bims-librar Biomed News
on Biomedical librarianship
Issue of 2019–01–06
sixteen papers selected by
Thomas Krichel, Open Library Society
  1. Building new twenty-first century medical school libraries from the ground up: challenges, experiences, and lessons learned.
  2. Accuracy of Medical Marijuana Claims Made by Popular Websites.
  3. A health sciences library promotes wellness with free yoga.
  4. Internet use for patient care and health research: A cross-sectional study among physicians in a teaching hospital of Eastern India.
  5. Information literacy instruction for pharmacy students: a pharmacy librarian reflects on a year of teaching.
  6. Lessons learned from multisite implementation and evaluation of Project SHARE, a teen health information literacy, empowerment, and leadership program.
  7. A library mobile device deployment to enhance the medical student experience in a rural longitudinal integrated clerkship.
  8. Distinguishing case study as a research method from case reports as a publication type.
  9. Assessing the readability, quality and accuracy of online health information for patients with Low Anterior Resection Syndrome following surgery for rectal cancer.
  10. The path to leadership: the career journey of academic health sciences library directors.
  11. Adapting data management education to support clinical research projects in an academic medical center.
  12. Evaluation of drug information resources for drug-ethanol and drug-tobacco interactions.
  13. Health information seeking behavior of female breast cancer patients.
  14. Identifying e-books authored by faculty: a method for scoping the digital collection and curating a list.
  15. Use of Web 2.0 tools and social media for continuous professional development among primary healthcare practitioners within the Defence Primary Healthcare: a qualitative review.
  16. Evidence on the effectiveness of health literacy interventions in the EU: a systematic review.
  1. J Med Libr Assoc. 2019 Jan;107(1): 6-15
    Building new twenty-first century medical school libraries from the ground up: challenges, experiences, and lessons learned.
    Nadine Dexter, Joanne M Muellenbach, Elizabeth R Lorbeer, Debra Rand, Matthew E Wilcox, Bradley A Long.
      The twenty-first century library at a newly opened medical school often differs from those at traditional medical schools. One obvious difference is that the new medical school library tends to be a born-digital library, meaning that the library collection is almost exclusively digital. However, the unique issues related to building a library at a new medical school are not limited to online collections. A unique start-up culture is prevalent, of which newly appointed directors and other library and medical school leaders need to be aware. This special paper provides an overview of best practices experienced in building new medical school libraries from the ground up. The focus is on the key areas faced in a start-up environment, such as budgeting for online collections, space planning, staffing, medical informatics instruction, and library-specific accreditation issues for both allopathic and osteopathic institutions.
    DOI:  https://doi.org/10.5195/jmla.2019.493
  2. J Pharm Pract. 2018 Dec 30. 897190018818907
    Accuracy of Medical Marijuana Claims Made by Popular Websites.
    Katelyn D Boatwright, Morgan L Sperry.
       BACKGROUND:: With increasing popularity of marijuana, consumers are likely turning to the internet for information regarding medical marijuana. Accuracy of medical marijuana claims is a significant concern because consumers change their medication management based on information from a single website.
    OBJECTIVE:: The purpose of this study was to evaluate the accuracy and quality of medical marijuana claims on popular websites.
    METHODS:: Commonly used websites containing claims regarding medical marijuana were selected by utilizing three online marketing tools that rank websites based on number of views, number of visitors, and visitor engagement. Once the top ten most popular websites were selected, medical claims regarding marijuana were reviewed for accuracy and quality using evidence-based tools.
    RESULTS:: Seventy-six percent of claims made by websites were inaccurate and were based on low-quality evidence. Of the medical marijuana claims reviewed, 10% of websites made appropriate cause and effect conclusions. Furthermore, approximately 3% of the medical marijuana claims were written by a healthcare professional.
    CONCLUSION:: The findings show there is misleading and inaccurate information readily available to consumers online.
    Keywords:  cannabis; consumer health information; drug information; marijuana; online
    DOI:  https://doi.org/10.1177/0897190018818907
  3. J Med Libr Assoc. 2019 Jan;107(1): 80-88
    A health sciences library promotes wellness with free yoga.
    Tallie Casucci, Donna Baluchi.
