Research Article
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The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example

Year 2024, Volume: 8 Issue: 3, 225 - 235, 30.12.2024

Abstract

Aim: This research was conducted to examine the relationship between the e-health literacy level and obtaining and verifying health
information from digital media behaviours in individuals with type 2 diabetes.
Material and Methods: This cross-sectional study was conducted in a training and research hospital (n=251). Data were collected using
the Descriptive Characteristics Form, e-Health Literacy Scale and Verifying Health Information from Digital Media Scale. Descriptive
analyses, independent sample t-test, one-way ANOVA, and correlation analyses were used to evaluate the data.
Results: The average age of individuals with type 2 diabetes in the hospital where this study was conducted is 61.17±12.40. In this
study, the mean age of individuals with type 2 diabetes was 61.17±12.40. Type 2 diabetic individuals were found to have low e-health
literacy (mean=16.78, SD=10.61), obtaining health information from digital media (mean=4.82, SD=2.70), and low confirmation
level (mean=4.98, SD=2.62). A positive strong relationship was found between obtaining health information via e-health literacy
(r=0.758), digital health information (r=0.759), and digital confirmation (r=0.537) (p<0.05). Diabetics with a bachelor's degree or
higher (33.92±5.26) had higher e-health literacy and digital information obtaining and confirmation behavior scores than those with
high school (25.36±8.26), secondary school (21.74±9.47) and primary school (13.15±8.95) education levels (p<0.05). Those with a
smart phone (22.64±10.16) had higher e-health literacy and digital information obtaining and confirmation behavior scores than those
without (8.21±1.65), those who use the internet every day (28.32±7.68) had higher e-health literacy and digital information obtaining
and confirmation behavior scores than those who do not (8.05±0.47), and those with diabetes who think that the internet positively
affects their health (30.06±6.62) had higher e-health literacy and digital information obtaining and confirmation behavior scores than
those who do not (10.34±5.57) (p<0.05).
Conclusion: The e-health literacy level and obtaining and verifying health information from digital media behaviours are low. Diabetics
with a bachelor's degree or higher, who are employed, who have a smartphone, and who use the internet every day have higher e-health
literacy scores and obtaining and verifying health information from digital media behavior scores.

Ethical Statement

This study adhered to the principles of the Declaration of Helsinki. Approval was obtained from the Uşak University Non-Interventional Research Ethics Committee (Date: 14.12.2023/Decision number: 259-259-26). Informed consent was obtained from all participating health professionals before the study commenced. Additionally, permission was granted by the hospital where the study was conducted (Date: 27.11.2023/Number: E-45786011-599-230185080). Permission to use the scales for data collection was also obtained via email from the researchers who developed them.

