Relationship between electronic health literacy and health behaviors of nursing students

Authors

  • Khwanchira Wongsuntiguln Faculty of Nursing, Naresuan University
  • Kanyarat Fakngoen Faculty of Nursing, Naresuan University
  • Jatuporn Thansombat Faculty of Nursing, Naresuan University
  • Jarukan Chalat Faculty of Nursing, Naresuan University
  • Nisachol Suparp Faculty of Nursing, Naresuan University
  • Panchanok Sriprajan Faculty of Nursing, Naresuan University
  • Maneerin Saengthong Faculty of Nursing, Naresuan University
  • Suchanya Phrompaeng Faculty of Nursing, Naresuan University
  • Wongduan Suwannakeeree* Faculty of Nursing, Naresuan University

Keywords:

Electronic health literacy, Health behaviors, Nursing students

Abstract

Electronic health literacy (e-HL) is an important for promoting health behaviors, especially for nursing students who will serve as the model for service users. This descriptive correlational research aimed to study e-HL, health behavior, and determine the relationship between e-HL and health behavior of nursing students. The study sample comprises 209 nursing students of the Bachelor of Nursing Program in their 1st to 4th year who were studying in the 2024 academic year at the Faculty of Nursing, Naresuan University. The students were selected using systematic random sampling based on their identification numbers. The research instruments consisted of two sets: an electronic health literacy questionnaire based on Norman and Skinner’s conceptual framework and a health behavior questionnaire developed by the researcher based on the 3 A. and 2 S. concepts of the Health Education Division. The content validity was .98. Both questionnaires had Cronbach's alpha coefficients of .88 and .80, respectively. The data were collected from February to March 2025 and analyzed using descriptive statistics and Spearman’s correlation coefficient. The results showed that the overall e-health literacy of nursing students was at the highest level ( =4.29, SD=.55). The overall health behavior of nursing students was at a high level ( =3.57, SD=35), and the overall e-health literacy had a low positive relationship with the overall health behavior of nursing students (r=.242) with statistical significance (p<.001). Therefore, learning enhancement activities should be organized to maintain e-health literacy and promote health behaviors, especially in food consumption and exercise, as these behaviors were at a moderate level.

References

Agapito, L. F., Cortez, A. M., Fong, A., Sanchez C. J., Calong, K. C., Balaria, C. J., & Soriano, G. (2024). Relationship between eHealth literacy and health promoting behaviors among nursing students. Jurnal Keperatawan Padjadjaran, 12(2), 193-200. https://doi.org/10.24198/jkp.v12i2.2353

Alruthaya, A., Nguyen, T., & Lokuge, S. (2021). The application of digital technology and the learning characteristics of generation Z in higher education. The Australasian Conferences on Information Systems (ACIS) 2021 Proceedings, 65. https://aisel.aisnet.org/cgi/viewcontent.cgi?article=1064&context=acis2021

Chamnansua, P. Kheokao, J. Chumchai, P. Duangkam, T. Jaruphisithpaibun, C. Hongthong, K. Siriwanich, W., & Meeboonmak, Y. (2016). Health information literacy, eHealth literacy, and health status of nursing students in nursing colleges under jurisdiction of the Praboromarajchanok Institute (PBRI), in Central Region 2 network and North-eastern region networks. TLA Research Journal, 9(1), 101-103. (In Thai)

Cho, H., Han, K., & Park, B. K. (2018). Associations of eHealth literacy with health-promoting behaviors among hospital nurses: A descriptive cross-sectional study. Journal of Advanced Nursing, 74(7), 1618-1627. https://doi.org/10.1111/jan.13575

Department of Health. (2022, September 8). eHealth Literacy Questionnaire. AnamaiMedia. https://multimedia.anamai.moph.go.th/infographics/ehealth-literacy-questionnaire/ (In Thai)

Duangchan, C. Kheokao, J. Chamnansua, P. Meebunmak, Y. Howharn, C. Chumchai, P. Duangkam, T., & Jaruphisitphaibun, C. (2017). Factors Predicting eHealth Literacy of Nursing Students in Nursing Colleges under Jurisdiction of Praboromarajchanok Institute. EAU Heritage Journal: Science and Technology, 11(1), 235-239. (In Thai)

Faculty of nursing, Naresuan University. (2021). Bachelor of Nursing Science Program (Update curriculum 2021). Faculty of nursing, Naresuan University. http://www.nurse.nu.ac.th/add/Bachelor_64.pdf (In Thai)

Health Education Division. (2024). Guidelines for assessing public health behaviors based on the 3 Aor, 2 Sor principles and prevention of emerging diseases. Health Education Division, Ministry of Public Health. https://bit.ly/4kmfpXx. (In Thai)

Junsawang, C., & Jianvitayakij, S. (2023). The relationship between health literacy, digital health literacy, and health behaviors among undergraduate nursing students. Nursing Journal, 29(2), 251-262. (In Thai)

Khunkaew, S., Khunkaew, A., & Ngudgratoke, S. (2020). Food consumption profile among nursing students in Uttaradit province: a latent class analysis. Nursing Journal of the Ministry of Public Health, 30(3), 104-114. (In Thai)

Kim, K., Shin, S., Kim, S., & Lee, E. (2023). The relation between eHealth literacy and health-related behaviors: Systematic review and meta-analysis [Dissertation, Seoul National University]. JMIR Publications, 25, e40778. https://doi.org/10.2196/40778

