bims-librar Biomed News
on Biomedical librarianship
Issue of 2024‒10‒13
thirteen papers selected by
Thomas Krichel, Open Library Society



  1. Health Info Libr J. 2024 Oct 09.
      This article outlines the development of 'Prepare to Progress', a preapplication programme for potential Student Nursing Associate (SNA) applicants at Gloucestershire Hospitals NHS Foundation Trust. Created collaboratively by the Trust's Library and Knowledge Services and Professional Education teams, the programme aims to provide realistic course expectations, teach study skills and boost confidence in using library services. Evaluation results indicate increased understanding of the SNA course, improved application decision-making, and enhanced academic confidence among participants. The programme demonstrates the valuable role of library services in preparing healthcare support workers for further education and addressing library anxiety. The study suggests benefits for both participants and library services.
    Keywords:  United Kingdom (UK); collaboration; education; education and training; health care; information literacy; information skills; libraries; nursing; students
    DOI:  https://doi.org/10.1111/hir.12548
  2. BMJ Open. 2024 Oct 07. 14(10): e083359
      BACKGROUND: People increasingly rely on online health information for their health-related decision-making. Given the overwhelming amount of information available, the risk of misinformation is high. Health recommender systems, which recommend personalised health-related information or interventions using intelligent algorithms, have the potential to address this issue. Many such systems have been developed and evaluated individually, but there is a need to synthesise the evaluation findings to identify gaps and ensure that future recommender systems are designed to have a positive impact on health or target behaviours.OBJECTIVE: The purpose of this review is to provide an overview of the state of the literature evaluating health recommender systems and highlight lessons learnt, methodological considerations and gaps in current research.
    METHODS AND ANALYSIS: The review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews and the Population, Concept, and Context frameworks. Five databases (PubMED, ACM Digital Library Full-Text Collection, IEEE Xplore, Web of Science and ScienceDirect) will be searched for studies published in English that evaluate at least one health recommender system using search terms following the themes reflecting digital health, recommendation systems and evaluations of efficacy and impact. After using EndNote 21 for initial screening, two independent reviewers will screen the titles, abstracts and full texts of the references, and then extract data from included studies related to the recommender system characteristics, evaluation design and evaluation findings into a predetermined form. A descriptive analysis will be conducted to provide an overview of the literature; key themes and gaps in the literature will be discussed.
    ETHICS AND DISSEMINATION: Ethical approval is not required as data will be obtained from already published sources. Findings from this study will be disseminated via publication in a peer-reviewed journal.
    Keywords:   Health informatics; Review; Artificial intelligence; Decision making; Self-management; eHealth
    DOI:  https://doi.org/10.1136/bmjopen-2023-083359
  3. Front Oncol. 2024 ;14 1457516
      Background: The incorporation of Artificial Intelligence (AI) into healthcare sector has fundamentally transformed patient care paradigms, particularly through the creation of patient education materials (PEMs) tailored to individual needs. This Study aims to assess the precision and readability AI-generated information on kidney cancer using ChatGPT 4.0, Gemini AI, and Perplexity AI., comparing these outputs to PEMs provided by the American Urological Association (AUA) and the European Association of Urology (EAU). The objective is to guide physicians in directing patients to accurate and understandable resources.Methods: PEMs published by AUA and EAU were collected and categorized. kidney cancer-related queries, identified via Google Trends (GT), were input into CahtGPT-4.0, Gemini AI, and Perplexity AI. Four independent reviewers assessed the AI outputs for accuracy grounded on five distinct categories, employing a 5-point Likert scale. A readability evaluation was conducted utilizing established formulas, including Gunning Fog Index (GFI), Simple Measure of Gobbledygook (SMOG), and Flesch-Kincaid Grade Formula (FKGL). AI chatbots were then tasked with simplifying their outputs to achieve a sixth-grade reading level.
    Results: The PEM published by the AUA was the most readable with a mean readability score of 9.84 ± 1.2, in contrast to EAU (11.88 ± 1.11), ChatGPT-4.0 (11.03 ± 1.76), Perplexity AI (12.66 ± 1.83), and Gemini AI (10.83 ± 2.31). The Chatbots demonstrated the capability to simplify text lower grade levels upon request, with ChatGPT-4.0 achieving a readability grade level ranging from 5.76 to 9.19, Perplexity AI from 7.33 to 8.45, Gemini AI from 6.43 to 8.43. While official PEMS were considered accurate, the LLMs generated outputs exhibited an overall high level of accuracy with minor detail omission and some information inaccuracies. Information related to kidney cancer treatment was found to be the least accurate among the evaluated categories.
