OBJECTIVE: Health-related websites have developed to be much more than information sites: they are used to exchange experiences and find support as well as information and advice. This paper documents the development of a tool to compare the potential consequences and experiences a person may encounter when using health-related websites. METHODS: Questionnaire items were developed following a review of relevant literature and qualitative secondary analysis of interviews relating to experiences of health. Item reduction steps were performed on pilot survey data (n=167). Tests of validity and reliability were subsequently performed (n=170) to determine the psychometric properties of the questionnaire. RESULTS: Two independent item pools entered psychometric testing: (1) Items relating to general views of using the internet in relation to health and, (2) Items relating to the consequences of using a specific health-related website. Identified sub-scales were found to have high construct validity, internal consistency and test-retest reliability. CONCLUSION: Analyses confirmed good psychometric properties in the eHIQ-Part 1 (11 items) and the eHIQ-Part 2 (26 items). PRACTICE IMPLICATIONS: This tool will facilitate the measurement of the potential consequences of using websites containing different types of material (scientific facts and figures, blogs, experiences, images) across a range of health conditions.

Original publication




Journal article


Patient Educ Couns

Publication Date





1418 - 1424


Exploratory factor analysis, Information, Patients’ experiences, Psychometric, e-Health, Adult, Consumer Health Information, Female, Humans, Internet, Male, Outcome Assessment (Health Care), Psychometrics, Reproducibility of Results, Surveys and Questionnaires