Relationships between Health Literacy, Digital Health Literacy, and Health Behaviors among Undergraduate Nursing Students
Main Article Content
Abstract
This descriptive correlational research aimed to examine the relationships between health literacy, digital health literacy, and health behaviors among undergraduate nursing students. The sample consisted of 179 undergraduate nursing students at a university who received online-only teaching course during the COVID-19 pandemic.The participants were selected by purposive sampling. The online questionnaires included the Demographic Data Questionnaire, Health Literacy Questionnaire, Digital Health Literacy Questionnaire, and Health Behaviors Questionnaire. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and Spearman’s rank correlation coefficients. The results showed that more than half of the students had adequate health literacy and moderate health behaviors, and the mean digital health literacy score was rather high. In addition, the results revealed that health literacy and digital health literacy were positively associated with health behaviors. Thus, developing health literacy and digital health literacy in nursing education is essential. Learning activities should be designed to improve communication skills, interactive skills, and media and information literacy to promote healthy behavior of nursing students.
Keywords: Digital health literacy, Health behaviors, Health literacy, Nursing students
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในรามาธิบดีพยาบาลสาร ถือเป็นลิขสิทธิ์ของวารสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่หรือเพื่อกระทำการใด ใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากรามาธิบดีพยาบาลสารก่อนเท่านั้น
References
Partnership for 21st Century Skills. P21 framework definitions. [Internet]. 2009[cited 2022 August 25].Available from https://files.eric.ed.gov/fulltext/ED519462.pdf
Division of Planning, Mahidol University. Mahidol University strategic plan 2018-2037. [Internet].2021[cited 2022 November 1]. Available from https://op.mahidol.ac.th/pl/wp-content/uploads/2018/11/Mahidol_Strategic_Plan_2018-203720Year.pdf
World Health Organization. Health promotion glossary of terms 2021. [Internet]. 2021[cited 2022 December 6].Available from https://www.who.int/publications/i/item/9789240038349
Roma W, Kloyiam S. Thai Health Literacy Survey (THL-S) of Thais aged 15 years and above, 2019.Nonthaburi: Health System Research Institute; 2019.(in Thai).
Norman CD, Skinner HA. eHealth Literacy: Essential skills for consumer health in a networked world. J Med Internet Res. 2006; 8(2): e9. doi: 10.2196/jmir.8.2.e9.
Rachmani E, Haikal H, Rimawati E. Development and validation of digital health literacy competencies for citizens (DHLC), an instrument for measuring digital health literacy in the community. Comput Methods Programs Biomed Update. 2022; 2: 100082. doi:
1016/j.cmpbup.2022.100082.
Electronic Transactions Development Agency, Office of the National Digital Economy and Society Commission,Ministry of Digital Economy and Society. Thailand internet user behavior 2021. [Internet]. 2021[cited 2022 January 2]. Available from https://www.etda.or.th/th/Useful-Resource/publications/iub2021.aspx
Alruthaya A, Nguyen TT, Lokuge S. The application of digital technology and the learning characteristics of generation Z in higher education. ACIS 2021 Proceedings.2021; 65 doi: https://aisel.aisnet.org/acis2021/65.
Ashour S. How technology has shaped university students’perceptions and expectations around higher education: an exploratory study of the United Arab Emirates. Stud High Educ. 2020; 45(12): 2513-25. doi: 10.1080/03075079.2019.1617683.
Chong YY, Cheng HY, Chan HYL, Chien WT, Wong SYS. COVID-19 pandemic, infodemic and the role of eHealth literacy. Int J Nurs Stud. 2020; 108: 103644.doi: 10.1016/j.ijnurstu.2020.103644.
Rababah JA, Al-Hammouri MM, Drew BL, Aldalaykeh M. Health literacy: exploring disparities among college students. BMC Public Health. 2019; 19(1): 1401. doi:10.1186/s12889-019-7781-2.
Juvinyà-Canal D, Suñer-Soler R, Boixadós Porquet A,Vernay M, Blanchard H, Bertran-Noguer C. Health literacy among health and social care university students.Int J Environ Res Public Health. 2020; 17(7): 2273.doi:10.3390/ijerph17072273.
Chinapong S, Khaosanit P. Health literacy, health behaviors, and physical activities of North Bangkok University undergraduate students. Journal of Health,Physical Education and Recreation. 2020; 46(2): 56-67.(in Thai).
Suriyawong W. Health literacy and health promotion behavior among student nurses, Chiang Mai University.Journal of Nursing Science and Health. 2019; 42(3):96-106. (in Thai).
