{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T02:01:13Z","timestamp":1784685673524,"version":"3.55.0"},"reference-count":44,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T00:00:00Z","timestamp":1763510400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing &amp; Health Sciences"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Colorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer\u2010related deaths in the world and T\u00fcrkiye. Electronic health literacy is essential in preventing diseases such as cancer, delayed diagnoses, and barriers with accessing healthcare services. In colonoscopy preparation, which is the gold standard in colorectal cancer screening, e\u2010health literacy may be important in terms of facilitating the colonoscopy preparation process. This descriptive and correlational research is an exploratory study aimed at determining the relationship and predictors between bowel preparation quality and e\u2010health literacy in patients undergoing colonoscopy. The study was conducted with 251 adults who underwent colonoscopy between August and November 2023 at a University Hospital in Istanbul, T\u00fcrkiye. Data were collected using the \u201cPersonal and Health Information Form,\u201d the \u201cBoston Bowel Preparation Quality Scale,\u201d and \u201ce\u2010Health Literacy Scale,\u201d which have been validated and are reliable in Turkish.\n                    <jats:italic>T<\/jats:italic>\n                    \u2010tests were used to determine differences, correlation analysis assessed relationships, and multiple regression analysis evaluated moderator\u2010variable impact. The mean score of the participants' bowel preparation quality was an adequate level (2.18\u2009\u00b1\u20090.64), and the mean score of e\u2010health literacy was high (29.23\u2009\u00b1\u20095.51). The quality of bowel preparation was inadequate in 13.1% of the participants. Education status was a statistically significant predictor of BBPS (\n                    <jats:italic>\u03b2<\/jats:italic>\n                    \u2009=\u20090.182,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.017). A significant difference was found between BBPS and gender (\n                    <jats:italic>t<\/jats:italic>\n                    \u2009=\u2009\u22122.221,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.027), alcohol use (\n                    <jats:italic>t<\/jats:italic>\n                    \u2009=\u20091.394,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.013), and chronic disease status (\n                    <jats:italic>t<\/jats:italic>\n                    \u2009=\u2009\u22120.826,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.007). A significant difference was found between the mean e\u2010HEALS score and working condition (\n                    <jats:italic>t<\/jats:italic>\n                    \u2009=\u2009\u22121.789,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.037). No correlation was found between the quality of bowel preparation and e\u2010HEALS (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&gt;\u20090.05). Functional and interactive tools are recommended to measure the level of health literacy in patients undergoing colonoscopy.\n                  <\/jats:p>","DOI":"10.1111\/nhs.70255","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T03:29:57Z","timestamp":1763609397000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Relationship Between e\u2010Health Literacy and Quality of Bowel Preparation and Predictors in Patients Undergoing Colonoscopy"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1567-0042","authenticated-orcid":false,"given":"Yasemin Eda","family":"Tekin","sequence":"first","affiliation":[{"name":"Health Science Faculty, Nursing Department Mudanya University  Bursa T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6199-7372","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"G\u00fcne\u015f","sequence":"additional","affiliation":[{"name":"Health Science Faculty, Nursing Department Beykent University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5036-9322","authenticated-orcid":false,"given":"Esra","family":"Eren","sequence":"additional","affiliation":[{"name":"Health Science Faculty, Nursing Department Medipol University  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.galenos.2018.68736"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/picr.PICR_154_18"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.61186\/pcnm.13.4.30"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.galenos.2021.2021\u20101\u20109"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2016.1201179"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1271222"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.4018"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248679"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.5152\/tjg.2020.19529"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jebm.12607"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.17064\/iuifd.333165"},{"key":"e_1_2_13_13_1","volume-title":"SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 Update","author":"George D.","year":"2010"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.48121\/jihsam.1152981"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjcd.64325"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14295"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19052676"},{"key":"e_1_2_13_18_1","volume-title":"Multivariate Data Analysis","author":"Hair J. 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