bims-librar Biomed News
on Biomedical librarianship
Issue of 2024–05–19
twenty-one papers selected by
Thomas Krichel, Open Library Society
  1. How Ohio public library systems respond to opioid-related substance use: a descriptive analysis of survey results.
  2. Creating change through leadership development: an overview of the 2019-2021 Canadian Health Libraries Leadership Institute.
  3. Bibliometric analysis of librarian involvement in systematic reviews at the University of Alberta.
  4. Inclusion of librarians and information professionals in Canadian knowledge synthesis grant funding.
  5. Health sciences librarians' instructional engagement in continuing education: a scoping review.
  6. Understanding equity and diversity needs among health library professionals in Canada: a survey.
  7. 'Connecting' with the Health Libraries Group conference.
  8. Building on NIH's data sharing policy.
  9. Plan to alter access to health data draws ire.
  10. Leveraging Wikipedia in undergraduate health sciences education: a key tool for information literacy and knowledge translation.
  11. Searching for the social determinants of health: observations from evidence synthesis publications.
  12. Accuracy, readability, and understandability of large language models for prostate cancer information to the public.
  13. Infodemic and sources of information about COVID-19 in a Brazilian population: what are the associated factors?
  14. Credibility, readability and content analysis of treatment recommendations for adolescents with nonspecific back pain published on consumer websites.
  15. Online resources as a source of information for exercise and physical activity in solid organ transplant recipients.
  16. YouTube as a Source of Information for Self-Skin Examinations: An Analysis of Content and Quality.
  17. Orthodontic Elastics: A Multivariable Analysis of YouTubeTM Videos.
  18. Knowledge level and health information-seeking behavior of people with diabetes in rural areas: a multicenter cross-sectional study.
  19. Misinformation does not reduce trust in accurate search results, but warning banners may backfire.
  20. Analysis of Google Searches in Laryngology: Where Do People Look and Are the Answers They Find Credible?
  21. Comparison of literature mining tools for variant classification: Through the lens of 50 RYR1 variants.
  1. BMC Public Health. 2024 May 17. 24(1): 1336
    How Ohio public library systems respond to opioid-related substance use: a descriptive analysis of survey results.
    Patrick M Schnell, Ruochen Zhao, Sydney Schoenbeck, Kaleigh Niles, Sarah R MacEwan, Martin Fried, Janet E Childerhose.
       BACKGROUND: Public libraries in the United States have experienced increases in opioid-related substance use in their communities and on their premises. This includes fatal and non-fatal overdose events. Some libraries have adopted response measures in their branches to deter substance use or prevent overdose. A small number of libraries around the nation have decided to stock the opioid antagonist naloxone (Narcan) for staff to administer to patrons who experience overdose. This response measure has generated extensive media attention. Although Ohio ranks fourth in age-adjusted drug mortality rate in the United States, there has been no investigation of whether Ohio libraries are observing opioid-related transactions, consumption, and/or overdose events, or which measures they have adopted in response to these activities. We conducted a multimethod survey with Ohio public library directors to identify the response measures they have adopted. We present descriptive findings from the quantitative and qualitative items in our survey.
    METHODS: We conducted a cross-sectional 54-item multimethod survey of public library system directors (one per system) in Ohio. Directors of each of Ohio's public library systems were invited to participate via email.
    RESULTS: Of 251 library systems, 56 responded (22.3% response rate), with 34 respondents (60.7%) indicating awareness of opioid-related transactions, consumption, and/or overdose on their premises. Most (n = 43, 76.8%) did not stock naloxone in their buildings. Over half (n = 34, 60.7%) reported implementing one or more non-naloxone response measures. These measures focus on improving security for staff and patrons, deterring opioid-related transactions (purchases and exchanges) and consumption, and providing educational events on substance use. Nearly half (n = 25, 47.2%) partner with community organizations to provide opioid response measures. A similar proportion reported adequate funding to respond to opioid-related substance use (n = 23, 45.1%), and most (n = 38, 74.5%) reported adequate support from their boards and communities. Few respondents have implemented evaluations of their response measures.
