THE CORRELATION BETWEEN PARENTS’ eHEALTH LITERACY AND CHILDREN’S SLEEP HABITS

Abstract

Abstract: This study aimed to explore the correlation between parents’ eHealth literacy and sleep habits of children. This descriptive and cross-sectional study was performed in the spring semester of the 2023-2024 academic year with parents who agreed to attend the research among the students studying in two kindergartens in the center of a district in Turkey (n=138). The “Personal Information Form” “the Children’s Sleep Habits Questionnaire” and “the eHealth Literacy Scale” were used as assessment instruments. The data were analyzed with the SPSS 22.0 package program. 87.7% of the parents were women, 52.2% of children are girl. 70.3% of the children had clinically significant sleep-related problems. It was identified that there was a significant difference in the mean scores of the eHealth Literacy Scale according to the education level of the parents (p<0.05). A negative, statistically significant correlation was identified between the Children’s Sleep Habits Questionnaire mean score and parents’s the eHealth Literacy Scale mean score (p<0.05). The study identified that 70.3% of children had sleep-related problems. It has been determined that parents’ e-health literacy levels differ according to their educational status. In addition, the study concluded that as parents' eHealth literacy level increases, children's sleep-related problems decrease.

Keywords

• eHealth Literacy
• Child
• Sleep
• Parent

Supporting Institution

None.

Ethical Statement

The study was approved by the Akdeniz University Medical Scientific Research Ethics Committee (Decision no: TBAEK-138, date: 29.02.2024). Written permission was obtained from the Provincial Directorate of National Education to which the schools where the study was conducted were affiliated. Parents’ verbal and written consents were obtained.

Thanks

The authors would like to thank all participants who contributed to this study.

References

1. Ono, S., Ogi, H., Ogawa, M., Nakamura, D., Nakamura, T., Izawa, K.P., “Relationship between parents' health literacy and children's sleep problems in Japan”, BMC Public Health, 21(1), 791, 2021. https://doi.org/10.1186/s12889-021-10864-z
2. Bathory, E., Tomopoulos, S., Rothman, R., Sanders, L., Perrin, E. M., Mendelsohn, A., Dreyer, B., Cerra, M., Yin, H.S., “Infant sleep and parent health literacy”, Academic Pediatrics, 16(6), 550-557, 2016. https://doi.org/10.1016/j.acap.2016.03.004.
3. Gültekin, T., Bayık-Temel, A., “Sleep problems and effective factors in preschool children”, Florence Nightingale Journal of Nursing, 28(2),164-173, 2020. https://doi.org/10.5152/FNJN.2020.18063
4. Ogi, H., Nakamura, D., Ogawa, M., Nakamura, T., Izawa, K.P., “Associations between parents' health literacy and sleeping hours in children: A cross-sectional study”, Healthcare, 6,32, 2018. https://doi.org/10.3390/healthcare6020032
5. McDowall, P.S., Galland, B.C., Campbell, A.J., Elder, D.E., “Parent knowledge of children's sleep: A systematic review”, Sleep Medicine Reviews, 31, 39-47, 2017. https://doi.org/10.1016/j.smrv.2016.01.002
6. Üstündağ, A. “Okul çağındaki çocukların sağlık okuryazarlığı bilgi düzeylerinin incelenmesi”, İnsan ve Sosyal Bilimler Dergisi, 3(2), 567–577, 2020.
7. Mörelius, E., Robinson, S., Arabiat, D., Whitehead, L., “Digital Interventions to improve health literacy among parents of children aged 0 to 12 years with a health condition: systematic review”, Journal of Medical Internet Research, 23(12), e31665, 2021. https://doi.org/10.2196/31665
8. Csima, M., Podráczky, J., Keresztes, V., Soós, E., Fináncz, J., “The role of parental health literacy in establishing health-promoting habits in early childhood”, Children, 11(5), 576, 2024. https://doi.org/10.3390/children11050576

