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eHealth Literacy, Health Risk Behavior and Health Beliefs in Teenagers and Adults

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Digital Health".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 11699

Special Issue Editors

Dr. Shu-Ching Yang

E-Mail Website
Guest Editor
Institute of Education, National Sun Yat-Sen University, Kaohsiung 80424, Taiwan
Interests: e-health literacy; new media literacy; health psychology; teaching and learning processes associated with various kinds of interactive technologies
Dr. Yi-Fang Luo

E-Mail Website
Guest Editor
Center for Teaching and Learning Development, National Kaohsiung University of Science and Technology, Kaohsiung 805301, Taiwan
Interests: e-health literacy; new media literacy; adolescent psychology; technology learning

Special Issue Information

Dear Colleagues,

The popularity and importance of online access to health information has inspired the creation of numerous eHealth information resources which help Internet users locate knowledge that can help promote and maintain personal health. For teens and young adults, online resources are their primary source of health information. Therefore, whether adolescents and young people have sufficient literacy ability to judge the authenticity and reliability of health information in large, diverse and even contradictory eHealth information is of increasing importance. Currently, the transmission of health knowledge has changed with the advancement of technology and media. This has placed young people in an unfavorable environment for reading health information. Therefore, this Special Issue hopes to provide correct information and cultivate Internet health literacy through the understanding, discussion and analysis of related issues

Dr. Shu-Ching Yang
Dr. Yi-Fang Luo
Guest Editors

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Keywords

  • online health information seeking
  • eHealth literacy
  • health promotion
  • online health information
  • health misinformation
  • digital natives
  • health beliefs
  • teenagers and young adults
  • health literacy
  • new media literacy

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Published Papers (4 papers)

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Research

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12 pages, 579 KiB  
Article
The Association between Self-Rated Health and Health Self-Management Ability of Healthcare Undergraduates: The Chain Mediating Roles of eHealth Literacy and Resistance to Peer Influence
by Guangyi Xu, Yanhong Xu, Xiaomin Tu, Shuaijia Hao and Ting Liu
Int. J. Environ. Res. Public Health 2022, 19(21), 14501; https://doi.org/10.3390/ijerph192114501 - 4 Nov 2022
Cited by 4 | Viewed by 2484
Abstract
Health self-management is important for healthcare undergraduates who are at the late adolescent or early adulthood stage, and will play an important part in health promotion for the general population. Previous research has shown that perceived health status affects health self-management. However, few [...] Read more.
Health self-management is important for healthcare undergraduates who are at the late adolescent or early adulthood stage, and will play an important part in health promotion for the general population. Previous research has shown that perceived health status affects health self-management. However, few studies have uncovered the mechanism between self-rated health and health self-management among healthcare undergraduates. Based on social ecology theory and Pender’s health promotion model, this study aimed to explore the associations between health self-management ability, self-rated health, eHealth literacy and resistance to peer influence of healthcare undergraduates, with a focus on identifying the mediating effects of eHealth literacy and resistance to peer influence. A cross-sectional study was conducted among 515 healthcare undergraduates in Eastern China between July and September 2021. Serial mediation analysis was performed using Haye’s Model 6 PROCESS macro to examine the mediating effects. The study found that health self-management ability was significantly and positively correlated with eHealth literacy, resistance to peer influence and self-rated health. Self-rated health had a direct and positive predictive effect on health self-management, with a direct effect value of 0.654. eHealth literacy and resistance to peer influence played both an independent mediating and a chain-mediating role in the mechanism of self-rated health affecting health self-management among healthcare undergraduates, with indirect effect values of 0.085, 0.101, and 0.013, respectively. The results suggest that eHealth literacy and resistance to peer influence could be intervention targets in programs for improving these students’ health self-management ability. Full article
(This article belongs to the Special Issue eHealth Literacy, Health Risk Behavior and Health Beliefs in Teenagers and Adults)
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15 pages, 1166 KiB  
Article
Effectiveness of Digital Cognitive Behavior Therapy for the Treatment of Insomnia: Spillover Effects of dCBT
by Xinyi Li, Hongying Liu, Ming Kuang, Haijiang Li, Wen He and Junlong Luo
Int. J. Environ. Res. Public Health 2022, 19(15), 9544; https://doi.org/10.3390/ijerph19159544 - 3 Aug 2022
Cited by 1 | Viewed by 2773
Abstract
The effects of digital Cognitive Behavior Therapy for insomnia (dCBT-i) on sleep quality have been previously demonstrated but the spillover effects on fatigue, flow (a state of immersion in activities of interest), and cognitive flexibility remain unclear. The current study examined the effectiveness [...] Read more.
The effects of digital Cognitive Behavior Therapy for insomnia (dCBT-i) on sleep quality have been previously demonstrated but the spillover effects on fatigue, flow (a state of immersion in activities of interest), and cognitive flexibility remain unclear. The current study examined the effectiveness of dCBT-i. A total of 97 college students (20.96 ± 1.87 years, 73.1% female students) were randomly selected from a shortlist and divided into sleep intervention (n = 39), conventional education (n = 37), and healthy control (n = 21) groups. Task switching paradigm, Fatigue Severity Scale (FSS), Flow Experience Scale (FES), and the Chinese version of the Pittsburgh Sleep Quality Index (CPSQI) were measured pre- and post-intervention. Results show that the sleep quality of the intervention group improved, and fatigue was relieved. Participants in the sleep intervention group had increased flow experience scores post-intervention and improved cognitive flexibility. The control group’s sleep quality deteriorated and fatigue level increased. dCBT-i can not only achieve a significant improvement in sleep quality and reduce fatigue, but also improve learning abilities, quality of life, flow, and cognitive flexibility. Future research should pay attention to indicators such as work efficiency, sedative use, and the durability and stability of such effects. Full article
(This article belongs to the Special Issue eHealth Literacy, Health Risk Behavior and Health Beliefs in Teenagers and Adults)
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13 pages, 371 KiB  
Article
The Associations among Gender, Age, eHealth Literacy, Beliefs about Medicines and Medication Adherence among Elementary and Secondary School Teachers
by Chiao Ling Huang, Chia Hsing Chiang, Shu Ching Yang and Fu-Zong Wu
Int. J. Environ. Res. Public Health 2022, 19(11), 6926; https://doi.org/10.3390/ijerph19116926 - 6 Jun 2022
Cited by 4 | Viewed by 2600
Abstract
Background: A lack of health literacy may negatively impact patient adherence behavior in health care delivery, leading to a major threat to individual health and wellbeing and an increasing financial burden on national healthcare systems. Therefore, how to cultivate citizens’ health literacy, especially [...] Read more.
Background: A lack of health literacy may negatively impact patient adherence behavior in health care delivery, leading to a major threat to individual health and wellbeing and an increasing financial burden on national healthcare systems. Therefore, how to cultivate citizens’ health literacy, especially electronic health (eHealth) literacy that is closely related to the Internet, may be seen as a way to reduce the financial burden of the national healthcare systems, which is the responsibility of every citizen. However, previous studies on medication adherence have mostly been conducted with chronic disease patient samples rather than normal samples. Teachers are not only the main body of school health efforts, but also role models for students’ healthy behavior. Therefore, understanding differences in eHealth literacy beliefs among schoolteachers would be helpful for improving the existing health promoting programs and merit specific research. Aims: The present study identified the relationships among gender, age, electronic health (eHealth) literacy, beliefs about medicines, and medication adherence among elementary and secondary school teachers. Methods: A total of 485 teachers aged 22–51 years completed a pen-and-paper questionnaire. The instruments included an eHealth literacy scale, a belief about medicines scale and a medication adherence scale. Results: The results showed a significant difference between genders in necessity beliefs about medication (t = 2.00, p < 0.05), and a significant difference between ages in functional eHealth literacy (F = 3.18, p < 0.05) and in necessity beliefs about medication (Welch = 7.63, p < 0.01). Moreover, age (β = 0.09), functional eHealth literacy (β = 0.12), and necessity beliefs about medication (β = 0.11) positively predicted medication adherence, while concerns about medication (β = −0.23) negatively predicted medication adherence. Conclusions: The results showed that male teachers had stronger concerns about medication than female teachers. Teachers aged 42–51 years had lower functional eHealth literacy and stronger necessity beliefs about medication than teachers aged 22–31 years. In addition, teachers who were older, had higher functional eHealth literacy, had stronger necessity beliefs about medication, and had fewer concerns about medication tended to take their medications as prescribed. These findings revealed that helping teachers develop high eHealth literacy and positive beliefs about medicines is an effective strategy for improving medication adherence. Full article
(This article belongs to the Special Issue eHealth Literacy, Health Risk Behavior and Health Beliefs in Teenagers and Adults)

