Beyond the mandates: The far‐reaching benefits of multimedia accessibility

Key points

• Convergence of international standards has made requirements for accessible multimedia content clearer.
• Legal and commercial pressure for accessible content is mounting for higher education institutions (HEIs) and publishers as highlighted by recent high‐profile settlements in North America.
• Accessibility requirements for multimedia can be met by setting realistic, progressive goals and focusing resources on key content.
• Multimedia accessibility benefits range from wider audiences and increased user engagement to greater discoverability and improved search engine optimization.
• Vendors are ramping up their offerings for accessible production, and costs are going down.

     

The secrets of failing better: Accessible publishing at SAGE. A case study

Key points

• Accessibility is often misunderstood as a concept that is niche or of secondary importance.
• Reframing accessibility as improving the overall user experience instantly changes the perspective; accessibility becomes a critical requirement worthy of investment and resources.
• The single most prevalent complaint amongst librarians is the time it takes to get hold of accessible content.
• An accessibility roadmap provides structure and transparency for digital accessibility projects within the organization.
• Publishers' non‐compliance with accessibility standards will increase their risk of sales declines and legal complications over time.
• The SAGE A.C.C.E.S.S.I.B.L.E mnemonic offers suggestions on how to devise a successful accessible publishing programme.

     

Do you have a broken link in your accessibility chain?

Key points

• Accessibility of publications in academia is a non‐negotiable legal requirement.
• The accessibility of your journal or other scholarly publication is the most important design consideration in your workflow.
• EPUB Accessibility 1.0 and Web Content Accessibility Guidelines 2.0 provide a clear publishing pathway.
• Consider the readability chain: Any link can result in accessibility failure but an unbroken chain will benefit all readers.

     

Towards universal accessibility: The UK policy landscape and supporting technology

Key points

• The UK policy landscape supports access for the users whilst allowing publishers to maintain business models.
• Advancements such as EPUB 3, aligning publishing with web technologies, and the Inclusive Publishing hub help publishers reach accessibility compliance.
• Print impairment is not an on/off switch, and each reader has his or her own unique set of requirements – a fact that is supported by EPUB 3.
• The time is ripe for publishers to make firm commitments to accessibility initiatives.

     

Characteristics of project management at institutions sponsoring National Library of Medicine MedlinePlus Go Local

Objectives:

Through interviews with the National Library of Medicine''s MedlinePlus Go Local collaborators, an evaluation team sought to identify process characteristics that are critical for long-term sustainability of Go Local projects and to describe the impact that Go Local projects have on sponsoring institutions.

Methods:

Go Local project coordinators (n = 44) at 31 sponsor institutions participated in semi-structured interviews about their experiences developing and maintaining Go Local sites. Interviews were summarized, checked for accuracy by the participating librarians, and analyzed using a general inductive methodology.

Results:

Institutional factors that support Go Local projects were identified through the interviews, as well as strategies for staffing and partnerships with external organizations. Positive outcomes for sponsoring institutions also were identified.

Conclusions:

The findings may influence the National Library of Medicine team''s decisions about improvements to its Go Local system and the support it provides to sponsoring institutions. The findings may benefit current sponsoring institutions as well as those considering or planning a Go Local project.

Highlights

• Many project coordinators said they underestimated the level of work their National Library of Medicine (NLM) MedlinePlus Go Local projects would require, but most expressed dedication to the project and optimism about project sustainability.
• An institutional record of community service or outreach and a director who was supportive of the project were important factors in the progress and sustainability of Go Local projects.
• Go Local projects brought recognition to some sponsoring institutions from their parent institutions or their communities and provided opportunities to establish better relations with other libraries and institutions.
• Go Local projects ran more smoothly when a person, even a temporary hire, with dedicated time for the project was in charge during the initial building phase. Volunteer assistance has been difficult to motivate and sustain.