       Background: Yoga is a popular physical exercise activity with mental health benefits. Public and academic libraries have offered free yoga as their primary movement-based program.
    Case Presentation: In an attempt to bolster wellness and connect to the health sciences community, an academic health sciences library offered free yoga as a ten-week trial series in summer 2016. At the end of the trial series, weekly attendance and online feedback data determined that this series should continue.
    Conclusions: Yoga provides health professionals and students with a welcomed midday break from a stressful work environment. Additionally, by partnering with yoga instructor trainee programs, the financial burden is low for the library.
    DOI:  https://doi.org/10.5195/jmla.2019.475
  4. J Family Med Prim Care. 2018 Sep-Oct;7(5):7(5): 993-997
    Internet use for patient care and health research: A cross-sectional study among physicians in a teaching hospital of Eastern India.
    Sanchit Bhatia, Lipilekha Patnaik, Sumitra Pattanaik, Trilochan Sahu.
       Background: Internet is the world's largest network of information and communication services. The internet is widely used in medicine and had a significant impact on research, training, and patient care.
    Objectives: (1) To assess internet use to obtain health information for patient care among physicians of a medical college hospital. (2) To investigate the utilization of the internet during their daily practice and to know the reasons for its use and nonuse.
    Materials and Methods: A hospital-based cross-sectional study was conducted for a period of 2 months of May and June 2015 in a Medical College Hospital of Eastern India. A convenient sample of 200 physicians was included in the study. Data regarding access of internet in workplace, time spent on the internet for medical and nonmedical purposes, opinions regarding use of the internet to update medical knowledge, obstacles that affect its use, etc., were collected. The data were analyzed using SPSS software version 20.
    Results: It was seen that 47% doctors use laptop for accessing internet, followed by mobiles (34%). E-mail was the main purpose (41%) of internet use, followed by research (32.5%). Majority told that e-mail was the main purpose of last internet use (46.5%), followed by browsing medical resources (23%), research (15.5%), and patient care (12.5%). 97.5% agreed that they had ever browsed internet for patient care and 85.5% doctors agreed that they had obtained relevant information. 26.5% told that they need training for accessing free full-text electronic journals and 25% need training to access the sources for best clinical evidence for patient care. Other training needs were literature search (18%), downloading textbooks and other resources (15.5%), and searching internet sites for medical information (10%).
    Conclusion: Providing training for improvement of searching skills for obtaining up-to-date medical information, and evidence-based medicine from internet will improve their practice of medicine.
    Keywords:  Doctors; healthcare; online resources
    DOI:  https://doi.org/10.4103/jfmpc.jfmpc_262_17
  5. J Med Libr Assoc. 2019 Jan;107(1): 98-102
    Information literacy instruction for pharmacy students: a pharmacy librarian reflects on a year of teaching.
    Bridget C Conlogue.
      Librarians have ever-expanding teaching responsibilities in many academic disciplines. Assessment of learning outcomes requires longitudinal evaluation to measure true retention of skills and knowledge. This is especially important in the health sciences, including pharmacy, where librarians take an active role in teaching students to help prepare them for a profession in which solid information literacy skills are required to safely and effectively provide evidence-based care to patients. In this commentary, I reflect on a year of teaching in a pharmacy program and consider the outcomes of my instruction, areas for improvement, student retention of learning, assessment challenges, faculty-librarian collaboration, and continued support for library instruction in the pharmacy curriculum.
    DOI:  https://doi.org/10.5195/jmla.2019.522
  6. J Med Libr Assoc. 2019 Jan;107(1): 72-79
    Lessons learned from multisite implementation and evaluation of Project SHARE, a teen health information literacy, empowerment, and leadership program.
    Alla Keselman, Rachel Anne Chase, Jennifer Rewolinski, Yulia Chentsova Dutton, Janice E Kelly.
       Background: This case study describes the implementation and evaluation of a multisite teen health information outreach program. The objectives of the program were to increase health knowledge, health information literacy, interest in health careers, community engagement, and leadership skills of teens in disadvantaged communities.
