Health information outreach: experiences from the University of Zambia Medical Library

Access to health information for health workers in Zambia is limited and inadequate, especially to those health workers that are not affiliated with institutions such as the University of Zambia. In order to meet their information needs, it is important to devise and implement appropriate health information access methods. One such method is an Outreach Program. This article is an audit and a review of the health information outreach programs that the University of Zambia Medical Library has implemented over many years.     

Practices of Locating Health Information in an Electronic Environment: Reflections on Conducted Health Information Skills Training

ABSTRACT

Health information skills in an electronic environment are essential to health science librarians, who serve as educators both within and outside of their health training institutions. This reflective study was conducted to examine the application of online health information skills obtained from the training provided for librarians who are working in health settings. Health sciences librarians, as future information skills educators, therefore need to possess their own health information skill sets. Capacity building is vital in order to promote the development of health information skills for health sciences librarians who can then teach and advocate the concept of health information skills on the Internet within and outside of their places of work.     

Internet Access and Training for African-American Churches

Abstract

Edward G. Miner Library, the health sciences library at the University of Rochester Medical Center, is reaching out beyond its usual user group to improve health knowledge of members of six inner-city African-American churches and one community center. With the Congregation Healthy Heart Action Partnership (CHHAP) and the Rochester Public Library as partners, and with funding from the National Library of Medicine, Miner is providing Internet access at the churchesand training church and community members to use reliable health Web sites such as MedlinePlus. A train-the-trainer approach and follow-up meetings empower church members to carry the information to others. In addition to trainees learning about reliable health Web resources and Rochester Public Library's health resources, new relationships between libraries and churches have resulted. It is hoped that this program will help reduce health disparities between Rochester's inner-city minorities and residents of the surrounding suburbs.     

The health information seeking behaviour and needs of community health workers in Chandigarh in Northern India

This article represents two‐firsts for the feature – it is the first to report on a study outside the UK and the first to examine the health information needs of community health workers. Sonika Raj is pursuing PhD at the Centre for Public Health, Panjab University, Chandigarh, in India and she conducted her research in Chandigarh. The article outlines the important role that health workers at community level play in determining health outcomes in the developing world, including Chandigarh. It demonstrates that while those workers recognise their information needs, there are many issues affecting their ability to access health information effectively, not least their limited access to appropriate technology and training. AM     

Health and Medical Resources

SUMMARY

The sites reviewed in this article represent only a small fraction of the consumer health information sites available on the Web and are intended to be a starting point for locating authoritative, reliable health information. The first part of this article focuses on evaluation, since this is an important component of using information, particularly information located on the Internet. The second part of the paper reviews consumer-related Web sites arranged by categories:Comprehensive Sites; Directories/Portals;Government Sites; Association Sites; Drug Information; Alternative Medicine; Nutrition and Food Safety; and Other Health Issues.     

A health literacy analysis of the consumer-oriented COVID-19 information produced by ten state health departments

Objective:The COVID-19 pandemic highlights the public''s need for quality health information that is understandable. This study aimed to identify (1) the extent to which COVID-19 messaging by state public health departments is understandable, actionable, and clear; (2) whether materials produced by public health departments are easily readable; (3) relationships between material type and understandability, actionability, clarity, and reading grade level; and (4) potential strategies to improve public health messaging around COVID-19.Methods:Based on US Centers for Disease Control and Prevention statistics from June 30, 2020, we identified the ten states with the most COVID-19 cases and selected forty-two materials (i.e., webpages, infographics, and videos) related to COVID-19 prevention according to predefined eligibility criteria. We applied three validated health literacy tools (i.e., Patient Education Materials Assessment Tool, CDC Clear Communication Index, and Flesch-Kincaid Grade Level) to assess material understandability, actionability, clarity, and readability. We also analyzed correlations between scores on the three health literacy tools and material types.Results:Overall, COVID-19 materials had high understandability and actionability but could be improved in terms of clarity and readability. Material type was significantly correlated with understandability, actionability, and clarity. Infographics and videos received higher scores on all tools.Conclusions:Based on our findings, we recommend public health entities apply a combination of these tools when developing health information materials to improve their understandability, actionability, and clarity. We also recommend using infographics and videos when possible, taking a human-centered approach to information design, and providing multiple modes and platforms for information delivery.     

