Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students

Didem Aytimur; Caner Baysan; Aliye Mandıracıoğlu

doi:10.26650/IstanbulJPharm.2025.1703706

Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students

Abstract

Background and Aims: Pharmacists hold a unique position in the healthcare system as the final point of contact between the patient and healthcare professionals before initiating treatment. In addition to ensuring the safe and appropriate use of medications, pharmacists are also responsible for promoting rational drug use and educating patients. Rational drug use and e-health literacy are critical competencies for pharmacy students in order to provide safe and effective medication management. The aim of this study was to assess the relationship between rational drug use awareness and e-health literacy among second and fourth year pharmacy students at Ege University Faculty of Pharmacy.

Methods: A cross-sectional survey was conducted using validated scales to measure rational drug use knowledge and e-health literacy. Data were collected from 176 pharmacy students using online forms. Statistical analyses, including correlation and group comparisons, were performed. A value of p< 0.05 was considered statistically significant.

Results: Students demonstrated good knowledge of rational drug use, with an average score of 36.9±4.0. Their e-health literacy levels were moderate, averaging 28.1±5.6. A positive correlation was found between rational drug use knowledge and e-health literacy scores and it was significant (r=0.442, p<0.001). Fourth-year students scored significantly lower on rational drug use knowledge compared to second-year students, unexpectedly. Because of the cross-sectional design, establishing causality is limited.

Conclusion: Pharmacy students have adequate rational drug use knowledge, but e-health literacy needs further development. E-health literacy education should be essential alongside rational drug use education to prepare future pharmacists for effective healthcare delivery in the digital age.

Keywords

References

Arslan, R., Ilıman, E., & Arslan, A. (2019). Sağlık hizmetleri meslek yüksekokulu öğrencilerinin sağlık okuryazarlığı ve akılcı ilaç kullanım düzeylerinin belirlenmesi. Socıal Mentalıty And Researcher Thınkers Journal (Smart Journal), 5(21), 1117– 1134. https://Doi.Org/10.31576/Smryj.323 google scholar
Blebil, A. Q., Dujaili, J. A., Mohammed, A. H., Loh, L. L., Chung, W. X., Selvam, T., & Siow, J. Q. (2023). Exploring the eHealth literacy and mobile health application utilisation amongst Malaysian pharmacy students. Journal of Telemedicine and Telecare, 29(1), 58–71. https://doi.org/10.1177/1357633X221077869 google scholar
Çevik, A. B., Şeker, P. S., Dülger, H., & Şeker, E. (2022). The effects of health literacy and sociodemographic characteristics on the rational use of medication in health students: a cross-sectional study. Journal of Education and Community Health, 9(4), 190–194. https://doi.org/10.34172/JECH.2022.1979 google scholar
Çifçi, S., Bayram Değer, V., & Ulutaşdemir, N. (2021). Evaluation of attitudes and knowledge levels of university employess towards rational drug use and health perception. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 10(4), 943– 954. https://doi.org/10.37989/GUMUSSAGBIL.944850 google scholar
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. Pmc. Ncbi. Nlm. Nih. GovS Dashti, N Peyman, M Tajfard, H EsmaeeliElec-tronic Physician, 2017•pmc. Ncbi. Nlm. Nih. Gov. https://pmc.ncbi.nlm.nih.gov/ articles/PMC5407229/ google scholar
Demirtaş, Z., Dağtekin, G., Sağlan, R., Alaiye, M., Önsüz, M. F., Işıklı…Metintaş, S. (2018). Akılcı ilaç kullanımı ölçeği geçerlilik ve güvenilirliği. Eskişehir Türk Dünyası Uygulama ve Araştırma Merkezi Halk Sağlığı Dergisi, 3(3), 37–46. https:// dergipark.org.tr/tr/pub/estudamhsd/issue/40372/482730 google scholar
Eylül, D., Tıp, Ü., Tıbbi, F., Anabilim, F., Burç, D., Dokuz, A., Üniversitesi, E., & Fakültesi, T. (2012). Akılcı ilaç kullanımı: yaygınlaştırılması ve tıp eğitiminin rolü,. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 26(1), 57–63. https://dergipark.org.tr/tr/ pub/deutip/issue/4662/63522 google scholar
Genç, E., Genç, T., & Güneş, G. (2024). Evaluation of the e-health literacy levels and related factors in vocational school of health services students. Anatolian Clinic the Journal of Medical Sciences, 29(1), 44–53. https://doi.org/10.21673/ ANADOLUKLIN.1309670 google scholar

