J. Med. Internet Res. - The effect of individual factors on health behaviors among college students: the mediating effects of eHealth literacy.


{ activ(1452) weight(1219) physic(1104) }
{ inform(2794) health(2639) internet(1427) }
{ studi(1119) effect(1106) posit(819) }
{ use(2086) technolog(871) perceiv(783) }
{ import(1318) role(1303) understand(862) }
{ health(3367) inform(1360) care(1135) }
{ research(1218) medic(880) student(794) }
{ assess(1506) score(1403) qualiti(1306) }
{ model(3404) distribut(989) bayesian(671) }
{ data(2317) use(1299) case(1017) }
{ estim(2440) model(1874) function(577) }
{ network(2748) neural(1063) input(814) }
{ framework(1458) process(801) describ(734) }
{ patient(2837) hospit(1953) medic(668) }
{ signal(2180) analysi(812) frequenc(800) }
{ cancer(2502) breast(956) screen(824) }
{ can(774) often(719) complex(702) }
{ clinic(1479) use(1117) guidelin(835) }
{ care(1570) inform(1187) nurs(1089) }
{ ehr(2073) health(1662) electron(1139) }
{ intervent(3218) particip(2042) group(1664) }
{ health(1844) social(1437) communiti(874) }
{ result(1111) use(1088) new(759) }
{ imag(1057) registr(996) error(939) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ treatment(1704) effect(941) patient(846) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ system(1050) medic(1026) inform(1018) }
{ perform(1367) use(1326) method(1137) }
{ model(3480) simul(1196) paramet(876) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ first(2504) two(1366) second(1323) }
{ structur(1116) can(940) graph(676) }
{ use(1733) differ(960) four(931) }
{ detect(2391) sensit(1101) algorithm(908) }
{ imag(1947) propos(1133) code(1026) }
{ data(1737) use(1416) pattern(1282) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ method(1557) propos(1049) approach(1037) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ studi(1410) differ(1259) use(1210) }
{ risk(3053) factor(974) diseas(938) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ model(2656) set(1616) predict(1553) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ sampl(1606) size(1419) use(1276) }
{ gene(2352) biolog(1181) express(1162) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ high(1669) rate(1365) level(1280) }
{ use(976) code(926) identifi(902) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }


CKGROUND: College students' health behavior is a topic that deserves attention. Individual factors and eHealth literacy may affect an individual's health behaviors. The integrative model of eHealth use (IMeHU) provides a parsimonious account of the connections among the digital divide, health care disparities, and the unequal distribution and use of communication technologies. However, few studies have explored the associations among individual factors, eHealth literacy, and health behaviors, and IMeHU has not been empirically investigated.OBJECTIVE: This study examines the associations among individual factors, eHealth literacy, and health behaviors using IMeHU.METHODS: The Health Behavior Scale is a 12-item instrument developed to measure college students' eating, exercise, and sleep behaviors. The eHealth Literacy Scale is a 12-item instrument designed to measure college students' functional, interactive, and critical eHealth literacy. A nationally representative sample of 525 valid college students in Taiwan was surveyed. A questionnaire was administered to collect background information about participants' health status, degree of health concern, major, and the frequency with which they engaged in health-related discussions. This study used Amos 6.0 to conduct a confirmatory factor analysis to identify the best measurement models for the eHealth Literacy Scale and the Health Behavior Scale. We then conducted a multiple regression analysis to examine the associations among individual factors, eHealth literacy, and health behaviors. Additionally, causal steps approach was used to explore indirect (mediating) effects and Sobel tests were used to test the significance of the mediating effects.RESULTS: The study found that perceptions of better health status (t520=2.14-6.12, P<.001-.03) and greater concern for health (t520=2.58-6.95, P<.001-.003) influenced college students' development of 3 dimensions of eHealth literacy and adoption of healthy eating, exercise, and sleep behaviors. Moreover, eHealth literacy played an intermediary role in the association between individual factors and health behaviors (Sobel test=2.09-2.72, P<.001-.03). Specifically, higher levels of critical eHealth literacy promoted students' health status and their practice of multiple positive health behaviors, including eating, exercise, and sleep behaviors.CONCLUSIONS: Because this study showed that eHealth literacy mediates the association between individual factors and health behaviors, schools should aim to enhance students' eHealth literacy and promote their health behaviors to help them achieve high levels of critical eHealth literacy. Although some of the study's hypotheses were not supported in this study, the factors that influence health behaviors are complex and interdependent. Therefore, a follow-up study should be conducted to further explore how these factors influence one another.

