{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:10:42Z","timestamp":1787008242681,"version":"build-2736575974"},"reference-count":56,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T00:00:00Z","timestamp":1697587200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">: The telemanagement model in chronic diseases needs older patients to have a certain level of e-Health literacy. According to Electronic Health Literacy model, factors associated with the e-Health literacy among older patients could be comprehensively investigated from individual, situational, and environmental aspects.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">To investigate the e-Health literacy levels among older patients with chronic obstructive pulmonary disease (COPD) and explore associated factors.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">: A cross-sectional study was conducted among older patients with COPD. The e-Health Literacy Scale was used to measure individuals' e-Health literacy. The multiple linear regression was applied to identify factors associated with e-Health literacy.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">: A total of 230 responses were included in the final analysis. The average score of e-Health literacy for older COPD patients was 24.66 (6.86). After adjusting the model, the results of multiple linear regression demonstrated that aging attitudes (<\/jats:italic>\n                      B\n                      <jats:italic toggle=\"yes\">\u2009=\u20090.067,<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">&lt; 0.001), technophobia (<\/jats:italic>\n                      B\n                      <jats:italic toggle=\"yes\">\u2009=<\/jats:italic>\n                      \u2009\u2212\n                      <jats:italic toggle=\"yes\">0.285,<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">&lt; 0.001), and self-efficacy (<\/jats:italic>\n                      B\n                      <jats:italic toggle=\"yes\">\u2009=\u20090.431,<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">&lt; 0.001) accounted for 68.3% (<\/jats:italic>\n                      p\n                      <jats:italic toggle=\"yes\">&lt; 0.001) of the total variation in e-Health literacy.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">: This study identifies significant correlations of technophobia, aging attitudes, and self-efficacy, respectively, with e-Health literacy, and self-efficacy and technophobia may be constant predictive factors of e-Health literacy. In the future, intervention research on e-Health literacy should be conducted from a social psychology perspective, with particular emphasis on addressing negative aging attitudes and technophobia. That will promote the tele-management model of chronic diseases.<\/jats:italic>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration:<\/jats:title>\n                    <jats:p>\n                      <jats:italic toggle=\"yes\">Chinese Clinical Trial Registry (ChiCTR): ChiCTR1900028563;<\/jats:italic>\n                      <jats:uri xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/apps.who.int\/trialsearch\/default.aspx.\">http:\/\/apps.who.int\/trialsearch\/default.aspx.<\/jats:uri>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2023.0394","type":"journal-article","created":{"date-parts":[[2023,10,18]],"date-time":"2023-10-18T16:38:38Z","timestamp":1697647118000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Factors Associated with the e-Health Literacy Among Older Adults with Chronic Obstructive Pulmonary Disease: A Cross-Sectional Study"],"prefix":"10.1177","volume":"30","author":[{"given":"Yuyu","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0531-3447","authenticated-orcid":false,"given":"Jing","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pingping","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiang","family":"Nan","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueqiong","family":"Zou","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manyao","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianjing","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi School of Medicine, Jiangnan University, Wuxi, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,18]]},"reference":[{"key":"e_1_3_6_2_2","unstructured":"WHO. 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