Gencer, Z. T. (2017). Norman ve skınner’ın e-sağlık okuryazarlığı ölçeğinin kültürel uyarlaması için geçerlilik ve güvenilirlik çalışması. İstanbul Üniversitesi İletişim Fakültesi Dergisi | Istanbul University Faculty Of Communication Journal, 52, 131–145. https://Doi. Org/10.17064/Iuıfd.333165 google scholar
Karakurt, P., Hacıhasanoğlu, R., Yıldırım, A., & Sağlam, R. (2010). Üniversite öğrencilerinde ilaç kullanımı. TAF Preventive Medicine Bulletin, 201, 9(5), 505–512. h google scholar
Kim, K., Shin, S., Kim, S., & Lee, E. (2023). The Relation between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis. Journal of Medical Internet Research, 25. https://doi.org/10.2196/40778, google scholar
Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2). https://doi.org/10.2196/JMIR.8.2.E9, google scholar
Özçelik, G., & Zübarioğlu, S. (2022). Internship programmes in the pharmacy faculties and their compliance with the standards: A study in Turkey. Avesis. Ankara. Edu. TrG ÖZÇELİKAY, S ZubariogluPharmacy Education, 2022•avesis. Ankara. Edu. Tr, 22(1), 116–128. https://doi.org/10.46542/pe.2022.221.116128 google scholar
Park, J. Y. E., & Min, J. (2020). Exploring canadian pharmacy students’ e-health literacy: A mixed methods study. Pharmacy Practice, 18(1). https://doi.org/10.18549/ PHARMPRACT.2020.1.1747, google scholar
Şahin, E., Dayıoğlu, N., Ökmen, B., Korkmaz, E., Baykara, Ş., & Baktır, G. (2019). Rational Drug Use Awareness in University Students Training Outside of Health Area and Health Area. Dergipark. Org. Tr, 9(1), 32–40. https://doi.org/10.26650/ EXPERIMED google scholar
Sharif, S. I., Mohamed Ibrahim, O. H., Mouslli, L., & Waisi, R. (2012a). Evaluation of selfmedication among pharmacy students. American Journal of Pharmacology and Toxicology, 7(4), 135–140. https://doi.org/10.3844/AJPTSP.2012.135.140 google scholar
Sharif, S. I., Mohamed Ibrahim, O. H., Mouslli, L., & Waisi, R. (2012b). Evaluation of selfmedication among pharmacy students. American Journal of Pharmacology and Toxicology, 7(4), 135–140. https://doi.org/10.3844/AJPTSP.2012.135.140 google scholar
Shehnaz, S. I., Agarwal, A. K., & Khan, N. (2014). A systematic review of self-medication practices among adolescents. Journal of Adolescent Health, 55(4), 467–483. https://doi.org/10.1016/j.jadohealth.2014.07.001 google scholar
T.C. Sağlık Bakanlığı, S. G. G. M. (2018). Türkiye Sağlık Okuryazarlığı Düzeyi ve İlişkili Faktörleri Araştırması. https://ekutuphane.saglik.gov.tr/Yayin/563 google scholar
Tekbaş, S., Üyesi, Ö., Tınaztepe Üniversitesi, İ., Bilimleri Fakültesi, S., Bölümü, E., & Doğu Üniversitesi Hemşirelik Fakültesi, Y. (2024). Hemşirelik öğrencilerinin sağlık okuryazarlığı düzeyinin ve etkileyen faktörlerin belirlenmesi. Etkili Hemşirelik Dergisi, 17(1), 74–84. https://doi.org/10.46483/DEUHFED.1101234 google scholar
Toklu, H., & Dülger, G. A. (2014). Akılcı ilaç kullanımı ve eczacının rolü. Marmara Pharmaceutical Journal, 15(3), 89–93. https://doi.org/10.12991/MPJ.90583 google scholar
Tosun, N., & Hoşgör, H. (2021). E-Sağlık okuryazarlığı ve akılcı ilaç kullanımı farkındalığı arasındaki ilişkinin belirlenmesine yönelik bir araştırma. Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi, 22(2), 82–102. https://doi.org/10.37880/ CUMUIIBF.896847 google scholar
Türk, O., Dergisi, S. B., Yildiz, İ. E., Yavuz, A. Y., & Esen Yıldız, İ. (2020). An Evaluation of attitudes and behavors of healthcare staff and students on rational drug Use. Online Türk Sağlık Bilimleri Dergisi, 5(3), 493–502. https://doi.org/10.26453/ OTJHS.749166 google scholar
Üstün, G., Söylemez, S. L., Uçar, N., Sancar, M., & Okuyan, B. (2020). Assessment of the pharmacy students’ e-health literacy and mobile health application utilization. Journal of Research in Pharmacy, 24(1), 23–29. https://doi.org/10. 35333/JRP.2020.125 google scholar
World Health Organization. (1987). The rational use of drugs : report of the Conference of Experts, Nairobi, 25-29 November 1985. In Copenhagen, WHO regional Office for Europe. World Health Organization. https://iris.who.int/handle/10665/ 37174 google scholar
Zhadko, S. V., Pestun, I. V., Mnushko, Z. M., Babicheva, G. S., & Rohulia, O. Yu. (2023). The assessment of awareness about the rational use of medicines among ukrainian pharmacy students. News of Pharmacy, 105(1), 82–92. https://doi. org/10.24959/NPHJ.23.100 google scholar

