成年住院患者电子健康素养量表 (AIPeHLS):开发和验证研究
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
概括
一个新的尺度,成人住院患者电子健康素养尺度 (AIPeHLS),有效地衡量住院成年人的数字健康素养. 这个工具有助于在Web 3.0时代为更好的患者护理量身定制电子健康干预措施.
科学领域:
- 数字健康数字健康
- 医疗信息学 医疗信息学
- 患者教育 患者教育
背景情况:
- 数字健康技术和Web 3.0需要患者的电子健康素养 (eHL).
- 成年住院患者因其脆弱的状况而面临电子健康工具的独特挑战.
- 现有的电子健康评估工具不足以满足当前数字医疗需求.
研究的目的:
- 开发和验证成年住院患者电子健康素养量表 (AIPeHLS).
- 创建一个基于Lily模型的多维工具,用于评估成年住院患者的eHL.
- 解决在数字医疗保健环境中需要专门的eHL评估的需求.
主要方法:
- 系统的,多阶段的开发,包括文献审查,德尔菲方法和试点调查.
- 项目池生成和改进,然后对100名参与者进行探索性因子分析 (EFA).
- 通过对532名参与者的横截面研究进行验证,使用确认因素分析 (CFA),评估各种有效性类型和可靠性 (Cronbach α,Omega,分半).
主要成果:
- 最终完成的44项AIPeHLS包括6个维度,反映了Web 3.0技能:传统,信息,媒体,健康,计算机和科学素养.
- EFA和CFA证实了采用可接受的模型匹配指数的6因素结构.
- 该尺度表现出强大的有效性 (内容,收,区分,与标准相关) 和高可靠性 (Cronbach α = .965).
结论:
- 44项 AIPeHLS 是一个可靠和有效的工具,用于在Web 3.0背景下评估成年住院患者的eHL.
- 该规模使医疗保健提供者能够了解患者的数字能力并定制干预措施.
- 这些发现支持进一步研究电子健康对健康结果的影响以及电子健康干预和政策的制定.
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