The Disaster Information Specialist: An Emerging Role for Health Librarians

ABSTRACT

This article describes the emergence of disaster information (DI) specialists, with particular focus on their presence in health libraries. Although literature on the subject of disasters and libraries is dominated by accounts of librarians preserving collections and ensuring continuity of library operations following a flood, fire, or other disaster event, the work of DI specialists extends beyond these traditional roles. DI specialists conduct outreach in the community, providing information services to emergency managers and other disaster workers. This article recounts a history of disaster information service in which public librarians served communities during disaster recovery periods, and health librarians became involved in organizational disaster planning activities. DI products from the National Library of Medicine are introduced in addition to federal funding opportunities for DI outreach projects. The development of the Medical Library Association's Disaster Information Specialization Program is presented, and the article shares recommendations for library administrators to encourage DI training for librarians and support the development of outreach services to disaster workers.     

Sharing MedlinePlus®/MEDLINE® for Information Literacy Education (SMILE): A Dental Public Health Information Project

The SMILE project represented a partnership among the University of Texas Health Science Center at San Antonio Libraries, the Gateway Clinic in Laredo, and the San Antonio Metropolitan Health District. The project focused on improving dental practitioners' access to reliable information resources and integrating the best evidence into public health dental practice. Through its training program, SMILE cultivated a set of “power information users” among the dentists, dental hygienists, and community health workers (promotores) who provided public health preventive care and oral health education. The dental public health practitioners gained information literacy skills and increased their knowledge about reliable sites such as blogs, PubMed®, and MedlinePlus®. This project fostered opportunities for expanded partnerships with public health personnel.     

Using focus groups to evaluate a multiyear consumer health outreach collaboration

Objectives:Academic health sciences librarians sought to evaluate the efficacy and future of the Health Information Specialists Program, a five-year consumer health information outreach collaboration with public libraries across the state.Methods:Five focus groups were held with participants from all five years of the program. Thirty-four participants from the program attended. Facilitators used structured interview guides consisting of eleven questions regarding the impact of the collaboration on participants'' abilities to connect themselves or others to health information; the usefulness of materials or knowledge gained and its applications; any consumer health outreach projects that arose from the program; and suggestions for future topics, formats, or modifications. Data was hand-coded and analyzed using the framework analysis methodology for qualitative research.Results:Participants reported feeling improved confidence and comfort in providing health information services to their patrons. Numerous instances of knowledge transfer—in their personal lives, with their colleagues, and for their patrons—were described. Participants reported improved abilities to both find and evaluate consumer health information, and many adapted class materials for their own programming or teaching. Suggestions were provided for future class topics as well as a program website.Conclusion:Based on data from the five focus groups, the Health Information Specialists Program has positively impacted participants in a number of ways. Primary among these were self-reported improvement in both health information retrieval skills and the ability to evaluate the reliability of health information online, as well as in the confidence to help patrons with their health information needs.     

Current access to health information in Zambia: a survey of selected health institutions

OBJECTIVE: To assess the current situation of access to information by health staff at selected central, provincial, district hospitals and health centres in Zambia. METHODS: Government and non-governmental institutions were visited in the Lusaka Urban District and nine rural districts in the North-Western, Western and Central Provinces of Zambia in 2001. Thirty interviews were held with provincial and district health directors, medical doctors, nurses and clinical officers in district hospitals and rural and urban health centres. In 2006, a follow-up visit was undertaken to the health centres in the Lusaka Urban District in Lusaka Province and the Sesheke District in the Western Province. RESULTS: There is limited access to health information for health workers in Zambia. In hospitals and health centres, where there is access, it is usually provided in an ad hoc manner without a central policy from the government. In all the places visited, there was also an overwhelming expressed need for different types of information relating to the professional or personal needs of health care workers. CONCLUSIONS: The study found that access to information was very poor. There were some excellent examples of local initiatives showing that, even under difficult financial and infrastructural circumstances, it was feasible to improve health workers' access to information by using low technology, information access initiatives. These existing local initiatives deserve to be scaled up, while new initiatives should be adopted to improve access to information in a much more structured way. Of paramount importance is the formulation and implementation of an information policy that will guarantee the provision of health information to Zambian health workers.     

