Journal of Education and Health Promotion

Relationship between electronic health literacy, quality of life, and self-efficacy in Tehran, Iran: A community-based study

Document Type : Original Article

Authors

. Zahra Raisi Filabadi
. Fatemeh Estebsari 1
. Arezoo Sheikh Milani
. Shahoo Feizi 2
. Maliheh Nasiri 3

1 PhD of Health Education and Promotion, Assistant Professor, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences

2 Student Research Committee, MSc Student in Medical Surgical Nursing, Department of Medical Surgical Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences

3 PhD in Statistics, Assistant Professor of Biostatistics Department, School of Nursing and Midwifery Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract
BACKGROUND: The concept of electronic health literacy has become a main focus of health-care
professionals along with the increasing use of the Internet. In Iran, the Internet not yet has much
impact on providing health services, and the physicians’ and patients’ community are now more
willing to use the traditional method for diagnosing disease and prescribing medicines. This study
aimed to determine the correlation between electronic health literacy, quality of life (QoL), and selfefficacy among Tehran citizens.
MATERIALS AND METHODS: The present study is a descriptive, cross-sectional study with a
correlation approach that was conducted on 400 clients of community health centers of Shahid
Beheshti University of Medical Sciences in 2019. Samples were selected by stratified random sampling
method. Data were collected using E-Health Literacy Questionnaire (α = 0.88), 12-item Short-Form
Health Survey (α = 0.73), and General Self-Efficacy Scale (α = 0.87). Analytic statistics were using
by descriptive statistics (mean and standard deviation) and inferential statistics (Pearson correlation
coefficient and regression analysis) at the significant level (P < 0.05).
RESULTS: Correlation between electronic health literacy and QoL was 0.14 and with self-efficacy was
0.10, which was positive and statistically significant (P < 0.05). In addition, the correlation between
QoL and self-efficacy was 0.33, which was positive, statistically significant, and moderate (P < 0.05).
CONCLUSION: According to the findings of this study, it is possible to improve the QoL through the
promotion of electronic health literacy and self-efficacy. The results of this study can be used as a
basis for health service providers and policymakers in designing and implementing health-related
interventions.

