{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T04:49:57Z","timestamp":1782794997090,"version":"3.54.5"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T00:00:00Z","timestamp":1675728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004257","name":"Western Norway Health Authority","doi-asserted-by":"publisher","award":["912184"],"award-info":[{"award-number":["912184"]}],"id":[{"id":"10.13039\/501100004257","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011769","name":"St. Olavs hospital","doi-asserted-by":"publisher","award":["19\/11223-82\/GUNMOR"],"award-info":[{"award-number":["19\/11223-82\/GUNMOR"]}],"id":[{"id":"10.13039\/501100011769","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,25]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Fundamental roadblocks, such as non-use and low electronic health (eHealth) literacy, prevent the implementation of eHealth resources. The aims were to study internet usage for health information and eHealth literacy in patients after percutaneous coronary intervention (PCI). Further, we aimed to evaluate temporal changes and determine whether the use of the internet to find health information and eHealth literacy were associated with coronary artery disease (CAD) risk factors at the index admission and 12-month follow-up of the same population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>This prospective longitudinal study recruited 2924 adult patients with internet access treated by PCI in two Nordic countries. Assessments were made at baseline and 12-month follow-up, including a de novo question Have you used the internet to find information about health?, the eHealth literacy scale, and assessment of clinical, behavioural, and psychological CAD risk factors. Regression analyses were used. Patients\u2019 use of the internet for health information and their eHealth literacy were moderate at baseline but significantly lower at 12-month follow-up. Non-users of the internet for health information were more often smokers and had a lower burden of anxiety symptoms. Lower eHealth literacy was associated with a higher burden of depression symptoms at baseline and lower physical activity and being a smoker at baseline and at 12-month follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Non-use of the internet and lower eHealth literacy need to be considered when implementing eHealth resources, as they are associated with behavioural and psychological CAD risk factors. eHealth should therefore be designed and implemented with high-risk CAD patients in mind.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical trial registration<\/jats:title>\n                  <jats:p>ClinicalTrials.gov NCT03810612 https:\/\/clinicaltrials.gov\/ct2\/show\/NCT03810612<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjdh\/ztad010","type":"journal-article","created":{"date-parts":[[2023,2,7]],"date-time":"2023-02-07T20:10:43Z","timestamp":1675800643000},"page":"125-135","source":"Crossref","is-referenced-by-count":12,"title":["The association of electronic health literacy with behavioural and psychological coronary artery disease risk factors in patients after percutaneous coronary intervention: a 12-month follow-up study"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0882-3944","authenticated-orcid":false,"given":"Gunhild","family":"Br\u00f8rs","sequence":"first","affiliation":[{"name":"Department of Clinical Science, University of Bergen , PO Box 7804, Bergen 5020 , Norway"},{"name":"Department of Heart Disease, Haukeland University Hospital , Bergen , Norway"},{"name":"Clinic of Cardiology, St. Olavs University Hospital , Trondheim , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1192-3663","authenticated-orcid":false,"given":"H\u00e5vard","family":"Dalen","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology, St. Olavs University Hospital , Trondheim , Norway"},{"name":"Department of Circulation and Medical Imaging, Norwegian University of Science and Technology , Trondheim , Norway"},{"name":"Department of Internal Medicine, Levanger Hospital, Nord-Tr\u00f8ndelag Hospital Trust , Levanger , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7685-8175","authenticated-orcid":false,"given":"Heather","family":"Allore","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Yale School of Medicine , New Haven, CT , USA"},{"name":"Department of Biostatistics, Yale School of Public Health , New Haven, CT , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3209-0752","authenticated-orcid":false,"given":"Christi","family":"Deaton","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge School of Clinical Medicine , Cambridge , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5412-9497","authenticated-orcid":false,"given":"Bengt","family":"Fridlund","sequence":"additional","affiliation":[{"name":"Department of Heart Disease, Haukeland University Hospital , Bergen , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6702-5470","authenticated-orcid":false,"given":"Cameron D","family":"Norman","sequence":"additional","affiliation":[{"name":"Cense Ltd. Dalla Lana School of Public Health, University of Toronto , Toronto, ON , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8437-5445","authenticated-orcid":false,"given":"Pernille","family":"Palm","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Copenhagen University Hospital, Rigshospitalet , Copenhagen , Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0318-4162","authenticated-orcid":false,"given":"Tore","family":"Wentzel-Larsen","sequence":"additional","affiliation":[{"name":"Centre for Child and Adolescent Mental Health, Region East and South , Oslo , Norway"},{"name":"Norwegian Centre for Violence and Traumatic Stress Studies , Oslo , Norway"},{"name":"Centre for Clinical Research, Haukeland University Hospital , Bergen , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7302-4490","authenticated-orcid":false,"given":"Tone M","family":"Norekv\u00e5l","sequence":"additional","affiliation":[{"name":"Department of Clinical Science, University of Bergen , PO Box 7804, Bergen 5020 , Norway"},{"name":"Department of Heart Disease, Haukeland University Hospital , Bergen , Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,2,7]]},"reference":[{"key":"2024061318161616000_ztad010-B1","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1177\/2047487319832394","article-title":"ESC e-Cardiology working group position paper: overcoming challenges in digital health implementation in cardiovascular medicine","volume":"26","author":"Frederix","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2024061318161616000_ztad010-B2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.5334\/gh.1141","article-title":"World Heart Federation Roadmap for digital health in cardiology","volume":"17","author":"Tromp","year":"2022","journal-title":"Glob Heart"},{"key":"2024061318161616000_ztad010-B3","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1177\/2047487318825350","article-title":"Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry","volume":"26","author":"Kotseva","year":"2019","journal-title":"Eur J Prev Cardiol"},{"key":"2024061318161616000_ztad010-B4","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1177\/2047487317711334","article-title":"Psychosocial risk factors in relation to other cardiovascular risk factors in coronary heart disease: results from the EUROASPIRE IV survey. 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