bims-librar Biomed News
on Biomedical librarianship
Issue of 2024–01–28
eightteen papers selected by
Thomas Krichel, Open Library Society



  1. Health Info Libr J. 2024 Jan 21.
      This study highlights the present status of medical libraries in Bangladesh. It mainly focuses on the four key areas of medical libraries: Medical Library Services, Research4Life from Bangladesh perspective, Institutional Repository (IR), and Library Automation status. The research study also explores the various key challenges faced by the medical libraries in Bangladesh and finally provides necessary recommendations like a sufficient library budget, implementation of  an Integrated Library System (ILS), skilled manpower, more participation in information networking and resource sharing, sound ICT environment, online collection development for the overall development of medical libraries in Bangladesh.
    Keywords:  Asia, south; libraries, medical; library management systems; library services; professional development
    DOI:  https://doi.org/10.1111/hir.12521
  2. Res Social Adm Pharm. 2024 Jan 19. pii: S1551-7411(24)00021-4. [Epub ahead of print]
      The number of scientific publications is growing at an unprecedented rate. Failure to properly evaluate existing literature at the start of a project may result in a researcher wasting time and resources. As pharmacy researchers and scholars look to conceptualize new studies, it is imperative to begin with a high-quality literature review that reveals what is known and unknown about a given topic. The purpose of this commentary is to provide useful guidance on conducting rigorous searches of the literature that inform the design and execution of research. Guidance for less formal literature reviews can be adapted from best practices utilized within the formalized field of evidence synthesis. Additionally, researchers can draw on guidance from PRESS (Peer Review of Electronic Search Strategies) to engage in self-evaluation of their search strategies. Finally, developing an awareness of common pitfalls when designing literature searches can provide researchers with confidence that their research is designed to fill clearly articulated gaps in knowledge.
    Keywords:  Biomedical research; Peer review; Pharmacy research; Research; Research design
    DOI:  https://doi.org/10.1016/j.sapharm.2024.01.009
  3. Stud Health Technol Inform. 2024 Jan 25. 310 1297-1301
      Citizens' access to their online health information is pivotal. Therefore, this study examines citizens' access to their online health information across countries and healthcare settings. The study is based on a survey design targeting the 98 IMIA representatives of the national societies. Results indicate that Test results and Medications are the two types of online information that citizens in most cases have access to. Ten countries provide citizens access to all the different types of information included in the study. That relatively few countries provide citizens access to all the included types of online health information underscores the importance of continuous emphasis on accessibility and research within this field.
    Keywords:  Citizens; accessibility; health information; imia; survey
    DOI:  https://doi.org/10.3233/SHTI231174
  4. Clin Genitourin Cancer. 2024 Jan 05. pii: S1558-7673(23)00283-5. [Epub ahead of print]
       INTRODUCTION: OpenAI has created ChatGPT, an artificial intelligence language model that has gained considerable recognition for its capacity to produce text responses resembling human language. Consequently, this study seeks to evaluate the effectiveness of ChatGPT's responses in addressing publicly accessible queries related to prostate, kidney, bladder, and testicular cancers.
    MATERIAL AND METHODS: A comprehensive compilation of frequently asked questions (FAQs) pertaining to prostate, bladder, kidney, and testicular cancers was gathered from diverse sources. Additionally, the recommendations outlined in the European Association of Urology (EAU) 2023 Guideline Oncology were consulted. The chosen questions for evaluation were presented to the ChatGPT 4.0 premium version. The quality of ChatGPT responses was appraised using the global quality score (GQS). Each ChatGPT response was independently reviewed by a panel of physicians, who assigned a GQS score to assess its overall quality.
    RESULTS: For prostate cancer, 64.6% of the questions had a GQS score of 5, compared to 62.9 % for bladder, 68.1% for kidney, and 63.9% for testicular cancers, whereas none of the responses had a GQS score of 1. Meanwhile, the category with the lowest proportion of responses, with a GQS score of 5 for each disease, was prognosis and follow-up. The mean GQS score of the answers given to EAU guideline questions was statistically significantly lower than the average score of the answers given to FAQs.
    CONCLUSION: ChatGPT is a valuable tool for addressing general inquiries regarding urological cancers, boasting commendable accuracy rates. Nonetheless, its performance in responding to questions aligned with the EAU guideline was deemed unsatisfactory.