References

  • 1. Erku D, Khatri R, Endalamaw A, Wolka E, Nigatu F, Zewdie A, Assefa Y. Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review. Int J Environ Res Public Health. 2023;20(19):6854.
  • 2. Milanti A, Chan DNS, Parut AA, So WKW. Determinants and outcomes of eHealth literacy in healthy adults: A systematic review. PLoS One. 2023;18(10):e0291229. PMID: 37792773
  • 3. Centers for Disease Control and Prevention (CDC). [İnternet]. Health Literacy. eHealth Literacy [Cited: 01 May 2024]. Available from: https://www.cdc.gov/healthliteracy/researchevaluate/ eHealth.html
  • 4. Lee J, Lee EH, Chae D. eHealth Literacy Instruments: Systematic Review of Measurement Properties. J Med Internet Res. 2021;23(11):e30644. doi: 10.2196/30644.
  • 5. World Health Organization. [İnternet]. Diabetes. 2023 [Cited: 31 May 2024]. Available from: https://www.who.int/newsroom/ fact-sheets/detail/diabetes#:~:text=Diabetes%20is%20 a%20chronic%20disease,hormone%20that%20regulates%20 blood%20glucose
  • 6. Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of type 2 diabetes - global burden of disease and forecasted trends. J Epidemiol Glob Health. 2020;10(1):107-111. PMID: 32175717
  • 7. International Diabetes Federation (IDF). [İnternet]. IDF Diabetes Atlas. 2021 [Cited: 31 May 2024]. Available from: https:// diabetesatlas.org/atlas/tenth-edition/
  • 8. Guo SH, Hsing HC, Lin JL, Lee CC. Relationships between mobile ehealth literacy, diabetes self-care, and glycemic outcomes in Taiwanese patients with type 2 diabetes: cross-sectional study. JMIR Mhealth Uhealth. 2021;9(2):e18404. PMID: 33544088
  • 9. Türkiye İstatistik Kurumu. Hanehalkı Bilişim Teknolojileri (BT) Kullanım Araştırması, 2018. Yayım tarihi: 08.08.2018, Sayı: 27819. https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki- Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi- 2018-27819
  • 10. Jendly M, Santschi V, Tancredi S, Konzelmann I, Raboud L, Chiolero A. eHealth profile of patients with diabetes. Front Public Health. 2023;11:1240879.
  • 11. Kim KA, Kim YJ, Choi M. Association of electronic health literacy with health-promoting behaviors in patients with type 2 diabetes: a cross-sectional study. Comput Inform Nurs. 2018;36(9):438-447. PMID: 29742548.
  • 12. Neter E, Brainin E. Perceived and Performed eHealth Literacy: Survey and Simulated Performance Test. JMIR Hum Factors. 2017;4(1):e2. doi: 10.2196/humanfactors.6523.
  • 13. Sundell E, Wangdahl J, Grauman A. Health literacy and digital health information-seeking behavior - a cross-sectional study among highly educated Swedes. BMC Public Health. 2022;22(1):2278.
  • 14. Yao Z, Zhang B, Ni Z, Ma F. What users seek and share in online diabetes communities: examining similarities and differences in expressions and themes. Aslib Journal of Information Management. 2022;74(2):311-331.
  • 15. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175- 91. PMID: 17695343.
  • 16. Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. J Med Internet Res. 2006;8(4):e27. PMID: 17213046.
  • 17. Uskun E, Doğan E, Önal Ö, Kişioğlu AN. e-Health literacy scale: Turkish validity and reliability study for adults over 45. Turkish Bulletin of Hygiene and Experimental Biology. 2022;79(4):674-689.
  • 18. Çömlekçi MF, Bozkanat E. İnfodemide dijital ortamda sağlık bilgisi edinme ve teyit davranışları. İstanbul University Journal of Sociology. 2021;41(1):103-125.
  • 19. Büyüköztürk Ş. Handbook of Data Analysis for Social Sciences, 7th Edition, Ankara, Pegem Academy Publishing, 2007.
  • 20. Altaş ZM, Hıdıroğlu S, Solmaz C, El Qadiri IM, Bolhassani I, Yalçın HD, Şahin M. The association between electronic health literacy and self-care management in adults with type-2 diabetes. Progress in Health Sciences. 2022;12(2):14-19.
  • 21. Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C, Pittella F, Ausili D. Health literacy in type 2 diabetes patients: a systematic review of systematic reviews. Acta Diabetol. 2018;55(1):1-12.
  • 22. Kerr D, King F, Klonoff DC. Digital Health Interventions for Diabetes: Everything to Gain and Nothing to Lose. Diabetes Spectr. 2019;32(3):226-230.
  • 23. Kolcu M, Bulbul E, Celik S, Anataca G. The relationship between health literacy and successful aging in elderly individuals with type 2 diabetes. Prim Care Diabetes. 2023;17(5):473- 478.
  • 24. Cravo M, Rosendo I, Santiago LM, Abreu J. Health Literacy and Complications in People with Type 2 Diabetes: An Exploratory Study. Cureus. 2023;15(9):e46064.
  • 25. Akyol Güner T, Kuzu A, Bayraktaroğlu T. The Relationship Between Health Literacy and Rational Drug Use in Individuals with Diabetes. Turkish Journal of Diabetes and Obesity, 2020;4(3):214-223.
  • 26. Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, Thornton PL, Haire-Joshu D. Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care. 2020;44(1):258–79.
  • 27. Al Sayah F, Majumdar SR, Williams B, Robertson S, Johnson JA. Health literacy and health outcomes in diabetes: a systematic review. J Gen Intern Med. 2013;28(3):444-52.
  • 28. Shiferaw KB, Tilahun BC, Endehabtu BF, Gullslett MK, Mengiste SA. E-health literacy and associated factors among chronic patients in a low-income country: a cross-sectional survey. BMC Med Inform Decis Mak. 2020;20(1):181.
  • 29. Yi J, Yoon JY, Won CW, Kim M, Lee KS. The roles of health literacy and social support in the association between smartphone ownership and frailty in older adults: a moderated mediation model. BMC Public Health. 2024;24(1):1064.

