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eHealth Literacy Mediating Social Support and Technology Acceptance Among Patients With Chronic Illnesses: A
Lian-Shin Shiu1,2, Yu-Shan Huang2,3, Chieh Yu Liu4
1International Priority Care Center, Taiwan Adventist Hospital, Taipei, Taiwan.
Journal of Advanced Nursing
|September 9, 2025
Summary
Social support boosts eHealth literacy, which fully mediates technology acceptance in chronic illness patients. Improving eHealth literacy is key for digital health engagement.
Area of Science:
- Health Informatics
- Digital Health
- Patient Engagement
Background:
- Social support is vital for chronic illness management.
- eHealth technology offers potential benefits but requires user engagement.
- Understanding factors influencing technology acceptance is crucial for effective digital health interventions.
Purpose of the Study:
- To investigate the mediating role of eHealth literacy in the relationship between social support and eHealth technology acceptance.
- To identify predictors of technology acceptance among patients with chronic illnesses.
Main Methods:
- Cross-sectional correlational study with 202 chronic illness patients in Taiwan.
- Data collected via structured questionnaires.
- Statistical analysis using SPSS and PROCESS macro with 1000 bootstrap samples.
Main Results:
- eHealth literacy was the strongest predictor of eHealth technology acceptance.
- Social support was positively associated with eHealth literacy.
- Social support did not directly predict technology acceptance, demonstrating full mediation by eHealth literacy.
Conclusions:
- eHealth literacy is a critical mediator linking social support to eHealth technology acceptance.
- Interventions should enhance eHealth literacy, integrating social support strategies to improve digital engagement for chronic illness management.
- Healthcare professionals should design literacy-sensitive interventions leveraging social networks to promote eHealth adoption.
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