    Keywords:  Artificial intelligence; ChatGPT; Global quality score; Information sources; Urooncology
    DOI:  https://doi.org/10.1016/j.clgc.2023.12.017
  5. Curr Oncol. 2023 Dec 22. 31(1): 66-83
      Cancer survivors often rely on the internet for health information, which has varying levels of readability, suitability, and quality. There is a need for high-quality online self-management resources for cancer survivors with fear of cancer recurrence (FCR). This study evaluated the readability, suitability, and quality of publicly available online FCR self-management resources. A Google search using FCR-related keywords identified freely available FCR self-management resources for cancer survivors in English. Resource readability (reading grade level), suitability, and quality were evaluated using relevant assessment tools. Descriptive statistics and cluster analysis identified resources with higher suitability and quality scores. Mean resource (n = 23) readability score was grade 11 (SD = 1.6, Range = 9-14). The mean suitability score was 56.0% (SD = 11.4%, Range = 31.0-76.3%), indicating average suitability and the mean quality score was 53% (SD = 11.7%, Range = 27-80%), indicating fair quality. A cluster of 15 (65%) resources with higher suitability and quality scores was identified. There were no significant associations between suitability or quality scores and the type of organisation that published the resources. Online FCR self-management resources varied in readability, suitability and quality. Resources with higher quality and suitability scores relative to other resources are identified for use by healthcare professionals and cancer survivors. Resources that are more culturally appropriate, with lower reading grade levels and detailed self-management strategies are needed.
    Keywords:  cancer; fear of cancer recurrence; health literacy; health resources; internet; oncology; quality; readability; self-management; suitability
    DOI:  https://doi.org/10.3390/curroncol31010005
  6. J Pers Med. 2024 Jan 18. pii: 104. [Epub ahead of print]14(1):
      The aim of our study was to evaluate the potential role of Artificial Intelligence tools like ChatGPT in patient education. To do this, we assessed both the quality and readability of information provided by ChatGPT 3.5 and 4 in relation to Anterior Cruciate Ligament (ACL) injury and treatment. ChatGPT 3.5 and 4 were used to answer common patient queries relating to ACL injuries and treatment. The quality of the information was assessed using the DISCERN criteria. Readability was assessed with the use of seven readability formulae: the Flesch-Kincaid Reading Grade Level, the Flesch Reading Ease Score, the Raygor Estimate, the SMOG, the Fry, the FORCAST, and the Gunning Fog. The mean reading grade level (RGL) was compared with the recommended 8th-grade reading level, the mean RGL among adults in America. The perceived quality and mean RGL of answers given by both ChatGPT 3.5 and 4 was also compared. Both ChatGPT 3.5 and 4 yielded DISCERN scores suggesting "good" quality of information, with ChatGPT 4 slightly outperforming 3.5. However, readability levels for both versions significantly exceeded the average 8th-grade reading level for American patients. ChatGPT 3.5 had a mean RGL of 18.08, while the mean RGL of ChatGPT 4 was 17.9, exceeding the average American reading grade level by 10.08 grade levels and 9.09 grade levels, respectively. While ChatGPT can provide both reliable and good quality information on ACL injuries and treatment options, the readability of the content may limit its utility. Additionally, the consistent lack of source citation represents a significant area of concern for patients and clinicians alike. If AI is to play a role in patient education, it must reliably produce information which is accurate, easily comprehensible, and clearly sourced.
    Keywords:  ACL reconstruction surgery (ACL-R); ChatGPT; DISCERN criteria; anterior cruciate ligament (ACL); artificial intelligence (AI); health literacy; natural language processing; orthopaedic injuries; patient education materials (PEMS); readability
    DOI:  https://doi.org/10.3390/jpm14010104
  7. Orthop J Sports Med. 2024 Jan;12(1): 23259671231219014
       Background: Many patients use the internet to learn about their orthopaedic conditions and find answers to their common questions. However, the sources and quality of information available to patients regarding meniscal surgery have not been fully evaluated.
    Purpose: To determine the most frequently searched questions associated with meniscal surgery based on question type and topic, as well as to assess the website source type and quality.
    Study Design: Cross-sectional study.