Tip 2 Diyabetli Bireylerin e-Sağlık Okuryazarlık Düzeyi ile Dijital Ortamdan Sağlık Bilgisi Edinme ve Teyit Davranışları Arasındaki İlişki: Bir Kamu Hastanesi Örneği

Year 2024, Volume: 8 Issue: 3, 225 - 235, 30.12.2024

Abstract

Amaç: Bu araştırma, tip 2 diyabetli bireylerin e-sağlık okuryazarlık düzeyi ile dijital ortamdan sağlık bilgisi edinme ve teyit davranışları
arasındaki ilişkiyi incelemek amacıyla yapılmıştır.
Gereç ve Yöntemler: Bu kesitsel çalışma bir eğitim ve araştırma hastanesinde yürütülmüştür (n=251). Veriler Tanımlayıcı Özellikler
Formu, e-Sağlık Okuryazarlığı Ölçeği ve Dijital Medyadan Sağlık Bilgilerinin Doğrulanması Ölçeği kullanılarak toplanmıştır. Verileri
değerlendirmek için tanımlayıcı analizler, bağımsız örneklem t-testi, tek yönlü ANOVA ve korelasyon analizleri kullanılmıştır.
Bulgular: Bu çalışmanın yürütüldüğü hastanedeki tip 2 diyabetli bireylerin yaş ortalaması 61,17±12,40’tır. Tip 2 diyabetli bireylerin
e-sağlık okuryazarlık (Ortalama= 16,78, SS= 10,61) dijital ortamdan sağlık bilgisi edinme (Ortalama =4,82, SS= 2,70) ve teyit düzeyi
düşük (Ortalama= 4,98, SS= 2,62) bulunmuştur. e-sağlık okuryazarlığı ile sağlık bilgisi alma (r=0,758), dijital sağlık bilgi (r=0,759) ve
dijital onay (r=0,537) arasında pozitif güçlü bir ilişki bulunmuştur (p<0,05). Eğitim düzeyi lisans ve üzeri olan diyabetlilerin (33,92±5,26)
eğitim düzeyi lise (25,36±8,26), ortaokul (21,74±9,47) ve ilkokul olanlara (13,15±8,95) göre e-sağlık okuryazarlığı ile dijital ortamda bilgi
edinme ve teyit davranış puanı daha yüksektir (p<0,05). Akıllı telefonu olanların (22,64±10,16) olmayanlara (8,21±1,65) göre, her gün
internet kullananların (28,32±7,68) kullanmayanlara (8,05±0,47) göre ve internetin sağlığını pozitif etkilediğini düşünen diyabetlilerin
(30,06±6,62) düşünmeyenlere (10,34±5,57) göre e-sağlık okuryazarlığı ile dijital ortamda bilgi edinme ve teyit davranış puanı daha
yüksektir (p<0,05)
Sonuç: Bu çalışmanın yürütüldüğü hastanedeki tip 2 diyabetli bireylerin e-sağlık okuryazarlık düzeyi ile dijital ortamdan sağlık bilgisi
edinme ve teyit düzeyi düşüktür. Eğitim düzeyi lisans ve üzeri olan, çalışan, akıllı telefonu olan, her gün internet kullanan diyabetlilerin
e-sağlık okuryazarlık düzeyi ile dijital ortamda bilgi edinme ve teyit davranış düzeyi diğer gruplara göre daha yüksektir.

Thanks

Çalışmanın verilerini toplamada destek olan hekim, hemşire ve hastalara teşekkür ederiz.

