Health discussions on the Internet: A study of knowledge communication through citations

The Internet is a convenient but complex source for health information used by an increasing number of health consumers. Especially for people suffering from a chronic illness (e.g., diabetes), information seeking forms a part of the daily management of the disease, a “project of life.” This study of Web texts examines the citation patterns for a specific and controversial health issue: the beneficial or hazardous use of dietary chromium supplementation in diabetes self-management. Texts from different categories of Web sources (scientific, professional, educational, and commercial sources, as well as diabetes discussion groups) were analyzed in order to study how knowledge is transferred between sources, and how diabetics participating in discussion groups refer to and make sense of the information from different sources on the Internet. The citation patterns suggest that deviations from the traditional models of scientific knowledge dissemination can occur in the Internet environment.     

Putting the pieces together: endometriosis blogs,cognitive authority,and collaborative information behavior

Objective:

A discourse analysis was conducted of peer-written blogs about the chronic illness endometriosis to understand how bloggers present information sources and make cases for and against the authority of those sources.

Methods:

Eleven blogs that were authored by endometriosis patients and focused exclusively or primarily on the authors'' experiences with endometriosis were selected. After selecting segments in which the bloggers invoked forms of knowledge and sources of evidence, the text was discursively analyzed to reveal how bloggers establish and dispute the authority of the sources they invoke.

Results:

When discussing and refuting authority, the bloggers invoked many sources of evidence, including experiential, peer-provided, biomedical, and intuitive ones. Additionally, they made and disputed claims of cognitive authority via two interpretive repertoires: a concern about the role and interests of the pharmaceutical industry and an understanding of endometriosis as extremely idiosyncratic. Affective authority of information sources was also identified, which presented as social context, situational similarity, or aesthetic or spiritual factors.

Conclusions:

Endometriosis patients may find informational value in blogs, especially for affective support and epistemic experience. Traditional notions of authority might need to be revised for the online environment. Guidelines for evaluating the authority of consumer health information, informed by established readers'' advisory practices, are suggested.

Highlights

• Endometriosis patients who blog about the illness may determine authority of information sources through both cognitive and affective methods.

Implications

• Because patients with chronic illnesses might have different authority criteria than medical librarians do, it could be useful to carefully incorporate electronic patient discussion forums, medical blogs written by laypeople, and other nontraditionally authoritative resources into consumer health information selection policies. Standard biomedical resources are certainly important to recommend to consumers, but they do not convey the complete picture of a chronic illness and its related experience.
• Patients with chronic illnesses and caregivers can benefit from sources such as blogs and online discussion lists that provide social and emotional support as well as accounts of “lived experience.”
• An understanding of the patient''s potential epistemological community can make the librarian''s recommendations more appropriate for the individual user.

     

Patently Obvious: The place for patents in information literacy in the sciences

Patents are an underutilized source of scientific information, particularly in the life and health sciences. Patents and patent applications usually contain the first disclosure of new technologies and processes and serve to link theory with practice, providing ‘real world’ examples of the application of scientific research. Increasingly, scientific discoveries are reported first in the patent literature, rather than in academic journals. To ensure that science students have the skills that match the information resources they will use as professionals, patent searching must become part of their information literacy instruction. This article will discuss how valuable the patent literature can be to students, and how to incorporate patent searching into library instruction. By way of illustration, a case study will document how students in one class, Biochemistry 561, were introduced to patents.     

The use of electronic books in midwifery education: the student perspective

The objectives of this paper are: (i) to illustrate the use of e-books by health studies students at a college of higher education; (ii) to provide a demonstration of how e-books may be facilitated by library and information services staff working across the health and academic sectors; (iii) to comment upon the experiences of health studies students, in using e-books. A focus group of 10 student midwives was used to gain insight into how e-books may be used in an academic context for health professionals. The findings of the student midwives' focus group are reported and discussed. In this instance, the student midwives were encouraged to use e-books as part of a structured information skills programme. The paper concentrates on how the e-books were used within this context and addresses the potential benefits and disadvantages from a student perspective. The results provide evidence of a largely positive experience of using e-books as an electronic information resource. The focus group reveals many benefits and advantages in the facilitation and use of e-books, as well as addressing areas for development. It is concluded that e-books have a place in health library and information resources, but further development of e-books and e-book collections is required and subsequent investigation into their most effective use.     

