THE RELATIONSHIP BETWEEN E-HEALTH LITERACY AND PSYCHOLOGICAL WELL-BEING: A COMPARATIVE STUDY AMONG YOUTH AND ADULTS IN SHIRAZ, IRAN
DOI:
https://doi.org/10.46991/BYSU.F/2025.16.1.055Keywords:
Psychological well-being, e-health literacy, youth-adults, Psychological well-being, e-health literacy, youth-adultsAbstract
One of the key factors in societal progress is the improvement and enhancement of individuals' psychological well-being. With increased psychological well-being, individuals gain the ability to solve problems and successfully overcome challenges. The aim of this study is to investigate the relationship between e-health literacy and psychological well-being among youth and adults in Shiraz, based on Neuman's Health Theory. This study employed a survey method, and the statistical population included all young and adult residents of Shiraz, Iran. Based on Cochran's formula, 600 individuals were selected through stratified random sampling. Data collection tools included questionnaires, and SPSS software was used for statistical analysis. The results indicated a significant relationship between e-health literacy and psychological well-being among both youth and adults in Shiraz. Additionally, multivariate regression analysis showed that the psychological well-being of youth and adults in Shiraz was similar, with no significant differences between the two groups. Based on the findings of this study and Neuman's Health Theory, the higher the level of e-health literacy in a society, the greater the psychological well-being of its individuals. Consequently, society and its members will experience less anxiety, stress, and preoccupation. Therefore, to enhance psychological well-being as a crucial dimension of health and a factor in societal progress, it is recommended to increase the use and improvement of e-health literacy with the help of community members and officials.
References
Ahmadi, Z., & Sadeghi, T. (2017). Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis. Multiple Sclerosis Journal–Experimental, Translational and Clinical, 3(3), 1–8. https://doi.org/10.1177/2055217317726798
Aldwin, C. M., & Revenson, T. A. (1987). Does coping help? A reexamination of the relation between coping and mental health. Journal of Personality and Social Psychology, 53(2), 337–344. https://psycnet.apa.org/buy/1987-34422-001
Al-Worafi, Y. M. (2024). Medical and health sciences education training in developing countries: Overview. In Handbook of medical and health sciences in developing countries: Education, practice, and research (pp. 1–16). Springer. https://link.springer.com/referenceworkentry/10.1007/978-3-030-74786-2_148-1
Baker, D. W. (2006). The meaning and the measure of health literacy. Journal of General Internal Medicine, 21(8), 878–883. https://doi.org/10.1111/j.1525-1497.2006.00540.x
Dhejne, C., Van Vlerken, R., Heylens, G., & Arcelus, J. (2018). Mental health and gender dysphoria: A review of the literature. In Gender Dysphoria and Gender Incongruence (pp. 56–69). Routledge. https://doi.org/10.4324/9781315446806
Dominguez-Rodriguez, A., Martínez-Arriaga, R. J., Herdoiza-Arroyo, P. E., Bautista-Valerio, E., de la Rosa-Gómez, A., Castellanos Vargas, R. O., ... & Ramírez Martínez, F. R. (2022). E-health psychological intervention for COVID-19 healthcare workers: Protocol for its implementation and evaluation. International Journal of Environmental Research and Public Health, 19(19), 12749. https://doi.org/10.3390/ijerph191912749
Donker, T., & Kleiboer, A. (2018). E-health innovations for global mental health. Global Mental Health, 5, e5. https://doi.org/10.1017/gmh.2018.6
Drissi, N., Ouhbi, S., Marques, G., de la Torre Díez, I., Ghogho, M., & Janati Idrissi, M. A. (2021). A systematic literature review on e-mental health solutions to assist health care workers during COVID-19. Telemedicine and E-Health, 27(6), 594–602. https://doi.org/10.1089/tmj.2020.0287
Eysenbach, G. (2001). What is e-health? Journal of Medical Internet Research, 3(2), e833. https://doi.org/10.2196/jmir.3.2.e20
Glanz, K., Rimer, B. K., & Viswanath, K. (2008). Health behavior and health education: Theory, research, and practice (4th ed.). Jossey-Bass.
