Search results

Since 2000, there has been a dramatic increase in the number of individuals using the Internet, including for health purposes. Internet usage has increased from 46% of adults in 2000 to 79% in 2010. The purpose of this chapter is to examine changes in one type of Internet usage: online health searching. We examine the impact of traditional digital inequality factors on online health searching, and whether these patterns have changed over time.

Using data from five surveys ranging from 2002 to 2010 (n = 5,967 for all five surveys combined), we examine changing patterns of online health searching over the past decade.

Effects vary by inequality factor and time period examined. Despite the diffusion of the Internet, most of these gaps persist, and even strengthen, over time. Gender, age, and education gaps persist over time and appear to be increasing. An exception to this is the importance of broadband connection.

Since these data were collected, the use of mobile devices to access the Internet has increased. Research is needed on types of access and devices used for online health activities.

Larger scale inequalities play important roles in online health searching. Providing access and skills in evaluating online health information is needed for older and less educated groups. The results of this study have implications for the de-professionalization of medical knowledge.

This is the first study to examine digital inequality factors in online health information seeking over the breadth of this time period.

The purpose of this paper is to consider the effect of demographic differences on the motivations and abilities of individuals with diabetes in their search for health information online. Using data gathered from a qualitative study of 30 individuals, the paper examined instances of user-based health motivation and abilities using the lens of demographic differences to identify the influence on health information searching and potential health outcomes.

The paper utilized an interpretive, mixed methodology research design. The paper was composed of a user “experience” that served as a critical incident to the paper, where each participant was prompted to do online searching for health and nutrition information. This was followed by open-ended interviews to gain a deeper understanding of each participants’ online searching experience.

The theoretical model used was the Integrated Model of E-Health Use by Dutta-Bergman (2006) which frames the influence of group and individual-level differences on health information search and e-health use and subsequently health outcomes. The paper found that experiences among diabetic patients who have an assumed intrinsic motivation to search have differential searching behaviors due to a number of factors including access to health care provider or resources, searching success, and significant people in the individuals’ lives. Assumptions about race and socio-economic status are challenged because of the geographic location in which people live and work.

This research on intersectionality and the health information consumer contributes to a better understanding of health information searching behavior. Implications from this research for practice are that search technology in the domain of health should be made customizable, that a variety of user perspectives should be incorporated in the e-health systems development process, and that a comprehensive view of the user in system development should be utilized. In addition, those with diabetes or other chronic illnesses should seek out a variety of resources to enhance their health outcomes.

The examination constitutes one of the few investigations into health information consumer characteristics that might influence the person-technology-information interaction in the context of health care provision. This type of examination into health care consumer characteristics and information behavior is necessary because it has bearing on the success of health care information systems implementation and impact.

This study considers online searching by health information consumers as a learning process. We focus on search sequences, query reformulation, and conceptual changes.

A qualitative user study (30 participants; three health information seeking tasks) investigated mobile searching behavior. Recorded screen activity, questionnaires, and in-depth personal interview data were collected and analyzed.

(1) Search platform sequences of health information consumers in search as a learning process were exacted and their features were highlighted. (2) Query sequence and reformulation pattern of health information consumers were exacted and discussed. (3) The types and degree of conceptual changes of health consumers were reflected by their query reformulation behavior and differ from different health information search tasks. (4) Characteristics of health consumers' search as learning process were revealed.

(1) A novel perspective of consumer health information studies was proposed by exacting search platform sequence, query sequence and linking them with conceptual changes during the search as learning process. (2) Conceptual changes in the searching as a learning process are regarded as a measure of search outcome in this study, in which terms extracted from queries were used to reflect conceptual changes in consumers' mind. (3) Our findings provide evidences that types of health information seeking tasks do have significant influences on the search as a learning process.

The findings of this study can lead to the fit-to-needs of the search platforms, provide advice for information architecture of search list of search platforms, and guide the design of knowledge graph of health information systems.

Potential relationships between information-seeking behavior and conceptual changes in search as a learning process relative to health information were revealed.

This paper aims to present recently published resources on information literacy and library instruction through an extensive annotated bibliography of publications covering all library types.

This paper annotates English-language periodical articles, monographs, dissertations and other materials on library instruction and information literacy published in 2017 in over 200 journals, magazines, books and other sources.

The paper provides a brief description for all 590 sources.

The information may be used by librarians and interested parties as a quick reference to literature on library instruction and information literacy.

The search for online health‐related information has become increasingly popular. This study examines online health information quality (relevance and clarity) and the perceived value of online health information search (social, utilitarian and epistemic) and how they relate to consumers' satisfaction with their online health information search experience. The resulting intention to repeat a health information search over the internet is also included in a conceptual model to illustrate what drives the process.

Structural equation modeling was utilized to simultaneously assess the proposed relationships among the constructs. Data from 263 online respondents were used to test the measurement and structural model.

Results show that information relevance is strongly related to the utilitarian value consumers receive from information seeking, whereas information clarity is strongly related to epistemic value. Moreover, it is the utilitarian value of the information search that drives satisfaction with and intention to repeat online health information search.