Developing health information literacy: a needs analysis from the perspective of preprofessional health students

Objective:

The research identified the skills, if any, that health preprofessional students wished to develop after receiving feedback on skill gaps as well as any strategies they intended to use to address these gaps.

Methods:

A qualitative approach was used to elicit students'' reflections on building health information literacy skills. First, the students took the Research Readiness Self-Assessment instrument, which measured their health information literacy, and then they received individually tailored feedback about their scores and skill gaps. Second, students completed a post-assessment survey asking how they intended to close identified gaps in their skills on these. Three trained coders analyzed qualitative comments by 181 students and grouped them into themes relating to “what skills to improve” and “how to improve them.”

Results:

Students intended to develop library skills (64% of respondents), Internet skills (63%), and information evaluation skills (63%). Most students reported that they would use library staff members'' assistance (55%), but even more respondents (82%) planned to learn the skills by practicing on their own. Getting help from librarians was a much more popular learning strategy than getting assistance from peers (20%) or professors (17%).

Conclusions:

The study highlighted the importance of providing health preprofessional students with resources to improve skills on their own, remote access to library staff members, and instruction on the complexity of building health literacy skills, while also building relationships among students, librarians, and faculty.

Highlights

• After receiving feedback on skill gaps, most preprofessional health students intend to develop their information literacy skills.
• Some students report that a trip to the library is a barrier to using library resources.
• Students see the need to build their information evaluation skills, knowledge of citations and plagiarism, and library skills, which they differentiate from Internet skills.
• Students are more likely to identify librarians as sources for assistance in finding information than faculty or peers after receiving individual feedback explaining the role of libraries and library staff members.

Implications

• Students'' health information competencies can be built through assessment and feedback that reveals skill gaps, highlights misconceptions, and offers ideas on how to improve.
• Access to professionally designed self-study resources is needed for students who intend to develop health information competencies on their own.

     

Issues in consumer mental health information

Consumer health information as applied to mental health includes areas such as the diagnosis, management, and treatment of mental illness, as well as self-help, emotional wellness, and the relationship between life events, stress, and disease. This paper presents issues specific to the provision of mental health information to the layperson, e.g., confidentiality, literacy, competence, the social stigma of mental illness, the state of the art in psychiatry, popular psychology, and treatment fads. The development of a community education pamphlet illustrates how one organization addressed these issues.     

Thinking Outside the Classroom: Providing Student-centered Informatics Instruction to First- and Second-year Medical Students

With the increasing amount of health information available, the Association of American Medical Colleges recommends that medical students be proficient in information management. Librarians can and should play a role in teaching students these skills. Medical information management instruction is most effective if integrated into the curriculum. However, if options are limited for librarians to teach within courses, there are ways to reach students outside the classroom. This article describes strategies librarians are implementing, outside the curriculum, to teach Texas A & M Health Science Center's first- and second-year medical students how to use library resources.     

Information needs at the end of life: a content analysis of one person's story

During the last phase of life, a person may need a variety of information to help her or him cope with dying and death. This article describes the nature of information needed during this stage. A content analysis was done of a book of conversations between a husband who was dying and his wife who is a grief counselor to determine his information needs. Four categories of needs were proposed, including physical, emotional, spiritual, and financial. Information needs germane to each category were identified. More research needs to be done by library and information science professionals to determine the information needs of people who are dying, as well as those of their families and the health professionals who care for them.Death happens in one of four ways. For some people, it arrives suddenly, thus robbing them of the luxury of preparing themselves or their families for this event. For other people, death comes from frailty (e.g., old age, dementia); terminal illness (e.g., cancer, amyotrophic lateral sclerosis); or organ system failure (e.g., chronic obstructive pulmonary disease) [1]. This slower entrance into the end-of-life phase allows people time to seek information. However, library and information science (LIS) professionals have done very little research on the information needs and information-seeking behavior of people at the end of life. In this article, the author describes a process used to determine the information needs of one person as he passed through the final phase of his life.     