Implications

• NLM''s Go Local proposal guidelines accurately identify the factors that institutions should pay close attention to when planning a Go Local project.
• NLM should emphasize continuity plans to address project coordinator turnover.
• NLM should develop a more formal orientation plan for new project coordinators to assist program continuity at the sponsoring institutions.

     

An overview of content accessibility issues experienced by educational publishers

Key points

• Educational accessibility needs to accommodate not only text but also supplemental, multimedia, and interactive elements.
• Accessibility considerations need to address user needs for timeliness, quality, cost, and security.
• Schools often default to remediation instead of embracing EPUB 3 for practical reasons and to respond to student preferences.
• PDF is often preferred over EPUB for creating alternate formats because of familiarity and expediency.
• Schools require accessibility to deal with increased legal pressure from both government agencies and disability advocates.

     

Publishing with accessibility standards from the inside out

Key points

• Publishers should layer on the right standards to create accessible publications.
• Accessible publications have accessible content at the core, wrapped in semantic structure, and topped off with accessible metadata.
• Resources to help publishers implement accessibility in their programmes are available.

     

Making materials accessible to students in higher education institutes: Institutional obligations,methods of compliance,and recommendations for future action

Key points

• Current publishing restrictions cause duplicated – and wasted – effort to delivery of accessible information to students.
• Universities have a legal obligation to provide access, but this is not required from publishers.
• Initiatives to support access are helpful, but do not completely resolve the accessibility problems.

     

Benetech global literacy services: Working towards a ‘born accessible’ world

Key points

• Bookshare is the world's largest library of accessible titles provided to members and through special agreements.
• Dyslexia is often forgotten as an impediment to access but must be accounted for within accessible publications.
• Certification of accessibility provides confidence for purchasers and a marketing tool for publishers.
• Accessibility requires multiple routes to access, on different platforms and in different formats.
• Accessible artworks need particular attention, and this is often lacking in ‘accessible’ publications.

     

Health sciences libraries building survey, 1999–2009

Objective:

A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations.

Method:

An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author''s consulting experiences identified additional projects.

Results:

Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years.

Conclusions:

The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for “community” building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution''s information nexus and not merely as a physical location with print collections.

Highlights

• Seventy-eight health sciences library building projects at seventy-three institutions were reported as completed in the last ten years.
• Five health sciences library projects illustrate the diversity of projects reported.
• Eleven trends in health sciences library buildings are identified.
• Numerous challenges are briefly discussed.

Implications

• Changing services and usage patterns demand innovative ways to use library space.
• Libraries are making more proactive efforts to retool library physical space.
• Migration from print to digital collections is continuing at an accelerated pace.
• More library space is now dedicated for “community” building.

     

Information-seeking behavior of basic science researchers: implications for library services

Objectives:

This study examined the information-seeking behaviors of basic science researchers to inform the development of customized library services.

Methods:

A qualitative study using semi-structured interviews was conducted on a sample of basic science researchers employed at a university medical school.

Results:

The basic science researchers used a variety of information resources ranging from popular Internet search engines to highly technical databases. They generally relied on basic keyword searching, using the simplest interface of a database or search engine. They were highly collegial, interacting primarily with coworkers in their laboratories and colleagues employed at other institutions. They made little use of traditional library services and instead performed many traditional library functions internally.

Conclusions:

Although the basic science researchers expressed a positive attitude toward the library, they did not view its resources or services as integral to their work. To maximize their use by researchers, library resources must be accessible via departmental websites. Use of library services may be increased by cultivating relationships with key departmental administrative personnel. Despite their self-sufficiency, subjects expressed a desire for centralized information about ongoing research on campus and shared resources, suggesting a role for the library in creating and managing an institutional repository.

Highlights

• Basic science researchers rely on a small network of individuals in their institution and at other institutions to satisfy their information needs.
• Basic science researchers tend to ignore institutional boundaries when searching for information and do not necessarily view the library as the primary source of scholarly information.
• Basic science researchers use the interlibrary loan service regularly but otherwise rarely use traditional library services such as mediated literature searching and instruction.