Turner K, Rakkwamsuk S, Duangcha O. Health literacy of nursing students at Boromarajonani College of Nursing,Chonburi. Journal Of Health Science Research.2018;12(1):1-9. (in Thai).
Sharma S, Oli N, Thapa B. Electronic health-literacy skills among nursing students. Adv Med Edu Pract. 2019; 10:527-32. doi: 10.2147/AMEP.S207353.
Turan N, Guven Ozdemir N, Culha Y, Ozdemir Aydin G,Kaya H, Asti T. The effect of undergraduate nursing students’ e-Health literacy on healthy lifestyle behaviour.Glob Health Promot. 2021; 28(3): 6-13. doi:10.1177/1757975920960442.
Tanaka J, Kuroda H, Igawa N, Sakurai T, Ohnishi M.Perceived eHealth literacy and learning experiences among Japanese undergraduate nursing students: A crosssectional study. Comput Informatics Nurs. 2020; 38(4):198-203. doi: 10.1097/CIN.0000000000000611.
Duangchan C, Kheokao J, Chamnansua P, Meebunmak Y, Howharn C, Chumchai P, et al. Factors predicting eHealth literacy of nursing students in nursing colleges under jurisdiction of Praboromarajchanok Institute. EAU Heritage Journal Science and Technology. 2017; 11(1):235-48. (in Thai).
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 2000; 15(3): 259-67. doi:10.1093/heapro/15.3.259.
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67(12): 2072-78. doi: 10.1016/j.socscimed.2008.09.050.
Sorensen K, Van den Broucke S, Fullam J, Doyle G,Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012; 12: 80. doi:10.1186/1471-2458-12-80.
Norman CD, Skinner HA. eHEALS: The eHealth Literacy Scale. J Med Internet Res. 2006; 8(4): e27. doi:10.2196/jmir.8.4.e27.
Intarakamhang U. Health literacy : measurement and development. 1sted. Behavioral science research institute:Srinakharinwirot University; 2017. (in Thai).
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009; 41(4):1149-60. doi: 10.3758/BRM.41.4.1149.
Division of Health Literacy and Comunication Promotion,Department of Health, Ministry of Public Health. E-health literacy (Translation). [Internet]. 2020[cited 2021 August 19]. Available from http://dohhl.anamai.moph.go.th/ewt_dl_link.php?nid=193
Chamnankit T, Mekwimon kingkaew W, Pianjing P,Siladlao S, Songsin N, Somporn K. Health literacy and health behaviors among health sciences and public health students at a Rajabhat University. Journal of Public Health Naresuan University. 2022; 4(2): 47-57. (in Thai).
Kim KA, Hyun MS, De Gagne JC, Ahn JA. A crosssectional study of nursing students’ eHealth literacy and COVID-19 preventive behaviours. Nurs Open. 2022;10(2): 544-51. doi: 10.1002/nop2.1320.
Sukrueangkul A, Photipap J, Suramart V, Chanagarn M,Pangprasert K, Sirisuwan P. Factors associated with health literacy among nursing students in Faculty of Nursing,college of asian scholars, Khon Kaen province. Regional Health Promotion Center 9 Journal. 2022; 16(1): 156-71.(in Thai).
Munangatire T, Tomas N, Mareka V. Nursing students’understanding of health literacy and health practices: a cross-sectional study at a University in Namibia. BMC Nurs. 2022; 21(1): 8. doi: 10.1186/s12912-021-00776-z.
Leal Filho W, Wall T, Rayman-Bacchus L, Mifsud M,Pritchard DJ, Lovren VO, et al. Impacts of COVID-19 and social isolation on academic staff and students at universities: a cross-sectional study. BMC Public Health.2021; 21(1): 1213. doi: 10.1186/s12889-021-
-z.
Tran HTT, Nguyen MH, Pham TTM, Kim GB, Nguyen HT, Nguyen N-M, et al. Predictors of eHealth literacy and its associations with preventive behaviors, fear of COVID-19, anxiety, and depression among undergraduate nursing students: A cross-sectional survey. Int J Environ Res Public Health. 2022; 19(7): 3766. doi: 10.3390/ijerph19073766.
Ngo TP, Antisdel JL, Xing K, Reising DL. Relationships between remote learning modalities and nursing students’perceptions of their sleep quality during the COVID-19 pandemic. Nurse Educ. 2023; 48(2): E41-E46. doi:10.1097/NNE.0000000000001320.