Investigation of E-Health Literacy Levels of Physiotherapy and Rehabilitation Department Students

Abstract

Objectives: The aim of this study was to investigate the e-Health literacy (e-HL) levels of physiotherapy and rehabilitation department students and to examine its relationship with quality of life. Materials and Methods: In the cross-sectional study carried out between March-June 2021, data were collected by sending an online questionnaire form to a total of 167 students, aged 146 females(87.42%) and 21(12.57%) males. The e-HL level was evaluated with the e-HL Scale and the quality of life was evaluated by the 12-item version of the quality of life questionnaire (SF-12). Results: 146 (87.40%) of the participants were female and 21 (12.60%) were male students and their ages were between 18-27.The median value of the e-HL scale was 30 points and this result was interpreted as 'relatively high'. The e-HL levels did not show a significant difference in terms of gender, class, chronic disease in himself and his family (p>0.05).While there was a low, positive and significant correlation between e-HL and the SF-12 physical component score(rho: 0.307, p<0.001), no correlation was found between the mental component score (p>0.05). Conclusion: It was found that students' e-HL was relatively high and it was related to quality of life. Although the e-HL level seems relatively high, it is thought that the improvement of this level may be related to the improvement in the quality of life, especially considering that the students receive education in the field of health.

Keywords

• E-Health literacy
• Physiotherapist
• Quality of life

Fizyoterapi ve Rehabilitasyon Bölümü Öğrencilerinin ESağlık Okuryazarlığı Düzeylerinin Araştırılması

Abstract

Amaç: Bu çalışmanın amacı fizyoterapi ve rehabilitasyon bölümü öğrencilerinin e-Sağlık okuryazarlığı (eSOY) düzeylerinin araştırılması ve yaşam kalitesi ile ilişkisinin incelenmesidir. Gereç ve Yöntem: Mart-Haziran 2021 tarihleri arasında yürütülen kesitsel araştırmaya 18-27 yaşları arasında, 146’sı kadın (%87,42 ve 21'i (%12,57) erkek toplam 167 öğrenciye online anket formu gönderilerek veriler toplandı. e- SOY düzeyi e-SOY Ölçeği ile yaşam kalitesi ise yaşam kalitesi anketinin 12 maddelik versiyonu (SF-12) ile değerlendirildi. Bulgular: Katılımcıların 146’sı kadın (%87,40) ve 21'i (%12,60) erkek öğrenci idi ve yaşları 18-27 arasındaydı. e-SOY ölçeği ortanca değeri 30 puan idi ve bu sonuç ‘nispeten yüksek’ şeklinde yorumlandı. Öğrencilerin eSOY düzeyleri cinsiyet, sınıf, kendisinde ve ailesinde kronik hastalık olup olmama durumu açısından anlamlı bir farklılık göstermedi(p>0,05). Çalışmada e-SOY ile SF-12 fiziksel bileşen puanı arasında düşük düzeyde, pozitif ve anlamlı korelasyon bulunurken (rho:0,307, p<0,001), mental bileşen puanı arasında korelasyon bulunmadı (p>0,05). Sonuç: Öğrencilerin e-SOY düzeyinin nispeten yüksek olduğu ve yaşam kalitesi ile ilişkili olduğu görüldü. eSOY düzeyi nispeten yüksek görünse de öğrencilerin özellikle sağlık alanında eğitim aldığı düşünüldüğünde bu düzeyin geliştirilmesinin yaşam kalitesindeki iyileşme ile ilişkili olabileceği düşünülmektedir.