    Methods: The following search terms were entered into a web search (www.google.com) using a clean-install browser: "meniscal tear,""meniscus repair,""meniscectomy,""knee scope,""meniscus surgery," and "knee arthroscopy." The Rothwell classification system was used to categorize questions and sort them into 1 of 13 topics relevant to meniscal surgery. Websites were also categorized by source into groups. The Journal of the American Medical Association (JAMA) benchmark criteria (medians and interquartile ranges [IQRs]) were used to measure website quality.
    Results: A total of 337 unique questions associated with 234 websites were extracted and categorized. The most popular questions were "What is the fastest way to recover from meniscus surgery?" and "What happens if a meniscus tear is left untreated?" Academic websites were associated more commonly with diagnosis questions (41.9%, P < .01). Commercial websites were associated more commonly with cost (71.4%, P = .03) and management (47.6%, P = .02). Government websites addressed a higher proportion of questions regarding timeline of recovery (22.2%, P < .01). Websites associated with medical practices were associated more commonly with risks/complications (43.8%, P = .01) while websites associated with single surgeons were associated more commonly with pain (19.4%, P = .03). Commercial and academic websites had the highest median JAMA benchmark scores (4 [IQR, 3-4] and 3 [IQR, 2-4], respectively) while websites associated with a single surgeon or categorized as "other" had the lowest scores (1 [IQR 1-2] and 1 [IQR 1-1.5], respectively).
    Conclusion: Our study found that the most common questions regarding meniscal surgery were associated with diagnosis of meniscal injury, followed by activities and restrictions after meniscal surgery. Academic websites were associated significantly with diagnosis questions. The highest quality websites were commercial and academic websites.
    Keywords:  internet search; meniscal repair; meniscectomy; meniscus
    DOI:  https://doi.org/10.1177/23259671231219014
  8. Stud Health Technol Inform. 2024 Jan 25. 310 760-764
      The COVID-19 pandemic has highlighted the dire necessity to improve public health literacy for societal resilience. YouTube provides a vast repository of user-generated health information in a multi-media-rich format which may be easier for the public to understand and use if major concerns about content quality and accuracy are addressed. This study develops an automated solution to identify, retrieve and shortlist medically relevant and understandable YouTube videos that domain experts can subsequently review and recommend for disseminating and educating the public on the COVID-19 pandemic and similar public health outbreaks. Our approach leverages domain knowledge from human experts and machine learning and natural language processing methods to provide a scalable, replicable, and generalizable approach that can also be applied to enhance the management of many health conditions.
    Keywords:  COVID-19 literacy; Visual social media; healthcare informatics; machine learning; natural language processing
    DOI:  https://doi.org/10.3233/SHTI231067
  9. Stud Health Technol Inform. 2024 Jan 25. 310 1261-1265
      With the growing popularity of content-sharing platforms, patients are increasingly using the Internet as a critical source of health information. As one of the most popular video-sharing sites, YouTube provides easy access to health information seekers, but it is difficult and time-consuming to identify and retrieve high-quality videos that may serve as engaging patient education materials. This paper reports on an exploratory analysis of 317 YouTube videos on Obstructive Sleep Apnea (OSA) to better understand some key features of the videos and the relationships between them to facilitate subsequent video classification and recommendation. Features intrinsic to a video, such as video duration, and extrinsic, such as the number of views, are analyzed using unsupervised clustering methods and the Sankey diagram to discover the relationship between the clusters and their significance across different clusters, providing promising insights for the assessment of video quality.
    Keywords:  Obstructive sleep apnea; clustering methods; youtube videos
    DOI:  https://doi.org/10.3233/SHTI231167
  10. Healthcare (Basel). 2024 Jan 18. pii: 243. [Epub ahead of print]12(2):
       BACKGROUND: Prostate and colorectum cancers rank among the most common cancers, and incontinence is a significant postsurgical issue affecting the physical and psychological well-being of cancer survivors. Social media, particularly YouTube, has emerged as a vital source of health information. While YouTube offers valuable content, users must exercise caution due to potential misinformation.
    OBJECTIVE: This study aims to assess the quality of publicly available YouTube videos related to incontinence after pelvic cancer surgery.
    METHODS: A search on YouTube related to "Incontinence after cancer surgery" was performed, and 108 videos were analyzed. Multiple quality assessment tools (DISCERN, GQS, JAMA, PEMAT, and MQ-VET) and statistical analyses (descriptive statistics and intercorrelation tests) were used to evaluate the characteristics and popularity, educational value, quality, and reliability of these videos, relying on novel graphical representation techniques such as Sankey and Chord diagrams.
