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Han F, Hu Y, Feng Y, Qian L, Sun J. Validation of the mild cognitive impairment health literacy assessment scale (MCI-HLA scale) in middle-aged and older adults. Asian J Psychiatr 2023; 89:103771. [PMID: 37757537 DOI: 10.1016/j.ajp.2023.103771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Revised: 09/13/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023]
Abstract
OBJECTIVES Health literacy (HL) is associated with early prevention of mild cognitive impairment (MCI), but a targeted comprehensive assessment tool is lacking. This study aims to psychometrically evaluate the MCI-HLA scale. METHODS This observational study was conducted in a tertiary-level hospital's physical examination center from October to December 2020. The middle-aged and older adults (N = 550, aged 41-80 years) completed the MCI-HLA questionnaire online. The validity of the MCI-HLA scale was assessed through content validity, exploratory factor analysis, confirmatory factor analysis (CFA), convergent validity, and discriminant validity. The internal reliability was measured using Cronbach's alpha, McDonald's Omega coefficient, and split-half reliability. RESULTS 5 factors emerged, naming: Function (7 items), Knowledge (8 items), Practice (8 items), Attitude (4 items), and Motivation (3 items), explaining 72.42% of variance. The CFA revealed that five factors of the MCI-HLA scale fit well (χ2/df=4.076, RMSEA=0.078, SRMR=0.057, CFI=0.904, TLI=0.894). Good convergent validity was suggested by the Average Variance Extracted (AVE) values exceeding 0.50. Discriminant validity was demonstrated for all the square root AVE were higher than the correlation between the two factors. Internal consistency was high (Cronbach's alpha=0.875, McDonald's Omega coefficient=0.910, split-half reliability=0.949). CONCLUSIONS The MCI-HLA scale takes on high reliability and validity, suitable for assessing MCI-related health literacy in middle-aged and older adults. The MCI-HLA scale could enhance MCI health literacy assessment and supports tailored interventions for improved outcomes.
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Affiliation(s)
- Fengping Han
- Laboratory Center, School of Nursing, Peking University, Beijing, China
| | - Yang Hu
- Department of Community Nursing, School of Nursing, Peking University, Beijing, China
| | - Ying Feng
- Cadre Health Care Division, Peking University Third Hospital, Beijing, China
| | - Li Qian
- Editorial Department, Chinese Journal of Modern Nursing, Beijing, China
| | - Jing Sun
- Department of Community Nursing, School of Nursing, Peking University, Beijing, China.
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Wang Z, Fan Y, Lv H, Deng S, Xie H, Zhang L, Luo A, Wang F. The Gap Between Self-Rated Health Information Literacy and Internet Health Information-Seeking Ability for Patients With Chronic Diseases in Rural Communities: Cross-sectional Study. J Med Internet Res 2022; 24:e26308. [PMID: 35099401 PMCID: PMC8845012 DOI: 10.2196/26308] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2020] [Revised: 02/28/2021] [Accepted: 12/28/2021] [Indexed: 01/29/2023] Open
Abstract
BACKGROUND The internet has become one of the most important channels for residents to seek health information, particularly in remote rural areas in China. OBJECTIVE In this study, we aimed to explore the gap between self-rated health information literacy and internet health information seeking ability for patients with chronic diseases in rural communities and to preliminarily evaluate their barriers when seeking health information via the internet. METHODS Residents from rural communities near Bengbu City and with chronic diseases were included in this study. A self-rated questionnaire was used to evaluate their health information literacy, 3 behavioral competency tasks were designed to preliminarily evaluate their ability to seek health information on the internet and semistructured interviews were used to investigate their barriers to obtaining health information via the internet. A small audiorecorder was used to record the interview content, and screen-recording software was used to record the participants' behavior during the web-based operational tasks. RESULTS A total of 70 respondents completed the self-rated health information literacy questionnaire and the behavioral competence test, and 56 respondents participated in the semistructured interviews. Self-rated health information literacy (score out of 70: mean 46.21, SD 4.90) of the 70 respondents were moderate. Although 91% (64/70) of the respondents could find health websites, and 93% (65/70) of the respondents could find information on treatment that they thought was the best, 35% (23/65) of respondents did not know how to save the results they had found. The operational tasks indicated that most articles selected by the respondents came from websites with encyclopedic knowledge or answers from people based on their own experiences rather than authoritative health information websites. After combining the results of the semistructured interviews with the DISCERN scale test results, we found that most interviewees had difficulty obtaining high-quality health information via the internet. CONCLUSIONS Although the health information literacy level of patients with rural chronic disease was moderate, they lack the ability to access high-quality health information via the internet. The vast majority of respondents recognized the importance of accessing health information but were not very proactive in accessing such information.