    CONCLUSIONS: Ohio public libraries are responding to evidence of opioid-related transactions, consumption, and/or overdose on their premises with a range of measures that focus on substance use prevention and deterrence. Most Ohio library systems do not stock naloxone. Respondents indicated they prefer to call 911 and let first responders handle overdose events. The majority of respondents indicated their library systems have political capacity to respond to evidence of opioid-related substance use on their premises, but have limited operational and functional capacity. Findings suggest the need to revisit assumptions that public libraries are willing to stock naloxone to respond to overdose events, and that libraries have the resources to respond robustly to opioid-related transactions, consumption, and/or overdose on their premises.
    Keywords:  Bioethics; Harm reduction; Mixed-methods public health; Naloxone; Ohio; Opioid epidemic; Public libraries
    DOI:  https://doi.org/10.1186/s12889-024-18799-x
  2. J Can Health Libr Assoc. 2024 Apr;45(1): 52-56
    Creating change through leadership development: an overview of the 2019-2021 Canadian Health Libraries Leadership Institute.
    Sandy Iverson, Miriam Ticoll.
      
    DOI:  https://doi.org/10.29173/jchla29755
  3. J Can Health Libr Assoc. 2024 Apr;45(1): 16-29
    Bibliometric analysis of librarian involvement in systematic reviews at the University of Alberta.
    Megan R Kennedy, Janice Y Kung.
       Introduction: It is well documented that librarian involvement in systematic reviews generally increases quality of reporting and the review overall. We used bibliometric analysis methods to analyze the level of librarian involvement in systematic reviews conducted at the University of Alberta (U of A).
    Methods: Using Web of Science (WoS), we searched for systematic reviews completed in the years 2016-2020 with a U of A co-author. Systematic reviews identified through WoS were screened in two phases: (i) exclusion of duplicates, protocols, other types of reviews, and systematic review methodology literature to leave true systematic review publications, and (ii) screening for level of librarian involvement (acknowledgement, co-author, or no involvement).
    Results: 640 reviews were analyzed for the following categories: (i) librarian named as a coauthor; (ii) librarian named in the acknowledgements section; (iii) librarian mentioned in the body of the manuscript; (iv) no librarian involvement. We identified 152 reviews who named a librarian as a co-author on the paper, 125 reviews named a librarian in the acknowledgements section, and 67 reviews mentioned a librarian in the body of the review without naming them as a co-author or in an acknowledgement. WoS Research Areas were used to identify disciplines that used librarian support and those that did not. A keyword network analysis revealed research areas that were very active in producing systematic reviews, while also providing information on the areas publishing systematic reviews without librarian support.
    Conclusion: There is a great deal of variation in how the work of librarians is reflected in systematic reviews. This was particularly apparent in reviews where a librarian was mentioned in the body of the review but they were not named as an author or formally acknowledged. Continuing to educate researchers about the work of librarians is crucial to fully represent the value librarians bring to systematic reviews. Bibliometric analysis provides useful insights on service gaps for specific disciplines or research areas that are currently not using librarian support in systematic review publications, which can help inform service planning.
    DOI:  https://doi.org/10.29173/jchla29696
  4. J Can Health Libr Assoc. 2024 Apr;45(1): 3-15
    Inclusion of librarians and information professionals in Canadian knowledge synthesis grant funding.
    Brianna Henshaw, Rachael Bradshaw, Aubrey C Geyer.
       Introduction: Librarians continually advocate for the expertise they can bring to knowledge synthesis research projects. Professional associations like the Canadian Health Libraries Association aim to promote librarians and information professionals as partners in health research. This push for representation must happen at a policy level to enact change. To that purpose, we explored the degree to which the inclusion of librarians and information professionals is represented at the funding level by healthcare research organizations in Canada.
    Methods: We used a list of health research funding agencies generated from Scopus searches and an independent search of Canadian health research institutions, governmental health authorities, professional associations, and research-oriented universities to identify research grants designed for knowledge synthesis research. We examined these grants to determine whether they require or specifically mention librarians in their eligibility criteria.
    Results: Of the 14 knowledge synthesis grants we identified, only one required a health librarian as a member of the research team in the grant eligibility criteria. Four grants "strongly recommended" the inclusion of librarians on the research team, though this inclusion was not a contingency for funding.
    Discussion: Most knowledge synthesis grants in Canada do not require, recommend, or mention librarians as members of the research or authorship team. Evidence suggests that librarian involvement substantially improves the quality of knowledge synthesis research projects; it would therefore benefit both librarians and knowledge synthesis work to advocate for librarian involvement as a contingency for grant funding.