Review

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9 pages, 1532 KiB  
Review
The Effect of Health Literacy Intervention on Patients with Diabetes: A Systematic Review and Meta-Analysis
by Xue Ran, Yalan Chen, Kui Jiang and Yaqin Shi
Int. J. Environ. Res. Public Health 2022, 19(20), 13078; https://doi.org/10.3390/ijerph192013078 - 12 Oct 2022
Cited by 6 | Viewed by 3103
Abstract
Relevant studies published between January 2010 and June 2021 were identified through relevant databases, including the Science Citation Index Expanded (SCIE) database of Web of Science, PubMed, and Embase, in order to assess the effect of health literacy (HL) intervention on patients with [...] Read more.
Relevant studies published between January 2010 and June 2021 were identified through relevant databases, including the Science Citation Index Expanded (SCIE) database of Web of Science, PubMed, and Embase, in order to assess the effect of health literacy (HL) intervention on patients with diabetes. A total of 21 articles were eligible. The results showed that: (1) this review involved different HL assessment tools, most of which were self-designed scales and assessment tools focused on measuring functional HL. (2) The differences in glycosylated hemoglobin (HbA1c) (weighted mean difference [WMD] = −0.78, 95% confidence interval [CI]: −0.94, −0.62) and medication adherence (standardized mean difference [SMD] = 1.85, 95% CI: 0.19, 3.52) between the HL intervention group and the usual care group were statistically significant. There was no significant improvement in systolic blood pressure (SMD = −0.05, 95% CI: −0.34, 0.25). Furthermore, this review reported that self-efficacy (SMD = 0.85, 95% CI: 0.65, 1.04) was increased, and the level of HL was improved. In the assessments of risk of bias, 90% of the studies were classified as medium. The quality of the evidence of medication adherence was very low, and the reliability of the conclusions was not enough to confirm the effect of HL. Full article
(This article belongs to the Special Issue eHealth Literacy, Health Risk Behavior and Health Beliefs in Teenagers and Adults)
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