    Conclusion: Although the PEM published by AUA being the most readable, both authoritative PEMs and Large Language Models (LLMs) generated outputs exceeded the recommended readability threshold for general population. AI Chatbots can simplify their outputs when explicitly instructed. However, notwithstanding their accuracy, LLMs-generated outputs are susceptible to detail omission and inaccuracies. The variability in AI performance necessitates cautious use as an adjunctive tool in patient education.
    Keywords:  accuracy; artificial intelligence; health literacy; kidney cancer; large language models; patient education materials; readability
    DOI:  https://doi.org/10.3389/fonc.2024.1457516
  4. J Stomatol Oral Maxillofac Surg. 2024 Oct 09. pii: S2468-7855(24)00403-8. [Epub ahead of print] 102114
      OBJECTIVE: The purpose of this study is to evaluate the performance of Scholar GPT in answering technical questions in the field of oral and maxillofacial surgery and to conduct a comparative analysis with the results of a previous study that assessed the performance of ChatGPT.MATERIALS AND METHODS: Scholar GPT was accessed via ChatGPT (www.chatgpt.com) on March 20, 2024. A total of 60 technical questions (15 each on impacted teeth, dental implants, temporomandibular joint disorders, and orthognathic surgery) from our previous study were used. Scholar GPT's responses were evaluated using a modified Global Quality Scale (GQS). The questions were randomized before scoring using an online randomizer (www.randomizer.org). A single researcher performed the evaluations at three different times, three weeks apart, with each evaluation preceded by a new randomization. In cases of score discrepancies, a fourth evaluation was conducted to determine the final score.
    RESULTS: Scholar GPT performed well across all technical questions, with an average GQS score of 4.48 (SD=0.93). Comparatively, ChatGPT's average GQS score in previous study was 3.1 (SD=1.492). The Wilcoxon Signed-Rank Test indicated a statistically significant higher average score for Scholar GPT compared to ChatGPT (Mean Difference = 2.00, SE = 0.163, p < 0.001). The Kruskal-Wallis Test showed no statistically significant differences among the topic groups (χ² = 0.799, df = 3, p = 0.850, ε² = 0.0135).
    CONCLUSION: Scholar GPT demonstrated a generally high performance in technical questions within oral and maxillofacial surgery and produced more consistent and higher-quality responses compared to ChatGPT. The findings suggest that GPT models based on academic databases can provide more accurate and reliable information. Additionally, developing a specialized GPT model for oral and maxillofacial surgery could ensure higher quality and consistency in artificial intelligence-generated information.
    Keywords:  Artificial intelligence; GPT; Quality
    DOI:  https://doi.org/10.1016/j.jormas.2024.102114
  5. J Am Acad Orthop Surg. 2024 Oct 01.
      INTRODUCTION: Spanish-speaking individuals may experience language-based disparities related to elective orthopaedic procedures. Because patients often seek online health information, we assessed the readability, credibility, and quality of Spanish-language educational websites for knee arthroplasty.METHODS: We queried "Google," "Yahoo," and "Bing" using the term "reemplazo de rodilla" (knee replacement in Spanish) and extracted the top 50 websites per search engine. Websites were categorized by information source (physician/community hospital, university/academic, other) and presence of HONcode certification. Information was assessed for readability (Fernández-Huerta formula), credibility (Journal of the American Medical Association benchmark criteria), and quality (Brief DISCERN tool); scores were compared between the categories.
    RESULTS: A total of 77 unique websites were included (40.3% physician/community hospital, 35.1% university/academic). The median readability score was 59.4 (10th to 12th-grade reading level); no websites achieved the recommended level of ≤6th grade. The median Journal of the American Medical Association benchmark score was 2 (interquartile range 1 to 3), with only 7.8% of websites meeting all criteria. The median Brief DISCERN score was 16 (interquartile range 12 to 20), with 50.7% meeting the threshold for good quality. University/academic websites had better readability (P = 0.02) and credibility (P = 0.002) but similar quality (P > 0.05) compared with physician/community hospital websites. In addition, HONcode-certified websites had better quality scores (P = 0.045) but similar readability and credibility (P > 0.05) compared with noncertified websites.