    DOI:  https://doi.org/10.29173/jchla29701
  5. J Can Health Libr Assoc. 2024 Apr;45(1): 30-43
    Health sciences librarians' instructional engagement in continuing education: a scoping review.
    Jackie Phinney, Melissa Helwig, Melissa A Rothfus, Kristy Hancock.
       Objective: Healthcare professionals (HCPs) have an ongoing need for continuing education (CE) while Health Science Librarians (HSLs), accustomed to supporting a range of learning needs in a variety of contexts, are well situated to provide CE that addresses information retrieval, literacy, management, and more. To better understand the extent of HSL delivered CE activities, we undertook a scoping review to determine how HSLs instruct practicing HCPs in support of their CE.
    Methods: We searched for published and unpublished literature sources including PubMed (NCBI), Embase (Elsevier); Dissertations and Theses Global (ProQuest); CINAHL (EBSCO); Library, Information Science and Technology Abstracts (EBSCO); and Library Literature and Information Science Full Text (EBSCO). To identify unpublished sources, we searched the internet using Google and contacted two health sciences library listservs. We also performed backwards and forwards searching of our included sources.
    Results: Our database searches yielded 4842 sources, and we retrieved an additional 579 sources through supplementary retrieval methods. After duplicate removal and screening, we included 105 sources in this review. The included sources were published between 1970 to 2021 and covered a range of topics such as searching methods and tools, critical appraisal, and many more. Those related to evidence-based practice (EBP) appeared around 2001 and bibliometrics and bioinformatics arose after 2016. Publications depicting HSLs teaching CE most commonly occurred in academic settings. The most common population taught was nurses, followed by physicians. Most sources did not report using an information literacy framework or instructional design model, undertaking needs assessments, or reporting formal objectives or assessment.
    Conclusion: While HSLs are active supporters of EBP, we need to apply the same principles to our own professional practice. Formal structure of programming and program assessment combined with clear, detailed reporting can help to build a more robust evidence base to support future CE provision.
    DOI:  https://doi.org/10.29173/jchla29656
  6. J Can Health Libr Assoc. 2024 Apr;45(1): 44-51
    Understanding equity and diversity needs among health library professionals in Canada: a survey.
    Abiola Ajayi, Patricia L Foster, Chau Ha, Maria Zych, Tara Landry.
      
    DOI:  https://doi.org/10.29173/jchla29700
  7. Health Info Libr J. 2024 Jun;41(2): 115-116
    'Connecting' with the Health Libraries Group conference.
    Imrana Ghumra.
      Imrana Ghumra, Past Health Libraries Group (HLG) Co-Chair and now HLG Conference Lead, revisits recent HLG conferences before sharing details of the exciting programme for 2024. Hosted at the Royal College of Physicians, London, 19-21 June 2024, the conference embraces the benefits of a hybrid event, offering both in-person and online opportunities to networking and to catch up with colleagues from across the country, across sectors and the profession, and embracing ideas and best practice.
    DOI:  https://doi.org/10.1111/hir.12533
  8. Science. 2024 May 17. 384(6697): 747-748
    Building on NIH's data sharing policy.
    Nicole Contaxis, Kelsey Badger, Lena Bohman, Sara Gonzales, Seonyoung Kim, Amy Koshoffer, Genevieve Milliken, Jess Newman, Reid Otsuji, Rebecca Renirie, Katy Smith, Ummea Urmi, Amy Yarnell, Hao Ye, Michelle Yee.
      
    DOI:  https://doi.org/10.1126/science.adn5594
  9. Science. 2024 May 17. 384(6697): 726
    Plan to alter access to health data draws ire.
    Meredith Wadman.
      Universities could no longer store Medicare and Medicaid data, and costs would rise.
    DOI:  https://doi.org/10.1126/science.adq4553
  10. J Can Health Libr Assoc. 2023 Dec;44(3): 79-84
    Leveraging Wikipedia in undergraduate health sciences education: a key tool for information literacy and knowledge translation.
    Denise Smith.
       Background: Academic institutions and libraries are familiar with Wikipedia. There is growing momentum in higher education for using Wikipedia as a learning tool in various contexts. These include, but are not limited to, the use of Wikipedia-based assignments to teach information literacy, science communication, evidence-based practice, and more. Although there is growing acceptance of Wikipedia's value in the classroom, there are limited exemplars available for how it is applied in undergraduate health sciences education.
