{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T09:07:11Z","timestamp":1789549631689,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":["Psychogeriatrics"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to examine the effects of healthy lifestyle behaviours and self\u2010neglect on eHealth literacy among individuals aged 60\u2009years and older, and to explore the structural relationships between these variables using path analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross\u2010sectional and descriptive study was conducted with 251 older adults living in T\u00fcrkiye. Data were collected using a Personal Information Form, the Healthy Lifestyle Behaviours Scale II, the Self\u2010Neglect Scale in Older Adults, and the eHealth Literacy Scale via an online survey. Direct and indirect relationships among variables were analysed using Structural Equation Modelling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of participants was 68.22\u2009\u00b1\u20099.24\u2009years. Healthy lifestyle behaviours were positively associated with eHealth literacy (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.423,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas eHealth literacy was negatively associated with self\u2010neglect (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.300,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The direct association between healthy lifestyle behaviours and self\u2010neglect was not statistically significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.053,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.463), while the indirect association through eHealth literacy was significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u2009\u22120.127,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). The model showed mixed fit, with\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \/df, CFI, TLI, and SRMR meeting the prespecified acceptable\u2010fit criteria, whereas RMSEA remained above the specified threshold.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings indicate that healthy lifestyle behaviours are associated with reduced self\u2010neglect only when supported by higher levels of eHealth literacy. Integrating structured interventions to improve eHealth literacy alongside promoting healthy lifestyle behaviours may enhance the effectiveness of strategies targeting self\u2010neglect in older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psyg.70216","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T04:20:46Z","timestamp":1788754846000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Examination of the Impact of Healthy Lifestyle Behaviours and Self\u2010Neglect on e\u2010Health Literacy Among Older Adults Using Path Analysis"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9238-490X","authenticated-orcid":false,"given":"\u00d6zge","family":"Ert\u00fcrk","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, Department of Gerontology Bal\u0131kesir University  Bal\u0131kesir T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1891-3115","authenticated-orcid":false,"given":"K\u00fcbra","family":"\u00c7etin","sequence":"additional","affiliation":[{"name":"Antalya City Hospital  Antalya T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-8036-2532","authenticated-orcid":false,"given":"\u015eeyma Nur","family":"Azak","sequence":"additional","affiliation":[{"name":"Saruhanl\u0131 State Hospital  Manisa T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8322-8200","authenticated-orcid":false,"given":"Nida","family":"Efet\u00fcrk","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, Department of Nursing Kocaeli Health and Technology University  Kocaeli T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization \u201cAgeing and Health\u201d(2024) https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/ageing\u2010and\u2010health."},{"key":"e_1_2_11_3_1","unstructured":"United Nations Population Fund \u201cAgeing\u201d(2024) https:\/\/www.unfpa.org\/ageing."},{"key":"e_1_2_11_4_1","unstructured":"T\u00fcrkiye \u0130statistik Kurumu \u201c\u0130statistiklerle ya\u015fl\u0131lar \u201dYay\u0131n No: 54079 (2024) https:\/\/data.tuik.gov.tr\/Bulten\/Index?p=Istatistiklerle\u2010Yaslilar\u20102024\u201054079."},{"key":"e_1_2_11_5_1","unstructured":"T\u00fcrkiye \u0130statistik Kurumu \u201c\u0130statistiklerle ya\u015fl\u0131lar 2019. 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