Implications

• The library must establish a presence in researchers'' work environments, rather than expect them to seek out library resources and services.
• The increased emphasis by funding agencies on clinical translational science may impact the information needs of basic science researchers in the future.
• Libraries have an opportunity to capitalize on their positive reputation and basic scientists'' desire for more centralized information to create new information resources and services such as institutional repositories.

     

Balancing between two goods: Health Insurance Portability and Accountability Act and ethical compliancy considerations for privacy-sensitive materials in health sciences archival and historical special collections

Objective:

The investigation provides recommendations for establishing institutional collection guidelines and policies that protect the integrity of the historical record, while upholding the privacy and confidentiality of those who are protected by Health Insurance Portability and Accountability Act (HIPAA) or professional ethical standards.

Methods:

The authors completed a systematic historical investigation of the concepts of collection integrity, privacy, and confidentiality in the formal and informal legal and professional ethics literature and applied these standards to create best practices for institutional policies in these areas.

Results:

Through an in-depth examination of the historical concepts of privacy and confidentiality in the legal and professional ethics literature, the authors were able to create recommendations that would allow institutions to provide access to important, yet sensitive, materials, while complying with the standards set by HIPAA regulations and professional ethical expectations.

Conclusion:

With thoughtful planning, it is possible to balance the integrity of and access to the historical record of sensitive documents, while supporting the privacy protections of HIPAA and professional ethical standards. Although it is theorized that collection development polices of institutions have changed due to HIPAA legislation, additional research is suggested to see how various legal interpretations have affected the integrity of the historical record in actuality.

Highlights

• Ethical standards call upon special collections professionals to collect and provide access openly, while protecting individual privacy.
• A systematic historical investigation of legal and professional ethics literature can lead to standard best practices that address issues of privacy and access.

Implications

• Special collections professionals can establish guidelines that preserve the historical record and maintain collection integrity and access, while adhering to privacy legislation and ethical concerns.
• The framework suggested here can be used to write a collection development and access policy that complies with the Health Insurance Portability and Accountability Act.
• Librarians who interact regularly with hospital administrators or researchers using patient data need to be aware of the ethical and legal issues involved in patient data retention.

     

Characteristics of personal health records: findings of the Medical Library Association/National Library of Medicine Joint Electronic Personal Health Record Task Force

Objectives:

The Medical Library Association (MLA)/National Library of Medicine (NLM) Joint Electronic Personal Health Record Task Force examined the current state of personal health records (PHRs).

Methods:

A working definition of PHRs was formulated, and a database was built with fields for specified PHR characteristics. PHRs were identified and listed. Each task force member was assigned a portion of the list for data gathering. Findings were recorded in the database.

Results:

Of the 117 PHRs identified, 91 were viable. Almost half were standalone products. A number used national standards for nomenclature and/or record structure. Less than half were mobile device enabled. Some were publicly available, and others were offered only to enrollees of particular health plans or employees at particular institutions. A few were targeted to special health conditions.

Conclusions:

The PHR field is very dynamic. While most PHR products have some common elements, their features can vary. PHRs can link their users with librarians and information resources. MLA and NLM have taken an active role in making this connection and in encouraging librarians to assume this assistance role with PHRs.

Highlights

• A variety of personal health records (PHRs) exist with some tied to medical health records and others offered as standalone products.
• Librarians can be connected to PHR users through inclusion of an assistance statement in PHRs.
• PHRs offer librarians another means of providing consumers with quality health information.

Implications

• PHR user support is a new role for medical librarians.
• Medical librarians need to be proactive in their communities to educate consumers about PHRs.
• Given the dynamic nature of this market, medical librarians should make a concerted effort to stay abreast of trends in this area.

     

The Health Information Literacy Research Project

Objectives:

This research studied hospital administrators'' and hospital-based health care providers'' (collectively, the target group) perceived value of consumer health information resources and of librarians'' roles in promoting health information literacy in their institutions.

