Study On The Application Of The Simplified Chinese Electronic Health Literacy Scale In Health Examination Population

Objectives:1 To evaluate the measurement characteristics of the existing Chinese version of the e-Health Literacy Scale,and to choose the appropriate Chinese version of The e-Health Literacy Scale.2 To evaluate the reliability and validity of the Simplified Chinese version of the e-Health Literacy Scale in the health examination population,to measure the e-health literacy level of the health examination-population and to propose intervention measures.Methods:1 Literature research.The methodological quality of the existing Chinese version of the e-Health Literacy Scale and the strengths and weaknesses of the indicators were evaluated using the COnsensus-based Standards for the selection of health Measurement INstruments(COSMIN)to select a high-quality scale that met the objectives of the study.2 Questionnaire survey.The selected Chinese version of the e-Health Literacy Scale was applied to the health examination population to measure the reliability and validity of the indicators and the current status of e-Health literacy.3 Statistical analysis.To analyse the current situation of e-Health literacy among health examination population and the factors affecting it,and to propose intervention measures.Results:1 The results of the COSMIN showed that the Chinese version of the e-Health Literacy Scale(SC-eHEALS),had better measurement characteristics.2 The SC-eHEALS was used to assess 1,200 health examination population.After eliminating invalid questionnaires,a total of 1,027 valid questionnaires were returned,with a effective response rate of 85.9%.The Cronbach alpha coefficient of the scale was 0.948,the McDonald’s Omega coefficient was 0.957,the Spearman-Brown split-half reliability coefficient was 0.909,and the intraclass correlation coefficient(ICC)of the test-retest reliability was 0.926.The scale was a single factor structure with good content validity and discrimination validity.3 The score of e-health literacy was low in the health examination population.The average score of SC-eHEALS in 1,027 health examination population was 28.64(standard deviation[SD]=5.81),with a pass rate of 36.4%.And the average score of the items was 3.58(SD=0.73).The average scores of the scale for the three dimensions of application,judging and decision making skills of web-based health information and services were 3.63(SD=0.83),3.54(SD=0.85)and 3.40(SD=0.90).4 E-health literacy among health examination population with different characteristics.Single factor analysis showed that different ages,education levels,marital status,usual residence,type of medical insurance,type of occupation,average monthly disposable income(after-tax income),number of medical health examinations,whether they were concerned about their health status,whether they paid attention to proper diet,whether they exercised regularly,whether they smoked,whether they were concerned about their mental health,whether they slept enough and whether they had searched for online health information had an effect on health examination population.The difference was statistically significant(P<0.05).Logistic regression analysis showed that age,type of occupation,number of health examinations,and concern for one’s own mental health state were the influencing factors for the e-health literacy of the health examination population(P<0.05).Conclusions:1 Based on the results of the COSMIN and the assessment of the SC-eHEALS in the health examination population,the SC-eHEALS was suitable for use in the Chinese health examination population for eHealth literacy competency assessment.2 Health examination population were fair in their ability to apply online health information and services,second to none in their ability to judge and the worst in their ability to make decisions.3 Age,type of occupation,number of health examinations,and concern for one’s own mental health status was influential factors in the eHealth literacy of health examination population(P<0.05).4 Establishing the concept of active health management,improving the accessibility of ehealth resources,strengthening post examination e-health literacy education and innovating e-health literacy evaluation system may help to improve the e-health literacy level of health examination population.