E-SAĞLIK OKURYAZARLIĞI İLE EGZERSİZ SAĞLIK İNANÇ MODELİ ARASINDAKİ İLİŞKİ

Year 2023, Volume: 9 Issue: 3, 295 - 306, 31.12.2023

Tekin Sancar

Abstract

Bu çalışmanın temel amacı, e-sağlık okuryazarlığı ile egzersiz sağlık inanç modeli arasındaki ilişkilerin irdelenmesidir. Araştırmanın evrenini Manisa il merkezinde faaliyet gösteren bir aile hekimliği merkezine başvuran tüm hasta ve hasta yakınları oluşturmaktadır. Manisa il merkezlerinde faaliyet gösteren bir aile hekimliği merkezine başvuran genç, orta ve ileri yaş grubu her birey, araştırma örneklemine dahil edilmiştir. Katılımcılardan toplamda 427 anket toplanmıştır ve analize tabi tutulmuştur. Yüz yüze anket metodu ile toplanan veriler SPSS ve AMOS istatistiksel analiz programları ile analiz edilmiştir. Kapsam geçerliliği ve doğrulayıcı faktör analizleri ile elde edilen bulgular, modelin yapı geçerliliğinin sağlandığını göstermiştir. Elde edilen uyum değerleri model uyumunun (model fit) sağlandığını ortaya koymuştur. E-sağlık okuryazarlık düzeyi ile egzersiz sağlık inanç modeli arasında pozitif bir ilişki vardır. E-sağlık okuryazarlığı arttıkça egzersiz sağlık inanç modeli düzeyleri olumlu yönde artmaktadır.

Keywords

E-Sağlık okuryazarlığı, Egzersiz sağlık inanç modeli, Yapısal eşitlik modellemesi

Supporting Institution

Herhangi bir kurum desteklememiştir.

THE RELATIONSHIP BETWEEN E-HEALTH LITERACY AND EXERCISE HEALTH BELIEF MODEL

Abstract

The main purpose of this study is to examine the relationships between e-health literacy and exercise health belief model. The population of the research consists of all patients and their relatives who applied to a family medicine center operating in the city center of Manisa. Every individual in the young, middle and advanced age group who applied to a family medicine center operating in Manisa province centers was included in the research sample. A total of 427 questionnaires were collected from the participants and analyzed. Data collected by face-to-face survey method were analyzed with SPSS and AMOS statistical analysis programs. Findings obtained with content validity and confirmatory factor analyzes showed that the construct validity of the model was provided. The fit values obtained showed that the model fit was achieved. There is a positive relationship between e-health literacy level and exercise health belief model. As e-health literacy increases, exercise health belief model levels increase positively.

