The measurements and an elaborated understanding of chinese ehealth literacy (C-eHEALS) in chronic patients in China

Angela Chang, Peter J. Schulz

Research output: Contribution to journalArticlepeer-review

39 Scopus citations


The rapid rise of Internet-based technologies to disseminate health information and services has been shown to enhance online health information acquisition. A Chinese version of the electronic health literacy scale (C-eHEALS) was developed to measure patients’ combined knowledge and perceived skills at finding and applying electronic health information to health problems. A valid sample of 352 interviewees responded to the online questionnaire, and their responses were analyzed. The C-eHEALS, by showing high internal consistency and predictive validity, is an effective screening tool for detecting levels of health literacy in clinical settings. Individuals’ sociodemographic status, perceived health status, and level of health literacy were identified for describing technology users’ characteristics. A strong association between eHealth literacy level, media information use, and computer literacy was found. The emphasis of face-to-face inquiry for obtaining health information was important in the low eHealth literacy group while Internet-based technologies crucially affected decision-making skills in the high eHealth literacy group. This information is timely because it implies that health care providers can use the C-eHEALS to screen eHealth literacy skills and empower patients with chronic diseases with online resources.

Original languageEnglish
Article number1553
JournalInternational Journal of Environmental Research and Public Health
Issue number7
StatePublished - 23 Jul 2018

Bibliographical note

Publisher Copyright:
© 2018 by the authors. Licensee MDPI, Basel, Switzerland.


  • Health promotion
  • Health status
  • Internet
  • Literacy knowledge
  • Mobile use


Dive into the research topics of 'The measurements and an elaborated understanding of chinese ehealth literacy (C-eHEALS) in chronic patients in China'. Together they form a unique fingerprint.

Cite this