Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

Wang, Yinuo; Song, Yuting; Zhu, Yaru; Ji, Heqian; Wang, Aimin

doi:10.3390/ijerph19106092

Open AccessArticle

Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

by

Yinuo Wang

^†,

Yuting Song

^†,

Yaru Zhu

,

Heqian Ji

and

Aimin Wang

^*

School of Nursing, Qingdao University, Qingdao 266100, China

^*

Author to whom correspondence should be addressed.

^†

These authors contributed equally to this work.

Int. J. Environ. Res. Public Health 2022, 19(10), 6092; https://doi.org/10.3390/ijerph19106092

Submission received: 15 April 2022 / Revised: 14 May 2022 / Accepted: 16 May 2022 / Published: 17 May 2022

(This article belongs to the Topic eHealth and mHealth: Challenges and Prospects)

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Abstract

In the digital age, electronic health literacy (eHealth literacy) of community-dwelling older people plays a potentially important role in their health behaviors which are critical for health outcomes. Researchers have documented that self-efficacy and self-care ability are related to this relationship. This study aimed to assess the relationship between eHealth literacy and health promotion behaviors among older people living in communities and explore the chain mediating role of self-efficacy and self-care ability. For this cross-sectional study, we used data from 425 older adults at 3 communities in Qingdao, Shandong Province in Northeastern China, from June to September 2021. Path analysis using the structural equation model was performed. We found that eHealth literacy was significantly associated with health promotion behaviors in older people. Additionally, eHealth literacy indirectly affected health promotion behaviors through self-efficacy and self-care ability, respectively. In addition, the chain mediation effect was identified in the relationship of eHealth literacy and health promotion behaviors: eHealth literacy→ self-efficacy→ self-care ability→ health promotion behaviors. These findings offer promising directions for developing interventions to modify older adults’ health behaviors through enhancing their eHealth literacy. These interventions should integrate components that target improving the self-efficacy and self-care ability of older people.

Keywords: older people; eHealth literacy; self-efficacy; self-care ability; health promotion behaviors

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MDPI and ACS Style

Wang, Y.; Song, Y.; Zhu, Y.; Ji, H.; Wang, A. Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability. Int. J. Environ. Res. Public Health 2022, 19, 6092. https://doi.org/10.3390/ijerph19106092

AMA Style

Wang Y, Song Y, Zhu Y, Ji H, Wang A. Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability. International Journal of Environmental Research and Public Health. 2022; 19(10):6092. https://doi.org/10.3390/ijerph19106092

Chicago/Turabian Style

Wang, Yinuo, Yuting Song, Yaru Zhu, Heqian Ji, and Aimin Wang. 2022. "Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability" International Journal of Environmental Research and Public Health 19, no. 10: 6092. https://doi.org/10.3390/ijerph19106092

APA Style

Wang, Y., Song, Y., Zhu, Y., Ji, H., & Wang, A. (2022). Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability. International Journal of Environmental Research and Public Health, 19(10), 6092. https://doi.org/10.3390/ijerph19106092

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Association of eHealth Literacy with Health Promotion Behaviors of Community-Dwelling Older People: The Chain Mediating Role of Self-Efficacy and Self-Care Ability

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