References

  • 1. Erku D, Khatri R, Endalamaw A, Wolka E, Nigatu F, Zewdie A, Assefa Y. Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review. Int J Environ Res Public Health. 2023;20(19):6854.
  • 2. Milanti A, Chan DNS, Parut AA, So WKW. Determinants and outcomes of eHealth literacy in healthy adults: A systematic review. PLoS One. 2023;18(10):e0291229. PMID: 37792773
  • 3. Centers for Disease Control and Prevention (CDC). [İnternet]. Health Literacy. eHealth Literacy [Cited: 01 May 2024]. Available from: https://www.cdc.gov/healthliteracy/researchevaluate/ eHealth.html
  • 4. Lee J, Lee EH, Chae D. eHealth Literacy Instruments: Systematic Review of Measurement Properties. J Med Internet Res. 2021;23(11):e30644. doi: 10.2196/30644.
  • 5. World Health Organization. [İnternet]. Diabetes. 2023 [Cited: 31 May 2024]. Available from: https://www.who.int/newsroom/ fact-sheets/detail/diabetes#:~:text=Diabetes%20is%20 a%20chronic%20disease,hormone%20that%20regulates%20 blood%20glucose
  • 6. Khan MAB, Hashim MJ, King JK, Govender RD, Mustafa H, Al Kaabi J. Epidemiology of type 2 diabetes - global burden of disease and forecasted trends. J Epidemiol Glob Health. 2020;10(1):107-111. PMID: 32175717
  • 7. International Diabetes Federation (IDF). [İnternet]. IDF Diabetes Atlas. 2021 [Cited: 31 May 2024]. Available from: https:// diabetesatlas.org/atlas/tenth-edition/
  • 8. Guo SH, Hsing HC, Lin JL, Lee CC. Relationships between mobile ehealth literacy, diabetes self-care, and glycemic outcomes in Taiwanese patients with type 2 diabetes: cross-sectional study. JMIR Mhealth Uhealth. 2021;9(2):e18404. PMID: 33544088
  • 9. Türkiye İstatistik Kurumu. Hanehalkı Bilişim Teknolojileri (BT) Kullanım Araştırması, 2018. Yayım tarihi: 08.08.2018, Sayı: 27819. https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki- Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi- 2018-27819
  • 10. Jendly M, Santschi V, Tancredi S, Konzelmann I, Raboud L, Chiolero A. eHealth profile of patients with diabetes. Front Public Health. 2023;11:1240879.
  • 11. Kim KA, Kim YJ, Choi M. Association of electronic health literacy with health-promoting behaviors in patients with type 2 diabetes: a cross-sectional study. Comput Inform Nurs. 2018;36(9):438-447. PMID: 29742548.
  • 12. Neter E, Brainin E. Perceived and Performed eHealth Literacy: Survey and Simulated Performance Test. JMIR Hum Factors. 2017;4(1):e2. doi: 10.2196/humanfactors.6523.
  • 13. Sundell E, Wangdahl J, Grauman A. Health literacy and digital health information-seeking behavior - a cross-sectional study among highly educated Swedes. BMC Public Health. 2022;22(1):2278.
  • 14. Yao Z, Zhang B, Ni Z, Ma F. What users seek and share in online diabetes communities: examining similarities and differences in expressions and themes. Aslib Journal of Information Management. 2022;74(2):311-331.
  • 15. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175- 91. PMID: 17695343.
  • 16. Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. J Med Internet Res. 2006;8(4):e27. PMID: 17213046.
  • 17. Uskun E, Doğan E, Önal Ö, Kişioğlu AN. e-Health literacy scale: Turkish validity and reliability study for adults over 45. Turkish Bulletin of Hygiene and Experimental Biology. 2022;79(4):674-689.
  • 18. Çömlekçi MF, Bozkanat E. İnfodemide dijital ortamda sağlık bilgisi edinme ve teyit davranışları. İstanbul University Journal of Sociology. 2021;41(1):103-125.
  • 19. Büyüköztürk Ş. Handbook of Data Analysis for Social Sciences, 7th Edition, Ankara, Pegem Academy Publishing, 2007.
  • 20. Altaş ZM, Hıdıroğlu S, Solmaz C, El Qadiri IM, Bolhassani I, Yalçın HD, Şahin M. The association between electronic health literacy and self-care management in adults with type-2 diabetes. Progress in Health Sciences. 2022;12(2):14-19.
  • 21. Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C, Pittella F, Ausili D. Health literacy in type 2 diabetes patients: a systematic review of systematic reviews. Acta Diabetol. 2018;55(1):1-12.
  • 22. Kerr D, King F, Klonoff DC. Digital Health Interventions for Diabetes: Everything to Gain and Nothing to Lose. Diabetes Spectr. 2019;32(3):226-230.
  • 23. Kolcu M, Bulbul E, Celik S, Anataca G. The relationship between health literacy and successful aging in elderly individuals with type 2 diabetes. Prim Care Diabetes. 2023;17(5):473- 478.
  • 24. Cravo M, Rosendo I, Santiago LM, Abreu J. Health Literacy and Complications in People with Type 2 Diabetes: An Exploratory Study. Cureus. 2023;15(9):e46064.
  • 25. Akyol Güner T, Kuzu A, Bayraktaroğlu T. The Relationship Between Health Literacy and Rational Drug Use in Individuals with Diabetes. Turkish Journal of Diabetes and Obesity, 2020;4(3):214-223.
  • 26. Hill-Briggs F, Adler NE, Berkowitz SA, Chin MH, Gary-Webb TL, Navas-Acien A, Thornton PL, Haire-Joshu D. Social Determinants of Health and Diabetes: A Scientific Review. Diabetes Care. 2020;44(1):258–79.
  • 27. Al Sayah F, Majumdar SR, Williams B, Robertson S, Johnson JA. Health literacy and health outcomes in diabetes: a systematic review. J Gen Intern Med. 2013;28(3):444-52.
  • 28. Shiferaw KB, Tilahun BC, Endehabtu BF, Gullslett MK, Mengiste SA. E-health literacy and associated factors among chronic patients in a low-income country: a cross-sectional survey. BMC Med Inform Decis Mak. 2020;20(1):181.
  • 29. Yi J, Yoon JY, Won CW, Kim M, Lee KS. The roles of health literacy and social support in the association between smartphone ownership and frailty in older adults: a moderated mediation model. BMC Public Health. 2024;24(1):1064.
There are 29 citations in total.

