Developing a geographic search filter to identify randomised controlled trials in Africa: finding the optimal balance between sensitivity and precision

Background: Research on identifying trials using geographic filters is limited. Objectives:  To test the sensitivity and precision of a filter to identify African randomised controlled trials (RCTs). Methods: We searched medline and embase for RCTs published in 2004 using a Cochrane filter for RCTs. The search was limited to HIV/AIDS but irrespective of location. Two investigators independently identified African RCTs from the retrieved records forming a reference set. We then repeated the search using an African geographic filter comprising country and regional terms forming the filter set. We compared the sensitivity and precision of the sets. Results: The medline reference set comprised 1799 records with 23 African RCTs; for embase , the reference set comprised 763 records with 37 African RCTs. The medline filter set comprised 180 records with 17 African RCTs; the embase filter set comprised 98 records with 27 African RCTs. Sensitivity of the filter was 74% (medline ) and 73% (embase ). Addition of the filter improved precision from 1.3% to 9.4% (medline ) and from 5% to 28% (embase ). Conclusion: The African filter improved precision with some loss in sensitivity. Incomplete reporting of trial location in electronic bibliographic records restricts efficiency of geographic filters. Prospective trial registration should alleviate this.     

Explicating factual and subjective science knowledge: knowledge as a mediator of news attention and attitudes

Communication scholars have conflicting views on the relationship between exposure to science news and knowledge, and its subsequent influence on attitudes. Such mixed sentiments could arise from the vague definition of knowledge. Therefore, this paper explicates science knowledge into factual knowledge and subjective knowledge. It also compares the mediating roles of both types of knowledge between news attention and public support for science and technology (S&T). A survey of 967 Singaporeans showed that news attention was positively related to both factual and subjective knowledge. The findings revealed a stronger relationship between subjective knowledge and news attention than factual knowledge and news attention. Additionally, factual knowledge was positively related to public support for S&T, but subjective knowledge was negatively related to public support for S&T. The contrasting directions of these associations demonstrate that factual and subjective knowledge are two distinct dimensions of knowledge. Practically, the findings can inform policymakers and communication practitioners about effective public education and engagement initiatives. This study also provided guidelines for newsmakers in news reporting about S&T.     

Communicating about gifts of life: the effect of knowledge, attitudes, and altruism on behavior and behavioral intentions regarding organ donation

Much of the limited literature on organ donation has focused on the demographic and psychographic profiles of people who are willing to become organ donors. More information about the relationship of attitudes, values, knowledge, and actual behavior among adults is needed if targeted communication campaigns promoting organ donation are to succeed. The results of a mail survey of 798 adults sampled (via stratified random sampling procedures) from two local sites of a national corporation suggest that attitudes toward donation, knowledge about organ donation, altruism, and perceived social norms are significantly associated with both actual behavior (having signed an organ donor card) and behavioral intent (among non-donors) to sign a card in the future. These findings support the major models of organ donation willingness, especially those advanced by Horton and Horton (1991) and Kopfman (1994). This study also advances current knowledge of organ donation willingness by 1) using a large, relatively diverse population of adults rather than relying on a student sample; and 2) focusing on specific knowledge barriers that distinguish donors from non-donors.     

Communicating about gifts of life: the effect of knowledge,attitudes, and altruism on behavior and behavioral intentions regarding organ donation

Much of the limited literature on organ donation has focused on the demographic and psychographic profiles of people who are willing to become organ donors. More information about the relationship of attitudes, values, knowledge, and actual behavior among adults is needed if targeted communication campaigns promoting organ donation are to succeed. The results of a mail survey of 798 adults sampled (via stratified random sampling procedures) from two local sites of a national corporation suggest that attitudes toward donation, knowledge about organ donation, altruism, and perceived social norms are significantly associated with both actual behavior (having signed an organ donor card) and behavioral intent (among non-donors) to sign a card in the future. These findings support the major models of organ donation willingness, especially those advanced by Horton and Horton (1991) and Kopfman (1994). This study also advances current knowledge of organ donation willingness by 1) using a large, relatively diverse population of adults rather than relying on a student sample; and 2) focusing on specific knowledge barriers that distinguish donors from non-donors.     

Anger,fear, uncertainty,and attitudes: a test of the cognitive-functional model

The cognitive-functional model of discrete negative emotions and attitude change (CFM; Nabi, 1999) attempts to bridge the theoretical gap between “emotional” and “rational” approaches to persuasion by focusing on how emotions motivate attention to and processing of persuasive messages. As a first test of the CFM, this study explored the effects of 2 emotions, anger and fear, and 2 levels of expectation of message reassurance, certainty and uncertainty, on attitudes toward domestic terrorism legislation. Results supported a main effect for emotion type, suggesting that anger promotes deeper information processing than fear, and a main effect for reassurance certainty level, with uncertainty promoting deeper information processing. The expected interaction between emotion type and reassurance expectation level was not found. Implications of these findings for the model and persuasion research generally are discussed.     

People,places, and questions: An investigation of the everyday life information-seeking behaviors of urban young adults

This article presents preliminary findings from a research grant on the everyday life information-seeking (ELIS) behaviors of urban young adults. Twenty-seven teens aged 14 through 17 participated in the study. Qualitative data were gathered using written activity logs and semi-structured group interviews. A typology of urban teens' preferred ELIS sources, media types, and query topics is presented. The typology shows friends and family as preferred ELIS sources, cell phones as the preferred method of mediated communication, and schoolwork, time-related queries, and social life as the most common and most significant areas of ELIS. The results indicate a heavy preference for people as information sources and that urban teens hold generally unfavorable views of libraries and librarians. The conclusion lists questions that information practitioners should consider when designing programs and services for urban teens and calls for researchers to consider this often-ignored segment of the population as potential study participants.     

