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首页> 外文期刊>Journal of health communication >Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument
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Transactional eHealth Literacy: Developing and Testing a Multi-Dimensional Instrument

机译：交易助理扫盲：开发和测试多维仪器

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摘要

Theoretically informed measures of eHealth literacy that consider the social affordances of eHealth are limited. This study describes the psychometric testing of a multi-dimensional instrument to measure functional, communicative, critical, and translational eHealth literacies, as informed by the Transactional Model of eHealth Literacy (TMeHL). A 3-phase rating scale construction process was conducted to engage eHealth experts and end-users. In Phase 1, Experts (N= 5) and end-users (N= 25) identified operational behaviors to measure each eHealth literacy dimension. End-users (N = 10) participated in think-aloud interviews to provide feedback on items reviewed and approved by experts. A field test was conducted with a random sample of patients recruited from a university-based research registry (N= 283). Factor analyses and Rasch procedures examined the internal structure of the scores produced by each scale. Pearson's r correlations provided evidence for external validity of scores. The instrument measures four reliable (w = .92-.96) and correlated (r= .44-.64) factors: functional (4 items), communicative (5 items), critical (5 items), and translational (4 items). Researchers and providers can use this new instrument as a theory-driven instrument to measure four eHealth literacies that are fundamental to the social affordances of the eHealth experience.
机译：理论上知情措施衡量电子健康社会充分性的信息。本研究描述了多维仪器的心理测量测试，以测量功能，交际，批判性和翻译电子健康文章，如EHEATH Ineracy（TMehl）的事务模型所通报。进行了一项三相评定规模的施工过程，以聘用电子健康专家和最终用户。在第1阶段，专家（n = 5）和最终用户（n = 25）确定了测量每个eHealth识别尺寸的操作行为。最终用户（n = 10）参加了思考的面试，以提供有关经专家审查和批准的物品的反馈。通过从大学的研究登记处招募的患者随机样本进行田间测试（n = 283）。因子分析和RASCH程序检测了每个等级产生的分数的内部结构。 Pearson的R相关提供了分数的外部有效性的证据。仪器测量四个可靠（w = .92-.96）和相关（r = .44-.64）因素：功能（4项），交际（5项），关键（5项）和翻译（4项）。研究人员和提供商可以使用这种新仪器作为理论驱动的工具来衡量四个eHealth文章，这是eHealth经验的社交能力的基础。

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