文献类型：期刊文献

英文题名：From Digital Operation to Evaluative Agency: Developing a Cognitively Calibrated eHealth Literacy Scale for Urban Older Adults

作者：Song, Yajun[1];Zhang, Yuling[1];Qi, Zeyi[1];He, Xuesong[1]

机构：[1]East China Univ Sci & Technol, Sch Social & Publ Adm, 130 Meilong Rd, Shanghai 200237, Peoples R China

年份：2026

外文期刊名：JOURNAL OF GERONTOLOGICAL SOCIAL WORK

收录：;Scopus(收录号：2-s2.0-105047600721);WOS:【SSCI(收录号:WOS:001851614600001)】；

基金：This work was supported by the Shanghai Planning Office of Philosophy and Social Science under Grant No. 2025BSH007 ('Research on the Full-Cycle Linkage Mechanism between Medical and Community Health Social Work in Shanghai in the Context of Population Ageing').

语种：英文

外文关键词：EHealth literacy; older adults; scale development; digital health; gerontological social work; Delphi study

摘要：As digital health becomes embedded in later-life care, eHealth literacy is essential for safe health-information use among older adults. Existing measures conflate digital operation, general health literacy, and evaluative judgment. This study developed the Seeking-Evaluation-Application eHealth Literacy Scale (SEA-21) for urban older adults through deductive item development, Bloom-based difficulty classification, and a modified Delphi process with 19 experts. The 34-item pool was refined to 21 items across seeking, evaluation, and application. SEA-21 clarifies construct boundaries and reflects graded cognitive demands, with evaluative tasks requiring the greatest complexity, providing a preliminary framework for gerontological social work assessment and intervention.