Details

Primary Language

English

Subjects

Health Services and Systems (Other)

Journal Section

Research Article

Authors

Didem Aytimur ^*
0000-0001-8985-3701
Türkiye

Caner Baysan
0000-0002-7675-1391
Türkiye

Aliye Mandıracıoğlu
0000-0002-0873-4805
Türkiye

Publication Date

May 21, 2026

Submission Date

May 22, 2025

Acceptance Date

August 2, 2025

Published in Issue

Year 2026 Volume: 56 Number: 1

DOI

https://doi.org/10.26650/IstanbulJPharm.2025.1703706

IZ

https://izlik.org/JA33DG65WA

Cite

RIS / Bibtex

APA

Aytimur, D., Baysan, C., & Mandıracıoğlu, A. (2026). Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students. İstanbul Journal of Pharmacy, 56(1), 46-52. https://doi.org/10.26650/IstanbulJPharm.2025.1703706

AMA

1.Aytimur D, Baysan C, Mandıracıoğlu A. Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students. iujp. 2026;56(1):46-52. doi:10.26650/IstanbulJPharm.2025.1703706

Chicago

Aytimur, Didem, Caner Baysan, and Aliye Mandıracıoğlu. 2026. “Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students”. İstanbul Journal of Pharmacy 56 (1): 46-52. https://doi.org/10.26650/IstanbulJPharm.2025.1703706.

EndNote

Aytimur D, Baysan C, Mandıracıoğlu A (May 1, 2026) Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students. İstanbul Journal of Pharmacy 56 1 46–52.

IEEE

[1]D. Aytimur, C. Baysan, and A. Mandıracıoğlu, “Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students”, iujp, vol. 56, no. 1, pp. 46–52, May 2026, doi: 10.26650/IstanbulJPharm.2025.1703706.

ISNAD

Aytimur, Didem - Baysan, Caner - Mandıracıoğlu, Aliye. “Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students”. İstanbul Journal of Pharmacy 56/1 (May 1, 2026): 46-52. https://doi.org/10.26650/IstanbulJPharm.2025.1703706.

JAMA

1.Aytimur D, Baysan C, Mandıracıoğlu A. Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students. iujp. 2026;56:46–52.

MLA

Aytimur, Didem, et al. “Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students”. İstanbul Journal of Pharmacy, vol. 56, no. 1, May 2026, pp. 46-52, doi:10.26650/IstanbulJPharm.2025.1703706.

Vancouver

1.Didem Aytimur, Caner Baysan, Aliye Mandıracıoğlu. Impact of E-Health Literacy on Rational Drug Use Knowledge Among Pharmacy Students. iujp. 2026 May 1;56(1):46-52. doi:10.26650/IstanbulJPharm.2025.1703706