Huaxuan Liu|Bik Chu Chow|Wei Liang|H Hassel|Wendy Yajun Huang
Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation Study
Hong Kong Baptist University|Hong Kong Baptist University|Hong Kong Baptist University|Coburg University of Applied Sciences|Hong Kong Baptist University
ehealth literacy ehl refers variety capabilities enable individuals obtain health information electronic resources apply solve health problems digitization health care wide availability health apps diverse range ehealth skills required properly use health facilities existing ehl measurements focus mainly skill obtaining health information web 10 whereas skills webbased interactions web 20 selfmanaging health data applying information web 30 well measuredthis study aims develop ehl scale ehls termed ehlsweb30 comprising comprehensive spectrum web 10 20 30 skills measure ehl evaluate validity reliability along measurement invariance among college studentsin study 1 421 chinese college students mean age 205 sd 14 years 518 female 8 health experts mean age 383 sd 59 years 875 female involved develop ehlsweb30 scale development included three steps item pool generation content validation exploratory factor analysis study 2 741 college students mean age 213 sd 14 years 522 female recruited 4 chinese cities validate newly developed ehlsweb30 construct validity convergent validity concurrent validity internal consistency reliability testretest reliability measurement invariance across genders majors regions examined series statistical analyses including confirmatory factor analysis cfa multigroup cfas using spss mplus software packagesbased item pool 374 statements collected conceptual development 24 items 410 items per subscale generated adjusted cognitive testing content validity examination exploratory factor analysis 3factor ehlsweb30 finally developed included acquisition 8 items verification 6 items application 10 items study 2 cfas supported construct validity 24item 3d ehlsweb30 2244903076 22443701 comparative fit index0924 tuckerlewis index0914 root mean square error approximation rmsea006 standardized root mean residual srmr0051 average variance extracted ave value 058 high correlation ehlsweb30 subscales ehealth literacy scale r07250880 p001 indicated convergent validity concurrent validity ehlsweb30 results also indicated satisfactory internal consistency reliability 976 09340956 testretest reliability r0858 p001 scale multigroup cfa demonstrated 24item ehlsweb30 invariant configural metric strength structural levels across genders female male majors sportrelated medical general regions yinchuan kunming xiamen beijingthe 24item 3d ehlsweb30 proved reliable valid measurement tool ehl web 30 context among chinese college students