Non use of health information kiosks examined in an information needs context

Whilst great emphasis has rightly been placed on the increased availability and use of health information, little research has been undertaken into the non use of such material, particularly with regard to electronic sources. Computer transactional log data from health information touch screen kiosks, collected as part of an ongoing Department of Health-funded study being carried out by City University, showed that females in the 55-74 age group were particularly under-represented as users. To explore reasons for this, in-depth interviews were carried out with 13 non-kiosk-using, primary-care out-patients fitting this profile, at a surgery which had a kiosk that was being monitored. Subjects were interviewed at length about their information needs and information-seeking behaviour, to determine reasons (if any) they might have had for non-kiosk use. The study utilized an interview schedule and technique loosely based on the 'Sense-Making' methodology of Brenda Dervin (Talk Presented at the International Communication Association Annual Meeting, May 1983, Dallas, Texas, USA. Available from: http://communicationsbsohio-stateedu/sense-making/art/artdervin83html.). Findings elicited many factors accounting for non use of the system. The first and major source of information remained the doctor, with written or other sources only being consulted where recommended or provided. There was evidence that patients wanted little more than the minimum information or instructions required to deal with their condition. Many appeared unaware of the presence of the kiosk and others assumed either that it was not for patient use or that it would not serve their needs. The methodology proved itself, with certain caveats, to be an appropriate vehicle for this kind of exploratory work.     

Health care librarians and information literacy: an investigation

Until relatively recently, the concept of information literacy, and teaching the skills to enable it, was mainly a concern of academic libraries. Now, it is also seen to be of high importance within the context of health care libraries. Health care libraries and librarians can provide crucial support towards the implementation of evidence‐based practice in patient care through both information literacy skills training and by conducting mediated searches on behalf of health care practitioners. This article reports the findings from an investigation conducted by Charlotte Kelham as part of her MA in Librarianship from the University of Sheffield. Her dissertation investigated how health care librarians understand the concept of information literacy, the implications of this for their role and their perceptions around how their role is valued. Charlotte graduated from Sheffield in 2013 and is currently job hunting. AM     

Hispanics' use of Internet health information: an exploratory study

Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ² test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.

Highlights

• Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
• Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
• Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
• Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.

Implications

• More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
• Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.

     

Health communication on the web: The roles of web use motivation and information completeness

Recent articles on the evaluation of the quality of health information on the World Wide Web reveal an emphasis on the completeness of information. This paper takes a situational approach to Web usage arguing that the impact of completeness on attitude and intention toward the issue is moderated by Web use motivation. Borrowing the analogy between low–high involvement and surfing–searching, it was hypothesized that the effect of completeness would be observed in the searching situation and not observed in the surfing situation. After the initial pretests and pilot studies, 246 respondents were recruited to participate in a 2×3 study design. Not supporting the hypotheses, it was observed that the effect of completeness was significant in both surfing and searching situations. Explanations are provided for the observation, and directions for future research are suggested.     

Health information seeking in the information society

This article is the second student contribution to the Dissertations into Practice feature. It reports on a study that investigated the everyday health information-seeking practices of a small group of the 'general public' and the implications for information-seeking theory and health information provision. The first student article, about the implementation of radio frequency identification (RFID) in a hospital library, was very different, and the two articles illustrate the broad spectrum of possible subjects for the Dissertations into Practice feature. This study was conducted in summer 2011 by Abir Mukherjee for his MSc dissertation in the Library and Information Sciences programme at City University London. Further information and copies of the full dissertation may be obtained from Abir Mukherjee or David Bawden. AM.     

基层青年护理人员网络医学信息利用行为特点的调查分析

为了解基层青年护理人员网络医学信息利用行为的基本状况,选取广东部分基层青年护理人员,对其医学信息利用的基础条件、主动性、目的、使用频率、满意度和障碍因素等进行调查,以便能够有针对性地对基层护理人员开展信息素养教育,提高基层医院护理水平。     

Discovered by chance: The role of incidental information acquisition in an ecological model of information use

The role of information which is incidentally or accidentally acquired has been neglected in the study of information-seeking behavior. The study reported in this article focused on “incidental information acquisition” as a key concept and investigated the information-seeking behavior of 202 older adults, aged 60 and over, from both metropolitan Melbourne and rural areas in the Australian state of Victoria. The approach to the study was ecological in the sense that a picture was built up of information seeking in the context of the lives of the people in the sample, both individually and collectively. A particular and unusual focus of the study was the role of telecommunications, especially the telephone, in information seeking. The implications for society's systems of information provision are discussed, together with ramifications of the finding that older people will be slower than other groups to accept computer-based sources of information for everyday life.Everyone has some set of habits or routines for keeping his internal model of the world up to date…. We have friends, relatives, work associates, and acquaintances to whom we talk regularly and with whom we exchange news and views. We have habits of reading and watching and listening to public vehicles of communication—newspapers, television, radio, magazines and books. These are not random, but patterned activities…. [I]nformation is in part acquired because it is deliberately sought…. It is also found where it is not specifically sought, as an accidental concomitant of routine activities with other purposes or as pure accident.… [I]t is clear that we could describe individual patterns of information-gathering activity, both where the search for information was the primary motive and where it was incidental….(Wilson, 1977, pp. 36–37).     