Increasing the rural general practitioners' use of library and information services through publicity: a randomized controlled trial in Cornwall, UK

OBJECTIVES: To provide evidence on the effectiveness of publicity with the aim of encouraging general practitioners (GPs) in Cornwall to make better use of the Cornwall Health Library Service (CHLS). In the light of the findings, a second objective was formulated to determine which resources they used to look for health information. METHODS: A cluster randomized controlled trial (RCT) measured the effect of two types of publicity, comparing emails with visiting GP practices. After the trial period, a questionnaire was sent to all 332 GPs to ascertain the resources they accessed for their information and any barriers to their use of the CHLS. RESULTS: The GP's use of the library services was lower than the level needed for a conclusive statistical analysis; however, visiting practices was associated with an apparent increase in library use and warrants further investigation. The questionnaire showed that GPs make good use of databases and colleagues. CONCLUSION: The RCT confirmed the low uptake of library services anticipated, but was inconclusive in demonstrating the most effective form of publicity. The questionnaire suggested that a substantial number of GPs are interested in the library services and has provided an insight into the way that GPs look for information in Cornwall.     

Improving access to the international coverage of reports of controlled trials in electronic databases: a search of the Australasian Medical Index

Introduction: Locating reports of trials from journals not indexed in the major databases presents difficulties to systematic reviewers, and may be a factor in improving the reliability of the reviews. Objectives: To identify and make available reports of controlled trials from the Australasian Medical Index (AMI). To measure the quality of indexing of trials in AMI. Methods: Using a highly sensitive search strategy consisting of methodology indexing and free‐text terms, records from AMI were read for reports of controlled trials. Trials meeting the criteria were submitted for inclusion in The Cochrane Controlled Trials Register (CCTR) and assessed for the quality of their indexing. Results: 3621 records were downloaded, of which 512 were identified as reports of controlled trials (317 RCTs; 195 CCTs) and submitted to CCTR. The precision of methodology indexing terms was 60%, but sensitivity just 18%. The quality of indexing of trials was generally poor with only 50 tagged with the RCT/CCT publication type term. 453 reports (88%) were not previously available in CCTR. Conclusions: The large proportion of trials found to be unique to the AMI database increases the pool of studies available to systematic reviewers, and helps ensure CCTR remains the most comprehensive source of trials.     

Library tools at the nurses' station: exploring information-seeking behaviors and needs of nurses in a war veterans nursing home

Objectives:Analyze the information-seeking practices and identify the information and education needs of nurses in a war veterans nursing home. Develop an online toolkit for use at the nurses'' stations to meet nurses'' health information needs.Methods:Investigators employed mixed methods to determine the health information needs of the participating nurses at the skilled nursing facility using an online questionnaire and in-person observations. Resulting data was compared to determine how nurses'' self-reported data corresponded with investigator observations.Results:Twenty-seven out of a total of thirty-five nurses responded to the online questionnaire. The study principal investigator also observed a total of twelve nurses working across all shifts. The online questionnaire asked nurses to identify when they need health information for an acute clinical scenario. Nurses self-reported feeling most confident in assessing falls and pain, followed by medication adherence and skin integrity. Issues most frequently encountered during observation of nurses were falls, interventions surrounding cognitive ability or dementia, and use of antibiotics. Nurses reported and were observed to consult colleagues most frequently, followed by drug handbooks and relying on nursing experience.Conclusion:Nurses in skilled nursing facilities will benefit from ready online access to current drug handbooks as well as information resources surrounding commonly encountered clinical issues and stated needs. An outcome of this project is an online toolkit site using a LibGuide created specifically for this purpose. Researchers purchased laptop computers that were installed at each of the nurses'' stations to provide ready access to the toolkit site.     

The memory of science: Inflation,myopia, and the knowledge network

Scientific production is steadily growing, exhibiting 4% annual growth in publications and 1.8% annual growth in the number of references per publication, together producing a 12-year doubling period in the total supply of references, i.e. links in the science citation network. This growth has far-reaching implications for how academic knowledge is connected, accessed and evaluated. Against this background, we analyzed a citation network comprised of 837 million references produced by 32.6 million publications over the period 1965–2012, allowing for a detailed analysis of the ‘attention economy’ in science. Our results show how growth relates to ‘citation inflation’, increased connectivity in the citation network resulting from decreased levels of uncitedness, and a narrowing range of attention – as both very classic and very recent literature are being cited increasingly less. The decreasing attention to recent literature published within the last 6 years suggests that science has become stifled by a publication deluge destabilizing the balance between production and consumption. To better understand these patterns together, we developed a generative model of the citation network, featuring exponential growth, the redirection of scientific attention via publications’ reference lists, and the crowding out of old literature by the new. We validate our model against several empirical benchmarks, and then use perturbation analysis to measure the impact of shifts in citing behavior on the synthetic system's properties, thereby providing insights into the functionality of the science citation network as an infrastructure supporting the memory of science.     

Unpacking the metaphors of leadership using the Leadership Communication Grid: Knowledge,skills, and abilities

Courses: Leadership, Organizational Communication, Small Group Communication

Objectives: After completing this activity, students will have greater awareness of a variety of metaphors of leadership and how these metaphors highlight different sets of instrumental communication knowledge, skills, and abilities.