LGBTQ+ health research guides at North American health sciences libraries: a survey and content analysis

Objectives:Current literature recommends online research guides as an easy and effective tool to promote LGBTQ+ health information to both health care providers and the public. This cross-sectional study was designed to determine how extensive LGBTQ+ health guides are among hospital and academic libraries and which features are most prevalent.Methods:In order to locate LGBTQ+ health guides for content analysis, we searched for guides on the websites of libraries belonging to the Association of Academic Health Sciences Libraries (AAHSL) and the Canadian Association of Research Libraries (CARL). Additionally, we searched the Springshare interface for LibGuides with the word “health” and either “LGBT” or “transgender.” Content analysis was performed to identify major characteristics of the located guides, including target audience and the information type provided.Results:LGBTQ+ research guides were identified for 74 libraries. Of these, 5 were hospital libraries, and the rest were academic libraries. Of 158 AAHSL member libraries, 48 (30.4%) had LGBTQ+ guides on their websites. Nearly all guides (95.9%) provided general LGBTQ+ health information, and a large majority (87.8%) also had information resources for transgender health. Smaller percentages of guides contained information on HIV/AIDS (48.6%) and women''s health (16.2%).Conclusions:Even though literature recommends creating LGBTQ+ health guides, most health sciences libraries are missing an opportunity by not developing and maintaining these guides. Further research may be needed to determine the usage and usefulness of existing guides and to better identify barriers preventing libraries from creating guides.     

Communicating about sex when it matters: a content analytic investigation of sexual health information on college student health center websites†

ABSTRACT

Young adults struggle to achieve sexual health. Student health centers (SHCs) are uniquely positioned to provide young adults with credible and complete sexual health information. Using the comprehensive model of information seeking for theoretical guidance, we conducted a content analysis to examine the credibility and completeness of sexual health information available to young adults through SHC websites at 400 randomly selected U.S. colleges/universities. Unfortunately, most SHC websites do not provide complete sexual health information, which may decrease the credibility of SHCs as a source of sexual health information for young adults. Topics related to sexual health predominantly focused on prevention and risk topics (i.e. sexually transmitted diseases, contraception, and pregnancy). We offer practical suggestions for SHC webpages to align their sexual health information content with the American College Health Association standards of practice and point to a scholarly focus on content characteristics and information availability to complement information seeking studies.     

Meeting Information Needs through Global Partnerships: A Roadmap to Becoming a Global Health Sciences Library

Abstract

Supporting global health priorities through the development of robust health science librarianship partnerships is of significant importance. Increased demand for synthesizing evidence-based information, collating quality resources, and increasing research productivity to improve human health requires integration of library and information science skills and expertise. The Health Sciences Library (HSL) at the University of North Carolina at Chapel Hill (UNC), exists to be an indispensable partner in health information and knowledge, teaching and learning, and research. As global efforts at UNC expanded, the HSL sought to ensure that our global engagement strategy and integration were aligned with campus priorities and partner needs. The HSL created a global research partnership plan: identify resources that improve efficiency, increase access to information, build in-country capacity and expertise—all while strengthening collaborations across multiple countries. Creating a meaningful and sustainable engagement strategy was central to envisioning our path forward and can be used as a framework for consideration by librarians in similar settings.     

HealthWeb

Abstract

Organizing and evaluating information available to library patrons on the Internet is a constant challenge for librarians. Academic health sciences librarians faced this challenge in an innovative and collaborative way when trying to organize and evaluate web sites providing medical information. Their project, called HealthWeb, can serve both as a prototype for public librarians trying to organize sites in other subject areas, and as a resource for patrons looking for high quality medical information available on the Internet.     