Critical Information Literacy: A Model for Transdisciplinary Research in Behavioral Sciences

Librarians are instrumental in advancing the education of students and orienting tomorrow's professions toward the world in which they will practice: rich in information, diverse in perspective, and latent with the opportunities for transdisciplinary research. Critical information literacy offers a model for orienting theory and practice to create an integrated learning experience for students in the behavioral health sciences. This paper examines how different disciplines may be included in a shared problem, using psychopathy as an example. The role of the librarian is discussed in terms of critical information literacy, as a means to conducting transdisciplinary research.     

How They Search,How They Feel,and How to Serve Them? Information Needs and Seeking Behaviors of Chinese Students Using Academic Libraries

ABSTRACT

America has become a choice for international students to study abroad because of its advanced education system and environment. Libraries become a way for international students to access resources and experience campus life, while Chinese students are increasing gradually as the biggest component of international students. This article investigates how Chinese students use American academic libraries and their information needs and seeking behaviors, as well as Chinese students' satisfaction with library facilities, resources, and services, and their expectation for other services. The article aims to better understand Chinese students, analyze their search strategies, and better provide relevant library services for them.     

Older adults' health information behavior in everyday life settings

Health information seeking is an important part of older adults' everyday lives as they cope with their health conditions. Semi-structured interviews conducted with 21 older adults in the United States were analyzed using Savolainen's everyday life information seeking (ELIS) model, especially its key concepts such as way of life and mastery of life. The interview data revealed that except for health care providers, a spouse or partner was mentioned as a credible interpersonal source of health information among older adults in a marital or romantic relationship. Characteristics of older adults' health information behavior in the ELIS context were identified based on types of way of life and mastery of life. For example, those who had more varied types of hobbies, including cognitive, affective, and social hobbies, were exposed to diverse people as they performed their daily routine, potentially resulting in different sources of useful health information. In couple relationships, those with an optimistic as opposed to pessimistic attitude toward a problem-solving situation played the information provider role rather than information receiver role.     

Unmet needs for health information: a literature review

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Financial Pasts,Presents, and Futures of Community College Students of a Personal Finance Course

This study is an opportunity to share insights with librarians about students' ability to process information on personal finance. These insights might help librarians direct students to appropriate materials and resources. This article uses qualitative techniques to detect differences in student backgrounds and patterns in their ability to apply lesson content. The analysis suggests that males and females differently applied techniques they learned about how to approach spending. Moreover, students with chronic disadvantage applied the information less readily than those who had experienced shorter-term disadvantage.     

Advancing nursing students' transition to scholarship: embedding a librarian into the Advanced Nursing Research course

Background:Nursing students often prioritize learning clinical skills rather than research skills, possibly inhibiting their growth as scholars. Supporting nursing students'' learning of information literacy skills has been shown to impact nurses'' involvement with research after graduation. This suggests a need for developing innovative information literacy teaching strategies that can enable nursing students to better understand the process of research and how to apply research to practice.Case Presentation:This article describes the implementation of the embedded librarian project at the course level at the University of Memphis. A librarian was integrated into the Advanced Nursing Research course, a semester-long course for graduate nursing students, for the fall 2020 semester. This case shares the embedded librarian project''s implementation and evaluation strategies.Conclusions:The embedded librarian project aided students'' acquisition of information literacy skills at the University of Memphis. Students reported that the embedded librarian project helped them complete assignments for their research course. Using an embedded librarian service within the graduate nursing curricula model may enhance scholarship among future nurses.     