Kim, S., & Oh, J., (2021). The relationship between e-health literacy and health-promoting behaviors in nursing students: A multiple mediation model. International Journal of Environmental Research and Public Health, 18(5804). 1-12. https://doi.org/10.3390/jerph18115804

Lertsakornsirisi, M., & Khumpunyo, C. (2017). Factors associated with health promoting behaviors of nursing students at Saint Louis College during practice in healthcare service. Naresuan University Journal: Science and Technology, 25(3), 67-75. https://www.thaiscience.info/Journals/Article/NUST/10986753.pdf (In Thai)

Mengestie, N. D., Yilma, T. M., Beshir, M. A., & Paulos, G. K. (2021). eHealth literacy of medical and health science students and factors affecting ehealth literacy in an Ethiopian University: A cross-sectional study. Applied clinical informatics, 12(2), 301–309. https://doi.org/10.1055/s-0041-1727154

Mostafazadeh, P., Jafari, M. J., Mojebi, M. P., Vakilabad, R. N., & Mirzaei, A. (2024). Assessing the relationship between nutrition literacy and eating behaviors among nursing students: a cross-sectional study. BMC Public Health, 24(18), 1-12. https://doi.org/10.1186/s12889-023-17468-9

Mousazadeh, Y., Sarbakhsh, P., Arbabisarjou, A., Tolouei, M., Mousavi, H., & Molaei, S. (2025). Association between health-promoting lifestyle and electronic health literacy among Iranian university students. BMC Medical Education, 25(246), 1-10. https://doi.org/10.1186/s12909-025-06823-6

Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2), e9. https://doi.org/10.2196/jmir.8.2.e9

Pongsakchat, P. Sompee, P. Kaeonoi, A., & Mekanantawat, K. (2019). Health literacy and health behaviors based on local wisdom of nursing students, Boromarajonani College of Nursing Nopparat Vajira. Journal of Health Science, 28(Special Issue), 21-32. (In Thai)

Pothimas, N., Meepring, S., & Youjaiyen, M. (2021). The relationship among stress related to online learning, resilience, and coping of nursing students during COVID-19 pandemic. Journal of Health and Nursing Research, 37(3), 142-154. (In Thai)

Sanlao, P. Suebtong, B. Planjanthuk, P. Siri, P. Khobumroong, S. Phonthaisong, S. Pechruechai, S., & Najaiyen, A. (2022). The relationship between health literacy and health behaviors according to 3E.2S of students at Chaiyaphum Rajabhat University, Chaiyaphum Province. The 14th National Academic Conference, Nakhon Pathom Rajabhat University. https://publication.npru.ac.th/bitstream/123456789/1740/1/npru-159.pdf (In Thai)

Seangpraw, S. (2018). Health education and health behaviors. Chulalongkorn University Press. (In Thai)

Seramethakul, D. Kaewta, Y., & Chaiwang, P. (2024). Factors influencing health behaviors among nursing students. Journal of Nursing and Health Sciences Research, 16(2), 1-17. (In Thai)

Sharma, S., Oli, N., & Thapa, B. (2019). Electronic health-literacy skills among nursing students. Advances in Medical Education and Practice, 10, 527-532. https://doi.org/10.2147/AMEP.S207353

Srisatidnarakul, B. (2010). The methodology in nursing research. Bangkok: U&I Inter Media. (In Thai)

Sopha, C., Meedech, N., Khattipan, N., Lim, N., Wongkhomlue, C., Khamkrueang, N., Jinkam, S., & Aksornsri, A. (2022). Factors associated with exercise behavior among undergraduate students during the COVID-19 pandemic: A cross-sectional correlation study. Nursing Science Journal of Thailand, 40(4), 65-76. (In Thai)

Tran, H. T. T., Nguyen, M. H., Pham, T. T. M., Kim, G. B., Nguyen, H. T., Nguyen, N., Dam, H. T. B., Duong, T. H., Nguyen, Y. H., Do, T. T., Nguyen, T. T. P., Le, T. T., Do, H. T. T., Nguyen, T. T., Pham, K. M., & Duong, T. V. (2022). Predictors of eHealth literacy and its associations with preventive behaviors, fear of COVID-19, anxiety, and depression among undergraduate nursing students: A cross- sectional survey. International Journal of Environmental Research and Public. 19(7), 3766. https://doi.org/10.3390/ijerph19073766

Turan, N., Güven Özdemir, N., Çulha, Y., Özdemir Aydın, G., Kaya, H., & Aştı, T. (2021). The effect of undergraduate nursing students' e-Health literacy on healthy lifestyle behavior. Global health promotion, 28(3), 6–13. https://doi.org/10.1177/1757975920960442

Zhu, W., Liu, J., Lou, H., Mu, F., & Li, B. (2024). The impact of electronic health literacy on emotional management ability among college students: the mediating roles of peer relationships and exercise self-efficacy. BMC Psychology journals, 12(747). 1-14. https://doi.org/10.1186/s40359-024-02276-6

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Published

2025-08-31

How to Cite

Wongsuntiguln, K., Fakngoen, K., Thansombat, J., Chalat, J., Suparp, N., Sriprajan, P., Saengthong, M., Phrompaeng, S., & Suwannakeeree*, W. (2025). Relationship between electronic health literacy and health behaviors of nursing students. Journal of Nursing and Health Research, 26(2). retrieved from https://he01.tci-thaijo.org/index.php/bcnpy/article/view/e279638

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Section

บทความวิจัย(Research Articles)