    RESULTS: Strong positive correlations were found among quality rating scales, emphasizing agreement. The performed graphical analysis reinforced the reliability and validity of quality assessments.
    CONCLUSIONS: This study found strong correlations among five quality scales, suggesting their effectiveness in assessing health information quality. The evaluation of YouTube videos consistently revealed "high" quality content. Considering the source is mandatory when assessing quality, healthcare and academic institutions are reliable sources. Caution is advised with ad-containing videos. Future research should focus on policy improvements and tools to aid patients in finding high-quality health content.
    Keywords:  DISCERN; GQS; JAMA; MQ-VET; PEMAT; Sankey; YouTube; cancer; chord; diagram; incontinence; information; quality; surgery
    DOI:  https://doi.org/10.3390/healthcare12020243
  11. Front Public Health. 2023 ;11 1344212
       Background: Health education about Helicobacter pylori (H. pylori) is one of the most effective methods to prevent H. pylori infection and standardize H. pylori eradication treatment. Short videos enable people to absorb and remember information more easily and are an important source of health education. This study aimed to assess the information quality of H. pylori-related videos on Chinese short video-sharing platforms.
    Methods: A total of 242 H. pylori-related videos from three Chinese short video-sharing platforms with the most users, TikTok, Bilibili, and Kwai, were retrieved. The Global Quality Score (GQS) and the modified DISCERN tool were used to assess the quality and content of videos, respectively. Additionally, comparative analyzes of videos based on different sources and common H. pylori issues were also conducted.
    Results: The median GQS score and DISCERN score was 2 for H. pylori-related videos analyzed in this study. Non-gastroenterologists posted the most H. pylori-related videos (136/242, 56.2%). Videos from gastroenterologists (51/242, 21.0%) had the highest GQS and DISCERN scores, with a median of 3. Few videos had content on family-based H. pylori infection control and management (5.8%), whether all H. pylori-positive patients need to undergo eradication treatment (27.7%), and the adverse effects of H. pylori eradication therapy (16.1%).
    Conclusion: Generally, the content and quality of the information in H. pylori-related videos were unsatisfactory, and the quality of the video correlated with the source of the video. Videos from gastroenterologists provided more correct guidance with higher-quality information on the prevention and treatment of H. pylori infection.
    Keywords:  Helicobacter pylori; health information; quality; reliability; short video
    DOI:  https://doi.org/10.3389/fpubh.2023.1344212
  12. Cureus. 2023 Dec;15(12): e51054
      Introduction Migraine, as a major cause of headaches, showcases the need for the public to be well aware of it. The legitimacy and quality of YouTube as a platform to find information regarding migraine have not been validated. The aim of this study was to assess the content, quality, and reliability of information about migraine on YouTube. Methodology Videos were reviewed on YouTube after searching for relevant keywords. They were screened for a predetermined inclusion criterion and they entered into a performed questionnaire by authors. Using the Global Quality Scale and DISCERN scale, the effectiveness of the videos was evaluated. These videos were further analyzed for viewership and their relation to the effectiveness of the videos by the Video Power Index (VPI). Results The videos published by "others" had the highest VPI, at 517.13, followed by videos uploaded by doctors, at 117.91. The difference in the VPI was determined to be statistically significant across various groups (p=0.033). The doctors' videos received the highest reliability ratings, but the difference between them and "others" was not statistically significant (p=0.317). Conclusions Videos regarding migraine on YouTube could be more effective. The latest preventive strategies must be provided, together with supporting evidence from the authors.
    Keywords:  content analysis; discern; gqs; headache; migraine; youtube
    DOI:  https://doi.org/10.7759/cureus.51054
  13. Contraception. 2024 Jan 20. pii: S0010-7824(24)00030-1. [Epub ahead of print] 110384
       OBJECTIVE: Access to information about abortion is essential for ensuring reproductive autonomy, particularly post-Roe. TikTok, a popular video-sharing application, may be a source of information about abortion, yet little is known about the tone and content of such videos. To fill this gap, we analyze the most liked abortion videos on TikTok three months following the U.S. Supreme Court decision Dobbs v. Jackson Women's Health Organization.
    STUDY DESIGN: We downloaded the top 200 most liked, publicly available TikTok videos when searching "abortion" on September 26, 2022 and recorded and summarized key video characteristics. We then qualitatively analyzed for content, tone, and common themes.