    DISCUSSION: We identified limitations in readability, credibility, and quality of Spanish-language online educational resources for knee arthroplasty. Healthcare providers should be aware of these patient education barriers when counseling patients, and efforts should be made to support the online information needs of Spanish-speaking orthopaedic patients and mitigate language-based disparities.
    DOI:  https://doi.org/10.5435/JAAOS-D-23-01012
  6. J Fr Ophtalmol. 2024 Oct 04. pii: S0181-5512(24)00239-0. [Epub ahead of print]47(9): 104294
      PURPOSE: This study aims to evaluate the quality of videos on YouTube that demonstrate the intravitreal injection (IVI) procedure as an educational tool.MATERIAL AND METHODS: A search on YouTube using the keywords "intravitreal injection", "intravitreal injection procedure", "eye injection", "eye injection procedure", "dexamethasone intraocular injection", and "anti-VEGF injection" was performed on January 10, 2023. Of the first 300 videos obtained, 70 met the inclusion criteria. The videos were evaluated for content and quality using the IVI procedure checklist score, DISCERN, modified Global Quality Score (GQS), Health on the Net Foundation (HON) code, and the Journal of American Medical Association (JAMA) scores. The quality of the videos was also compared with regard to the uploading source, such as a university or training hospital, educational channels, and individual medical doctors or healthcare professionals.
    RESULTS: The mean IVI procedure checklist score was 4.84±1.58, and 29 videos fulfilled more than 80% of the checklist items, indicating that only 41.4% of the videos conformed to the IVI procedure recommendations. The mean DISCERN, modified GQS, and JAMA benchmark scores were 34.75±10.46, 2.90±1.09, and 2.09±0.72, respectively, indicating poor overall video quality. The mean HON code score was 4.68±1.39, indicating moderate overall video quality. Videos uploaded by educational channels seem to be of better quality than those uploaded by others.
    CONCLUSIONS: The majority of evaluated YouTube videos on the IVI procedure appear to be of low quality as an educational tool. Videos uploaded by educational channels would be preferred to gain quality information about the IVI procedure.
    Keywords:  Information quality; Injection intravitréenne; Intravitreal injection; Qualité; Qualité de l’information; Video quality; YouTube; Youtube
    DOI:  https://doi.org/10.1016/j.jfo.2024.104294
  7. Dis Esophagus. 2024 Oct 07. pii: doae081. [Epub ahead of print]
      Gastroesophageal reflux disease (GERD) is a global chronic disease. Short video platforms make it easy for patients with GERD to obtain medical information. However, the quality of information from these videos remains uncertain. This study aimed to systematically assess videos related to GERD on TikTok and Bilibili. We conducted a search and gathered 241 Chinese videos related to GERD and recorded the essential information. Two independent evaluators assessed each video based on the completeness of six components of the GERD guidelines, and assessed the quality and reliability of the information in the videos using recognition tools. Finally, videos from different sources were compared. The uploaders of most videos were medical professionals (86.7%, n = 209). The content was mainly about symptoms and treatment. The quality of the videos information varied depending on the sources. Among videos posted on Bilibili, those posted by medical professionals had a lower content score for definition (P < 0.001). Videos produced by non-gastroenterologists had the highest mean modified DISCERN. (The DISCERN scoring tool was initially created for assessing written publications, but nowadays, it is frequently leveraged for appraising various health-related videos. Details can be found in the text) quality of the videos information was acceptable; however, the content varied significantly depending on the type of source used. Videos with broad content should be carefully screened to meet more needs.
    Keywords:  acid reflux; esophageal reflux; gastroesophageal reflux (GERD); medical informatics
    DOI:  https://doi.org/10.1093/dote/doae081
  8. Digit Health. 2024 Jan-Dec;10:10 20552076241288831
      Background: The detection rate of thyroid nodules has witnessed a significant surge in recent years, triggering heightened public apprehension. Short video platforms such as TikTok and BiliBili have showed tremendous potential in the dissemination of health information. There is a plethora of videos about thyroid nodules on TikTok and BiliBili, but the quality and reliability of videos concerning thyroid nodules remains unknown.Methods: On December 3rd, 2023, the top 100 short videos related to thyroid nodules on BiliBili and TikTok were collected through a comprehensive search in Chinese. After extracting the basic information, the quality and reliability of each video was assessed by using the global quality score (GQS) and DISCERN score. Further, Spearman correlation analyses were applied to examine the correlation among video variables, GQS and DISCERN score.
