Effects of eHealth literacy on general practitioner consultations: A mediation analysis

dc.citation.issue5
dc.citation.volume19
dc.contributor.authorSchulz PJ
dc.contributor.authorFitzpatrick MA
dc.contributor.authorHess AC
dc.contributor.authorSudbury-Riley L
dc.contributor.authorHartung U
dc.date.available2017-05-16
dc.date.issued2017-05-16
dc.description.abstractObjective: We propose and test two potential mediators of the negative effect of eHealth literacy on health care utilization: (1) health information seeking and (2) gain in empowerment by information seeking. Methods: Data were collected in New Zealand, the United Kingdom, and the United States using a Web-based survey administered by a company specialized on providing online panels. Combined, the three samples resulted in a total of 996 baby boomers born between 1946 and 1965 who had used the Internet to search for and share health information in the previous 6 months. Measured variables include eHealth literacy, Internet health information seeking, the self-perceived gain in empowerment by that information, and the number of consultations with one’s general practitioner (GP). Path analysis was employed for data analysis. Results: We found a bundle of indirect effect paths showing a positive relationship between health literacy and health care utilization: via health information seeking (Path 1), via gain in empowerment (Path 2), and via both (Path 3). In addition to the emergence of these indirect effects, the direct effect of health literacy on health care utilization disappeared. Conclusions: The indirect paths from health literacy via information seeking and empowerment to GP consultations can be interpreted as a dynamic process and an expression of the ability to find, process, and understand relevant information when that is necessary.
dc.description.confidentialfalse
dc.format.extent? - ? (12)
dc.identifierhttp://www.jmir.org/2017/5/e166/
dc.identifier.citationJournal of Medical Internet Research, 2017, 19 (5), pp. ? - ? (12)
dc.identifier.doi10.2196/jmir.6317
dc.identifier.elements-id357255
dc.identifier.harvestedMassey_Dark
dc.identifier.issn1438-8871
dc.languageEnlish
dc.publisherJMIR Publications
dc.publisher.urihttp://www.jmir.org/2017/5/e166/
dc.relation.isPartOfJournal of Medical Internet Research
dc.subject.anzsrc08 Information and Computing Sciences
dc.subject.anzsrc11 Medical and Health Sciences
dc.subject.anzsrc17 Psychology and Cognitive Sciences
dc.titleEffects of eHealth literacy on general practitioner consultations: A mediation analysis
dc.typeJournal article
pubs.notesNot known
pubs.organisational-group/Massey University
pubs.organisational-group/Massey University/Massey Business School
pubs.organisational-group/Massey University/Massey Business School/School of Communication, Journalism and Marketing
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