    Description: This program description describes a librarian instructed course in the Bachelor of Health Sciences Program at McMaster University in which students dedicate one academic term to learning about Wikipedia content production and making contributions to a health-related Wikipedia article of their choice.
    Outcomes: In the five iterations of this course that have been offered, undergraduate health sciences students have made significant contributions to 25 health-related articles in Wikipedia. They have added more than 120,000 words and over 2,000 references to high-quality literature. In class, conversations emerged about the meaningfulness of the editing Wikipedia, information literacy, and knowledge translation.
    DOI:  https://doi.org/10.29173/jchla29688
  11. Syst Rev. 2024 May 16. 13(1): 134
    Searching for the social determinants of health: observations from evidence synthesis publications.
    Rosie Hanneke, Amelia Brunskill.
       BACKGROUND: The social determinants of health (SDOH) are the focus of an exponentially increasing number of publications, including evidence syntheses. However, there is not an established standard for searching for SDOH literature. This study seeks to identify published evidence syntheses pertaining to the SDOH, analyzing the search strategies used and the studies included within these reviews. The primary objectives are to compare search strategies and create a test set of SDOH publications.
    METHODS: We searched PubMed, Embase, and Scopus for evidence syntheses that mentioned the SDOH in their research questions and included an SDOH search strategy. Relevant data extracted from each review included databases searched; search terms used for the SDOH; conceptual frameworks referenced; and the citations of primary studies included in the reviews, which were compiled to form a test set of cited papers. The relative recall of the respective search strategies was tested by documenting the total number of MEDLINE results each retrieved and the number of test set papers retrieved.
    RESULTS: Sixty-four evidence syntheses were identified and included in the analysis, and 2750 cited papers were extracted. Findings indicate few commonalities across search strategies in search terms used, the total number of results retrieved, and the number of test set cited papers retrieved. One hundred and ninety-three unique MeSH terms and 1385 unique keywords and phrases were noted among the various search strategies. The number of total results retrieved by the SDOH search strategies ranged from 21,793 to over 16 million. The percentage of cited papers retrieved by the search strategies ranged from 2.46 to 97.9%. Less than 3% of the cited papers were indexed with the Social Determinants of Health MeSH.
    CONCLUSIONS: There has been little consistency across evidence syntheses in approaches to searching for SDOH literature. Differences in these strategies could have a significant impact on what literature is retrieved, included in reviews, and, consequently, incorporated into evidence-based practice. By documenting these differences and creating a set of papers relevant to SDOH, this research provides a snapshot of the current challenges in searching for SDOH content and lays the groundwork for the creation of a standardized search approach for SDOH literature.
    Keywords:  Evidence synthesis; Evidence-based public health; Health equity; Information search and retrieval; Review literature as topic; Social determinants of health; Systematic reviews
    DOI:  https://doi.org/10.1186/s13643-024-02551-y
  12. Prostate Cancer Prostatic Dis. 2024 May 14.
    Accuracy, readability, and understandability of large language models for prostate cancer information to the public.
    Jacob S Hershenhouse, Daniel Mokhtar, Michael B Eppler, Severin Rodler, Lorenzo Storino Ramacciotti, Conner Ganjavi, Brian Hom, Ryan J Davis, John Tran, Giorgio Ivan Russo, Andrea Cocci, Andre Abreu, Inderbir Gill, Mihir Desai, Giovanni E Cacciamani.
       BACKGROUND: Generative Pretrained Model (GPT) chatbots have gained popularity since the public release of ChatGPT. Studies have evaluated the ability of different GPT models to provide information about medical conditions. To date, no study has assessed the quality of ChatGPT outputs to prostate cancer related questions from both the physician and public perspective while optimizing outputs for patient consumption.
    METHODS: Nine prostate cancer-related questions, identified through Google Trends (Global), were categorized into diagnosis, treatment, and postoperative follow-up. These questions were processed using ChatGPT 3.5, and the responses were recorded. Subsequently, these responses were re-inputted into ChatGPT to create simplified summaries understandable at a sixth-grade level. Readability of both the original ChatGPT responses and the layperson summaries was evaluated using validated readability tools. A survey was conducted among urology providers (urologists and urologists in training) to rate the original ChatGPT responses for accuracy, completeness, and clarity using a 5-point Likert scale. Furthermore, two independent reviewers evaluated the layperson summaries on correctness trifecta: accuracy, completeness, and decision-making sufficiency. Public assessment of the simplified summaries' clarity and understandability was carried out through Amazon Mechanical Turk (MTurk). Participants rated the clarity and demonstrated their understanding through a multiple-choice question.