    Case Presentation: Teens at six sites across the country participated in a multi-week curriculum that focused on various aspects of health literacy, information literacy, and leadership. Lesson topics addressed personal health, social determinants of health, information quality, and communication and advocacy skills. Program evaluation included both quantitative and qualitative components and focused on multiple knowledge and skills outcome variables. Results suggested that while teens at all sites showed improvement, particularly with respect to engagement and interest in the topics, the degree of gains in knowledge and information literacy measures varied significantly from site to site.
    Conclusion: On-site implementation planning, cohesive integration of added activities, and emphasis on retention can contribute to implementation and evaluation effectiveness. This work also underscores the limitation of a purely quantitative approach to capturing the impact of health information and stresses the importance of supplementing numerical scores and statistics with qualitative data.
    DOI:  https://doi.org/10.5195/jmla.2019.351
  7. J Med Libr Assoc. 2019 Jan;107(1): 30-42
    A library mobile device deployment to enhance the medical student experience in a rural longitudinal integrated clerkship.
    Emily M Johnson, Carmen Howard.
       Objective: Investigators implemented the Rural Information Connection (RIC) project, a library-initiated deployment of iPad Mini 3s for third-year medical students who were enrolled in a seven-month rural longitudinal integrated clerkship (LIC) rotation. The research aims were to determine if devices preloaded with high-quality mobile health apps enhanced the experience and increased access to and awareness of mobile health information resources for the enrolled project participants.
    Methods: Nine participants enrolled in this mixed methods research project. Pre- and post-survey and structured learning journals (SLJs) were used for data collection on device and app use. Descriptive statistics and thematic coding analysis included data from seven pre-surveys, nine post-surveys, and sixty-four SLJ prompts. The validated Technology Acceptance Model instrument was also incorporated to gauge the devices' integration into the participants' workflow.
    Results: The investigation indicated that the iPad Mini 3 and resources were utilized and integrated at varying levels in the participants' workflow. Reported use of health information apps suggests a preference for broad-based information sources rather than specific or specialized information resources. Participants performed several tasks on the device, including seeking background information, educating patients, and managing rotation schedules. Participant reflections indicated positive experiences utilizing the device and health information resources, which enhanced their rural LIC rotations.
    Conclusions: The research analysis demonstrates the information-seeking behavior of medical students immersed in a rural environment and indicates an acceptance of mobile technology into the workflow of participants in this project. Mobile device deployments offer great opportunities for librarians to design innovative programming in medical education.
    DOI:  https://doi.org/10.5195/jmla.2019.442
  8. J Med Libr Assoc. 2019 Jan;107(1): 1-5
    Distinguishing case study as a research method from case reports as a publication type.
    Kristine M Alpi, John Jamal Evans.
      The purpose of this editorial is to distinguish between case reports and case studies. In health, case reports are familiar ways of sharing events or efforts of intervening with single patients with previously unreported features. As a qualitative methodology, case study research encompasses a great deal more complexity than a typical case report and often incorporates multiple streams of data combined in creative ways. The depth and richness of case study description helps readers understand the case and whether findings might be applicable beyond that setting.
    DOI:  https://doi.org/10.5195/jmla.2019.615
  9. Colorectal Dis. 2019 Jan 04.
    Assessing the readability, quality and accuracy of online health information for patients with Low Anterior Resection Syndrome following surgery for rectal cancer.
    Richard Garfinkle, Nathalie Wong-Chong, Andrea Petrucci, Patricia Sylla, Steven D Wexner, Sahir Bhatnagar, Nancy Morin, Marylise Boutros.
       BACKGROUND: Management of Low Anterior Resection Syndrome (LARS) requires a high degree of patient engagement. This process may be facilitated by online health-related information and education. The objective of this study was to systematically review current online health information on LARS.
    METHODS: An online search of Google, Yahoo and Bing using the search terms "low anterior/anterior resection syndrome" and "bowel function/movements after rectal cancer surgery" was performed. Websites were assessed for readability (8 standardized tests), suitability (Suitability Assessment of Materials instrument), quality (DISCERN instrument), accuracy, and content (using a LARS-specific content checklist). Websites were categorized as academic, governmental, non-profit, or private.