Gryboski, K. M., Murphy, E., & Green, E. (2020). The health belief model. In The Wiley Encyclopedia of Health Psychology (pp. 211–214). Wiley. https://doi.org/10.1002/9781119057840.ch68
Hffline, M. S. (1990). Exploring nursing interventions for acute pain in the post-anesthesia care unit. Journal of Post Anesthesia Nursing, 5(5), 321–328. https://europepmc.org/article/med/2213624
Jukes, M., & Spencer, P. (2016). Neuman’s systems model. Nursing Times, 112(27), 20–23. https://www.researchgate.net/publication/256686465
Keng, S. L., Smoski, M. J., & Robins, C. J. (2011). Effects of mindfulness on psychological health: A review of empirical studies. Clinical Psychology Review, 31(6), 1041–1056. https://doi.org/10.1016/j.cpr.2011.04.006
Kiely, K. M., Brady, B., & Byles, J. (2019). Gender, mental health and ageing. Maturitas, 129, 76–84. https://doi.org/10.1016/j.maturitas.2019.09.004
Lali, M., Abedi, A., & Kajbaf, M. B. (2012). Development and validation of the Lifestyle Questionnaire (LSQ). Psychological Research, 15(1), 29. https://lib.isfahan.ir/dL/search/default.aspx?Term=27964&Field=0&DTC=113
Liu, Y. (2024). Psychological wellbeing with music therapy: The moderating role of health awareness, and strategic health management in post Covid-19 era. BMC Psychology, 12(1), 355. https://link.springer.com/article/10.1186/s40359-024-01845-z
Massoudi, B., Holvast, F., Bockting, C. L., Burger, H., & Blanker, M. H. (2019). The effectiveness and cost-effectiveness of e-health interventions for depression and anxiety in primary care: A systematic review and meta-analysis. Journal of Affective Disorders, 245, 728–743. https://doi.org/10.1016/j.jad.2018.11.050
O'Rourke, M. W. (1986). The influence of social, demographic, employment, and health factors on the psychological well-being of employed women. Issues in Mental Health Nursing, 8(2), 121–141. https://doi.org/10.3109/0161284860-9012520
Petrič, G., & Atanasova, S. (2024). Validation of the extended e-health literacy scale: Structural validity, construct validity and measurement invariance. BMC Public Health, 24(1), 1991. https://link.springer.com/article/10.1186/s12889-024-19431-8
Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. The Lancet, 370(9590), 859–877. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(07)61238-0/abstract
Rasouli, H., Abbasi Farajzadeh, M., & Tadayon, A. (2018). Investigating e-health literacy and its predictors among patients visiting a military hospital in Tehran in 2017. Military Medicine, 2(1), 83–92. https://doi.org/10.4103/jehp.jehp_1980_23
Rosenfield, S., & Mouzon, D. (2013). Gender and mental health. In C. S. Aneshensel, J. C. Phelan, & A. Bierman (Eds.), Handbook of the Sociology of Mental Health (pp. 277–296). Springer. https://link.springer.com/chapter/10.1007/978-94-007-4276-5_14
Seiferth, C., Vogel, L., Aas, B., Brandhorst, I., Carlbring, P., Conzelmann, A., ... & Löchner, J. (2023). How to e-mental health: A guideline for researchers and practitioners using digital technology in the context of mental health. Nature Mental Health, 1(8), 542–554. https://www.nature.com/articles/s44220-023-00085-1
Srivastava, S., Pant, M., & Nagar, A. (2017). Yuva: An e-health model for dealing with psychological issues of adolescents. Journal of Computational Science, 21, 150–163. https://doi.org/10.1016/j.jocs.2017.05.030
Steptoe, A., Deaton, A., & Stone, A. A. (2015). Psychological wellbeing, health and ageing. The Lancet, 385(9968), 640. https://doi.org/10.1016/S0140-6736(13)61489-0
Struthers, A., Charette, C., Bapuji, S. B., Winters, S., Ye, X., Metge, C., ... & Sutherland, K. (2015). The acceptability of e-mental health services for children, adolescents, and young adults: A systematic search and review. Canadian Journal of Community Mental Health, 34(2), 1–21. https://doi.org/10.7870/cjcmh-2015-006
Wang, H., Huang, Y., & Jin, C. (2019). Betty Neuman’s systematic model and its application in clinical nursing. TMR Integrative Nursing, 3(4), 113–117. https://doi.org/10.7870/cjcmh-2015-006
Wolf, M. S., Gazmararian, J. A., & Baker, D. W. (2007). Health literacy and health risk behaviors among older adults. American Journal of Preventive Medicine, 32(1), 19–24. https://doi.org/10.1016/j.amepre.2006.08.024
Yellowlees, P., Marks, S., Hilty, D., & Shore, J. H. (2008). Using e-health to enable culturally appropriate mental healthcare in rural areas. Telemedicine and E-Health, 14(5), 486–492. https://doi.org/10.1089/tmj.2007.0070
Zhang, S., Wang, W., Wu, S., Ye, H., Dong, L., Wang, J., ... & Cui, H. (2024). Analysis of the mediating effect between eHealth literacy and health self-management of undergraduate nursing students’ mental health literacy. BMC Nursing, 23(1), 264.
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