Resumo Limpo

ckground colleg student health behavior topic deserv attent individu factor ehealth literaci may affect individu health behavior integr model ehealth use imehu provid parsimoni account connect among digit divid health care dispar unequ distribut use communic technolog howev studi explor associ among individu factor ehealth literaci health behavior imehu empir investigatedobject studi examin associ among individu factor ehealth literaci health behavior use imehumethod health behavior scale item instrument develop measur colleg student eat exercis sleep behavior ehealth literaci scale item instrument design measur colleg student function interact critic ehealth literaci nation repres sampl valid colleg student taiwan survey questionnair administ collect background inform particip health status degre health concern major frequenc engag healthrel discuss studi use amo conduct confirmatori factor analysi identifi best measur model ehealth literaci scale health behavior scale conduct multipl regress analysi examin associ among individu factor ehealth literaci health behavior addit causal step approach use explor indirect mediat effect sobel test use test signific mediat effectsresult studi found percept better health status t p greater concern health t p influenc colleg student develop dimens ehealth literaci adopt healthi eat exercis sleep behavior moreov ehealth literaci play intermediari role associ individu factor health behavior sobel test p specif higher level critic ehealth literaci promot student health status practic multipl posit health behavior includ eat exercis sleep behaviorsconclus studi show ehealth literaci mediat associ individu factor health behavior school aim enhanc student ehealth literaci promot health behavior help achiev high level critic ehealth literaci although studi hypothes support studi factor influenc health behavior complex interdepend therefor followup studi conduct explor factor influenc one anoth

Resumos Similares

J. Med. Internet Res. - Utilization patterns and user characteristics of an ad libitum Internet weight loss program. ( 0,796787335354553 )
J. Med. Internet Res. - Design of a website on nutrition and physical activity for adolescents: results from formative research. ( 0,7706210933828 )
Healthc (Amst) - Patient-centered financial incentives for health: Can employers get change for their dollars? ( 0,752354793863279 )
J Med Syst - Barriers to physical activity: a study of self-revelation in an online community. ( 0,726713007575167 )
J Biomed Inform - A web-based intervention to support increased physical activity among at-risk adults. ( 0,722983779163183 )
BMC Med Inform Decis Mak - Lead users' ideas on core features to support physical activity in rheumatoid arthritis: a first step in the development of an internet service using participatory design. ( 0,718847077334636 )
J. Med. Internet Res. - Healthy weight regulation and eating disorder prevention in high school students: a universal and targeted Web-based intervention. ( 0,708970732124041 )
J. Med. Internet Res. - Dr Google and the consumer: a qualitative study exploring the navigational needs and online health information-seeking behaviors of consumers with chronic health conditions. ( 0,698986853643367 )
J. Med. Internet Res. - An 8-week web-based weight loss challenge with celebrity endorsement and enhanced social support: observational study. ( 0,692714894146691 )
Int J Health Geogr - Correspondence between objective and perceived walking times to urban destinations: Influence of physical activity, neighbourhood walkability, and socio-demographics. ( 0,691095901751824 )
J. Med. Internet Res. - Investigating predictors of visiting, using, and revisiting an online health-communication program: a longitudinal study. ( 0,69015369427862 )
J. Med. Internet Res. - Using instructional design process to improve design and development of Internet interventions. ( 0,68945703687202 )
Int J Med Inform - Online health information seeking by people with physical disabilities due to neurological conditions. ( 0,688001528134063 )
Inform Health Soc Care - A community education initiative to improve using online health information: participation and impact. ( 0,685443182265593 )
J. Med. Internet Res. - Active assistance technology for health-related behavior change: an interdisciplinary review. ( 0,677038341696683 )
