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The Adult Inpatient eHealth Literacy Scale (AIPeHLS): Development and Validation Study.

Xinyu Feng1,2, Vivian Hui1,3, Jing Jiang2

  • 1Centre for Smart Health, School of Nursing, Hong Kong Polytechnic University, Kowloon, China (Hong Kong).

Journal of Medical Internet Research
|October 14, 2025
PubMed
Summary
This summary is machine-generated.

A new scale, the Adult Inpatient eHealth Literacy Scale (AIPeHLS), effectively measures digital health literacy in hospitalized adults. This tool helps tailor eHealth interventions for better patient care in the Web 3.0 era.

Keywords:
eHealth literacyhealth care innovationinpatientsscale developmentvalidity and reliability

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Area of Science:

  • Digital Health
  • Health Informatics
  • Patient Education

Background:

  • Digital health technologies and Web 3.0 necessitate eHealth literacy (eHL) for patients.
  • Adult inpatients face unique challenges with eHealth tools due to their vulnerable conditions.
  • Existing eHL assessment tools are inadequate for current digital health care demands.

Purpose of the Study:

  • To develop and validate the Adult Inpatient eHealth Literacy Scale (AIPeHLS).
  • To create a multidimensional tool based on the Lily Model for evaluating eHL in adult inpatients.
  • To address the need for a specialized eHL assessment in digital health care settings.

Main Methods:

  • Systematic, multiphase development including literature review, Delphi method, and pilot surveys.
  • Item pool generation and refinement, followed by exploratory factor analysis (EFA) on 100 participants.
  • Validation through a cross-sectional study of 532 participants using confirmatory factor analysis (CFA), assessing various validity types and reliability (Cronbach α, Omega, split-half).

Main Results:

  • The finalized 44-item AIPeHLS comprises 6 dimensions reflecting Web 3.0 skills: traditional, information, media, health, computer, and scientific literacy.
  • EFA and CFA confirmed the 6-factor structure with acceptable model fit indices.
  • The scale demonstrated robust validity (content, convergent, discriminant, criterion-related) and high reliability (Cronbach α = .965).

Conclusions:

  • The 44-item AIPeHLS is a reliable and valid instrument for assessing eHL in adult inpatients within the Web 3.0 context.
  • The scale enables healthcare providers to understand patients' digital competencies and customize interventions.
  • Findings support further research on eHL's impact on health outcomes and the development of eHealth interventions and policies.