The Public Library and the Problem of Hospital Libraries for Patients–The Case of Israel

ABSTRACT

Providing information to the health consumer is one of the main tasks of our modern information society. This information falls into two categories: medical information, and supportive information such as literature and poetry. This article discusses the problematic situation of libraries and of information for patients in Israeli hospitals, and raises the question of the public library being a possible solution to help people in need get the information they are entitled to. The conclusions are based on a survey conducted in 1994. The results are rather disappointing: only 26.3% of the hospitals have library services for patients; most of them are managed by volunteers who have no training in professional librarianship. Also, in terms of book acquisition policy, library activities, and criteria for lending books, most of the results indicate that much needs to be done to improve the situation and help the health consumer receive information and support through the library. As it is clear that the situation in hospitals is not going to change in the near future, it is suggested that the public library serve as a helping resource outside the hospital and by that action it would not only contribute to society but expand its functions and strengthen its position in the community.     

Can Twitter improve your health? An analysis of alcohol consumption guidelines on Twitter

This article is the first in the feature to highlight the social network site Twitter as a tool for health information and it reports on a study by Emma Hughes, who completed an MSc in information and library studies at Aberystwyth University in 2014. Emma's research investigated the quality of health information available on Twitter, in particular the information available on UK alcohol consumption guidelines. Her research suggests that users searching for this information would need certain literacy skills to interpret it correctly. However, there is no doubt that Twitter is an increasingly popular resource for information dissemination and health professionals, and organisations should be encouraged to use it frequently as a tool for sharing information. AM     

Can your public library improve your health and well‐being? An investigation of East Sussex Library and Information Service

This article is only the second in the Dissertations into Practice series to highlight the role of public libraries in health information. It is the result of an investigation into the provision of health information in East Sussex Library and Information Service, which formed the basis of Anneliese Ingham's dissertation for her MA in Information Studies at the University of Brighton. At the time Anneliese was doing her research, the service was experimenting with different ways of providing healthcare information at one of its main libraries, and they were interested in the impact of this. The provision of health information to the public is one of my own research interests, and I was Anneliese's dissertation supervisor. I thought she produced a very good piece of work, and the results she highlights in this article are applicable to all public library authorities. Anneliese graduated with an MA in 2012 and worked for East Sussex Library and Information Service, which she joined whilst she was still studying. AM     

Providing real-time resources in support of LGBTQ+ and HIV+ populations as information experts on the ECHO hub team: a case report

Background:Project ECHO (Extension for Community Healthcare Outcomes) is a telehealth initiative that aims to reduce disparities in delivery of health care by leveraging technology and local expertise to provide guidance on specialized subjects to health care providers across the world. In 2018, a new ECHO hub convened in Indianapolis with a focus on health care for individuals in the lesbian, gay, bisexual, trans, and queer (LGBTQ+) populations. This ECHO iteration was one of the first of its kind and would soon be followed by a new human immunodeficiency virus (HIV) ECHO as well.Case Presentation:In a novel approach, information professionals participated in the early planning stages of the formation of these ECHO teams, which enabled the provision of real-time medical evidence and resources at the point-of-need once the teams were launched. This case study demonstrates proof of concept for including health sciences librarians and/or information professionals in the ECHO as hub team members. In this case study, the authors describe and quantify the value added to the HIV and LGBTQ+ ECHO sessions by the medical librarians, as well as provide a template for how other telehealth initiatives can collaborate with their local health information professionals.Conclusions:Librarian involvement in Project ECHO over the past three years has been enthusiastically received. The librarians have contributed hundreds of resources to ECHO participants, helped build and curate resource repositories, and expanded the embedded librarian program to an additional two ECHO iterations. ECHO hub team members report high rates of satisfaction with the performance of embedded librarians and appreciate the provision of point-of-need evidence to ECHO participants.