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Affiliation(s)
- Zhuoxin Wang
- School of Nursing, Bengbu Medical College, Bengbu, China
| | - Yanyan Fan
- School of Nursing, Bengbu Medical College, Bengbu, China
| | - Hekai Lv
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Shanshan Deng
- School of Nursing, Bengbu Medical College, Bengbu, China
| | - Hui Xie
- School of Nursing, Bengbu Medical College, Bengbu, China
| | - Li Zhang
- School of Nursing, Bengbu Medical College, Bengbu, China
| | - Aijing Luo
- Key Laboratory of Medical Information Research (Central South University), College of Hunan Province, Changsha, China.,The Second Xiangya Hospital, Central South University, Changsha, China
| | - Fuzhi Wang
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
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Sun W, Luo A, Bian Z, Zhao B, Liu P, Wang K, Liu Y, Xie W, Wang F. Assessing the Quality of Online Health Information About Breast Cancer from Chinese Language Websites: Quality Assessment Survey. JMIR Cancer 2021; 7:e25783. [PMID: 34792471 PMCID: PMC8663447 DOI: 10.2196/25783] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 03/22/2021] [Accepted: 10/24/2021] [Indexed: 12/19/2022] Open
Abstract
Background In China, the internet has become one of the most important ways to obtain information about breast cancer. However, quantitative evaluations of the quality of Chinese health websites and the breast cancer treatment information they publish are lacking. Objective This study aimed to evaluate the quality of Chinese breast cancer websites and the value, suitability, and accuracy of the breast cancer treatment information they publish. Methods Chinese breast cancer health websites were searched and manually screened according to their Alexa and Baidu search engine rankings. For each website included in the survey, which was conducted on April 8, 2019, the three most recently published papers on the website that met the inclusion criteria were included for evaluation. Three raters assessed all materials using the LIDA, DISCERN, and Suitability Assessment of Materials (SAM) tools and the Michigan Checklist. Data analysis was completed with the Statistical Package for Social Sciences (SPSS) version 20.0 and Microsoft Excel 2010. Results This survey included 20 Chinese breast cancer websites and 60 papers on breast cancer treatment. The LIDA tool was used to evaluate the quality of the 20 websites. The LIDA’s scores of the websites (mean=54.85, SD 3.498; total possible score=81) were low. In terms of the layout, color scheme, search facility, browsing facility, integration of nontextual media, submission of comments, declaration of objectives, content production method, and robust method, more than half of the websites scored 0 (never) or 1 (sometimes). For the online breast cancer treatment papers, the scores were generally low. Regarding suitability, 32 (53.33%) papers were evaluated as presenting unsuitable material. Regarding accuracy, the problems were that the papers were largely not original (44/60, 73%) and lacked references (46/60, 77%). Conclusions The quality of Chinese breast cancer websites is poor. The color schemes, text settings, user comment submission functions, and language designs should be improved. The quality of Chinese online breast cancer treatment information is poor; the information has little value to users, and pictorial information is scarcely used. The online breast cancer treatment information is accurate but lacks originality and references. Website developers, governments, and medical professionals should play a full role in the design of health websites, the regulation of online health information, and the use of online health information.
