{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T21:17:29Z","timestamp":1783459049193,"version":"3.55.0"},"reference-count":31,"publisher":"Wiley","issue":"S2","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe the development and validation of the Prostate Cancer Electronic Health (eHealth) Literacy Instrument (P\u2010CeHLI). This is in response to: (i) a lack of clear and validated eHealth literacy measurement for men with prostate cancer; (ii) the unique information processing, decision making, and digital communication experience of men with prostate cancer as a single sex, older age, cancer cohort; and (iii) modern eHealth literacy theory and research, which now greatly considers the transactional nature of web technologies and digital communicative practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A total of 349 men with prostate cancer participated in a three\u2010phase, longitudinal instrument development study. This was undertaken with end\u2010user participation, and a multidisciplinary and international collaboration of prostate cancer, psycho\u2010oncology, communication, and biostatistics experts. Exploratory and confirmatory factor analysis evaluated construct validity. The P\u2010CeHLI was compared to respondents\u2019 eHealth literacy measured with the Transactional eHealth Literacy Instrument (TeHLI), as well as respondent eHealth utilisation and sociodemographic characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A four\u2010factor model was demonstrated with acceptable fit properties (root mean square error of approximation\u2009=\u20090.074; comparative fit index\u2009=\u20090.931; Tucker\u2013Lewis index\u2009=\u20090.924; standardised root mean square residual\u2009=\u20090.051) and excellent reliability (subscale alphas of 0.85\u20130.96). Domains of the P\u2010CeHLI included cancer\u2010specific functional, communicative, critical and translational eHealth literacy. Association between the scores of the scales and respondents\u2019 characteristics were similar; however, for all four subdomains, the P\u2010CeHLI added significant predictive value when assessing eHealth use in men with prostate cancer whilst controlling for respective TeHLI scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The P\u2010CeHLI establishes a novel cancer\u2010specific multidomain eHealth literacy instrument, validated in men with prostate cancer, and positioned to respond to their needs in the digital cancer care era. The P\u2010CeHLI provides a new opportunity for clinicians and researchers to accurately identify and enhance the eHealth literacy skills of patients with prostate cancer, which may improve future clinical outcomes through digital intervention and improved communicative practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70225","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T11:39:53Z","timestamp":1773315593000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The prostate cancer electronic health (\n                    <scp>eHealth)<\/scp>\n                    literacy instrument: a tool for\n                    <scp>eHealth<\/scp>\n                    design and patient communication"],"prefix":"10.1111","volume":"138","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2459-8399","authenticated-orcid":false,"given":"Stuart Robert","family":"Jackson","sequence":"first","affiliation":[{"name":"The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Urology Westmead Hospital University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Sowter","sequence":"additional","affiliation":[{"name":"University of New South Wales  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Occhipinti","sequence":"additional","affiliation":[{"name":"School of Applied Psychology Griffith University  Brisbane Queensland Australia"},{"name":"Department of English and Communication, International Research Centre for the Advancement of Health Communication Hong Kong Polytechnic University  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Chambers","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences Australian Catholic University  Sydney New South Wales Australia"},{"name":"Faculty of Health University of Technology  Sydney New South Wales Australia"},{"name":"St Vincent's Health Network  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Leslie","sequence":"additional","affiliation":[{"name":"RPA Institute of Academic Surgery, Royal Prince Alfred Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Health and Medicine, University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish I.","family":"Patel","sequence":"additional","affiliation":[{"name":"The University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Urology Westmead Hospital University 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