Keywords

E-Health literacy, Exercise health belief model, Structural equation modeling

References

• AMA (American Medical Association), (1999). Health literacy: Report of the Council on Scientific Affairs, Ad Hoc Committee on Health Literacy for the Council on ScientificAffairs, JAMA 281: 552‐557.
• Baker D. W. (2006). The meaning and the measure of health literacy. Journal of general internal medicine, 21(8), 878–883. https://doi.org/10.1111/j.1525-1497.2006.00540.x
• Baker, D.W., Williams, M.V., Parker, R.M., Gazmararian, J.A., Nurss, J. (1999). Development of a brief test to measure functional health literacy. Patient Educ Couns 38: 33–42.
• Berhe, R., Spigt, M., Schneider, F., Paintain, L., Adera, C., Nigusie, A., ... & Alemayehu, M. (2022). Understanding the risk perception of visceral leishmaniasis exposure and the acceptability of sandfly protection measures among migrant workers in the lowlands of Northwest Ethiopia: a health belief model perspective. BMC Public Health, 22(1), 1-15.
• Bilir, N. (2014). Sağlık okur-yazarlığı. Turkish Journal of Public Health, 12(1), 61-68.
• Brown T.A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
• Byrne B.M. (2001). Structural equation modeling with AMOS: Basic concepts, applications, and programming. Lawrence Erlbaum Associates.
• Deniz S (2020). Bireylerin E-Sağlık Okuryazarlığı ve Siberkondri Düzeylerinin İncelenmesi. İnsan ve İnsan, 7(24), 84 - 96. 10.29224/insanveinsan.674726
• Ertüzün, E., & Karaküçük, S. (2014). Sağlık inanç modeli perspektifinde sportif rekreasyon aktivitelerine bakış. Gazi Beden Eğitimi ve Spor Bilimleri Dergisi, 19(1-4), 1-9.
• Esparza-Del Villar OA, Montañez-Alvarado P, Gutiérrez-Vega M, Carrillo-Saucedo IC, Gurrola-Peña GM, Ruvalcaba-Romero NA, et al. Factor structure and internal reliability of an exercise health belief model scale in a Mexican population. BMC Public Health. 2017;17(1):229. doi: 10.1186/s12889-017-4150-x.
• Eyüboğlu, E. ve Schultz, P.J. (2015). Validation of Turkish health literacy measures. Health Promot Int 31: 355-362. (accessed by https://www.researchgate.net/publication/270965566_Validation_of_Turkish_health_literacy_measures 14.04.2023)
• Glanz, K., Rimer, B. K., & Viswanath, K. (Eds.). (2008). Health behavior and health education: theory, research, and practice. John Wiley & Sons.
• Gözüm, S., & ÇAPIK, C. (2014). Sağlık davranışlarının geliştirilmesinde bir rehber: sağlık inanç modeli. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi, 7(3), 230-237.
• Green, E. C., Murphy, E. M., & Gryboski, K. (2020). The health belief model. The Wiley encyclopedia of health psychology, 211-214.
• Hosseini, H., Moradi, R., Kazemi, A., & Shahshahani, M. S. (2017). Determinants of physical activity in middle-aged woman in Isfahan using the health belief model. Journal of Education and Health Promotion, 6.
• Jones, C. J., Smith, H., & Llewellyn, C. (2014). Evaluating the effectiveness of health belief model interventions in improving adherence: a systematic review. Health psychology review, 8(3), 253-269.
• Jung, S. O., Son, Y. H., & Choi, E. (2022). E-health literacy in older adults: an evolutionary concept analysis. BMC Medical Informatics and Decision Making, 22(1), 1-13.
• Kanj, M. ve Mitic, W. (2009). Consultants to the Eastern Mediterranean Region, World Health Organization.
• Health Literacy and Health Promotion Definitions, Concepts and Examplesin the Eastern Mediterranean Region Individual Empowerment Conference Working Document., 16: 1-46.
• Mahdavi Zh, Ramezani A, Ghanbari Sh, Khodakarim L. Relationship between health literacy and female cancers preventive behaviors. Payesh. 2017;16(5):613–25.
• Manganello, J.A. (2008). Health literacy and adolescents: a framework and agenda for future research. Health Edu Res 23: 840-847.
• Munro, B.H. (2005). Statistical Methods For Health Care Research. Philadelphia: Lippincott Williams &
• 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), e506.
• Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health promotion international, 15(3), 259-267.