Details

Primary Language English
Subjects ​Internal Diseases
Journal Section Research Article
Authors

Eda Kılınç İşleyen 0000-0003-1857-4953

Nagihan Obak 0009-0002-2711-0915

Kamil Savaş 0009-0002-2934-8468

Nurhan Pala 0009-0000-3116-847X

Meryem Ümit Kurban 0009-0008-3881-361X

Publication Date December 30, 2024
Submission Date August 15, 2024
Acceptance Date December 8, 2024
Published in Issue Year 2024 Volume: 8 Issue: 3

Cite

APA Kılınç İşleyen, E., Obak, N., Savaş, K., Pala, N., et al. (2024). The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example. Turkish Journal of Diabetes and Obesity, 8(3), 225-235.
AMA Kılınç İşleyen E, Obak N, Savaş K, Pala N, Ümit Kurban M. The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example. Turk J Diab Obes. December 2024;8(3):225-235.
Chicago Kılınç İşleyen, Eda, Nagihan Obak, Kamil Savaş, Nurhan Pala, and Meryem Ümit Kurban. “The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals With Type 2 Diabetes: A Public Hospital Example”. Turkish Journal of Diabetes and Obesity 8, no. 3 (December 2024): 225-35.
EndNote Kılınç İşleyen E, Obak N, Savaş K, Pala N, Ümit Kurban M (December 1, 2024) The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example. Turkish Journal of Diabetes and Obesity 8 3 225–235.
IEEE E. Kılınç İşleyen, N. Obak, K. Savaş, N. Pala, and M. Ümit Kurban, “The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example”, Turk J Diab Obes, vol. 8, no. 3, pp. 225–235, 2024.
ISNAD Kılınç İşleyen, Eda et al. “The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals With Type 2 Diabetes: A Public Hospital Example”. Turkish Journal of Diabetes and Obesity 8/3 (December 2024), 225-235.
JAMA Kılınç İşleyen E, Obak N, Savaş K, Pala N, Ümit Kurban M. The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example. Turk J Diab Obes. 2024;8:225–235.
MLA Kılınç İşleyen, Eda et al. “The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals With Type 2 Diabetes: A Public Hospital Example”. Turkish Journal of Diabetes and Obesity, vol. 8, no. 3, 2024, pp. 225-3.
Vancouver Kılınç İşleyen E, Obak N, Savaş K, Pala N, Ümit Kurban M. The Relationship Between E-Health Literacy Level and Obtaining and Verifying Health Information from Digital Media Behaviours in Individuals with Type 2 Diabetes: A Public Hospital Example. Turk J Diab Obes. 2024;8(3):225-3.

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