    RESULTS: Of 117 unique websites, 25 met inclusion criteria. Median readability level was 10.4 (9.2-11.7) and 11 (44.0%) websites were highly suitable. Using the DISCERN instrument, 7 (28.0%) websites had clear aims, 2 (8.0%) divulged the sources used, and 4 (16.0%) had overall high quality. Only 8 (32.0%) websites defined LARS and 10 (40.0%) listed all five major symptoms associated with the LARS score. The number of websites varied in their discussion of diet modifications (80.0%), self-help strategies (72.0%), medication (68.0%), pelvic floor rehabilitation (60.0%), and neuromodulation (8.0%). Median accuracy of websites was 93.8% (88.2%-96.7%). Governmental websites scored highest in overall suitability (p=0.0079) and quality (p<0.001).
    CONCLUSIONS: Current online information for LARS is suboptimal. Websites are highly variable, important content is often lacking, and material is too complex for patients. This article is protected by copyright. All rights reserved.
    Keywords:   LARS ; Accuracy; Low Anterior Resection Syndrome; Online Health Information; Quality; Rectal Cancer Survival
    DOI:  https://doi.org/10.1111/codi.14548
  10. J Med Libr Assoc. 2019 Jan;107(1): 49-56
    The path to leadership: the career journey of academic health sciences library directors.
    Rick L Fought, Mitsunori Misawa.
       Objective: The authors examined the career journeys of academic health sciences library directors to better understand their leadership development and what led them to their leadership positions in libraries.
    Methods: A qualitative phenomenological approach was employed due to its focus on exploring and understanding the meaning that individuals ascribe to a particular phenomenon or experience. Eleven library directors from academic health sciences libraries at public universities with very high research activity agreed to participate in the study. The research question guiding this study was: What was the library directors' career journey that led them into library leadership?
    Results: A major theme that emerged from the data was "Path to Leadership." Although each participant's journey was unique, common elements surfaced as they chronicled their careers that were informative as to how they understood their emergence and development as library leaders. The four categories defining this theme were breadth of experience, focused preparation, mentors, and recognition and development of leadership potential.
    Conclusions: Previous research suggests that leadership development and preparedness are important contributors to leadership effectiveness. It was encouraging to witness and understand the amount of preparation by participants to ready themselves for their roles as library directors. This study provides a comprehensive view of the path to library leadership that furthers understanding of the value of leadership development and preparedness and provides a model for aspiring library leaders.
    DOI:  https://doi.org/10.5195/jmla.2019.552
  11. J Med Libr Assoc. 2019 Jan;107(1): 89-97
    Adapting data management education to support clinical research projects in an academic medical center.
    Kevin B Read.
       Background: Librarians and researchers alike have long identified research data management (RDM) training as a need in biomedical research. Despite the wealth of libraries offering RDM education to their communities, clinical research is an area that has not been targeted. Clinical RDM (CRDM) is seen by its community as an essential part of the research process where established guidelines exist, yet educational initiatives in this area are unknown.
    Case Presentation: Leveraging my academic library's experience supporting CRDM through informationist grants and REDCap training in our medical center, I developed a 1.5 hour CRDM workshop. This workshop was designed to use established CRDM guidelines in clinical research and address common questions asked by our community through the library's existing data support program. The workshop was offered to the entire medical center 4 times between November 2017 and July 2018. This case study describes the development, implementation, and evaluation of this workshop.
    Conclusions: The 4 workshops were well attended and well received by the medical center community, with 99% stating that they would recommend the class to others and 98% stating that they would use what they learned in their work. Attendees also articulated how they would implement the main competencies they learned from the workshop into their work. For the library, the effort to support CRDM has led to the coordination of a larger institutional collaborative training series to educate researchers on best practices with data, as well as the formation of institution-wide policy groups to address researcher challenges with CRDM, data transfer, and data sharing.
    DOI:  https://doi.org/10.5195/jmla.2019.580
  12. J Med Libr Assoc. 2019 Jan;107(1): 62-71
    Evaluation of drug information resources for drug-ethanol and drug-tobacco interactions.
    Robert D Beckett, Curtis D Stump, Megan A Dyer.
