{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T03:07:56Z","timestamp":1782788876771,"version":"3.54.5"},"reference-count":42,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Heigl Foundation, D\u00fcsseldorf, Germany"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Urological cancers are associated with reduced quality of life and high psychological burden, yet affected patients receive less psychosocial support than other cancer groups. Electronic health literacy (eHL) may facilitate independent access to resources, but its role for psychological outcomes and quality of life in this group is unclear. This study examined associations between eHL, psychological symptoms, and quality of life during transition from inpatient to outpatient care. A prospective, single-centre observational study was conducted. Eligible inpatients (urological cancer, Distress Thermometer \u22655 and\/or request for psycho-oncological support) received an initial psycho-oncology consultation and completed surveys during inpatient treatment (T1) and three months later (T2). Measures included socio-demographics, PO-BADO, eHL (eHEALS), distress, depression (PHQ-2), anxiety (GAD-2), and quality of life (EORTC QLQ-C30). Of 108 patients completing T1, 71 completed T2. After controlling for age, eHL was not significantly associated with distress, depression, anxiety, or quality of life. Age did not moderate these relationships. In this sample, eHL showed no significant associations with psychological outcomes or quality of life. However, higher age was linked to lower eHL, suggesting that older patients may face barriers to digital health engagement. Age-related differences in eHL should be considered when designing digital support services for urological cancer patients.<\/jats:p>","DOI":"10.3390\/curroncol32110637","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T11:49:43Z","timestamp":1763120983000},"page":"637","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Electronic Health Literacy, Psychological Distress, and Quality of Life in Urological Cancer Patients: A Longitudinal Study During Transition from Inpatient to Outpatient Care"],"prefix":"10.3390","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2282-3932","authenticated-orcid":false,"given":"Dominik","family":"Fugmann","sequence":"first","affiliation":[{"name":"Clinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy, LVR Hospital D\u00fcsseldorf, Clinic of the Heinrich-Heine-University D\u00fcsseldorf, 40629 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9409-4229","authenticated-orcid":false,"given":"Steffen","family":"Holsteg","sequence":"additional","affiliation":[{"name":"Clinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Sch\u00e4fer","sequence":"additional","affiliation":[{"name":"Clinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6929-8691","authenticated-orcid":false,"given":"G\u00fcnter","family":"Niegisch","sequence":"additional","affiliation":[{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Department of Urology, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Dinger","sequence":"additional","affiliation":[{"name":"Clinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Department of Psychosomatic Medicine and Psychotherapy, LVR Hospital D\u00fcsseldorf, Clinic of the Heinrich-Heine-University D\u00fcsseldorf, 40629 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4819-0144","authenticated-orcid":false,"given":"Andr\u00e9","family":"Karger","sequence":"additional","affiliation":[{"name":"Clinical Institute of Psychosomatic Medicine and Psychotherapy, Medical Faculty and University Hospital D\u00fcsseldorf, Heinrich-Heine-University D\u00fcsseldorf, Centre for Integrated Oncology D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"},{"name":"Centre for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD), 40225 D\u00fcsseldorf, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"ref_1","unstructured":"(2025, March 24). Cancer Today, Globocan 2022 (Version 1.1). Available online: https:\/\/gco.iarc.who.int\/media\/globocan\/factsheets\/populations\/900-world-fact-sheet.pdf."},{"key":"ref_2","first-page":"455.e1","article-title":"Differential changes in self-reported quality of life in elderly populations after diagnosis of a genitourinary malignancy","volume":"40","author":"Alam","year":"2022","journal-title":"Urol. Oncol. Semin. Orig. Investig."},{"key":"ref_3","first-page":"37518","article-title":"Mental Health in Urologic Oncology","volume":"10","author":"Anderson","year":"2022","journal-title":"Health Psychol. Res."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2847","DOI":"10.1002\/pon.4901","article-title":"Psychosocial distress and utilization of professional psychological care in cancer patients: An observational study in National Comprehensive Cancer Centers (CCCs) in Germany","volume":"27","author":"Weis","year":"2018","journal-title":"Psycho-Oncology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1007\/s12312-021-00944-x","article-title":"Best Practice: Psychoonkologisches Screening an Comprehensive Cancer Centers","volume":"36","author":"Stengel","year":"2021","journal-title":"Forum"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1331","DOI":"10.1002\/pon.5933","article-title":"Incorporating psychosocial care into routine oncological care: Insights into challenges and strategies from certified cancer centers\u2019 audit data","volume":"31","author":"Breidenbach","year":"2022","journal-title":"Psycho-Oncology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1311","DOI":"10.1002\/pon.5678","article-title":"Psychosocial aftercare of adolescent and young adult cancer survivors in Germany: Awareness, utilisation, satisfaction and associated factors","volume":"30","author":"Sender","year":"2021","journal-title":"Psycho-Oncology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.2196\/jmir.8.4.e27","article-title":"eHEALS: The eHealth Literacy Scale","volume":"8","author":"Norman","year":"2006","journal-title":"J. Med. Internet Res."