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Research ArticleOriginal Article
Open Access

Do digital health information searches of individuals with chronic diseases affect health literacy and patient empowerment?

A path analysis

Şenay Şener and Seda Göger
Saudi Medical Journal June 2024, 45 (6) 617-625; DOI: https://doi.org/10.15537/smj.2024.45.6.20240158
Şenay Şener
From the Department of Health Care Services (Şener), Safranbolu State Hospital, Ministry of Health, Karabük, and from the Department of Health Care Services (Göger), Vocational School of Health Services, Sakarya University, Sakarya, Turkey.
PhD
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Seda Göger
From the Department of Health Care Services (Şener), Safranbolu State Hospital, Ministry of Health, Karabük, and from the Department of Health Care Services (Göger), Vocational School of Health Services, Sakarya University, Sakarya, Turkey.
PhD
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  • ORCID record for Seda Göger
  • For correspondence: [email protected]
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Article Figures & Data

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    Figure 1

    - Structural modelling of path diagram.

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    Table 1

    - Reliability results of the variables related to the research model.

    VariablesScale itemsFactor loadCronbach’s Alpharho_AComposite reliabilityAVE
    Interaction with othersPES70.7440.8570.8650.8580.550
    PES100.727
    PES160.609
    PES260.835
    PES330.774
    Understanding informationHLS60.8110.9290.9320.9280.651
    HLS70.736
    HLS80.760
    HLS90.815
    HLS100.751
    HLS110.822
    HLS120.935
    Access to informationHLS10.8330.9250.9260.9250.711
    HLS20.864
    HLS30.898
    HLS40.803
    HLS50.814
    Recognition and comprehensionPES80.7540.9090.9120.9080.555
    PES110.721
    PES150.667
    PES190.747
    PES220.708
    PES300.883
    PES340.677
    PES360.779
    Appraisal/evaluationHLS130.7730.9300.9310.9300.624
    HLS140.769
    HLS150.787
    HLS160.804
    HLS170.697
    HLS180.774
    HLS190.832
    HLS200.870
    Digital verificationSHIAV70.7570.9080.9130.9080.712
    SHIAV80.804
    SHIAV90.929
    SHIAV100.874
    Decision-makingPES10.7470.8780.8820.8780.509
    PES20.622
    PES40.673
    PES180.641
    PES210.717
    PES240.774
    PES270.800
    Identity/identicalnessPES60.7930.9220.9250.9220.570
    PES120.637
    PES140.691
    PES200.791
    PES230.807
    PES250.742
    PES290.829
    PES320.730
    PES370.757
    Self-controlPES30.7070.8840.8870.8830.520
    PES50.802
    PES90.613
    PES130.648
    PES170.714
    PES280.784
    PES350.757
    Application/useHLS210.8520.8770.8860.8780.592
    HLS220.798
    HLS230.629
    HLS240.718
    HLS250.829
    Web 1.0 and health information acquisitionSHIAV10.7990.8400.8440.8410.638
    SHIAV20.853
    SHIAV30.741
    Web 2.0 and health information acquisitionSHIAV50.6270.7210.7860.7450.601
    SHIAV60.900
    • AVE: average variance extracted, PES: patient empowerment scale, HLS: health literacy scale, SHIAV: scale for health information acquisition and verification

    • View popup
    Table 2

    - Fornell-Larcker criterion analysis and Heterotrait-Monotrait ratio.

    VariablesFornell-Larcker criterion
    123456789101112
    1- Interaction with others0.742           
    2- Understanding information0.6220.807          
    3- Access to information0.7140.7990.843         
    4- Recognition and comprehension0.6740.7240.8170.745        
    5- Appraisal/evaluation0.6900.7780.7810.5590.790       
    6- Digital verification0.5290.4370.5020.5160.4830.844      
    7- Decision-making0.6800.7080.7190.6810.6350.5810.713     
    8- Identity/identicalness0.6320.6850.7100.5350.6630.4460.5300.755    
    9- Self-control0.5730.7220.7260.5970.5220.5550.6350.6610.720   
    10- Application/use0.5880.7520.7890.5040.5380.4810.6190.6640.6260.770  
    11- Web 1.0 and health information acquisition0.5700.5060.4920.5100.5300.6180.6220.4870.5400.5060.799 
    12- Web 2.0 and health information acquisition0.5290.2590.3750.3650.4080.6510.5580.4370.4680.2750.6420.776
    VariablesHeterotrait-Monotrait ratio
    123456789101112
    1- Interaction with others            
    2- Understanding information0.616           
    3- Access to information0.7130.795          
    4- Recognition and comprehension0.8780.7210.814         
    5- Appraisal/evaluation0.6870.8750.8800.753        
    6- Digital verification0.5350.4400.5000.5170.483       
    7- Decision-making0.8810.7060.8150.8740.8340.592      
    8- Identity/identicalness0.8360.6810.8080.7360.7590.4520.825     
    9- Self-control0.8830.7220.8210.7990.8110.5640.8310.862    
    10- Application/use0.6880.8470.8900.7980.8390.4800.8160.7600.822   
    11- Web 1.0 and health information acquisition0.5700.5090.4910.5110.5310.8250.6330.4930.5500.505  
    12- Web 2.0 and health information acquisition0.5470.2650.3810.3860.4160.7980.5810.4580.4970.2810.653 
    • Heterotrait-Monotrait ratio of <0.90