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Affiliation(s)
- Weiwei Sun
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Aijing Luo
- The Second Xiangya Hospital, Central South University, Changsha, China.,Key Laboratory of Medical Information Research, College of Hunan Province, Central South University, Changsha, China
| | - Zhiwei Bian
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Bin Zhao
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Peng Liu
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Kai Wang
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Yuwen Liu
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Wenzhao Xie
- Key Laboratory of Medical Information Research, College of Hunan Province, Central South University, Changsha, China.,The Third Xiangya Hospital, Central South University, Cahngsha, China
| | - Fuzhi Wang
- School of Health Management, Bengbu Medical College, Bengbu, China
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Wang F, Wang Z, Sun W, Yang X, Bian Z, Shen L, Pan W, Liu P, Chen X, Fu L, Zhang F, Luo D. Evaluating the Quality of Health-Related WeChat Public Accounts: Cross-Sectional Study. JMIR Mhealth Uhealth 2020; 8:e14826. [PMID: 32383684 PMCID: PMC7244997 DOI: 10.2196/14826] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 11/19/2019] [Accepted: 03/12/2020] [Indexed: 12/17/2022] Open
Abstract
Background As representatives of health information communication platforms accessed through mobile phones and mobile terminals, health-related WeChat public accounts (HWPAs) have a large consumer base in the Chinese-speaking world. However, there is still a lack of general understanding of the status quo of HWPAs and the quality of the articles they release. Objective The aims of this study were to assess the conformity of HWPAs to the Health on the Net Foundation Code of Conduct (HONcode) and to evaluate the suitability of articles disseminated by HWPAs. Methods The survey was conducted from April 23 to May 5, 2019. Based on the monthly (March 1-31, 2019) WeChat Index provided by Qingbo Big Data, the top 100 HWPAs were examined to evaluate their HONcode compliance. The first four articles published by each HWPA on the survey dates were selected as samples to evaluate their suitability. All materials were assessed by three raters. The materials were assessed using the HONcode checklist and the Suitability Assessment of Materials (SAM) score sheet. Data analysis was performed with SPSS version 17.0 (SPSS Inc, Chicago, IL, USA) and Excel version 2013 (Microsoft Inc, Washington DC, USA). Results A total of 93 HWPAs and 210 of their released articles were included in this study. For six of the eight principles, the 93 HWPAs nearly consistently did not meet the requirements of the HONcode. The HWPAs certified by Tencent Corporation (66/93, 71%) were generally slightly superior to those without such certification (27/93, 29%) in terms of compliance with HONcode principles. The mean SAM score for the 210 articles was 67.72 (SD 10.930), which indicated “adequate” suitability. There was no significant difference between the SAM scores of the articles published by certified and uncertified HWPAs (P=.07), except in the literacy requirements dimension (tdf=97=–2.418, P=.02). Conclusions The HWPAs had low HONcode conformity. Although the suitability of health information released by HWPAs was at a moderate level, there were still problems identified, such as difficulty in tracing information sources, excessive implicit advertisements, and irregular usage of charts. In addition, the low approval requirements of HWPAs were not conducive to improvement of their service quality.
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Affiliation(s)
- Fuzhi Wang
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China.,Project Team of Outstanding Young Teachers, Bengbu Medical College, Bengbu, China
| | - Zhuoxin Wang
- Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China.,School of Nursing, Bengbu Medical College, Bengbu, China
| | - Weiwei Sun
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Xiumu Yang
- The General Practice Medical Education and Development Center of Anhui Province, Bengbu Medical College, Bengbu, China
| | - Zhiwei Bian
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Lining Shen
- Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China.,School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China
| | - Wei Pan
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Peng Liu
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Xingzhi Chen
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China
| | - Lianguo Fu
- Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China.,School of Public Health, Bengbu Medical College, Bengbu, China
| | - Fan Zhang
- School of Health Management, Bengbu Medical College, Bengbu, China
| | - Dan Luo
- School of Health Management, Bengbu Medical College, Bengbu, China.,Innovation Team of Health Information Management and Application Research (BYKC201913), Bengbu Medical College, Bengbu, China.,The General Practice Medical Education and Development Center of Anhui Province, Bengbu Medical College, Bengbu, China
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