Health Info Libr J - Determining where physical therapists get information to support clinical practice decisions. ( 0,675708459723381 )
J. Med. Internet Res. - Innovation in weight loss programs: a 3-dimensional virtual-world approach. ( 0,671552765176866 )
J. Med. Internet Res. - Dose-response effects of a Web-based physical activity program on body composition and metabolic health in inactive older adults: additional analyses of a randomized controlled trial. ( 0,665050441012054 )
J. Med. Internet Res. - Digital inequalities of family life information seeking and family well-being among Chinese adults in Hong Kong: a population survey. ( 0,663161309750042 )
J. Med. Internet Res. - Which bundles of features in a Web-based personally controlled health management system are associated with consumer help-seeking behaviors for physical and emotional well-being? ( 0,662969443601275 )
J. Med. Internet Res. - Longitudinal accuracy of web-based self-reported weights: results from the Hopkins POWER Trial. ( 0,654905315466621 )
J Telemed Telecare - Use of a mobile phone diary for observing weight management and related behaviours. ( 0,650164851372738 )
J. Med. Internet Res. - Electronic word of mouth on twitter about physical activity in the United States: exploratory infodemiology study. ( 0,649225570872904 )
Inform Health Soc Care - Tools for assessing the quality and accessibility of online health information: initial testing among breast cancer websites. ( 0,643079854501745 )
J. Med. Internet Res. - Silence is golden: effect of encouragement in motivating the weak link in an online exercise video game. ( 0,641226383461592 )
J. Med. Internet Res. - Preventing the obesity epidemic by second generation tailored health communication: an interdisciplinary review. ( 0,638140955585007 )
Res Synth Methods - Meta-analysis and the reversed Theorem of the Means. ( 0,637919030174347 )
J. Med. Internet Res. - Using the Internet to help with diet, weight, and physical activity: results from the Health Information National Trends Survey (HINTS). ( 0,62888198757764 )
J. Med. Internet Res. - Exploring the relationship between changes in weight and utterances in an online weight loss forum: a content and correlational analysis study. ( 0,62737447738451 )
J. Med. Internet Res. - The characteristics and motivations of online health information seekers: cross-sectional survey and qualitative interview study. ( 0,62645197552103 )
Int J Med Inform - Motivating and assisting physical exercise in independently living older adults: a pilot study. ( 0,624757641043794 )
BMC Med Inform Decis Mak - Bridging the gaps in the Health Management Information System in the context of a changing health sector. ( 0,623563290132298 )
Int J Med Inform - An exploratory study of inactive health information seekers. ( 0,622459828201962 )
J. Med. Internet Res. - How valid are Web-based self-reports of weight? ( 0,620678865065848 )
IEEE J Biomed Health Inform - Genetic algorithm-based classifiers fusion for multisensor activity recognition of elderly people. ( 0,617666191304321 )
J. Med. Internet Res. - Automated indexing of Internet stories for health behavior change: weight loss attitude pilot study. ( 0,617630163148874 )
AMIA Annu Symp Proc - A mobile/web app for long distance caregivers of older adults: functional requirements and design implications from a user centered design process. ( 0,616549913840795 )
J. Med. Internet Res. - eHealth literacy: extending the digital divide to the realm of health information. ( 0,615293036203067 )
J. Med. Internet Res. - Internet use for health-related information via personal computers and cell phones in Japan: a cross-sectional population-based survey. ( 0,612986342899499 )
J. Med. Internet Res. - Website usage and weight loss in a free commercial online weight loss program: retrospective cohort study. ( 0,610767546966673 )
J. Med. Internet Res. - Content and functionality of alcohol and other drug websites: results of an online survey. ( 0,610653640822677 )
J. Med. Internet Res. - Understanding determinants of consumer mobile health usage intentions, assimilation, and channel preferences. ( 0,609351625607467 )
Telemed J E Health - Computerized recovery support for substance use disorders: predictors of posttreatment usage. ( 0,608370003091752 )