9. Juvalta, S., Kerry, M.J., Jaks, R., Baumann, I., Dratva, J., “Electronic health literacy in swiss-german parents: cross-sectional study of ehealth literacy scale unidimensionality”, Journal of Medical Internet Research, 22(3), e14492, 2020. https://doi.org/10.2196/14492
10. Ceylan, S.S., Turan, T., Erdoğan, Ç., “Ebeveynlerin aşılara olan güvenleri ile aşı e-sağlık okuryazarlığı düzeyleri arasındaki ilişkinin incelenmesi”, Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, 6(3), 154-164, 2022.
11. Deniz, S., “Bireylerin e-sağlık okuryazarlığı ve siberkondri düzeylerinin incelenmesi”, İnsan ve İnsan Dergisi, 7(24), 84-96. 2020. https://doi.org/10.29224/insanveinsan.674726
12. Norman, C.D., Skinner, H.A., “eHEALS: The eHealth Literacy Scale”, Journal of Medical Internet Research, 8(4), e27, 2006. https://doi.org/10.2196/jmir.8.4.e27
13. Tamer Gencer, Z., “Analysis of validity and reliability of Norman and Skinner’s e- health scale literacy for cultural adaptation”, Istanbul University Faculty of Communication Journal, 52, 131–145, 2017. https://doi.org/10.17064/iuifd.333165.
14. Owens, J.A., Spirito, A., McGuinn, M., “The Children's Sleep Habits Questionnaire (CSHQ): psychometric properties of a survey instrument for school-aged children”, Sleep, 23(8), 1043-1051, 2000.
15. Perdahlı Fiş, N., Arman, A., Ay, P., Topuzoğlu, A., Güler, A.S., Gökçe İmren, S., Ersu, R., Berkem, M., “The validity and the reliability of Turkish Version of Children’s Sleep Habits Questionnaire”, Anatolian Journal of Psychiatry, 11, 151-60, 2010.
16. Wang, R., Chen, J., Tao, L., Qiang, Y., Yang, Q., Li, B., “Prevalence of sleep problems and ıts association with preterm birth among kindergarten children in a Rural Area of Shanghai, China”, Frontiers in Pediatrics, 10, 863241, 2022. https://doi.org/10.3389/fped.2022.863241
17. Lewien, C., Genuneit, J., Meigen, C., Kiess, W., Poulain, T., “Sleep-related difficulties in healthy children and adolescents”, BMC Pediatrics, 21(1), 82, 2021. https://doi.org/10.1186/s12887-021-02529-y
18. Chen, X., Qiang, Y., Liu, X., et al. “The Prevalence of insufficient sleep and bedtime delay among kindergarten children aged 3 to 6 years in a Rural Area of Shanghai: A cross-sectional study”, Frontiers in Pediatrics, 9, 759318, 2021. https://doi.org/10.3389/fped.2021.759318
19. Muppalla, S.K., Vuppalapati, S., Reddy Pulliahgaru, A., Sreenivasulu, H. “Effects of excessive screen time on child development: an updated review and strategies for management”, Cureus, 15(6), e40608, 2023. https://doi.org/10.7759/cureus.40608
20. Zhu, R., Fang, H., Chen, M., Hu, X., Cao, Y., Yang, F., Xia, K. “Screen time and sleep disorder in preschool children: identifying the safe threshold in a digital world”, Public Health, 186, 204–210, 2020. https://doi.org/10.1016/j.puhe.2020.07.028
21. Aygun, O., Topcu, M. “The relationship between parental health literacy levels and anthropometric measurements of children in Turkey”, BMC Pediatrics, 23(1), 559, 2023. https://doi.org/10.1186/s12887-023-04385-4
22. Tschamper, M.K., Wahl, A.K., Hermansen, Å., Jakobsen, R., Larsen, M. H. “Parents of children with epilepsy: Characteristics associated with high and low levels of health literacy”, Epilepsy & Behavior, 130, 108658, 2022. https://doi.org/10.1016/j.yebeh.2022.108658