Keywords

Electronic health literacy
health literacy
quality of life
self-efficacy
  1. Mackert M, Mabry-Flynn A, Champlin S, Donovan EE,
    Pounders K. Health literacy and health information technology
    adoption: The potential for a new digital divide. J Med Internet
    Res 2016;18:e264.
    2. Health Quality Ontario. Electronic tools for health information
    exchange: An evidence-based analysis. Ont Health Technol Assess
    Ser 2013;13:1-76.
    3. Li W, Murray MF, Giovanni MA. Obtaining a genetic family
    history using computer-based tools. Curr Protoc Hum Genet
    2019;100:e72.
  2. 4. Razmak J, Bélanger CH. Comparing Canadian physicians and
    patients on their use of e-health tools. Technol Soc 2017;51:102-12.
    5. Valizadeh-Haghi S, Rahmatizadeh S. eHealth literacy and general
    interest in using online health information: A survey among
    patients with dental diseases. Online J Public Health Inform
    2018;10:e219.
    6. Mackert M, Champlin SF, Holton A, Muñoz II, Damásio MJ.
    eHealth and health literacy: A research. Methodology review.
    J Comput Mediat Commun 2014;19:516-28.
    7. Athanasopoulou C, Välimäki M, Koutra K, Löttyniemi E,
    Bertsias A, Basta M, et al. Internet use, eHealth literacy and
    attitudes toward computer/internet among people with
    schizophrenia spectrum disorders: A cross-sectional study in
    two distant European regions. BMC Med Inform Decis Mak
    2017;17:136.
    8. Pew Internet. Washington; 2018. Available from: http://www.
    pewinternet.org/2013 / 01/15/health-online. [Last cited on
    2018 Nov 03; Last updated on 2013 Jan 15].
    9. Britt RK, Hatten KN. Need for cognition and electronic health
    literacy and subsequent information seeking behaviors among
    university undergraduate students. Sage Open 2013;3:1-10.
    10. Seçkin G, Yeatts D, Hughes S, Hudson C, Bell V. Being an
    informed consumer of health information and assessment of
    electronic health literacy in a national sample of internet users:
    Validity and reliability of the e-HLS instrument. J Med Internet
    Res 2016;18:e161.
    11. Norman CD, Skinner HA. eHEALS: The eHealth literacy scale.
    J Med Internet Res 2006;8:e27.
    12. Dastani M, Ansari M, Sattari M. Evaluation of eHealth literacy
    among non-clinical graduate students: An Iranian experience.
    Libr Philos Pract 2018;1:1-2.
    13. Dashti S, Peyman N, Tajfard M, Esmaeeli H. E-Health literacy of
    medical and health sciences university students in Mashhad, Iran
    in 2016: A pilot study. Electron Physician 2017;9:3966-73.
    14. Bazm S, Mirzaei M, Fallahzadeh H, Bazm R. Validity and reliability
    of Iranian version of eHealth literacy scale. J Community Health
    Res 2016;5:121-30.
    15. Yang SC, Luo YF, Chiang CH. The associations among individual
    factors, eHealth literacy, and health-promoting lifestyles among
    college students. J Med Internet Res 2017;19:e15.
    16. Mitsutake S, Shibata A, Ishii K, Oka K. Associations of eHealth
    Literacy With Health Behavior Among Adult Internet Users.
    J Med Internet Res 2016;18:e192.
    17. United Nations Educational, Scientific and Cultural
    Organization. Education for All: Literacy for Life. United Nations
    Educational, Scientific and Cultural Organization; 2018.
    Available from: http://www.uis.unesco.org/Library/Docum
    ents/gmr06-en.pdf. [Last accessed on 2018 Nov 03].
    18. World Health Organization. Health Literacy: The Solid
    Facts. World Health Organization; 2018. Available from:
    http://www.euro.who.int/__data/assets/pdf_file/0
    008 / 190655/e96854.pdf. [Last accessed on 2018 Nov 03].
    19. WHOQOL: Measuring Quality of Life. World Health Organization;
    2018. Available from: www.who.int/healthinfo/survey/who
    qol-qualityoflife/en/. [Last accessed 2018 Nov 03].
    20. Bautista JR. From solving a health problem to achieving quality
    of life: Redefining eHealth literacy. J Lit Technol 2015;16:33-54.
    21. Kiajamali M, Hosseini M, Estebsari F, Nasiri M, Ashktorab T,
    Abdi A, et al. Correlation between social support, self-efficacy and
    health-promoting behavior in hemodialysis patients hospitalized
    in Karaj in 2015. Electron Physician 2017;9:4820-7.
    22. Darkhor S, Estebsari F, Hosseini M, Charati JY, Vasli P. Effect of
    health promotion intervention on Nurses’ healthy lifestyle and
    health-promoting behaviors: RCT study. J Adv Pharm Edu Res
    2018;8:108-14.
    23. Efthymiou A, Middleton N, Charalambous A, Papastavrou E. The
    association of health literacy and electronic health literacy with
    self-efficacy, coping, and caregiving perceptions among carers
    of people with dementia: Research protocol for a descriptive
    correlational study. JMIR Res Protoc 2017;6:e221.
    24. Qiao J, Shan Y, Chen Q, Xu ZP. Design and application of weight
    gain graphs based on Bandura’s self-efficacy theory for patients
    on maintenance hemodialysis. Int J Nurs Sci 2014;1:110-16.
    25. Montazeri A, Vahdaninia M, Mousavi SJ, Omidvari S. The Iranian
    version of 12-item Short Form Health Survey (SF-12): Factor
    structure, internal consistency and construct validity. BMC Public
    Health 2009;9:341.
    26. Ware J Jr., Kosinski M, Keller SD. A 12-item short-form health
    survey: Construction of scales and preliminary tests of reliability
    and validity. Med Care 1996;34:220-33.
    27. Kontodimopoulos N, Pappa E, Niakas D, Tountas Y. Validity
    of SF-12 summary scores in a Greek general population. Health
    Qual Life Outcomes 2007;5:55.
    28. Kahe M, Vameghi R, Foroughan M, Bakhshi E, Bakhtyari V.
    The relationships between self-concept and self-efficacy with
    self-management among elderly of sanatoriums in Tehran. Iran
    J Ageing 2018;13:28-7.
    29. Moeini B, Sharifi F, Hidarnia A, Babaii GR, Birashk B,
    Allahverdipour H. Perceived stress, self-efficacy and its relations
    to psychological well–being status in Iranian male high school
    students. Soc Behav Pers 2008;36:257-66.
    30. Peters M, Potter CM, Kelly L, Fitzpatrick R. Self-efficacy and
    health-related quality of life: A cross-sectional study of primary
    care patients with multi-morbidity. Health Qual Life Outcomes
    2019;17:37.
    31. Shaabani J, Rahgoi A, Nourozi K, Rahgozar M, Shaabani M.
    The relationship between self-efficacy and quality of life among
    elderly people. Iran J Ageing 2017;11:518-27.
Journal of Education and Health Promotion
Volume 10, Issue 7
July 2020
Pages 1-7

Home

Guide for Authors

Submit Manuscript

Reviewers

Contact Us