       Objective: The research evaluated point-of-care drug interaction resources for scope, completeness, and consistency in drug-ethanol and drug-tobacco content.
    Methods: In a cross-sectional analysis, 2 independent reviewers extracted data for 108 clinically relevant interactions using 7 drug information resources (Clinical Pharmacology Drug Interaction Report, Facts & Comparisons eAnswers, Lexicomp Interactions, Micromedex Drug Interactions, Drug Interactions Analysis and Management, Drug Interaction Facts, and Stockley's Drug Interactions). Scope (presence of an entry), completeness (content describing mechanism, clinical effects, severity, level of certainty, and course of action for each present interaction; up to 1 point per assessed item for a total possible score of 5 points), and consistency (similarity among resources) were evaluated.
    Results: Fifty-three drug-ethanol and 55 drug-tobacco interactions were analyzed. Drug-ethanol interaction entries were most commonly present in Lexicomp (84.9%), Clinical Pharmacology (83.0%), and Stockley's Drug Interactions (73.6%), compared to other resources (p<0.05). Drug-tobacco interactions were more often covered in Micromedex (56.4%), Stockley's Drug Interactions (56.4%), Drug Interaction Facts (43.6%), and Clinical Pharmacology (41.8%) (p<0.001). Overall completeness scores were higher for Lexicomp, Micromedex, Drug Interaction Facts, and Facts & Comparisons (median 5/5 points, interquartile range [IQR] 5 to 5, p<0.001) for drug-ethanol and for Micromedex (median 5/5 points, IQR 5 to 5, p<0.05) for drug-tobacco, compared to other resources. Drug Interaction Facts and Micromedex were among the highest scoring resources for both drug-ethanol (73.7%, 68.6%) and drug-tobacco (75.0%, 32.3%) consistency.
    Conclusions: Scope and completeness were high for drug-ethanol interactions, but low for drug-tobacco interactions. Consistency was highly variable across both interaction types.
    DOI:  https://doi.org/10.5195/jmla.2019.549
  13. J Educ Health Promot. 2018 ;7 138
    Health information seeking behavior of female breast cancer patients.
    Zahra Ghazavi-Khorasgani, Hasan Ashrafi-Rizi, Faribprz Mokarian, Mina Afshar.
       BACKGROUND AND AIM: One of the methods for involving breast cancer patients in their own treatment is to provide them with credible and simple information. To provide this information, it is first necessary to investigate health information-seeking behaviors of these patients including their information needs, sources, barriers, and attitudes regarding health information.
    METHODS: This is an applied type study using survey method. The statistical population included female breast cancer patients referring to Seyed-Al-Shohada Hospital of Isfahan (60 patients). Data gathered through questionnaire.
    RESULTS: "Self-care," "emotional-psychological support information," and "treatment length and chance of relapse" were the most sought-after health information by patients. "Brochure and catalog provided by hospital," "other cancer patients," and "physicians and nurses" were the most important information sources. "High cost of information sources," "Lack of response from treatment personal (physicians and nurses)," and "lack or trust in website information" were the most important information-seeking barriers. Regarding attitude, participants stated that health information can help them in areas such as "controlling their conditions," "adapting to their conditions," "stress and anxiety control," and "preforming their social roles" and "hopefulness."
    CONCLUSION: Credible and relevant information can help patients to seek their treatment with renewed motivation and energy. This information should be provided for the patients from various sources such as brochures and websites according to their information-seeking abilities and health literacy with low cost. The knowledge of library and medical information experts can be used for evaluation and creation of easy-to-understand information sources.
    Keywords:  Breast cancer; Isfahan; Seyed Al-Shohada Hospital; health information-seeking behavior
    DOI:  https://doi.org/10.4103/jehp.jehp_17_18
  14. J Med Libr Assoc. 2019 Jan;107(1): 103-107
    Identifying e-books authored by faculty: a method for scoping the digital collection and curating a list.
    Sonali Sugrim, Laura Schimming, Gali Halevi.
      Electronic books are a substantial component of many academic libraries. Many libraries aim to make their collections easily discoverable through curated lists. The authors' library devised a methodology to identify and flag all e-books authored by our institution's faculty using MARCEdit and Microsoft Access. We highlight some of the challenges in gathering a comprehensive list of titles, the process of formulating such a list, and the measures needed to actively curate e-books by faculty for both content already in the collection and newly published titles.