Keywords

• E- Sağlık okuryazarlığı
• Fizyoterapist
• Yaşam kalitesi

References

1. Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97–107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
2. Brach, C., Keller, D., Hernandez, L., Baur, C., Parker, R., Dreyer, B., Schyve, P., Lemerise, A. J., & Schillinger, D. (2012). Ten attributes of health literate health care organizations. NAM Perspectives, 02(6). https://doi.org/10.31478/201206A
3. Briggs, A. M., & Jordan, J. E. (2010). The importance of health literacy in physiotherapy practice. Australian Physiotherapy Association, 56, 149. https://doi.org/10.1016/S1836-9553(10)70018-7
4. Budhathoki, S. S., Pokharel, P. K., Jha, N., Moselen, E., Dixon, R., Bhattachan, M., & Osborne, R. H. (2019). Health literacy of future healthcare professionals: A cross-sectional study among health sciences students in Nepal. International Health, 11(1), 15–23. https://doi.org/10.1093/INTHEALTH/IHY090
5. Cohen, J. (2013). Statistical Power Analysis for the Behavioral Sciences. Statistical Power Analysis for the Behavioral Sciences. https://doi.org/10.4324/9780203771587
6. Coşkun, S., & Bebiş, H. (2015). Adölesanlarda e-saglik okuryazarlığı ölçeği: Türkçe geçerlik ve güvenirlik çalısması. Gülhane Tıp Dergisi, 57(4), 378–384. https://doi.org/10.5455/GULHANE.157832
7. Dashti, S., Peyman, N., Tajfard, M., & Esmaeeli, H. (2017). E-Health literacy of medical and health sciences university students in Mashhad, Iran in 2016: A pilot study. Electronic Physician, 9(3), 3966–3973. https://doi.org/10.19082/3966
8. Ehmann, A. T., Groene, O., Rieger, M. A., & Siegel, A. (2020). The relationship between health literacy, quality of life, and subjective health: Results of a cross-sectional study in a rural region in Germany. International Journal of Environmental Research and Public Health, 17(5). https://doi.org/10.3390/IJERPH17051683