    • View popup
    Table 3

    - Model analysis results.

    HypothesisβtP-valuesf2R2Q2Results
    Web 1.0 and health information acquisition → access to information0.2472.1820.030*0.0280.2720.177✓
    Web 2.0 and health information acquisition → access to information-0.0170.1860.8520.000  ×
    Digital verification → access to information0.3162.5490.011*0.033  ✓
    Web 1.0 and health information acquisition → understanding information0.4733.5290.000*0.0970.2720.152✓
    Web 2.0 and health information acquisition → understanding information-0.1871.4490.1480.021  ×
    Digital verification → understanding information0.1901.4030.1610.013  ×
    Web 1.0 and health information acquisition → appraisal/evaluation0.4123.1000.002*0.0750.2910.164✓
    Web 2.0 and health information acquisition → appraisal/evaluation0.0860.6410.5220.004  ×
    Digital verification → appraisal/evaluation0.0820.6610.5090.003  ×
    Web 1.0 and health information acquisition → application/use0.3623.2260.001*0.0590.2900.148✓
    Web 2.0 and health information acquisition → application/use-0.2161.9970.046*0.029  ✓
    Digital verification → application/use0.3472.6890.007*0.043  ✓
    Access to information → identity/identicalness0.5854.3300.000*0.2000.6680.362✓
    Understanding information → identity/identicalness-0.0040.1230.9020.000  ×
    Appraisal/Evaluation → identity/identicalness0.1560.9730.3310.008  ×
    Application/use → identity/identicalness0.1050.5140.6080.002  ×
    Access to information → self-control0.3852.8520.005*0.1060.7310.360✓
    Understanding information → self-control-0.0700.8290.4080.005  ×
    Appraisal/evaluation → self-control0.2801.4290.1540.028  ×
    Application/use → self-control0.2851.4980.1350.029  ×
    Access to information → decision-making0.3412.6710.008*0.0860.7360.354✓
    Understanding information → decision-making-0.1661.7340.0840.023  ×
    Appraisal/evaluation → decision-making0.5353.1040.002*0.096  ✓
    Application/use → decision-making0.1590.9030.3670.010  ×
    Access to information → recognition and comprehension0.5163.6090.000*0.1730.7030.367✓
    Understanding information → recognition and comprehension0.1451.1580.2470.014  ×
    Appraisal/evaluation → recognition and comprehension-0.2621.2470.2130.019  ×
    Application/use → recognition and comprehension0.4722.4650.014*0.071  ✓
    Access to information → interaction with others0.4412.8040.005*0.0800.5280.277✓
    Understanding information → interaction with others0.0090.0610.9520.000  ×
    Appraisal/Evaluation → interaction with others0.1950.9380.3490.007  ×
    Application/use → interaction with others0.1100.5540.5800.003  ×
    • ↵* P-value of <0.05,

    • β: effect coefficient, f2: effect size, R2: explanation ratio, Q2: predictive power

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Do digital health information searches of individuals with chronic diseases affect health literacy and patient empowerment?
Şenay Şener, Seda Göger
Saudi Medical Journal Jun 2024, 45 (6) 617-625; DOI: 10.15537/smj.2024.45.6.20240158

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Do digital health information searches of individuals with chronic diseases affect health literacy and patient empowerment?
Şenay Şener, Seda Göger
Saudi Medical Journal Jun 2024, 45 (6) 617-625; DOI: 10.15537/smj.2024.45.6.20240158
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Keywords

  • digital environment
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  • path analysis

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