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"On Behalf of Working Group Prevention and Integrative Oncology of the German Cancer Society, Heiman, H., Keinki, C., and Huebner, J. (2018). EHealth literacy in patients with cancer and their usage of web-based information. J. Cancer Res. Clin. Oncol., 144, 1843\u20131850.","DOI":"10.1007\/s00432-018-2703-8"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.ijmedinf.2015.12.013","article-title":"Effects of eHealth for patients and informal caregivers confronted with cancer: A meta-review","volume":"87","author":"Slev","year":"2016","journal-title":"Int. J. Med. Inform."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"e37093","DOI":"10.2196\/37093","article-title":"eHealth Interventions for Dutch Cancer Care: Systematic Review Using the Triple Aim Lens","volume":"8","author":"Versluis","year":"2022","journal-title":"JMIR Cancer"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"e55564","DOI":"10.2196\/55564","article-title":"Effect of eHealth Interventions on Body Image of Patients with Cancer: Systematic Review","volume":"27","author":"Huang","year":"2025","journal-title":"J. Med. Internet Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2257","DOI":"10.1200\/JCO.21.01171","article-title":"Electronic Health Interventions for Patients With Breast Cancer: Systematic Review and Meta-Analyses","volume":"40","author":"Singleton","year":"2022","journal-title":"J. Clin. Oncol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"108193","DOI":"10.1016\/j.pec.2024.108193","article-title":"eHealth literacy in prostate cancer: A systematic review","volume":"123","author":"Jackson","year":"2024","journal-title":"Patient Educ. Couns."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"3842","DOI":"10.1002\/cncr.26713","article-title":"How does health literacy affect quality of life among men with newly diagnosed clinically localized prostate cancer?","volume":"118","author":"Song","year":"2011","journal-title":"Cancer"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s00345-024-04960-z","article-title":"Impact of health and digital health literacy on quality of life following radical prostatectomy for prostate cancer: Prospective single-center cohort study","volume":"42","author":"Keles","year":"2024","journal-title":"World J. Urol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1002\/pon.5158","article-title":"Systematic review of technology-based interventions to improve anxiety, depression, and health-related quality of life among patients with prostate cancer","volume":"28","author":"Song","year":"2019","journal-title":"Psycho-Oncology"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s11764-018-0729-1","article-title":"A systematic review of the feasibility, acceptability, and efficacy of online supportive care interventions targeting men with a history of prostate cancer","volume":"13","author":"Forbes","year":"2019","journal-title":"J. Cancer Surviv."},{"key":"ref_19","first-page":"4","article-title":"Use of Follow-Up Psycho-Oncology Consultations in Urological Cancer after Transition from Inpatient to Outpatient Care","volume":"48","author":"Fugmann","year":"2024","journal-title":"Oncol. Res. Treat."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1186\/s12199-021-01001-8","article-title":"The effect of health literacy on health status among residents in Qingdao, China: A path analysis","volume":"26","author":"Huang","year":"2021","journal-title":"Environ. Health Prev. Med."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Sun, S., Lu, J., Wang, Y., Wang, Y., Wu, L., Zhu, S., Zheng, X., Lu, X., and Xu, H. (2022). Gender differences in factors associated with the health literacy of hospitalized older patients with chronic diseases: A cross-sectional study. Front. Public Health, 10.","DOI":"10.3389\/fpubh.2022.944103"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"9714","DOI":"10.3390\/ijerph120809714","article-title":"Relationship between Health Literacy, Health-Related Behaviors and Health Status: A Survey of Elderly Chinese","volume":"12","author":"Liu","year":"2015","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1037\/hea0001266","article-title":"Health literacy, social cognition constructs, and health behaviors and outcomes: A meta-analysis","volume":"42","author":"McAnally","year":"2023","journal-title":"Health Psychol."},{"key":"ref_24","first-page":"213","article-title":"Die deutsche Version des NCCN Distress-Thermometers","volume":"54","author":"Mehnert","year":"2006","journal-title":"Z. Fur Psychiatr. Psychol. Und Psychother."},{"key":"ref_25","unstructured":"(2025, March 31). Study Protocol: Use and Acceptance of Psycho-Oncological Online Help for Urogenital Cancers. Available online: https:\/\/www.drks.de\/search\/de\/trial\/DRKS00024012\/details."