus groups with patients and consumers with depression, and interviews with primary care clini...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.10.002
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To explore leadership perspectives on how to maintain high quality efficient care that is also person-centered and humanistic. METHODS:The authors interviewed and collected narrative transcripts from a convenience sample of 32 institutional healthcare leaders at seven U.S. medical schools. The institutional ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.04.025
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:To meet the need for an interactive product on exercise during pregnancy and postpartum, we developed and evaluated a personally tailored multimedia CD-ROM. METHODS:Pregnant and postpartum women, who were randomly assigned to either the experimental group (PregXercise CD-ROM) or the control group (CD-ROM wit...
journal_title：Patient education and counseling
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.pec.2007.10.017
更新日期：2008-02-01 00:00:00
abstract：OBJECTIVE:To examine how physicians use information about a patient's background knowledge when both anticipating what a patient knows and producing actual answers in an email counseling setting. METHODS:A fictitious patient used a (high vs. low) level of technical jargon in an email inquiry about diabetes and provide...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2012.01.011
更新日期：2012-08-01 00:00:00
abstract：OBJECTIVE:To develop a feasibility study of a theory-driven telephone counseling program to enhance psychosocial and physical well-being for cancer survivors after treatment. METHODS:Participants (n=66) were recruited from two Colorado hospitals with self-administered questionnaires at baseline and two weeks post-inte...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.04.002
更新日期：2013-08-01 00:00:00
