ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
This article is part of the Research TopicDesigning for Engagement in Digital Health for Chronic and Long-Term CareView all 16 articles
Correlation analysis of electronic health literacy, compliance behaviour, and quality of life in middle-aged and older patients with coronary heart disease: a cross-sectional research
Provisionally accepted
- 1Zhengzhou University, Zhengzhou, China
- 2Nanyang Central Hospital, Nanyang, China
- 3The First Affiliated Hospital of Ningbo University, Ningbo, China
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The health status and quality of life (QOL) of middle-aged and older patients with coronary heart disease (CHD) are significantly influenced by adherence to medical advice. In the digital age, electronic health literacy (eHL) is increasingly recognized as a crucial factor affecting compliance behavior and QOL; however, research on the relationship between eHL, compliance behavior, and QOL in CHD patients is limited. This study aimed to explore these correlations among middle-aged and older CHD patients and identify strategies to enhance eHL for better health outcomes. A cross-sectional study was conducted from May 2024 to September 2024 at two tertiary hospitals in Nanyang and Ningbo, China. Participants completed the eHEALS, Morisky Medication Adherence Scale-8, a non-medication adherence questionnaire for secondary prevention in CHD, and the Seattle Angina Questionnaire. Correlations were analyzed using Spearman tests; regression models evaluated demographic factors' impact. Among the 594 participants, middle-aged and older CHD patients exhibited low eHL, poor adherence, and moderate QOL. Notably, eHL showed significant positive correlations with medication compliance (r=0.397**), non-medication compliance (r=0.337**), and QOL (r=0.539**). These findings indicate that enhancing eHL can improve self-management and treatment adherence.
Keywords: CHD, EHL, Middle-aged and older adults, Compliance behaviour, QOL
Received: 06 Aug 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Sun, Ruru, Wang, Jiao, Zhao, Qiao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Jingjing Wang, colorfulsunwjj@hotmail.com
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