Suggestions for web site designers in the healthcare industry and health care professionals are addressed. Web site designers should stress practical and functional features of web sites, while health care professionals should direct patients toward web sites that will provide users with the most utilitarian value. Although the study is limited by its online data collection, results provide an initial attempt to develop a conceptual model that explains what may be happening within the world of online health information search behavior. Future research should address the exclusion of potentially important variables including internet skill level and specific types of searches.

This study is unique in that it provides web site designers and health care professionals with clear insight into specific dimensions of online health information and value.

The aim of this paper is to investigate whether/how youths’ pre-existing beliefs regarding health-related topics influence their online searching behaviors, such as their selection of keywords and search results, their credibility assessments and the conclusions they draw and the uses they make (or do not make) of the information they find. More specifically, we sought to determine whether positive hypothesis testing occurs when youth search for health information online and to ascertain the potential impacts this phenomenon can have on their search behaviors, their ability to accurately answer health-related questions and their confidence in their answers.

An exploratory field experiment was conducted with participants in an after-school program (“HackHealth”), which aims to improve the health literacy skills and health-related self-efficacy of middle-school students from socio-economically disadvantaged backgrounds.

Evidence of positive hypothesis testing among the participants was found and important impacts on their search outcomes were observed.

The paper was concluded with suggestions for improving digital literacy instruction for youth so as to counteract the potentially negative influences of positive hypothesis testing.

This study extends existing research about positive hypothesis testing to investigate the existence and impact of this phenomenon within the context of tweens (ages 11-14) searching for health information online.

Little research has focused on the quality and availability of interactive online support services retrieved through search engines. The purpose of this paper is twofold; first, to review and assess the availability and accessibility of interactive online support available to individuals in suicidal crisis. Second, to field test a new tool developed specifically to evaluate both the quality of online information and the quality of interactive support.

A collection of six terms relating to suicidal distress were generated and inputted across three major search engines (Google, Yahoo and Ask). Following initial exclusions, the remaining web sites were analysed using the SPAT (Site, Publisher, Audience and Timeliness) tool and recently developed COSAT (Crisis and Online Support Appraisal Tool) tool.

The quality of web sites retrieved was variable, with only 1.9 per cent deemed as high-quality interactive support resources. Google had the greatest precision of searching, but ease of access through search engines was generally limited. No significant difference was found in the quality of web sites located on pages 1 or 2 of search engine results. Overall, community and voluntary sector web sites averaged higher quality and interactive support rating's compared to publicly funded web sites.

The newly developed COSAT tool may provide a positive first step towards a standardised measure of online quality and interactive support, although further testing and validation is required with a larger sample size.

To the authors knowledge little research has focused on the quality and availability of interactive online support services retrieved through search engines.

This study explored the current and desired use of web-search, particularly for health information, by adults with intellectual disability.

The authors surveyed 39 participants who were in supported employment or attending day centers in Australia. The survey, delivered through structured interviews, increased participation with data in a form of the participants' narratives. The responses were analyzed through a form of thematic analysis.

This study's results present the participants' daily health information interests, approaches to finding information and expectations for self-sufficiency. Participants' interest was in information to stay healthy rather than purely clinical information. The participants were keen to use online information in, accessible as well as entertaining and engaging formats. Supporting others close to the participants was the prominent intention of participants' health information access. Participants showed aspirations for an autonomous life by wanting to learn how to search.

The findings of this study provide some avenues for consumer health information access to be respectful and inclusive of users with intellectual disability, both from an accessible design perspective as well as from a learning and support standpoint.

This study complements other human–computer interaction (HCI) studies which observe how adults with intellectual disability can be supported to engage with web search; this study offers the adults' verbalized perspectives on how adults wish to interact with web searching for health information, nuanced by adults' existing abilities and support needs.

In the UK, both anecdotal and research evidence points to ever greater and more sophisticated use of the Web to provide health information and advice. The study reported here adds to this research with an online survey of Internet users’ reported use of the Web to access information about health and their opinions about the advice that can be obtained there. Over a period of three weeks more than 1,300 people responded to an online questionnaire produced by The British Life and Internet Project; 81 per cent or 997 of the respondents were British. The prime purpose of the questionnaire was to obtain information on the characteristics of the users of health information Web sites, to obtain feedback regarding for what they used online health sites and what were the perceived outcomes associated with using online health information.

Purpose: Many Internet users search for health information but they struggle with assessing the quality of the information they find. By drawing on a multi-modal approach to data collection, this study aims to understand further the nuanced cognitive processes that people utilize as they acquire and evaluate online health information.

Design: We used a mixed-methods approach that includes surveys, interviews, and observations of 76 diverse adults of all ages in the Chicago area completing various health information-seeking tasks.

Findings: Most participants begin their information-seeking process on search engines. We identified the most popular credibility-assessment strategies used on the search engine results’ pages (SERP) as well as on websites. We also explored how the process of executing such strategies reveals greater and lesser savvy among users.

Research Limitations: While the sample size and methods limit its generalizability, this study included a larger and more diverse group of participants than most observational work, which results in data about a wider range of behaviors than is typical of such research.

Social Implications: Our findings showed that most of our participants could use additional education regarding credibility assessment of online health information. Additionally, since a great deal of credibility assessment occurs on SERP, search companies bear a particular responsibility for ensuring the quality of the information their results highlight.