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January 22, 2026Open Access

Development and Validation of a Revised Multidimensional Digital Health Literacy Scale: Secondary Analysis Using Cross-Sectional Data from the 2022 Getcheckedonline Community Survey in British Columbia, Canada

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Authors

IIIhoghosa IyamuPGPierce GorunHCHsiu Ju Chang

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Overview

Secondary analysis validates a multidimensional digital health literacy scale, suggesting targeted interventions are needed in diverse populations.

Key Points

  • This research aims to identify and validate a multidimensional structure of the eHealth Literacy Scale (eHEALS) that acknowledges its ordinal response nature.
  • Analyzed cross-sectional data from the 2022 GetCheckedOnline survey in British Columbia.
  • Participants aged ≥16 years engaged in sexual activity and completed the eHEALS on a 5-point Likert scale.
  • Utilized exploratory and confirmatory factor analyses to assess scale structure.
  • Evaluated reliability and validity using polychoric ordinal alpha and other statistics, addressing missing data with multiple imputation.
  • A total of 1657 participants met inclusion criteria, with a mean age of 33.0 years.
  • Confirmatory factor analysis supported a 3-factor structure, explaining 65.7% of variance.
  • Identified dimensions: Information Navigation, Resource Appraisal, and Confidence in Use; demonstrating excellent internal consistency.

Cite This Study

Iyamu et al. (2025) studied this question.

synapsesocial.com/papers/6971bdad642b1836717e2620https://doi.org/10.2196/78008">https://doi.org/10.2196/78008</a
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Complex Role of Digital Health Literacy in Awareness and Use of Digital Sexually Transmitted and Blood-Borne Infections Testing: A Structural Equation Modelling Analysis of the 2022 Getcheckedonline Survey2025
  2. 2Factors Associated With Digital Health Literacy in the United Kingdom: Cross-Sectional Online Survey2026
  3. 3Validation of the Adapted eHEALS Questionnaire for Assessing Digital Health Literacy in Social Media: A Pilot Study2025 · 6 citations
  4. 4Development of a Digital Health Literacy Assessment Framework for Older Adults: Delphi-Based Study.2026
  5. 5Digital Health Literacy in Patients With Common Chronic Diseases: Systematic Review and Meta-Analysis2025 · 34 citations