Comput Methods Programs Biomed - Comparison of checking behavior in adults with or without checking symptom of obsessive-compulsive disorder using a novel computer-based measure. ( 0,608238374357897 )
J. Med. Internet Res. - Socioeconomic and geographic disparities in health information seeking and Internet use in Puerto Rico. ( 0,606810879456044 )
Telemed J E Health - The accuracy of weight reported in a web-based obesity treatment program. ( 0,60524128657228 )
Health Info Libr J - Human information behaviour and physiological measurements as a basis to tailor health information. An explorative study in a physical activity intervention among prediabetic individuals in Northern Finland. ( 0,604890174843841 )
J. Med. Internet Res. - Can online consumers contribute to drug knowledge? A mixed-methods comparison of consumer-generated and professionally controlled psychotropic medication information on the internet. ( 0,603966094880072 )
J. Med. Internet Res. - Parents seeking health-related information on the Internet: cross-sectional study. ( 0,602567327009604 )
J. Med. Internet Res. - What explains usage of mobile physician-rating apps? Results from a web-based questionnaire. ( 0,602560302174197 )
J. Med. Internet Res. - The impact of an incentive on the use of an online self-directed wellness and self-management program. ( 0,601274711906578 )
J. Med. Internet Res. - Mindless eating challenge: retention, weight outcomes, and barriers for changes in a public web-based healthy eating and weight loss program. ( 0,600384846898376 )
Health Info Libr J - Online health information search and evaluation: observations and semi-structured interviews with college students and maternal health experts. ( 0,594596154237619 )
J. Med. Internet Res. - Prevalence of behavior changing strategies in fitness video games: theory-based content analysis. ( 0,593946028666107 )
J. Med. Internet Res. - Online communication between doctors and patients in Europe: status and perspectives. ( 0,593940346882779 )
Telemed J E Health - Successful weight loss: how information technology is used to lose. ( 0,593647367034295 )
J. Med. Internet Res. - Do online mental health services improve help-seeking for young people? A systematic review. ( 0,592814123146478 )
J. Med. Internet Res. - Exploring the use and effects of deliberate self-harm websites: an Internet-based study. ( 0,590803423818426 )
AMIA Annu Symp Proc - ReadySteady: app for accelerometer-based activity monitoring and wellness-motivation feedback system for older adults. ( 0,59015538280214 )
AMIA Annu Symp Proc - Studying visual behaviors from multiple eye tracking features across levels of information representation. ( 0,588949835389441 )
J. Med. Internet Res. - Weight change in a commercial web-based weight loss program and its association with website use: cohort study. ( 0,587578575235643 )
J. Med. Internet Res. - Determinants of successful weight loss after using a commercial web-based weight reduction program for six months: cohort study. ( 0,586712946773175 )
J Telemed Telecare - An evaluation of telehealth websites for design, literacy, information and content. ( 0,586712811807145 )
Comput Math Methods Med - Neurophysiological tools to investigate consumer's gender differences during the observation of TV commercials. ( 0,586186840985826 )
Health Informatics J - Spanish students' use of the Internet for mental health information and support seeking. ( 0,585987736612418 )
Health Info Libr J - Information behaviour of Canadian pharmaceutical policy makers. ( 0,582699612829227 )
Int J Med Inform - Market segmentation of health information use on the Internet in Korea. ( 0,581388233309858 )
J. Med. Internet Res. - eHealth literacy 2.0: problems and opportunities with an evolving concept. ( 0,580469411816492 )
J. Med. Internet Res. - Features predicting weight loss in overweight or obese participants in a web-based intervention: randomized trial. ( 0,579334203684956 )
BMC Med Inform Decis Mak - Predictive modelling: parents' decision making to use online child health information to increase their understanding and/or diagnose or treat their child's health. ( 0,578937769840716 )
BMC Med Inform Decis Mak - Surfing the internet for health information: an italian survey on use and population choices. ( 0,578217735903098 )
