ArticleJMIR formative research2026
The Role of eHealth Literacy and Patient Adherence in Mediating Health Consciousness and Perceived Severity in Quality of Life Among Young Patients With Ischemic Heart Disease: Cross-Sectional Study.
Article in JMIR formative research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Ischemic heart disease (IHD) is becoming increasingly prevalent, with a rising trend significantly impacting the quality of life (QoL) of young Malaysians. Objective: This study aimed to investigate the direct and indirect relationships between eHealth literacy (eHealth) and patient adherence (PA), as well as their mediating effects on the associations of health consciousness (HC) and perceived severity to chronic disease (PS) with QoL among young patients with IHD. Methods: A cross-sectional study was conducted at 2 hospitals, recruiting eligible patients through consecutive sampling at outpatient cardiology clinics. Data were collected via a validated self-administered questionnaire encompassing sociodemographic and socioeconomic status, medical history, and PS, HC, eHealth, PA, and QoL data. Structural equation modeling analysis was used to evaluate the relationships. The ethics approval was obtained from the Ethical Committee of Universiti Kebangsaan Malaysia Medical Centre (FF-2021-117). Results: A total of 136 young patients with IHD participated in the study. Structural equation modeling analysis revealed that eHealth had the strongest positive effect on QoL (β=0.287, P=.002), followed by PA (β=0.245, P=.02), and HC (β=0.218, P=.02). Two significant mediation models were identified, aligning with the Transactional Model of eHealth Literacy theory. The first model demonstrated parallel mediation, where eHealth (β=0.125, P=.008) and PA (β=0.083, P=.046) significantly mediated the relationship between HC and QoL. The second model indicated serial mediation through eHealth and PA between HC and QoL (β=0.042, P=.049). The parallel mediation model exhibited medium predictive power and was deemed the best-fit model. Conclusions: The parallel model pathway showed significant direct and indirect associations between eHealth, PA, HC, and QoL, with eHealth demonstrating the strongest association. Higher eHealth and PA were associated with QoL among young patients with IHD; interventions to support eHealth warrant further investigation in longitudinal or interventional studies.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.