    RESULTS: The top 200 most liked TikTok videos collectively had approximately 164 million likes, nearly 10 million shares, and 4 million comments. Most videos expressed support for abortion and presented information that was political or personal in nature. Only two videos contained health information about obtaining or completing an abortion, and only five videos featured or were created by a medical provider.
    CONCLUSIONS: Findings reveal the far reach of TikTok, which underscores the importance of analyzing online sources of information about abortion. However, our mixed-methods analysis indicates that the most liked TikToks are a source of abortion news, political opinion, personal stories, and debate rather than a source of health information for abortion seekers.
    IMPLICATIONS: Our analysis finds that the top 200 most liked TikTok videos three months post-Dobbs are primarily political in nature. Relatively few videos provided practical information about accessing abortion care, presenting an opportunity for healthcare providers, public health advocates, and activists to improve access and awareness of new pathways to care. The most popular TikTok videos appear to disseminate news and political information rather than health information about abortion.
    Keywords:  TikTok; abortion; health information; online sharing; social media
    DOI:  https://doi.org/10.1016/j.contraception.2024.110384
  14. PLoS One. 2024 ;19(1): e0286755
       INTRODUCTION: Hepatitis B virus (HBV) infection continues to be a major public health issue worldwide. Health information-seeking behavior is critical to obtain information about health, diseases such as the Hepatitis B virus, health risks, and health promotion and it has become a major concern of health policymakers. However, there is little evidence of information-seeking behavior on the Hepatitis B virus in Ethiopia. So, this study aimed to assess Hepatitis B virus information-seeking behavior and its associated factors among pregnant women at teaching and Specialized Hospitals, in Northwest Ethiopia.
    METHODS: An institution-based cross-sectional study was conducted among pregnant women at teaching and specialized hospitals, in Northwest Ethiopia from May 01 to June 01, 2022. A total of 423 participants were selected using a systematic random sampling method. The data was collected through an interview-administered questionnaire by kobo-collect software. Then export into SPSS version 20 for analysis. Descriptive statistics, bi-variable, and multivariable logistic regression analyses were done to identify factors associated with Hepatitis B virus information-seeking behavior.
    RESULTS: The proportion of information-seeking behavior on the Hepatitis B virus among pregnant women was 40.5% (CI = 35.7, 45.6). Education(diploma and above) [AOR = 3.3, 95% CI (1.31, 8.16)], more than one ANC visit [AOR = 5.99, 95% CI (3.20, 12.31)], smart-phone ownership [AOR = 4.1, 95%CI (1.35, 12.31)], internet access [AOR = 5.1, 95%CI (1.35, 15.60)], perceived susceptibility [AOR = 2.7, 95%CI (1.38, 5.31)], perceived severity [AOR = 3.7, 95%CI (2.06, 6.55)], and self-efficacy [AOR = 1.9, 95%CI (1.03, 3.73)] were factors influencing information seeking on Hepatitis B virus.
    CONCLUSION: The overall proportion of information-seeking behavior on HBV among pregnant women was low. To improve information-seeking behavior on HBV among pregnant women we should connect the women to the internet and technology. Creating women's awareness about the Hepatitis B virus severity and their venerability and increasing their antenatal care (ANC) visits, self-efficacy, internet access, and women's education can improve information seeking about the Hepatitis B virus.
    DOI:  https://doi.org/10.1371/journal.pone.0286755
  15. Support Care Cancer. 2024 Jan 23. 32(2): 128
       PURPOSE: To describe the health information-seeking experience and its influencing factors of people with head and neck neoplasms undergoing treatment.
    METHODS: This was a descriptive phenomenology study. Participants were recruited by purposive sampling. The semistructured interviews and all observation results were recorded. The data were analysed using Colaizzi's method.
    RESULTS: Fourteen participants were selected. We identified four themes that illustrate factors that influence the health information-seeking behaviour of participants: patients' awareness of health information needs, patients' competence, doctor-patient communication, and online advertising interference. We also determined the value of different types of information and patients' information needs and sources.
    CONCLUSION: These findings can help professionals understand patients' behaviours and think about how to deliver practical information support in a network environment to guide patients in continuous information seeking while taking specific factors into account.