Beyond Materialism: The Role of Health-Related Beliefs in the Relationship Between Television Viewing and Life Satisfaction Among College Students

Prior research has typically focused on materialism and the perceptions of general others' affluence to explain the link between television viewing and life satisfaction. This study extends our understanding of such a relationship by demonstrating the mediation of health-related perceptions. Surveys were administered to 274 college students at a large southeastern university, and the data were subjected to path analyses. Results reveal that overall television viewing was associated with viewers' perceptions of others' health risks and of personal health risks; in turn, these perceptions significantly related to life satisfaction. Further, overall television viewing was indirectly associated with perception of self-efficacy in maintaining personal health, which in turn reduced life satisfaction. These results indicate that health-related perceptions help establish the association between television viewing and life satisfaction. Theoretical and practical implications of this study are discussed.     

Annoyance or Delight? College Students' Perspectives on Looking for Information

This study examined the ways that students describe how they look for information for a research project. Sternberg's Triarchic Theory of Intelligence was used to theoretically choose the statements that were sorted by the participants to determine the perceptions of the information-seeking process. Using Q methodology as the research strategy, three unique groups were interpreted from the data analysis and labeled Experienced Critiquers (students who compared information found on free Internet resources to databases), Technology Admirers (students who do not distinguish between free Internet resources and databases), and Extrinsic Motivators (students greatly influenced by additional external factors). Although most college students believe they know how to access scholarly information, the frustrations of the process lead many to settle for less scholarly resources.     

Mobile social networking as information ground: A case study

Mobile messaging systems, particularly those that incorporate social networking capabilities, affect how individuals socially interact and how they exchange information. This paper reports the impact of a mobile-device-based social networking service that enables users to form groups and send both text and photos to co-members. Survey and system usage data from 19 participants over 16 months were analyzed using information ground theory, which focuses on how people share everyday information in informal social settings. This study was novel in applying the theory to an online environment. In addition to how the mobile system functions as an information ground, the results highlight the types and usefulness of information shared, the role of information shared in everyday life, and how the system fits into participants' communication and social “ecosystem.” Usage analyses describe message sending frequency and system participation levels in relation to other factors, such as length of time in the system. Findings are discussed in the context of the information ground framework's seven propositions, to which we propose adding an emergent concept: “information capital,” i.e., an individual's capacity to access information based on his/her information grounds extent, and degrees of social capital and information literacy.     

Distance Learners' Self-efficacy and Information Literacy Skills

This study investigates distance learners' information literacy skills in using digital library resources and the factors (online learning and information manipulation) that correlate with learners' information seeking self-efficacy. In addition, distance learners' preferences with regard to digital resources selection and interests of developing information seeking skills were examined. 3517 students enrolled in one or more distance education courses were invited to participate in the online survey; 219 students completed the survey, for a response rate of 6.2%. The results revealed that distance learners who have higher self-efficacy for information seeking and proficiency in information manipulation exhibited higher self-efficacy for online learning. Moreover, students with high self-efficacy demonstrated superior knowledge of digital resources selection. Students who have low self-efficacy with regard to information seeking were more likely to express interest in learning how to use the library resources, although learning techniques for database searching was the exception.     

Librarians,Faculty, and the Writing Center Partnering to Build an Interdisciplinary Course: A Case Study at the University of Houston,USA

This article covers how an interdisciplinary course was developed using the expertise and resources of a history professor, the history and psychology subject librarians, and the university's writing center. The course, supported by a grant, was aimed at helping students improve their research, information literacy, and writing skills across disciplines. The article discusses the involvement of the partners from the initial planning stages to its conclusion, focusing especially on how the librarians created a library session, course-specific guide, annotated bibliography assignment and grading rubric, and how these were used as opportunities to interact with the students throughout the course. Also covered are research and writing challenges, especially for English-language learner students, and how they were addressed by all the partners. It also discusses how the librarians used this experience to seek out opportunities to create similar collaborations with other instructors, and to strengthen ties with support services on campus.