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This study aims to investigate the role of eHealth in enhancing psychological health among Chinese older adults by examining how eHealth stimulates social support from family and friends, which in turn improves self-esteem and psychological health. The research is guided by the Stimulus-Organism-Response (SOR) framework and Social Cognitive Theory (SCT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from a national survey conducted in China between January and September 2023. The survey involved 898 adults 60 years and older. A sequential mediation analysis was performed to explore the indirect effects of eHealth use on psychological health through family and friend support and self-esteem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study identified two parallel sequential mediating paths: (1) eHealth use \u2192 family support \u2192 self-esteem \u2192 psychological health (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20090.01, 95% CI [0.01, 0.02];\n                      <jats:italic toggle=\"yes\">\n                        b\n                        <jats:sub>p<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.01) and (2) eHealth use \u2192 friends support \u2192 self-esteem \u2192 psychological health (\n                      <jats:italic toggle=\"yes\">B<\/jats:italic>\n                      \u2009=\u20090.01, 95% CI [0.01, 0.02];\n                      <jats:italic toggle=\"yes\">\n                        b\n                        <jats:sub>p<\/jats:sub>\n                      <\/jats:italic>\n                      \u2009=\u20090.01). Both paths demonstrate the significant roles of social support and self-esteem in enhancing psychological health.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that eHealth plays a crucial role in enhancing the psychological health of older adults by facilitating both external (family and friends) and internal (self-esteem) factors. These results highlight the importance of integrating social support and self-esteem into eHealth interventions to improve the psychological health of older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076251346659","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T03:09:54Z","timestamp":1749179394000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["ehealth use and psychological health improvement among older adults: The sequential mediating roles of social support and self-esteem"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8695-2760","authenticated-orcid":false,"given":"Song Harris","family":"Ao","sequence":"first","affiliation":[{"name":"Sun Yat-sen University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5383-6420","authenticated-orcid":false,"given":"Yingxia","family":"Zhu","sequence":"additional","affiliation":[{"name":"University of Macau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3625-7751","authenticated-orcid":false,"given":"Jiazheng","family":"Wang","sequence":"additional","affiliation":[{"name":"University of Macau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6038-0661","authenticated-orcid":false,"given":"Xinshu","family":"Zhao","sequence":"additional","affiliation":[{"name":"University of Macau"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,6]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"1989","article-title":"Habits of using online health information and eHealth literacy in middle-aged and elderly residents","volume":"26","author":"Yuan C","year":"2023","unstructured":"Yuan C, Wei X, Wu X, et al. 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