Psychometric validation of the Chinese digital health literacy instrument among Chinese older adults who have internet use experience.
Introduction: In this digital age, the Internet has become a major source of health information, and electronic health (eHealth) literacy becomes increasingly important for older individuals to properly use the extensive eHealth resources for self‐care. A valid and reliable tool for assessing older...
| Published in: | International Journal of Older People Nursing Vol. 19; no. 1; pp. 1 - 17 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jan2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175054890&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175054890 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483735 1WQP jtl: International Journal of Older People Nursing issn: 17483735 maglogo: Y pubinfo: dt: Jan2024 vid: 19 iid: 1 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 175054890 172923381 175054890 175054890 10.1111/opn.12568 175054890 ppf: 1 ppct: 16 formats: tig: atl: Psychometric validation of the Chinese digital health literacy instrument among Chinese older adults who have internet use experience. aug: au: Xie, Luyao Hu, Huahua Lin, Jiaer Mo, Phoenix K. H. affil: JC School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China sug: subj: Digital Health In Old Age Health Literacy In Old Age Psychometrics Evaluation Instrument Validation Internet Utilization Human Middle Age Aged Male Female China Clinical Assessment Tools Internet-Based Intervention Cross Sectional Studies Reliability and Validity Internal Consistency Test-Retest Reliability Content Validity Criterion-Related Validity Surveys Coefficient alpha Correlation Coefficient Descriptive Statistics Scales Health Information Confidence Intervals Health Personnel Telehealth Education ROC Curve Data Analysis Software Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Introduction: In this digital age, the Internet has become a major source of health information, and electronic health (eHealth) literacy becomes increasingly important for older individuals to properly use the extensive eHealth resources for self‐care. A valid and reliable tool for assessing older people's eHealth literacy would help healthcare workers identify those disadvantaged groups in digital health and provide relevant health education. Objectives: This study aimed to evaluate the psychometric properties of the Chinese version of DHLI in assessing eHealth literacy among older adults in China. Methods: A web‐based, cross‐sectional study was conducted among 277 Chinese older adults from September to November 2021. Two weeks after the first completion, 62 of them answered the C‐DHLI again. The reliability (e.g. internal consistency and test–retest reliability), factorial structure and validity (i.e. content validity and convergent validity) of the C‐DHLI were evaluated based on the survey data. Results: The results demonstrated good internal consistency (Cronbach's alpha: 0.94) and test–retest reliability (total intraclass correlation coefficient [ICC]: 0.94) of the C‐DHLI. Principal component analysis revealed that the 18 items of C‐DHLI loaded on three factors, accounting for 74.69% of the total variance; CFA supported its three‐factor structure with good model fits. Convergent validity was examined by the significant associations between C‐DHLI and C‐eHEALS (r = 0.61), health literacy (r = 0.56), and whether having used the Internet for health information (ρ = 0.43) (ps <.001). A cut‐off score of 45 was recommended for determining higher and lower literacy using the C‐DHLI, with the area under curve of 0.82 (95% CI = 0.77–0.88). Conclusions and Implications for Practice: The C‐DHLI showed good psychometric performance in assessing eHealth literacy among Chinese older adults. The findings can support healthcare professionals to effectively measure eHealth literacy among older adults and conduct tailored eHealth interventions or training. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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