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1159\/000162287","article-title":"The Basic Documentation for Psycho-Oncology (PO-Bado)\u2014An Expert Rating Scale for the Psychosocial Experience of Cancer Patients","volume":"31","author":"Herschbach","year":"2008","journal-title":"Oncol. Res. Treat."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1097\/00000421-198212000-00014","article-title":"Toxicity and response criteria of the Eastern Cooperative Oncology Group","volume":"5","author":"Oken","year":"1982","journal-title":"Am. J. Clin. Oncol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jpsychores.2004.09.006","article-title":"Detecting and monitoring depression with a two-item questionnaire (PHQ-2)","volume":"58","author":"Kroenke","year":"2005","journal-title":"J. Psychosom. Res."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"317","DOI":"10.7326\/0003-4819-146-5-200703060-00004","article-title":"Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection","volume":"146","author":"Kroenke","year":"2007","journal-title":"Ann. Intern. Med."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jad.2009.06.019","article-title":"A 4-item measure of depression and anxiety: Validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population","volume":"122","author":"Wahl","year":"2010","journal-title":"J. Affect. Disord."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1093\/jnci\/85.5.365","article-title":"The European Organization for Research and Treatment of Cancer QLQ-C30: A Quality-of-Life Instrument for Use in International Clinical Trials in Oncology","volume":"85","author":"Aaronson","year":"1993","journal-title":"JNCI J. Natl. Cancer Inst."},{"key":"ref_32","unstructured":"(2025, March 31). Psych: Procedures for Psychological, Psychometric, and Personality Research. Available online: https:\/\/personality-project.org\/r\/psych\/psych-manual.pdf."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"2291","DOI":"10.1007\/s00432-017-2475-6","article-title":"eHealth literacy, Internet and eHealth service usage: A survey among cancer patients and their relatives","volume":"143","author":"Halwas","year":"2017","journal-title":"J. Cancer Res. Clin. Oncol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.jgo.2019.12.015","article-title":"eHealth literacy in older adults with cancer","volume":"11","author":"Hoogland","year":"2020","journal-title":"J. Geriatr. Oncol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e32951","DOI":"10.2196\/32951","article-title":"Digitization and Health in Germany: Cross-sectional Nationwide Survey","volume":"7","author":"Jahnel","year":"2021","journal-title":"JMIR Public Health Surveill."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.juro.2013.07.062","article-title":"Muscle Invasive Bladder Cancer: Examining Survivor Burden and Unmet Needs","volume":"191","author":"Mohamed","year":"2014","journal-title":"J. Urol."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"4081","DOI":"10.1002\/cam4.2331","article-title":"Advanced cancer patients\u2019 understanding of prognostic information: Applying insights from psychological research","volume":"8","author":"Derry","year":"2019","journal-title":"Cancer Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.2196\/jmir.6709","article-title":"Development of the Digital Health Literacy Instrument: Measuring a Broad Spectrum of Health 1.0 and Health 2.0 Skills","volume":"19","author":"Drossaert","year":"2017","journal-title":"J. Med. Internet Res."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"e31627","DOI":"10.2196\/31627","article-title":"Measuring a Broad Spectrum of eHealth Skills in the Web 3.0 Context Using an eHealth Literacy Scale: Development and Validation Study","volume":"23","author":"Liu","year":"2021","journal-title":"J. Med. Internet Res."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e52457","DOI":"10.2196\/52457","article-title":"Electronic Health Literacy Scale-Web3.0 for Older Adults with Noncommunicable Diseases: Validation Study","volume":"26","author":"Cai","year":"2024","journal-title":"J. Med. Internet Res."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"e56761","DOI":"10.2196\/56761","article-title":"Age Variation Among US Adults\u2019 Social Media Experiences and Beliefs About Who Is Responsible for Reducing Health-Related Falsehoods: Secondary Analysis of a National Survey","volume":"7","author":"Galinkala","year":"2024","journal-title":"JMIR Aging"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"e66058","DOI":"10.2196\/66058","article-title":"Social Media and eHealth Literacy Among Older Adults: Systematic Literature Review","volume":"27","author":"Zhang","year":"2025","journal-title":"J. Med. Internet Res."}],"container-title":["Current Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1718-7729\/32\/11\/637\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T12:36:26Z","timestamp":1763123786000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1718-7729\/32\/11\/637"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,13]]},"references-count":42,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2025,11]]}},"alternative-id":["curroncol32110637"],"URL":"https:\/\/doi.org\/10.3390\/curroncol32110637","relation":{},"ISSN":["1718-7729"],"issn-type":[{"value":"1718-7729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,13]]}}}