{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:25:40Z","timestamp":1791246340128,"version":"4.1.0"},"reference-count":44,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The ability to participate in digital health services such as remote blood pressure monitoring needs digital skills and knowledge known as eHealth literacy (e-HL). However, e-HL is rarely studied among those participating in remote blood pressure monitoring (RBPM).<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study assessed e-HL levels among participants with hypertension and determined the e-HL domains that predict participation in RBPM. This study provides important focus areas to increase RBPM participation.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This study was a quantitative, cross-sectional survey of people with hypertension in the United States. The survey included demographics, RBPM participation questions, and the e-HL questionnaire (eHLQ) for assessment of e-HL. The eHLQ is a 35-item, 7-domain validated questionnaire including the (1) ability to process information, (2) engagement in own health, (3) ability to actively engage with digital services, (4) feel safe and in control, (5) motivated to engage with digital services, (6) access to digital services that work, and (7) digital services that suit individual needs. The eHLQ item scores range from 1 to 4, and the higher the score, the higher the e-HL status. Descriptive statistics were used to describe the participants\u2019 demographics and e-HL status.\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n tests were used to compare participants\u2019 characteristics between RBPM and nonRBPM groups. The Mann-Whitney\n U<\/jats:italic>\n test compared the e-HL domain scores in RBPM and nonRBPM groups. Firth logistic regression was used to predict participation in RBPM. The dependent variable was participation in RBPM. The independent variables were demographics and e-HL domains.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 507 people with hypertension participated in the survey. Sixty participants were currently participating in RBPM, giving a prevalence of 11.8% (60\/507). The mean age of RBPM participants was 46.2 (SD 14.7) years and nonRBPM was 62 (SD 13.7) years (\n P<\/jats:italic>\n <.001). The e-HL scores in all 7 domains were significantly higher for the RBPM group than the nonRBPM group. Among the e-HL domains, higher scores in digital services that suit individual needs (domain 7) were the only predictor of RBPM participation (adjusted odds ratio 2.84, 95% CI 1.002\u20108.84) adjusted for age, sex, and race.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Digital services that are tailored to individual patients\u2019 needs are more likely to result in participation in RBPM.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/71926","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T21:10:58Z","timestamp":1753996258000},"page":"e71926-e71926","source":"Crossref","is-referenced-by-count":6,"title":["eHealth Literacy and Participation in Remote Blood Pressure Monitoring Among Patients With Hypertension: Cross-Sectional Study"],"prefix":"10.2196","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5015-3724","authenticated-orcid":false,"given":"Chinwe E","family":"Eze","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2910-1879","authenticated-orcid":false,"given":"Michael P","family":"Dorsch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5723-0443","authenticated-orcid":false,"given":"Antoinette B","family":"Coe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8774-793X","authenticated-orcid":false,"given":"Corey A","family":"Lester","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5855-9972","authenticated-orcid":false,"given":"Lorraine R","family":"Buis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5636-3009","authenticated-orcid":false,"given":"Karen B","family":"Farris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"issue":"8","key":"R1","doi-asserted-by":"publisher","first-page":"e93","DOI":"10.1161\/CIR.0000000000001123","article-title":"Heart disease and stroke statistics-2023 update: a report from the American Heart Association","volume":"147","author":"Tsao","journal-title":"Circulation"},{"issue":"7","key":"R2","doi-asserted-by":"publisher","first-page":"1128","DOI":"10.1111\/jch.13305","article-title":"Home blood pressure telemonitoring in the 21st century","volume":"20","author":"Parati","journal-title":"J Clin Hypertens (Greenwich)"},{"issue":"6","key":"R3","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-020-01056-y","article-title":"E-Health in hypertension management: an insight into the current and future role of blood pressure telemonitoring","volume":"22","author":"Omboni","journal-title":"Curr Hypertens Rep"},{"issue":"4","key":"R4","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1093\/ehjdh\/ztac049","article-title":"Automatic transmission of home blood pressure data can be effective in managing hypertension: a systematic review and meta-analysis","volume":"3","author":"Kaihara","journal-title":"European Heart Journal - Digital Health"},{"issue":"5","key":"R5","doi-asserted-by":"publisher","first-page":"711","DOI":"10.1016\/j.cjca.2020.12.009","article-title":"Digital health approaches for the assessment and optimisation of hypertension care provision","volume":"37","author":"Padwal","journal-title":"Can J Cardiol"},{"issue":"74","key":"R6","doi-asserted-by":"publisher","first-page":"522","DOI":"10.34105\/j.kmel.2015.07.035","article-title":"The e-health literacy framework: a conceptual framework for characterizing e-health users and their interaction with e-health systems","volume":"7","author":"Norgaard","journal-title":"Knowledge Management & E-Learning"},{"issue":"2","key":"R7","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.2.e9","article-title":"eHealth literacy: essential skills for consumer health in a networked world","volume":"8","author":"Norman","journal-title":"J Med Internet Res"},{"issue":"2","key":"R8","first-page":"33","volume":"16","author":"Robert Bautista","journal-title":"J Lit Technol"},{"issue":"4","key":"R9","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.8.4.e27","article-title":"eHEALS: the eHealth literacy scale","volume":"8","author":"Norman","journal-title":"J Med Internet Res"},{"issue":"10","key":"R10","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7372","article-title":"Ill literates or illiterates? 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