    RESULTS: GPT-generated output was deemed correct by 71.7% to 94.3% of raters (36 urologists, 17 urology residents) across 9 scenarios. GPT-generated simplified layperson summaries of this output was rated as accurate in 8 of 9 (88.9%) scenarios and sufficient for a patient to make a decision in 8 of 9 (88.9%) scenarios. Mean readability of layperson summaries was higher than original GPT outputs ([original ChatGPT v. simplified ChatGPT, mean (SD), p-value] Flesch Reading Ease: 36.5(9.1) v. 70.2(11.2), <0.0001; Gunning Fog: 15.8(1.7) v. 9.5(2.0), p < 0.0001; Flesch Grade Level: 12.8(1.2) v. 7.4(1.7), p < 0.0001; Coleman Liau: 13.7(2.1) v. 8.6(2.4), 0.0002; Smog index: 11.8(1.2) v. 6.7(1.8), <0.0001; Automated Readability Index: 13.1(1.4) v. 7.5(2.1), p < 0.0001). MTurk workers (n = 514) rated the layperson summaries as correct (89.5-95.7%) and correctly understood the content (63.0-87.4%).
    CONCLUSION: GPT shows promise for correct patient education for prostate cancer-related contents, but the technology is not designed for delivering patients information. Prompting the model to respond with accuracy, completeness, clarity and readability may enhance its utility when used for GPT-powered medical chatbots.
    DOI:  https://doi.org/10.1038/s41391-024-00826-y
  13. J Commun Healthc. 2024 May 13. 1-8
    Infodemic and sources of information about COVID-19 in a Brazilian population: what are the associated factors?
    Micaela Rabelo Quadra, Antônio Augusto Schäfer, Elisabete Borges Maciel, Bianca Languer Vargas, Luiza Amorim Saraiva Schlemper, Sofia Garbin Petry, Fernanda Oliveira Meller.
       BACKGROUND: With the COVID-19 pandemic, social isolation, and information search have increased dramatically. This increased search for information about the Coronavirus, called infodemic, was greatly affected by fake news and information without scientific evidence. This article aimed to assess the infodemic amid the COVID-19 pandemic and its association with sociodemographic and pandemic-related variables, as well as describe the main sources from which people obtained information about COVID-19.
    METHODS: A cross-sectional population-based study was performed in Criciúma, Brazil. All individuals aged 18 years or older, residing in the 607 households systematically selected, were invited to answer the questionnaire. Infodemic and sources to seek information about COVID-19 were evaluated, as well as sociodemographic and pandemic-related variables. Adjusted Poisson regression with robust variance was used to evaluate associations.
    RESULTS: A total of 863 individuals participated in the study. The prevalence of infodemic was 22.1%, and television was the main source of information (58.9%). Three groups presented a higher prevalence of infodemic: older adults (PR: 1.65), individuals with low income (PR: 2.97), and those who had had contact with someone infected (PR: 2.20).
    CONCLUSIONS: The findings reflect how some groups are more exposed to infodemic, and underline the responsibility and importance of intersectoral actions for dissemination of information about COVID-19.
    Keywords:  COVID-19; Infodemic; information-seeking behavior; pandemics
    DOI:  https://doi.org/10.1080/17538068.2024.2352982
  14. Eur J Pain. 2024 May 16.
    Credibility, readability and content analysis of treatment recommendations for adolescents with nonspecific back pain published on consumer websites.
    S D Hauber, K Robinson, R Fechner, J W Pate, K O'Sullivan.
       BACKGROUND: Parents may seek out health information online when their adolescent has nonspecific back pain to better understand treatment options. Such information directed towards consumers has not been previously analysed.
    METHODS: A descriptive cross-sectional content analysis was performed to describe the treatments recommended on consumer websites for nonspecific back pain in adolescents. The credibility and readability of the websites were also assessed. Systematic Google searches were completed in five countries, and relevant content from eligible web pages was analysed. An a priori codebook with 34 treatment-related codes was developed. Nine additional codes were inductively created during analysis. Credibility was assessed using the JAMA benchmark. Readability was assessed via the Flesch Kincaid Grade Level.