Telemed J E Health - Factors affecting electronic health information needs in primary care patients. ( 0,57608189498325 )
Int J Med Inform - Internet use by the public to search for health-related information. ( 0,57586426177669 )
J. Med. Internet Res. - Seeking health information and support online: does it differ as a function of engagement in risky health behaviors? Evidence from the health information national trends survey. ( 0,57534945959543 )
J. Med. Internet Res. - A 12-week commercial web-based weight-loss program for overweight and obese adults: randomized controlled trial comparing basic versus enhanced features. ( 0,574751825681365 )
Health Info Libr J - Use and value of information sources by parents of child psychiatric patients. ( 0,573788303427773 )
J Am Med Inform Assoc - Seeking health information online: does limited healthcare access matter? ( 0,573504573849827 )
Telemed J E Health - Understanding the online health information user profiles in Korea: from a psychological perspective. ( 0,571577981459126 )
J. Med. Internet Res. - Social and self-reflective use of a Web-based personally controlled health management system. ( 0,571023462774128 )
J. Med. Internet Res. - Internet skills performance tests: are people ready for eHealth? ( 0,569811310750891 )
J. Med. Internet Res. - Increasing physical activity with mobile devices: a meta-analysis. ( 0,569793453314399 )
J. Med. Internet Res. - Associations of internet website use with weight change in a long-term weight loss maintenance program. ( 0,569193545988282 )
J. Med. Internet Res. - Measuring physical activity in a cardiac rehabilitation population using a smartphone-based questionnaire. ( 0,568641334094864 )
J. Med. Internet Res. - Designing for psychological change: individuals' reward and cost valuations in weight management. ( 0,566603137695388 )
BMC Med Inform Decis Mak - Italian hospitals on the web: a cross-sectional analysis of official websites. ( 0,565507542920512 )
J. Med. Internet Res. - Disordered eating in a digital age: eating behaviors, health, and quality of life in users of websites with pro-eating disorder content. ( 0,564339445332235 )
Inform Health Soc Care - Pregnant women's use of the internet in relation to their pregnancy in Izmir, Turkey. ( 0,563255166929438 )
J Am Med Inform Assoc - Comparison of traditional versus mobile app self-monitoring of physical activity and dietary intake among overweight adults participating in an mHealth weight loss program. ( 0,562933025468288 )
J. Med. Internet Res. - Using smartphone technology to monitor physical activity in the 10,000 Steps program: a matched case-control trial. ( 0,562633672940485 )
Telemed J E Health - New mothers' interest in web-based health promotion: association with healthcare barriers, risk status, and user characteristics. ( 0,562169079337657 )
J. Med. Internet Res. - Promoting health in virtual worlds: lessons from second life. ( 0,561709184856798 )
BMC Med Inform Decis Mak - Use of the internet as a source of health information by Spanish adolescents. ( 0,560949015925581 )
Telemed J E Health - Attitudes and awareness of web-based self-care resources in the military: a preliminary survey study. ( 0,560233253564643 )
J Am Med Inform Assoc - From health search to healthcare: explorations of intention and utilization via query logs and user surveys. ( 0,560219575065132 )
J. Med. Internet Res. - What do web-use skill differences imply for online health information searches? ( 0,560029607093714 )
Health Informatics J - Students' trust judgements in online health information seeking. ( 0,559487170298649 )
AMIA Annu Symp Proc - Social and behavioral history information in public health datasets. ( 0,559013176252775 )
J. Med. Internet Res. - eMental health experiences and expectations: a survey of youths' Web-based resource preferences in Canada. ( 0,55895188793274 )
J. Med. Internet Res. - Internet use frequency and patient-centered care: measuring patient preferences for participation using the health information wants questionnaire. ( 0,557791556582081 )
Int J Med Inform - Are we sure that Mobile Health is really mobile? An examination of mobile device use during two remotely-delivered weight loss interventions. ( 0,556240634883121 )