9. Eyimaya, A. Ö., Özdemir, F., Tezel, A., & Apay, S. E. (2021). Determining the healthy lifestyle behaviors and e-health literacy levels in adolescents. Revista Da Escola de Enfermagem Da USP, 55, 1–7. https://doi.org/10.1590/S1980-220X2020021603742
10. Fernandes, L. G., & Saragiotto, B. T. (2021). Clinimetrics: eHealth Literacy Scale. Journal of Physiotherapy, 67(1), 67. https://doi.org/10.1016/J.JPHYS.2020.07.004
11. Filabadi, Z., Estebsari, F., Milani, A., Feizi, S., & Nasiri, M. (2020). Relationship between electronic health literacy, quality of life, and self-efficacy in Tehran, Iran: A community-based study. Journal of Education and Health Promotion, 9(1). https://doi.org/10.4103/JEHP.JEHP_63_20
12. Giudice, P. D., Bravo, G., Poletto, M., De Odorico, A., Conte, A., Brunelli, L., Arnoldo, L., & Brusaferro, S. (2018). Correlation between ehealth literacy and health literacy using the ehealth literacy scale and real-life experiences in the health sector as a proxy measure of functional health literacy: Cross-sectional web-based survey. Journal of Medical Internet Research, 20(10), E281. https://doi.org/10.2196/JMIR.9401
13. Göring, A., & Möllenbeck, D. (2015). Bewegungsorientierte Gesundheitsförderung an Hochschulen. Hochschulsport, 447.
14. Hsu, W., Chiang, C., & Yang, S. (2014). The effect of individual factors on health behaviors among college students: The mediating effects of ehealth literacy. Journal of Medical Internet Research, 16(12), E287. https://doi.org/10.2196/JMIR.3542
15. Kendir Çopurlar, C., Akkaya, K., Arslantaş, İ., & Kartal, M. (2017). Health literacy of students who applied to medical and nursing faculty in Dokuz Eylul University. Turkish Journal of Family Medicine and Primary Care, 11(3), 144–151. https://doi.org/10.21763/tjfmpc.336167
16. Kickbusch, I., Pelikan, J., Apfel, F., & Tsouros, A. (2013). Health literacy: The solid facts. Copenhagen: World Health Organization, 3-26.
17. Kühn, L., Bachert, P., Hildebrand, C., Kunkel, J., Reitermayer, J., Wäsche, H., & Woll, A. (2022). Health literacy among university students: A systematic review of cross-sectional studies. Frontiers in Public Health, 9, 2121. https://doi.org/10.3389/FPUBH.2021.680999/BIBTEX
18. Liu, C., Wang, D., Liu, C., Jiang, J., Wang, X., Chen, H., Ju, X., & Zhang, X. (2020). What is the meaning of health literacy? A systematic review and qualitative synthesis. Family Medicine and Community Health, 8(2), e000351. https://doi.org/10.1136/FMCH-2020-000351
19. Mullan, J., Burns, P., Weston, K., McLennan, P., Rich, W., Crowther, S., Mansfield, K., Dixon, R., Moselen, E., & Osborne, R. H. (2017). Health literacy amongst health professional university students: A study using the health literacy questionnaire. Education Sciences, 7(2). https://doi.org/10.3390/EDUCSCI7020054/REFERENCES
20. Norman, C. D., & Skinner, H. A. (2006a). eHEALS: The eHealth Literacy Scale. Journal of Medical Internet Research, 8(4). https://doi.org/10.2196/JMIR.8.4.E27
21. Norman, C. D., & Skinner, H. A. (2006b). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), E9. https://doi.org/10.2196/JMIR.8.2.E9
22. Rababah, J. A., Al-Hammouri, M. M., Drew, B. L., & Aldalaykeh, M. (2019). Health literacy: Exploring disparities among college students. BMC Public Health, 19(1). https://doi.org/10.1186/S12889-019-7781-2
23. Robert Bautista, J. (2015). From solving a health problem to achieving quality of life: Redefining eHealth literacy. Journal of Literacy and Technology, 16(2), 33–54. https://www.researchgate.net/publication/286688300
24. Sørensen, K., Van Den Broucke, S., Fullam, J., Doyle, G., Pelikan, J., Slonska, Z., & Brand, H. (2012). Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health, 12(1), 1–13. https://doi.org/10.1186/1471-2458-12-80/TABLES/4
25. Soylu, C., & Kütük, B. (2022). SF-12 Yaşam Kalitesi Ölçeği’nin Türkçe Formunun Güvenirlik ve Geçerlik Çalışması. Turk Psikiyatri Dergisi = Turkish Journal of Psychiatry, 33(2), 108–117. https://doi.org/10.5080/u25700
26. Stellefson, M., Hanik, B., Chaney, B., Chaney, D., Tennant, B., & Chavarria, E. A. (2011). eHealth literacy among college students: A systematic review with implications for ehealth education. Journal of Medical Internet Research, 13(4), E102. https://doi.org/10.2196/JMIR.1703
27. Vamos, S., Yeung, P., Bruckermann, T., Moselen, E. F., Dixon, R., Osborne, R. H., Chapa, O., & Stringer, D. (2016). Exploring health literacy profiles of Texas University students. Health Behavior and Policy Review, 3(3), 209–225. https://doi.org/10.14485/HBPR.3.3.3
28. Yang, S. C., Luo, Y. F., & Chiang, C. H. (2017). The associations among individual factors, ehealth literacy, and health-promoting lifestyles among college students. Journal of Medical Internet Research, 19(1), E15. https://doi.org/10.2196/JMIR.5964
29. Zhang, Y., Zhang, F., Hu, P., Huang, W., Lu, L., Bai, R., Sharma, M., & Zhao, Y. (2016). Exploring health literacy in medical university students of chongqing, China: A cross-sectional study. PLOS ONE, 11(4), e0152547. https://doi.org/10.1371/JOURNAL.PONE.0152547
30. Zheng, M., Jin, H., Shi, N., Duan, C., Wang, D., Yu, X., & Li, X. (2018). The relationship between health literacy and quality of life: A systematic review and meta-analysis. Health and Quality of Life Outcomes, 16(1). https://doi.org/10.1186/S12955-018-1031-7
31. Zou, M., Zhang, Y., Zhang, F., Hu, P., Bai, R., Huang, W., Lu, L., Abdullah, A. S., Guo, J. J., Sharma, M., Reis, C., & Zhao, Y. (2018). The ability to obtain, appraise and understand health information among undergraduate nursing students in a medical university in Chongqing, China. Nursing Open, 5(3), 384–392. https://doi.org/10.1002/NOP2.161