    RESULTS: Of 245 web pages, 48 were deemed eligible and analysed. Of 43 treatment codes, 37 were present in at least one web page. The five most frequently identified codes were See the doctor/get a diagnosis (found on 85% of web pages), Ergonomics/posture/biomechanics (52%), Reassurance (48%), Physiotherapy (48%) and Non-prescription pharmaceuticals/supplements (46%). Only 21% of the web pages met all four JAMA benchmark criteria, and 15% cited at least one recent or high-quality source. The median Flesch Kincaid Grade Level score was 9.0 (range 3.5-12.9).
    CONCLUSIONS: Parents of adolescents with nonspecific back pain may find that treatment recommendations published online are numerous and varied, with visits to the doctor encouraged. The credibility scores of these web pages are generally low, while the median reading level may be too high for the general population.
    SIGNIFICANCE STATEMENT: This analysis reveals that public-facing websites with recommendations for treating adolescent nonspecific back pain do not cite the most recent, high-quality research. Although web pages correctly encourage physical activity and exercise over surgery and prescription medications, they do not reflect the psychologically informed or interdisciplinary care emphasized in recently published treatment recommendations. Clinicians must be aware that caregivers of their adolescent patients with nonspecific back pain may be exposed to online messages that encourage them to keep seeking a diagnosis.
    DOI:  https://doi.org/10.1002/ejp.2282
  15. Front Sports Act Living. 2024 ;6 1353663
    Online resources as a source of information for exercise and physical activity in solid organ transplant recipients.
    Tania Da Silva, Rozhan Momen, Noor Al Kaabi, Muhib Masrur, Sandra Holdsworth, Karina Prevost, Sherrie Logan, Daniel Santa Mina, Istvan Mucsi, Mamatha Bhat, Ana Carolina Alba, W Darlene Reid, Manoela Ferreira, Sunita Mathur, Tania Janaudis-Ferreira, Lisa Wickerson, Dmitry Rozenberg.
       Introduction: Exercise training post-transplant has been shown to improve physical function and quality of life in solid organ transplant (SOT) recipients. Online resources in the form of websites and videos are commonly used to provide education and instruction on exercise and physical activity in SOT; however, the content and quality of these online resources has not been evaluated.
    Methods: The first 200 websites and videos identified on Google and YouTube using the English search term "exercise and physical activity in solid organ transplantation" were analyzed. Website and video content was evaluated based on 25 key components of exercise and physical activity in SOT as described in established exercise program recommendations. Website and video quality was determined using DISCERN, Global Quality Scale (GQS), and Patient Education Materials and Assessment Tool (PEMAT; threshold for which material is deemed understandable or actionable is >70%). Parametric and non-parametric tests were used to assess website and video characteristics, content, and quality metrics.
    Results: Forty-nine unique SOT websites (n = 15) and videos (n = 34) were identified, with the two most common categories being foundation/advocacy organizations and scientific resources. The average reading grade level of websites was 13 ± 3. Website and video content scores varied significantly (websites 11.3 ± 6.4; videos 8.4 ± 5.3). DISCERN total score and GQS score were low (median range for DISCERN 2.5-3.0; median for GQS 2.0 for both websites and videos, out of 5). PEMAT understandability and actionability scores were also low across websites and videos (mean range 57%-67% and 47%-65%, respectively). Foundation/advocacy websites had higher content and quality scores compared to scientific organizations and news/media articles.
    Conclusions: To our knowledge, this is the first comprehensive assessment of online content and quality of website and video resources on physical activity and exercise in adult SOT recipients. There were a limited number of online English patient-directed resources related to physical activity in SOT, most of which only partly captured items outlined in consensus exercise program recommendations and were of low quality and understandability and actionability. This work provides important insight to the English-speaking transplant community on the current state of online exercise health information and provides future direction for resource development.
    Keywords:  exercise; health education; internet resources; physical activity; solid organ transplantation
    DOI:  https://doi.org/10.3389/fspor.2024.1353663
  16. Clin Exp Dermatol. 2024 May 14. pii: llae190. [Epub ahead of print]
    YouTube as a Source of Information for Self-Skin Examinations: An Analysis of Content and Quality.
    Yanci A Algarin, Anika Pulumati, Alex Reznik, Robert J Pariser.