Methods:

A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group.

Results:

A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions'' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support.

Conclusions:

It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources.

Highlights

• Health care providers responded positively to a health information literacy curriculum offered by librarians and to related resources and services, namely MedlinePlus and the information referral system known as Information Rx.
• Participation in a curriculum increased health care providers'' knowledge of health information literacy, awareness of available consumer health information, and referral of patients to the library for additional assistance.
• Librarian involvement in health information literacy increased the profession''s visibility and perceived value.

Implications

• Consumer health information services and resources offered by librarians can improve the health information literacy skills of health care providers and their patients.
• Training by librarians can increase knowledge of the importance of health information literacy and usage of MedlinePlus and Information Rxs.
• Hospital-based administrators and health care providers can be champions in support of health information literacy and consumer health information services offered by libraries.

     

Mapping the literature of health care chaplaincy

Objective:

This study examined citation patterns and indexing coverage from 2008 to 2010 to determine (1) the core literature of health care chaplaincy and (2) the resources providing optimum coverage for the literature.

Methods:

Citations from three source journals (2008–2010 inclusive) were collected and analyzed according to the protocol created for the Mapping the Literature of Allied Health Professions Project. An analysis of indexing coverage by five databases was conducted. A secondary analysis of self-citations by source journals was also conducted.

Results:

The 3 source journals—Chaplaincy Today, the Journal of Health Care Chaplaincy, and the Journal of Pastoral Care and Counseling—ranked as the top 3 journals in Zone 1 and provided the highest number of most frequently cited articles for health care chaplaincy. Additional journals that appeared in this highly productive zone covered the disciplines of medicine, psychology, nursing, and religion, which were also represented in the Zones 2 and 3 journals. None of the databases provided complete coverage for the core journals; however, MEDLINE provided the most comprehensive coverage for journals in Zones 1 and 2, followed by Academic Search Complete, CINAHL, PsycINFO, and ATLA. Self-citations for the source journals ranged from 9% to 16%.

Conclusions:

Health care chaplaincy draws from a diverse body of inter-professional literature. Libraries wishing to provide access to journal literature to support health care chaplaincy at their institutions will be best able to do this by subscribing to databases and journals that cover medical, psychological, nursing, and religion- or spirituality-focused disciplines.

Highlights

• Health care chaplaincy is a broadly inter-professional field that draws from and contributes to medical, nursing, psychological, and religion or spirituality literature.
• Two of the three source journals were sponsored by professional chaplaincy organizations.
• Journals and books were cited with almost equal frequency.

Implications

• For full coverage of the health care chaplaincy literature, librarians should consider searching in databases beyond MEDLINE, for example, CINAHL and Academic Search Complete, to assure comprehensive coverage.
• Health care chaplaincy researchers and educators considering publication will find the study useful for identifying relevant journals from related disciplines.

     

Outreach impact study: the case of the Greater Midwest Region

Objectives:

The purpose of the study was to assess the impact that funding from the National Network of Libraries of Medicine (NN/LM), Greater Midwest Region (GMR), has on member institutions'' ability to conduct outreach on behalf of NN/LM.

Methods:

The study employed both content analysis and survey methodologies. The final reports from select GMR-funded outreach projects (n = 20) were analyzed based on a set of evaluation criteria. Project principal investigators (n = 13) were then surveyed using the same evaluation criteria.

Results:

Results indicated that outreach projects supported by GMR funding improved access to biomedical information for professionals and the general public. Barriers to conducting outreach projects included time constraints or commitments, staffing, scheduling and absenteeism, inadequate space, and issues associated with technology (e.g., hardware and software, Internet connectivity and firewall issues, and creation and use of new technologies).

Conclusions:

The majority of project principal investigators indicated that their attempts to conduct outreach were successful. Moreover, most noted that outreach had a positive impact on professionals as well as the general public. In general, it seems that negative outcomes, as with most barriers to conducting outreach, can be mitigated by more thorough planning.