    DOI:  https://doi.org/10.5195/jmla.2019.514
  15. J R Army Med Corps. 2019 Jan 03. pii: jramc-2018-001098. [Epub ahead of print]
    Use of Web 2.0 tools and social media for continuous professional development among primary healthcare practitioners within the Defence Primary Healthcare: a qualitative review.
    Antony Sean Willman.
       INTRODUCTION: Alongside traditional attendance at learning, general practitioners use social media and Web 2.0 tools in the UK for continuous professional development (CPD). Research has demonstrated, however, barriers to their uptake and use, as well as a requirement for training. Primary care doctors working for the Defence Primary Healthcare (DPHC) use similar technologies, but it is not known what factors affect the uptake. This qualitative research aimed to explore the knowledge and attitudes of this demographic further.
    METHODS: An online questionnaire was distributed to DPHC doctors via email and a social networking service (SNS) tool. Questions included demographic and open free-text response boxes. These were subjected to thematic analysis to identify initial concepts subsequently grouped into categories.
    RESULTS: DPHC doctors are already using Web 2.0 and social media for education. The benefits of convenience are recognised, but protected time is required to maximise impact. They also identified attendance at learning events, better quality information technology (IT) and further training as important enablers for their CPD.
    CONCLUSIONS: The results reaffirmed previous findings that while there is engagement with online learning and Web 2.0 technologies, training in Web 2.0 use and substandard IT infrastructure were barriers to greater uptake. Attended learning events are also popular due to the peer-to-peer networking that takes place, but also as they allow protected time out of the office. The use of Web 2.0 for CPD and of SNS should be given equal status to allow the development of a DPHC doctors' ' community of practice '.
    Keywords:  CPD; foamed; medical education & training; primary care; web 2.0
    DOI:  https://doi.org/10.1136/jramc-2018-001098
  16. BMC Public Health. 2018 Dec 29. 18(1): 1414
    Evidence on the effectiveness of health literacy interventions in the EU: a systematic review.
    Boudewijn B Visscher, Bas Steunenberg, Monique Heijmans, Jolien M Hofstede, Walter Devillé, Iris van der Heide, Jany Rademakers.
       BACKGROUND: In the last decade, the attention for health literacy has increased in the European Union. This is due to three main reasons. First, reviews have shown that inadequate health literacy is associated with worse health outcomes, higher health care use and expenditure. Second, in all European countries the population is aging and the number of chronically ill people is rising. Improving health literacy in this group can offer greater opportunities to take an active part in society, be independent and improve quality of life. Third, since most research on health literacy has been conducted outside Europe and relatively little is known about the development of health literacy interventions and its effects on outcome measures in European countries. The aim of this systematic review was to assess the evidence on the effectiveness of health literacy interventions in the European Union published between 1995 and 2018.
    METHODS: Searches have been performed in Medline, PubMed, EMBASE, CINAHL, Cochrane library, PsychINFO, ERIC, Web of Science and SCOPUS for publications on health literacy intervention studies in European Union countries. Studies were included if the research was conducted in one or more Member States of the European Union, the publication described an intervention study, the intervention was aimed at health literacy, the publication described an outcome measure related to health literacy and the publication was written in English, French or German.
    RESULTS: A total of 23 studies were included. Three types of interventions were identified; aimed at improving health literacy, tailored to different health literacy levels and aimed at improving health outcomes in general that differentiated in effects for people with different health literacy levels. Most interventions identified in the review focus on the functional level of health literacy or numeracy. The strength of evidence from the European health literacy intervention studies was low and there was a huge heterogeneity in study design, measurement tools and outcomes measured.
    CONCLUSIONS: Promising interventions were tailored to the needs of patients, addressing functional, interactive and critical skills and use not difficult animated spoken text. Future research should focus on the development and assessment of such interventions and use stronger designs.
    Keywords:  Europe; Health literacy; Interventions; Review
    DOI:  https://doi.org/10.1186/s12889-018-6331-7
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