      
    DOI:  https://doi.org/10.1093/ced/llae190
  17. Clin Cosmet Investig Dent. 2024 ;16 115-125
    Orthodontic Elastics: A Multivariable Analysis of YouTubeTM Videos.
    Ahmed A Alsulaiman, Osama A Alsulaiman, Reem I Alkhateeb, Luba AlMuhaish, Maher Alghamdi, Essam A Nassar, Naif N Almasoud.
       Background/Purpose: Whether YouTube videos contain precise and adequate information on certain orthodontic procedures remains unclear. This study aimed to investigate the content and quality of YouTube videos on orthodontic elastics and identify the predictors of high-level content YouTube videos.
    Materials and Methods: Two hundred YouTube videos were screened for eligibility, and after applying the inclusion criteria, 133 videos were excluded. Student's t-test was used to compare the characteristics, quality parameters, and total content of the low-level and high-level content videos. Chi-square or Fisher's exact tests were implemented to identify the source and content element differences across low-level and high-level content videos. Pearson's correlation coefficients were used to determine the relationship between the total content score, video information and quality index (VIQI), and YouTube characteristics. Stepwise linear multiple regressions with forward selection were used to test the association of the YouTube characteristics and VIQI with the total content score.
    Results: Among 67 included videos, only 19.4% of videos were classified as high-level content videos. High-level content videos had significantly higher mean number of likes (MD = 4041.7; SD = 4680.7; P-value=0.0068), VIQI score (MD = 4.17; SD = 4.87; P-value=0.0073), and total content score (MD = 4.04; SD = 1.23; P-value=<0.0001). The adjusted linear regression model demonstrated a significant association between the total content score and VIQI, where 1 unit increase in the VIQI was significantly associated with a 0.16 increase in the total content score (B = 0.16; standard error [SE]=0.04; P = 0.0003). Further, a significant association was observed between the total content score and video duration, where 1 minute increase in the video duration was significantly associated with a 0.15 increase in the total content score (B = 0.15; SE = 0.05; P = 0.008).
    Conclusion: This study demonstrated that YouTube content quality concerning orthodontic elastics is poor. Thus, future implementation of online visual content provided by certified orthodontists will ensure accurate and thorough information delivery.
    Keywords:  dentistry; orthodontics; patient compliance; social media; youtube
    DOI:  https://doi.org/10.2147/CCIDE.S460910
  18. Front Public Health. 2024 ;12 1285114
    Knowledge level and health information-seeking behavior of people with diabetes in rural areas: a multicenter cross-sectional study.
    Yudong Wang, Yanping Zhang, Tingting Guo, Jiaxia Han, Guifen Fu.
       Introduction: There is a lack of research on the current level of diabetes knowledge and health information-seeking behaviors among patients with diabetes in rural areas of China's economically underdeveloped regions during COVID-19, as well as a lack of up-to-date evidence on glycemic control and the incidence of complications among rural patients with diabetes.
    Objectives: To investigate the prevalence of glycemic control and complications among patients with diabetes in rural areas, to explore the current status and correlation of diabetes knowledge level and health information-seeking behavior, and to analyze the factors affecting diabetes knowledge level.
    Methods: From January 2022 to July 2022, we conducted a screening on diabetic complications and a questionnaire survey among 2,178 patients with diabetes in 15 county hospitals in rural areas of Guangxi Zhuang Autonomous Region. The patients' knowledge level and health information-seeking behavior were investigated. Spearman correlation analysis was used to assess the correlation between diabetes knowledge and health information-seeking behavior. Multiple linear regression analysis was used to test how demographic information and health information-seeking behavior influenced the level of diabetes knowledge.
    Results: Of 2,178 patients with diabetes in rural areas, 1,684 (77.32%) had poor glycemic control, and the prevalence of diabetic complications was estimated to be 72.13%. Patients with diabetes had poor diabetes knowledge and health information-seeking behavior, and there is a strong positive correlation between them. Diabetes knowledge level was influenced by per capita household disposable income, occupational status, gender, age, ethnicity, family history of diabetes, insulin use, glycated hemoglobin, education level, number of complications and health information-seeking behavior.
    Conclusion: Patients with diabetes in rural areas have poor glycemic control and a high incidence of diabetic complications. Patients with diabetes in rural areas have poor knowledge and inadequate health information-seeking behavior. Systematic and standardized education should be provided to improve patients' diabetes knowledge and thus improve their self-management ability.