    Results: Compared to BiliBili, TikTok exhibits greater popularity, as evidenced by higher counts of likes (P = 0.021), comments (P = 0.008) and shares (P = 0.017). The median (interquartile range) scores of GQS and DISCERN score were 3 (2-3) on TikTok while 2 (2-3) on BiliBili. Both reviewers exhibited good consistency in GQS and DISCERN score. Moreover, it was observed that the videos shared by thyroid specialists demonstrated higher scores both in GQS (P = 0.014) and DISCERN score (P = 0.022) than others on TikTok. Spearman correlation analysis revealed no significant correlation between video variables and the scores of GQS and DISCERN score.
    Conclusions: The quality and reliability of thyroid nodules videos on BiliBili and TikTok were unsatisfactory. Notably, videos shared by thyroid specialists are more likely to exhibit superior quality and reliability. People should exercise caution when perusing short videos.
    Keywords:  DISCERN score; Thyroid nodules; global quality score; quality; reliability; short videos
    DOI:  https://doi.org/10.1177/20552076241288831
  9. PLoS One. 2024 ;19(10): e0312120
      Health promotion and disease prevention are crucial for improving public health and alleviating the burden of illness in the population. This study aimed to investigate, the sources of health information most used and trusted, and the health topics most searched, by means of a nationwide cross-sectional online survey of a representative sample of the adult Swiss general population. Overall, complete surveys of 2020 participants were analysed (mean age 47 years old, 51% male, and matching the Swiss population regarding age, sex, and language-speaking region). Sources' use were calculated with descriptive statistics per sex and age groups. The most frequently used sources were general practitioners (min: 46% to max: 73%), government websites (40% to 55%), family and friends (37% to 63%), pharmacy (33% to 46%), and television (21% to 57%). The most trusted sources were specialised physicians (94% to 98%) general practitioners (90% to 96%), and pharmacies (81% to 89%). Based on multivariable controlled regression, age (per five years increase) was associated with increased odds of using television (Odds Ratio (OR): 1.19, 95% Confidence Interval (CI): 1.12 to 1.21), print media (OR: 1.15, 95% CI: 1.10 to 1.19), radio (OR: 1.15, 95%CI: 1.10 to 1.20), and the general practitioner (OR: 1.11, 95% CI: 1.07 to 1.15), and decreased odds of using news websites (OR: 0.94, 95% CI:0.9 to 0.98), family and friends (OR: 0.93, 95% CI: 0.9 to 0.98), foreign authorities websites (OR: 0.91, 95%CI: 0.86 to 0.97), and social media (OR: 0.88, 95% CI: 0.84 to 0.92). Women were more likely to seek health information in the pharmacy (OR: 1.39, 95% CI: 1.15 to 1.68), specialised physicians (OR: 1.39, 95% CI:1.13 to 1.72), television (OR: 1.41, 95% CI: 1.16 to 1.72), and books (OR: 1.9, 95% CI: 1.44 to 2.5). The most searched health topics, based on the International Classification of Primary Care, 2nd edition (ICPC2), were general and unspecified symptoms (20.9%) and musculoskeletal issues (19.4%). The use of these findings by policymakers and health care providers could potentially enhance the effectiveness of health-related education strategies, by aligning communication efforts with the populations' preferences and content needs, and allocating resources where they are most commonly accessed and trusted, namely in the general practice.
    DOI:  https://doi.org/10.1371/journal.pone.0312120
  10. Int J Prev Med. 2024 ;15 41
      Background: Health information-seeking behavior refers to individuals' targeted actions to satisfy their health information needs and search for relevant disease-related information. Nowadays, social media platforms provide a great opportunity for meeting health information needs and delivering preventive education regarding human papillomavirus (HPV). The purpose of this study is the information-seeking behavior of Iranian young adults (18-28 years old) regarding HPV on social media, a preventive approach to HPV.Methods: The present descriptive-analytical study was conducted in 2023 among Iranian boys and girls aged 18-28 years. A multistage cluster sampling method was used to select 3840 participants. The data collection tool was Longo's Health Information-Seeking Behavior Questionnaire. The collected data were analyzed using the SPSS software.
