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Relationship between mindfulness and eHealth literacy: A cross-sectional study using validated scales.

Anthony Rizk, Lea Farah, H. Sacre, Chadia Haddad, Zeinab Abbas, Sandrella Bou Malhab, Mariam Dabbous, J. Safwan, M. Zakhour, P. Salameh

Public Health July 1, 2026 DOI: 10.1016/j.puhe.2026.106297 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional study Peer reviewed
Sample size 893
Population Lebanese adults
Measures e-Health Information-Seeking Assessment scale (e-HISA), Freiburg Mindfulness Inventory (FMI)
Topics Meditation
Key findings Mindfulness was not significantly correlated with eHealth literacy overall (r = 0.052; p = 0.122), but cluster analysis identified a profile of younger, educated, more mindful females (63.7% of participants) who had higher eHealth literacy. Belonging to this cluster (β = 2.94) and telemedicine use (β = 2.38) predicted higher eHealth literacy, while married status (β = -1.01) and household crowding (β = -0.96) were associated with lower scores.

Abstract

Objectives: To explore the extent to which perceived mindfulness is associated with eHealth literacy levels while accounting for sociodemographic variables. STUDY DESIGN A cross-sectional study.

Methods: An online survey was conducted among 893 Lebanese adults from March to September 2024 using snowball sampling. The questionnaire collected sociodemographic data and responses to the validated Arabic versions of the e-Health Information-Seeking Assessment scale (e-HISA) and Freiburg Mindfulness Inventory (FMI).

Results: Among 893 participants (60% female and mean age = 38.01 ± 13.38 years), most demonstrated moderate mindfulness (63.75%) and adequate eHealth literacy (60.48%). Initially, mindfulness per se was not significantly correlated with eHealth literacy (r = 0.052; p = 0.122). However, cluster analysis identified two distinct profiles: cluster 1 comprised younger, educated females with higher mindfulness (63.7%), while cluster 2 included older, less educated males with lower mindfulness (36.3%). Linear regression showed that belonging to cluster 1 (β = 2.94) and using telemedicine (β = 2.38) significantly and independently predicted higher eHealth literacy, while married status (β = -1.01) and household crowding (β = -0.96) were associated with lower scores.

Conclusion: While mindfulness was not associated directly with eHealth literacy, cluster analysis identified younger, educated, mindful individuals as most proficient with digital health tools. These findings suggest that successful eHealth interventions should target specific demographic and psychological profiles, with implications for designing tailored digital health education programs to ensure equitable healthcare access.

Comparable studies

Other cross-sectional and survey studies on meditation, most cited first.

Study Year Design Participants
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups 2008 Cross-sectional study
Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants 2007 Observational cross-sectional n = 27
Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents 2011 Cross-sectional validation study n = 1,413
Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators 2012 Cross-sectional study n = 152
Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates 2008 Cross-sectional, correlational

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