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role sufficient vision selfmanagement salient respect growing prevalence ehealthbased interventions chronic diseases however relationship insufficient vision selfmanagement understudied aimed assess differences access use technology among adults without insufficient vision academic urban hospital observational study hospitalized adult general medicine patients part larger quality improvement study called hospitalist study hospitalist study provided demographic health literacy data brief health literacy screen substudy included several measures validated surveys assessed technology access use included benchmarked questions national pew survey determine access willingness use selfdescribed ability use technology home particularly selfmanagement ehealthspecific questions assessing future willingness access ehealth post discharge ehealth literacy scale eheals used assess ehealth literacy visual acuity assessed using snellen pocket eye chart low vision defined visual acuity 2050 least one eye descriptive statistics bivariate chisquare analyses multivariate logistic regressions adjusted age race gender education level ehealth literacy performed using stata total 59 participants completed substudy mean age 54 sd 164 years demographic data hospitalist study missing several participants among responded identified black n34 79 female n26 57 reported least college education n30 67 participants owned technology devices n57 97 previously used internet n52 86 significant differences insufficient sufficient vision n34 vs n25 though 2x effect size laptop ownership sufficient vision likely laptop insufficient vision versus sufficient vision less likely report ability perform online tasks without assistance including using search engine n22 65 vs n23 92 p02 opening attachment n17 50 vs n22 88 p002 using online video n20 59 vs n22 88 p01 multivariate analysis ability independently open online attachment remain statistically significant p01 technology device ownership internet use rates high population yet participants insufficient vision vs sufficient vision reported reduced ability independently perform online tasks ensure effective use ehealth technologies atrisk populations relationship vision technology use needs studied