    Keywords:  complications; diabetes; diabetes knowledge; health information-seeking behavior; prevalence
    DOI:  https://doi.org/10.3389/fpubh.2024.1285114
  19. Sci Rep. 2024 05 14. 14(1): 10977
    Misinformation does not reduce trust in accurate search results, but warning banners may backfire.
    Sterling Williams-Ceci, Michael W Macy, Mor Naaman.
      People rely on search engines for information in critical contexts, such as public health emergencies-but what makes people trust some search results more than others? Can search engines influence people's levels of trust by controlling how information is presented? And, how does the presence of misinformation influence people's trust? Research has identified both rank and the presence of misinformation as factors impacting people's search behavior. Here, we extend these findings by measuring the effects of these factors, as well as misinformation warning banners, on the perceived trustworthiness of individual search results. We conducted three online experiments (N = 3196) using Covid-19-related queries, and found that although higher-ranked results are clicked more often, they are not more trusted. We also showed that misinformation does not damage trust in accurate results displayed below it. In contrast, while a warning about unreliable sources might decrease trust in misinformation, it significantly decreases trust in accurate information. This research alleviates some concerns about how people evaluate the credibility of information they find online, while revealing a potential backfire effect of one misinformation-prevention approach; namely, that banner warnings about source unreliability could lead to unexpected and nonoptimal outcomes in which people trust accurate information less.
    Keywords:  Banner warnings; Information reliability warnings; Misinformation/disinformation; Search engines; Search ranking; Trustworthiness evaluation
    DOI:  https://doi.org/10.1038/s41598-024-61645-8
  20. J Voice. 2024 May 10. pii: S0892-1997(24)00143-7. [Epub ahead of print]
    Analysis of Google Searches in Laryngology: Where Do People Look and Are the Answers They Find Credible?
    Benjamin Lancaster, Courteney McClutchy, Heidi Schieve, James D Ruckart, Kathryn W Ruckart, Lyndsay L Madden.
       OBJECTIVES: Patients recently diagnosed with a new medical condition frequently search the internet to learn about their diagnosis. We aimed to identify specific questions people ask regarding common laryngological diagnoses by evaluating "People Also Ask" (PAA) questions generated by Google, search volume of these diagnoses, and to determine if the sources accessed were credible.
    STUDY DESIGN: Descriptive study.
    METHODS: The terms "subglottic stenosis" (SS), "Zenker's diverticulum" (ZD), "vocal fold paralysis" (VFP), and related terms were entered into Google. PAA questions and associated websites were then extracted using Ahrefs software. Questions were categorized into specific topics. Websites were categorized by type and then assessed using the Journal of the American Medical Association (JAMA) benchmark criteria. A search engine optimization tool was used to determine search volume for individual topics.
    RESULTS: One hundred and forty-four PAA questions (SS n = 52, ZD n = 49, and VFP n = 43) and their associated websites were extracted. Inquiries were most related to disease etiology (34%), management (27.1%), and signs/symptoms (16.7%). Sources most commonly linked to PAA questions were academic (37.6%), government (25.6%), and commercial (16.2%) websites, while medical practice (7.69%), single surgeon (3.42%), and social media (9.40%) websites were less frequently referenced. JAMA scores were highest for government websites (mean 3.35, standard deviation = 0.54) and lowest for academic websites (mean 0.77, standard deviation = 0.14).
    CONCLUSIONS: The most asked questions regarding SS, ZD, and VFP are related to etiology and management. Academic medical institution websites are most frequently viewed to answer these questions. Therefore, academic laryngological professionals should ensure the information on their websites is current and accurate.
    Keywords:  Google search; Laryngology; Subglottic stenosis; Vocal fold paralysis; Zenker's diverticulum
    DOI:  https://doi.org/10.1016/j.jvoice.2024.04.022
  21. Genet Med. 2024 May 15. pii: S1098-3600(24)00091-1. [Epub ahead of print] 101157
    Comparison of literature mining tools for variant classification: Through the lens of 50 RYR1 variants.
    Zara Wermers, Seeley Yoo, Bailey Radenbaugh, Amber Douglass, Leslie G Biesecker, Jennifer J Johnston.
      
    DOI:  https://doi.org/10.1016/j.gim.2024.101157
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