Highlights

• The provision of funding from the National Network of Libraries of Medicine (NN/LM), Greater Midwest Region (GMR), had a positive impact on an institution''s ability to conduct outreach.
• The provision of GMR funding to conduct health information outreach yielded positive outcomes.

Implications

• Regional offices should make efforts to accurately capture and record the impact that funding has on member institutions'' ability to conduct outreach.
• Many barriers to conducting outreach can be mitigated by more thorough planning.

The mission of the National Network of Libraries of Medicine (NN/LM) is to advance the progress of medicine and improve the public health by providing all US health professionals with equal access to biomedical information and improving the public''s access to information to enable them to make informed decisions about their health [1]. The National Library of Medicine''s (NLM''s) vision statement emphasizes the elimination of health disparities. The National Institutes of Health (NIH) and NLM both attempt to understand and eliminate health disparities between minority and majority populations [2]. One of NLM''s goals in trying to achieve elimination of health disparities is to improve access to affordable and easy-to-use health-related information [3]. It is thought that such a dissemination of knowledge will help solve health disparities [4]. Ultimately, NLM believes that improved access to health information will result in higher quality health care. This effort is served through research and community outreach. NLM supports some outreach directly through the NLM Division of Specialized Information Services (SIS), Office of Health Information Program Development (OHIPD), and extramural programs. In addition, NN/LM, which NLM administers, provides and supports outreach as part of NLM''s overall mission [5]. NN/LM places a primary emphasis on rural, minority, and other underserved populations [6].NLM was interested in evaluating NN/LM programs, and one of the key programs of the Greater Midwest Region (GMR) is its funding to support outreach in the region. NLM was also interested in promoting awareness among library school students about NLM and NN/LM and about the value of libraries doing outreach to underserved populations with the community. In September 2009, NN/LM GMR announced the availability of funds for a subcontract to a library school located in the region to assist with evaluating network programs. The GMR operates under a contract from NLM, providing network services to approximately 1,100 libraries and information centers in a 10-state region (Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, North Dakota, Ohio, South Dakota, and Wisconsin). One of 8 regions in the NN/LM, the GMR conducts much of its outreach by offering subcontracts and awards to network members.Funding was offered to engage a group of students, under faculty guidance, to plan and implement a study that would determine the impact that GMR funding has on the ability of network members to perform outreach on behalf of NN/LM. The study was intended to be conducted in two phases: a planning phase, in which students were to develop an impact study proposal, and an implementation phase, in which students were to implement the study outlined in the proposal. The desired outcomes of the impact study included:

• What did the institutions accomplish with the NN/LM funding?
• What outcomes did the institutions report from their NN/LM-funded outreach projects?
• What changes have been made in their institutional programs as a result of the funding they received?
• What lessons did the institutions learn through implementation of their NN/LM-funded outreach projects
• What changes would the institutions recommend to NN/LM about their funding programs?

The School of Library and Information Science (LIS) at the University of Kentucky received an outreach impact study award from NN/LM GMR in the fall of 2009 for its project, “Learning By Doing: Engaging LIS Students in an Outreach Impact Study.” Project funds were used to provide scholarships to support student participation.     

Sustainable open access for scholarly journals in 6 years – the incubator model at Utrecht University Library Open Access Journals

Key points

• Humanities and the social science journals need flexible funding models.
• Pragmatism and collaboration are key to transforming traditional publishing initiatives.
• The Uopen Journals model sets a 6‐year development target for developing sustainable journals.
• Actively involved editors are key to a journal's success.

     

Creating impact resonance through a culture of Holistic Discoverability

Key points

• Discoverability is no longer just about technology.
• There is a shift towards a culture of discovery.
• Coordinated efforts successfully create impact resonance.
• The author is the conductor of impact.
• Today, everybody needs to take responsibility for creating impact.