Question-answering systems as efficient sources of terminological information: an evaluation

Background: Question‐answering systems (or QA Systems) stand as a new alternative for Information Retrieval Systems. Most users frequently need to retrieve specific information about a factual question to obtain a whole document. Objectives: The study evaluates the efficiency of QA systems as terminological sources for physicians, specialised translators and users in general. It assesses the performance of one open‐domain QA system, START, and one restricted‐domain QA system, MedQA. Method: The study collected two hundred definitional questions (What is…?), either general or specialised, from the health website WebMD. Sources used by the open‐domain QA system, START, and the restricted‐domain QA system, MedQA, were studied to retrieve answers, and later a range of evaluation measures (precision, Mean Reciprocal Rank, Total Reciprocal Rank, First Hit Success) were applied to mark the quality of answers. Results: It was established that both systems are useful in the retrieval of valid definitional healthcare information, with an acceptable degree of coherent and precise responses from both. The answers supplied by MedQA were more reliable that those of START in the sense that they came from specialised clinical or academic sources, most of them showing links to further research articles. Conclusions: Results obtained show the potential of this type of tool in the more general realm of information access, and the retrieval of health information. They may be considered a good, reliable and reasonably precise alternative in alleviating the information overload. Both QA systems can help professionals and users can obtain healthcare information.     

Health information outreach: the land-grant mission

Service to the state is one of the core principles of the land-grant mission. This concept of service is also fundamental to a significant number of outreach activities in academic health sciences libraries, particularly those libraries affiliated with the public land-grant universities. The Dana Medical Library at the University of Vermont has a lengthy tradition of outreach to health care providers and health care consumers of the State of Vermont. Building on the foundation of the land-grant institution-which grew out of federal legislation introduced in the mid nineteenth century by Justin Morrill, Vermont's congressional representative--the Dana Medical Library has based its outreach activities on its dedication of service to the state in the promotion of healthy citizens through information dissemination in support of health care delivery. Reengineering library services designed to meet the specific information needs of its diverse clientele, partnering with disparate health care organizations, and relying on fees for service to expand its outreach activities, the Dana Medical Library has redefined the concept of health information outreach for the new millennium.     

Scenario evaluation of municipal Web sites: Development and use of an expert-focused evaluation tool

Municipal Web sites are a prominent product of e-government initiatives worldwide. The Internet is becoming increasingly important in the communication between local governments and citizens, which makes the usability of municipal Web sites a critical factor in government–citizen communication. A current approach to ensure the quality of municipal Web sites is by means of expert evaluation. Various studies, however, have shown that communication professionals cannot adequately predict the problems Web users will experience. In this article, the possibilities are explored of a new expert-focused approach for evaluating municipal (and other government) Web sites, which helps experts to focus on users' needs. A scenario evaluation method was developed and used to evaluate fifteen municipal Web sites. The method involves presenting experts with realistic usage scenarios, combined with limited sets of user characteristics and evaluation criteria. The scenario evaluation method and its underlying principles are discussed, and preliminary findings about the method's strengths and weaknesses are presented.     

Pharmacists’ online information literacy: an assessment of their use of Internet‐based medicines information

Introduction: Pharmacists need effective skills in accessing and using Internet‐based medicines information (IBMI) for themselves and their consumers. However, there is limited information regarding how pharmacists use the Internet. Objectives: To develop and use a research instrument to measure pharmacists’ Internet knowledge, search skills, evaluation of and opinions about using IBMI. Methods: A structured questionnaire examining general Internet knowledge, ability to search for and select pertinent IBMI, evaluation of IBMI, opinions about using IBMI and current Internet use was developed. Exploratory factor analysis was performed to analyse IBMI evaluation. Results: 208 pharmacists responded (response rate 20.6%). There was a large variation in pharmacists’ scores. Mean scores were low for General Internet Knowledge (mean 7.91 ± 3.62; scale 0–16), Search and Selection of IBMI (4.98 ± 2.91; 0–10) and Opinions on IBMI (44.51 ± 9.61; 0–80). Four factors [Professionalism of website (4 items; factor loading 0.62–0.87; Cronbach’s α 0.84), Disclosure (5; 0.37–0.79; 0.73), Appropriateness of content (5; 0.32–0.50; 0.65), Standard of information (6; 0.31–0.48; 0.58)] were extracted from the evaluation scale, explaining 36.89% of the total variance. Conclusions: A tool was developed to evaluate pharmacists’ skills and opinions in using IBMI. A wide range of skills and opinions highlighted the need for training in online information literacy.