    Keywords:  Head and neck neoplasms; Health information-seeking behaviour; Qualitative research
    DOI:  https://doi.org/10.1007/s00520-024-08329-1
  16. BMC Public Health. 2024 Jan 27. 24(1): 307
       BACKGROUND: Health Information-Seeking Behaviour (HISB) is necessary for self-management and medical decision-making among patients with inflammatory bowel disease (IBD). With the advancement of information technology, health information needs and seeking are reshaped among patients with IBD. This scoping review aims to gain a comprehensive understanding of HISB of people with IBD in the digital age.
    METHODS: This scoping review adhered to Arksey and O'Malley's framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews frameworks (PRISMA-ScR). A comprehensive literature search was conducted in PubMed, Embase, Web of Science, PsycINFO, CINAHL, and three Chinese databases from January 1, 2010 to April 10, 2023. Employing both deductive and inductive content analysis, we scrutinized studies using Wilson's model.
    RESULTS: In total, 56 articles were selected. Within the information dimension of HISB among patients with IBD, treatment-related information, particularly medication-related information, was identified as the most critical information need. Other information requirements included basic IBD-related information, daily life and self-management, sexual and reproductive health, and other needs. In the sources dimension, of the eight common sources of information, the internet was the most frequently mentioned source of information, while face-to-face communication with healthcare professionals was the preferred source. Associated factors were categorized into six categories: demographic characteristics, psychological aspects, role-related or interpersonal traits, environmental aspects, source-related characteristics, and disease-related factors. Moreover, the results showed five types of HISB among people with IBD, including active searching, ongoing searching, passive attention, passive searching, and avoid seeking. Notably, active searching, especially social information seeking, appeared to be the predominant common type of HISB among people with IBD in the digital era.
    CONCLUSION: Information needs and sources for patients with IBD exhibit variability, and their health information-seeking behaviour is influenced by a combination of diverse factors, including resource-related and individual factors. Future research should focus on the longitudinal changes in HISB among patients with IBD. Moreover, efforts should be made to develop information resources that are both convenient and provide credible information services, although the development of such resources requires further investigation and evaluation.
    Keywords:  Health information seeking behaviour; Inflammatory bowel disease; Review
    DOI:  https://doi.org/10.1186/s12889-024-17758-w
  17. Cureus. 2023 Dec;15(12): e51125
      Introduction In the evolving landscape of healthcare, the emergence of digital technologies has brought digital health literacy to the forefront. This is especially pertinent given the vast amount of health information available online and the diverse capabilities of individuals to effectively use this resource. Focusing on the Saudi Arabian context, where digital health practices are increasingly integrated into daily life, our study aims to investigate the competencies in digital health literacy and the patterns of online health information seeking among the Saudi population. Methods A quantitative research design was adopted for this investigation. Data were collected through online surveys from a diverse cohort of 2,184 Saudi residents, all above the age of 18 years. The survey was designed to evaluate the participants' ability to find, understand, and use health information obtained from digital platforms. Results Analysis indicates that 63% of the population is proficient in using search engines for health information. However, 37% face challenges in formulating precise health-related inquiries. Additionally, the study identified significant variations in digital health literacy across different genders and age groups, with younger participants generally showing higher literacy levels. Conclusion The results of our study highlight the critical need for specialized educational initiatives in Saudi Arabia aimed at bolstering digital health literacy. This is particularly essential in bridging the gaps observed in different age groups and between genders. By enhancing these key competencies, we can significantly empower individuals to make well-informed health decisions. Such advancements are instrumental in nurturing a society that is both more informed and proficient in managing health-related information in a digital context.
    Keywords:  digital health literacy; digital skills; information sources; online health information; web-based health information seeking
    DOI:  https://doi.org/10.7759/cureus.51125
  18. Stud Health Technol Inform. 2024 Jan 25. 310 1046-1050
      Health information websites can be useful for information seekers, and their design is crucial for the success of accessing the needed information. While web analytical tools (e.g. Google Analytics) used by such websites can provide descriptive measures of users, there is a disconnection between this data and the current understanding of health information-seeking behaviour. In this work, we leverage a theoretical model to interpret the Google Analytics data. Drawn on the visualisation of user behaviours based on this model, our research shows that better website design can be informed, and the evaluation of health websites can be performed on the basis of different user profiles.
    Keywords:  Google analytics; Health information-seeking behaviour
    DOI:  https://doi.org/10.3233/SHTI231124