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. 2025 Jun 30;8:e73237. doi: 10.2196/73237

Table 2.

Study participants’ eHealth Literacy Scale (eHEALS) scores by school year level.

Question and total scores First year, median (IQR) Second year, median (IQR) Third year, median (IQR) P value (second vs first)a P value (third vs first)a P value (third vs second)a
Q1b 3 (2-3) 3 (2-4) 3 (2-4) .48 .30 .90
Q2c 3 (2-3) 3 (2-3) 3 (2-3) .35 .71 .82
Q3d 3 (2-4) 3 (2-4) 3 (2-4) .41 .57 .97
Q4e 3 (2-4) 3 (2-4) 3 (2-4) .54 .59 ≥.99
Q5f 3 (2-4) 3 (2-4) 3 (2-4) .40 .51 .98
Q6g 3 (2-3) 3 (2-3.5) 3 (2-4) .02 .47 .33
Q7h 3 (2-3) 3 (2-4) 3 (2-4) .02 .11 .82
Q8i 3 (2-3) 3 (2-4) 3 (2-4) .08 .10 ≥.99
Total eHEALS score 23 (16-26) 24 (19-28) 24 (18-28) .10 .27 .88

aSteel-Dwass test.

b“I know what health resources are available on the Internet.”

c”I know where to find helpful health resources on the Internet.”

d”I know how to use the health information I find on the Internet to help me.”

e”I know how to find helpful health resources on the Internet.”

f”I have the skills I need to evaluate health resources.”

g”I know how to navigate the Internet and use it to answer my questions about health.”

h”I can distinguish high-quality health resources from low-quality health resources on the Internet.”

i”I feel confident in using information from the Internet to make health decisions.”