    Results: The results showed that Iranian youth aged 18-28 were more inclined to seek information on social media about the transmission routes and preventive measures for HPV. The primary informational need regarding transmission was "I want to know the main route of HPV transmission is through vaginal and anal intercourse?", and regarding prevention, it was "Can condoms prevent HPV infection?" Additionally, the findings indicated that young individuals sought information about HPV after their first sexual encounter. Most of the information needs of the youth were fulfilled through YouTube, Instagram, and WhatsApp, mainly in video format. Approximately 85.10% of the youth were satisfied with the information obtained from social media. The results revealed a significant and positive relationship between the health information needs of young adults (18-28 years old) in the area of HPV and personal factors. Gender, age, marital status, education level, history of HPV infection, and engaging is unprotected extramarital sex were identified as significant influential factors on the level of information needs of young individuals, especially regarding HPV preventive measures (P < 0.05).
    Conclusion: Health authorities and disease control and prevention centers need to harness the potential of social media in meeting the informational needs of youth and providing education and awareness, especially concerning the transmission and prevention of HPV.
    Keywords:  HPV; Health information needs; social media; young adults
    DOI:  https://doi.org/10.4103/ijpvm.ijpvm_337_23
  11. Digit Health. 2024 Jan-Dec;10:10 20552076241288380
      Background: The internet has become an essential part of empowering people to access health-related information. Huge amounts of health-related information are available online, but few people have the skills to assess its validity and reliability. Accordingly, the concept of ehealth literacy competencies emerged to measure the skills necessary to validate such information. As a result, the purpose of this study was to assess Jordanian people's e-health literacy, online health information utilization, and associated factors.Methods: This population-based cross-sectional study was conducted from March to December 2023.
    Results: Results: The study found that participants rated their e-health literacy at 28.94 out of 40, indicating a sufficient level of health literacy, and their online health information utilization at 39.62, indicating a high level of engagement with online health resources. Furthermore, it is revealed that e-health literacy is associated with gender and geographic region, whereas online health information utilization is associated only with chronic disease.
    Conclusion: In Jordan, there is a balance between traditional and online health information use. While healthcare providers and primary health centers are the main sources of information, Jordanians show a sufficient level of e-health literacy, with females and the capital region exhibiting higher levels. Furthermore, Jordanians were more likely to use online health information. Nevertheless, it is crucial to work on improving internet platforms to enhance the quality of online health-related information.
    Keywords:  Jordan; eHealth; health information utilization; literacy; population
    DOI:  https://doi.org/10.1177/20552076241288380
  12. Heart Lung. 2024 Oct 07. pii: S0147-9563(24)00189-4. [Epub ahead of print]69 94-110
      INTRODUCTION: Uncertainty about safe engagement in activity during early recovery after cardiac events is common. Websites are a potential source of health information, especially for those unable to access follow-up support from health professionals. The variability in online health information quality is concerning as poor web-based information can negatively impact patient health outcomes and the ability to self-manage.OBJECTIVE: To evaluate the quality and self-management-related content of websites providing information about physical activity following an MI or cardiac surgery.
    METHODS: Patient-facing websites were searched using three search engines (Google, Bing, and Yahoo). Information about activities of daily living (ADLs), exercise (aerobic and resistance), and safety considerations were explored. Self-management strategies for physical activity were evaluated using a customized 9-item checklist. Website quality was assessed using the 4-item JAMA framework criteria.
    RESULTS: 31 websites were included. Aerobic exercise, ADLs, and safety considerations were the most comprehensively covered topics. Resistance exercise was less frequently and comprehensively covered. The median self-management checklist score was 3/9 (with nine being the highest possible score). Partnering with healthcare professionals, decision-making, action planning, and verbal persuasion were the most common self-management skills addressed by the websites. In contrast, ten or fewer websites modelled mastery experiences, vicarious experiences, reflection, problem-solving, and resource utilization. The median JAMA score for website quality was 2/4 (with four being the highest possible score).
    CONCLUSIONS: The findings highlight quality improvement opportunities for web providers and provide insight for patients and clinicians regarding the highest quality websites that best meet the information and self-management needs following an MI or cardiac surgery.
    Keywords:  Cardiac surgery; Myocardial infarction; Online information; Physical activity; Self-management support
    DOI:  https://doi.org/10.1016/j.hrtlng.2024.09.015