Purpose The purpose of this study was to investigate the impacts of digital literacy, attitudes towards internet health information, and e-health literacy on health promotion behavior among adults. Methods A cross-sectional survey design was used. Data were collected from 260 adults aged 19 and older from two provinces. Data were collected from September 1 to 22, 2020. The data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results Hierarchic multiple regression analysis was conducted to evaluate the impact of the analyzed variables on participants' health promotion progress older age, better self-perceived health status, frequency of exercise (≥3/week), frequency of exercise (1~2/week), higher digital literacy scores, and no smoking history were associated with a higher degree of health promotion behavior, with an explanatory power of 37.0%. Conclusion Based on these results, in order to improve health promotion behavior in adults, it is necessary to pay more attention to younger people, those who do not exercise regularly, and smokers. In particular, as digital literacy was found to be a factor influencing health promotion behavior in adults, it is necessary to consider strategies that are tailored towards improving digital literacy in adults from all age groups and to conduct systematic education on digital devices.
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PURPOSE The purpose of this study was to cross-culturally adapt the eHealth Literacy Scale into Korean (KeHEALS) and evaluate its reliability and validity. METHODS The cross-cultural adaptation of the KeHEALS was conducted according to the World Health Organization's guideline. To evaluate the reliability and validity, the data of 397 participants (210 young adults and 187 older adults) were collected from 2017 November to 2018 February. An online survey was conducted with young adults, while a face-to-face survey was conducted with older adults in two senior welfare centers. The reliability of the KeHEALS was examined using the internal consistency and test-retest reliability tests. Regarding the validity, the content validity index was calculated for content validity, and exploratory and confirmatory factor analyses and the hypothesized test were conducted for assessing construct validity of the KeHEALS. RESULTS The Cronbach's α coefficient was .89 and the intraclass correlation coefficient for the 2-week test-retest reliability was .80. The content validity index of the KeHEALS was 1.0. From the exploratory factor analysis, eight items were retained in one factor, which accounted for 58.1% of the total variance. This factor structure was confirmed by the confirmatory factor analysis. The total score of the KeHEALS was significantly correlated with the attitudes toward internet health information. CONCLUSION The findings of this study provide evidence for the adequate psychometric properties of the KeHEALS. The KeHEALS will be useful to evaluate the eHealth literacy among Koreans.
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PURPOSE The purpose of this study was to examine internet addiction, self-esteem and loneliness in adolescents. METHOD Subjects were middle and high school students in Daegu (N=486). Self-rating questionnaire included demographic data, the Korean version of Young internet addiction scale, self-rating self-esteem and loneliness scale. We have received the consent from teachers and students. RESULTS Among the subjects, 34% was addicted and internet addiction was significantly different according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. There were significant differences in self-esteem and loneliness according to internet addiction. Internet addiction, self-esteem and loneliness were related to each other. CONCLUSION These results indicate that internet addiction would be changed according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. Therefore, further studies are needed to generalize these results and examine widely the related variables of internet addiction.
PURPOSE The purpose of this study was to evaluate whether the effect of the Internet diabetic education on plasma glucose in people with hyperglycemic diabetes. METHOD: A randomized design with control and experimental groups being assessed pre- and post-intervention was used. Twenty-two patients were randomly assigned to an intervention group and 21 to a control group. Participants were requested to input the blood glucose level weekly in http://www.biodang.com by cellular phone or wire Internet for 3 months. The researcher sends optimal recommendations to each patient using short message service(SMS) of cellular phone and wire Internet weekly. RESULTS: Patients in the intervention group had a mean decrease of 1.3% in glycosylated haemoglobin (HbA1c) levels and those in the control group had no significant difference. There was a significant mean change in 2-hour postprandial blood glucose(2HPPG) for the intervention group, with a mean change of -75.2mg/dl. The mean change in the control group was, however, not significant. CONCLUSION: These findings indicated that a web-based intervention using SMS of cellular phone improved HbA1c and 2HPPG.
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