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Psychometric Evaluation of the Persian eHealth Literacy Scale (eHEALS) Among Elder Iranians With Heart Failure
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.ORCID iD: 0000-0003-1884-5696
International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, United Kingdom.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Social Determinants of Health Research Center (SDH), Qazvin University of Medical Sciences, Qazvin, Iran.ORCID iD: 0000-0002-8798-5345
2020 (English)In: Evaluation & the Health Professions, ISSN 0163-2787, E-ISSN 1552-3918, Vol. 43, no 4, p. 222-229, article id 163278719827997Article in journal (Refereed) Published
Abstract [en]

The purpose of the present study was to examine the psychometric properties of the eHealth Literacy Scale (eHEALS) using classical test theory and modern test theory among elderly Iranian individuals with heart failure (HF). Individuals with objectively verified HF ( n = 388, 234 males, mean age = 68.9 ± 3.4) completed the (i) eHEALS, (ii) Hospital Anxiety and Depression Scale, (iii) Short Form 12, (iv) 9-item European Heart Failure Self-Care Behavior Scale, and (v) 5-item Medication Adherence Report Scale. Two types of analyses were carried out to evaluate the factorial structure of the eHEALS: (i) confirmatory factor analysis (CFA) in classical test theory and (ii) Rasch analysis in modern test theory. A regression model was constructed to examine the associations between eHEALS and other instruments. CFA supported the one-factor structure of the eHEALS with significant factor loadings for all items. Rasch analysis also supported the unidimensionality of the eHEALS with item fit statistics ranging between 0.5 and 1.5. The eHEALS was significantly associated with all the external criteria. The eHEALS is suitable for health-care providers to assess eHealth literacy for individuals with HF.

Place, publisher, year, edition, pages
Sage Publications, 2020. Vol. 43, no 4, p. 222-229, article id 163278719827997
Keywords [en]
Iran, classical test theory, eHealth literacy, heart failure, modern test theory
National Category
Nursing Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:hj:diva-43362DOI: 10.1177/0163278719827997ISI: 000574512800003PubMedID: 30744419Scopus ID: 2-s2.0-85061618071Local ID: ;HHJADULTISOAI: oai:DiVA.org:hj-43362DiVA, id: diva2:1297946
Available from: 2019-03-21 Created: 2019-03-21 Last updated: 2020-10-15Bibliographically approved

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Broström, AndersPakpour, Amir H.

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