Association of Electronic Health Literacy With... : CIN: Computers, Informatics, Nursing (original) (raw)

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Association of Electronic Health Literacy With Health-Promoting Behaviors in Patients With Type 2 Diabetes

A Cross-sectional Study

Author Affiliations: Graduate School, College of Nursing, Yonsei University (Ms K. A. Kim); Department of Nursing, Asan Medical Center (Ms Y. J. Kim); Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University (Dr Choi), Seoul, South Korea.

This study supported by the faculty-student research fund from Yonsei University College of nursing.

The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Mona Choi, PhD, RN, College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 120-752, South Korea ([email protected]).

Abstract

It is important to know how well patients with type 2 diabetes understand and use health information available online in relation to health-promoting behaviors. Thus, the purposes of this study were to examine the association among electronic health literacy, perceived benefits, self-efficacy, and health-promoting behaviors in patients with type 2 diabetes, and to identify factors that affect health-promoting behaviors. A cross-sectional survey was conducted in a diabetes center in Seoul, South Korea. It was found that health-promoting behaviors were significantly correlated with electronic health literacy (r = 0.15, P < .05), perceived benefits (r = 0.15, P < .05), and self-efficacy (r = 0.47, P < .01). In the multiple linear regression analysis to identify the factors influencing health-promoting behaviors, electronic health literacy (β = .13, P = .040) and self-efficacy (β = .38, P < .001) were found to be significant factors, even after adjusting for general and disease-related characteristics. Strategies to improve health-promoting behaviors in patients with type 2 diabetes should focus on analyzing levels of electronic health literacy and deepening their understanding of online information accordingly.

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