• Özdemir, H., Alper, Z., Uncu, Y. ve Bilgel, N. (2010). Health Literacy Among Adults: A Study From Turkey. Health Education Research, 25(3), 464-77.
• Özer Ö., Özmen S. & Özkan O.(2020). Sosyal Medya Kullanımının E-Sağlık Okuryazarlığına Etkisinin İncelenmesi. Alanya Akademik Bakış, 4(2), Sayfa No. 353-367.
• Pálsdóttir, Á. (2008). Information behaviour, health self-efficacy beliefs and health behaviour in Icelanders' everyday life. Information Research: An International Electronic Journal, 13(1).
• Panahi R, Dehghankar L, Abdollahi F, Anbari M, Hosseini N. Health literacy and breast cancer preventive behaviors among students. Payesh. 2019;18(6):547–57.
• Parker, R.M., Ratzan, S.C., Lurie, N. (2003). Health literacy: A policy challenge for advancing high-quality health care. Health Affairs . 22(4): 147.
• Pourrazavi, S., Kouzekanani, K., Bazargan-Hejazi, S., Shaghaghi, A., Hashemiparast, M., Fathifar, Z., & Allahverdipour, H. (2020). Theory-based E-health literacy interventions in older adults: a systematic review. Archives of Public Health, 78(1), 1-8.
• Sadeghi, R., Hesary, F. B., & Khanjani, N. (2020). A systematic review about educational interventions based on the health belief model (HBM) aimed to prevent and control diabetes in Iran. International Journal of Ayurvedic Medicine, 22(14), 68-74.
• Sezgin, D. (2013). Sağlık okuryazarlığını anlamak. İletişim, 73-92. Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., ... & Brand, H. (2015). Health literacy in
• Europe: comparative results of the European health literacy survey (HLS-EU). European journal of public health, 25(6), 1053-1058.
• Sulat, J. S., Prabandari, Y. S., Sanusi, R., Hapsari, E. D., & Santoso, B. (2018). The validity of health belief model variables in predicting behavioral change: A scoping review. Health Education.
• Şengül, H., Çınar, F., Çapar, H., Bulut, A., & Çakmak, C. (2017). Sağlık Bilimleri Fakültesi Öğrencilerin E-Sağlık Okuryazarlığı Düzeyleri ve İnternet Kullanımına Yönelik Tutumları: Bir Vakıf Üniversitesi Örneği. International Journal of Social and Humanities Sciences Research (JSHSR), 4(12), 1277–1287. https://doi.org/10.26450/jshsr.187
• Tanner-Smith, E. E., & Brown, T. N. (2010). Evaluating the Health Belief Model: A critical review of studies predicting mammographic and pap screening. Social Theory & Health, 8(1), 95-125.
• Tosun, N. & Hoşgör, H. (2021). E-Sağlık Okuryazarlığı ve Akılcı İlaç Kullanımı Farkındalığı Arasındaki İlişkinin Belirlenmesine Yönelik Bir Araştırma. Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi, 22 (2) , 82-102. DOI: 10.37880/cumuiibf.896847
• Uskun E, Doğan E,Önal Ö, Kişioğlu AN. (2022). e-Sağlık okuryazarlığı ölçeği: 45 yaş üstü yetişkinlerde Türkçe geçerlik ve güvenirlik çalışması. Türk Hijyen ve Deneysel Biyoloji Dergisi, 79(4): 674 – 689.
• von Wagner, C., Steptoe, A., Wolf, M.S., Wardle, J. (2009). Health literacy and health actions: a review and a framework from health psychology. Health Educ Behav., Oct;36(5):860-77. doi: 10.1177/1090198108322819.
• Wang, C., Wu, X., & Qi, H. (2021). A comprehensive analysis of E-health literacy research focuses and trends. In Healthcare (Vol. 10, No. 1, p. 66). MDPI.
• World Health Organization (2023). Physical activity. https://www.who.int/en/news-room/fact-sheets/detail/physical-activity (Erişim Tarihi: 10.04.2023).
• Wu, S., Feng, X., & Sun, X. (2020). Development and evaluation of the health belief model scale for exercise. International journal of nursing sciences, 7, S23-S30.
• Xie, B. (2011). Older adults, e‐health literacy, and collaborative learning: An experimental study. Journal of the American Society for Information Science and Technology, 62(5), 933-946.
• Yılmaz MD, Kartal A. (2021). Egzersiz Sağlık İnanç Modeli Ölçeğinin Geçerlik ve Güvenirlik Çalışması. Yaşam Boyu Hemşirelik Dergisi, 2(1): 42-61.
• Yılmaz, U. H. M. D., Kartal, A., & Sağlığı, H. Egzersiz Sağlık İnanç Modeli Ölçeği’nin Geçerlik ve Güvenirlik Çalışması.
• Zack, A. R. (2010). Performance of diabetes self-management behaviors by older adults in Georgia senior centers (Doctoral dissertation, uga).