Trust and Credibility in Web-Based Health Information: A Review and Agenda for Future Research

Background: Online sources are becoming increasingly important in health information seeking, such that they may have a significant effect on health care decisions and outcomes. Hence, given the wide range of different sources of online health information from different organisations and individuals, it is important to understand how information seekers evaluate and select the sources that they use, and, more specifically how they assess their credibility and trustworthiness. Objectives: This article reviews empirical studies on trust and credibility in the use of online health information. The article seeks to present a profile of the research conducted on trust and credibility in online health information seeking, to identify the factors that impact judgements of trustworthiness and credibility, and to explore the role of demographic factors affecting trust formation. On this basis, it aims to identify the gaps in current knowledge and to propose an agenda for future research. Methods: A systematic literature review was conducted. Searches were conducted using a variety of combinations of the terms: online health information, trust, credibility, and their variants, in four multi-disciplinary and four health-oriented databases. Articles selected were published in English from 2000 onwards; this process generated 3827 unique records. After the application of exclusion criteria, this was reduced to a final dataset of 73 articles, which was analysed in full. Results: Interest in this topic has persisted over the last 15 years, with articles being published in medicine, social science and computer science, and focussing mostly on the USA and the UK. Documents in the dataset fell into three categories: those using trust or credibility as a dependent variable, those using trust or credibility as an independent variable, and studies of the demographic factors that influence the role of trust or credibility in online health information seeking. There is a consensus that in terms of website design, clear layout and design, interactive features and the authority of the owner have a positive effect on trust or credibility, whilst advertising has a negative effect. With regard to content features, authority of the author, ease of use and content have a positive effect on trust or credibility formation. Demographic factors influencing trust formation are age, gender and perceived health status. Conclusions: There is considerable scope for further research. This includes: increased clarity of the interaction between the variables associated with health information seeking; increased consistency on the measurement of trust and credibility; a greater focus on specific online health information sources; and, enhanced understanding of the impact of demographic variables on trust and credibility judgement

Gender as an Influencer of Online Health Information-Seeking and Evaluation Behavior

This article contributes to the growing body of research that explores the significance of context in health information behavior. Specifically, through the lens of trust judgments, it demonstrates that gender is a determinant of the information evaluation process. A questionnaire-based survey collected data from adults regarding the factors that influence their judgment of the trustworthiness of online health information. Both men and women identified credibility, recommendation, ease of use, and brand as being of importance in their trust judgments. However, women also take into account style, while men eschew this for familiarity. In addition, men appear to be more concerned with the comprehensiveness and accuracy of the information, the ease with which they can access it, and its familiarity, whereas women demonstrate greater interest in cognition, such as the ease with which they can read and understand the information. These gender differences are consistent with the demographic data, which suggest that: women consult more types of sources than men; men are more likely to be searching with respect to a long-standing health complaint; and, women are more likely than men to use tablets in their health information seeking. Recommendations for further research to better inform practice are offered

Factors influencing researchers’ journal selection decisions

The scholarly publication landscape continues to grow in complexity, presenting researchers with ever-increasing dilemmas regarding journal choice. However, research into the decision-making processes associated with journal choice is limited. This article contributes by reporting on an international survey of researchers in various disciplines and with varying levels of experience. The study examines the extent to which various journal characteristics affect journal selection, perceptions of the extent to which university and national research policies impact on their journal choice, and the influence of academics’ familiarity, confidence and objectives on journal choice. The most important factors influencing journal choice were as follows: reliability of reviewing, usefulness of reviewers’ feedback, the reputation of the journal and confidence that their article is in scope for the journal. Publishing productivity, publishing experience, researcher role and discipline had little impact on the ranking of journal choice factors, suggesting that the research community is homogeneous

Competencies for bibliometrics

Universities are increasingly offering support services for bibliometrics, often based in the library. This paper describes work done to produce a competency model for those supporting bibliometrics. The results of a questionnaire in which current practitioners rated bibliometric tasks as entry level, core or specialist are reported. Entry level competencies identified were explaining bibliometric concepts, doing basic calculations and some professional skills. Activities identified by participants as core are outlined. Reflecting on items that were considered in scope but specialist there was less stress on evaluating scholars, work at a strategic level, working with data outside proprietary bibliometric tools and consultancy-type services as opposed to training for disintermediated use. A competency model is presented as an appendix

Postgraduate students’ experience of a jointly-taught, distance learning degree : the example of a Russell Group university

This paper reports the results of a primary data collection exercise conducted with postgraduate students enrolled at a large Russell Group university in the UK. The aim of this study was to gain insights of students’ experience of a jointly-taught, distance learning, part-time postgraduate programme. A mixed-methods approach involving an online survey and semi-structured interviews was adopted. The results show that students concentrated their perceptions on three main areas: the academic content of the programme, seen as current, interesting and relevant to the students’ professional lives; delivery processes, including the advantages of the flexibility and tailored approach but also the disadvantages of being exposed to different teaching styles and lack of face to face interaction; finally, the administrative and practical aspects, accounting for the majority of complaints and worries due to the discrepancies across the two schools responsible for the delivery of the programme. Differences in experience also emerged depending on gender and year of enrolment within the programme

The information trust formation process for informal caregivers of people with dementia: a qualitative study

Purpose This paper provides new insights on trust formation during information-seeking processes of informal caregivers of people with dementia and identifies the sources of information deemed as trustworthy by caregivers. Design/methodology/approach The study adopts a phenomenological qualitative approach in the form of in-depth, semi-structured interviews with a sample of 20 informal caregivers. Findings Caregivers trust sources that are perceived as authoritative and particularly value the information and advice provided by other caregivers. Trust in information can be divided into subjective and objective, but both are important precursors to the actual use of the information. The information available to caregivers is sufficient in quantity but inadequate in terms of ease of use, clarity and usefulness. Often, some key information needs remain unsatisfied due to the lack of timeliness, relevance and personalisation of the information. Practical implications This paper provides recommendations for information and healthcare providers on how to improve communication and information relevance for informal caregivers of people with dementia. Originality/value This paper contributes to a more comprehensive perspective on caregivers’ information trust formation processes, which takes into account both the characteristics of the information and caregivers’ individual factors

Modeling the online health information seeking process: Information channel selection among university students

This study investigates the influence of individual and information characteristics on university students' information channel selection (that is, search engines, social question & answer sites, online health websites, and social networking sites) of online health information (OHI) for three different types of search tasks (factual, exploratory, and personal experience). Quantitative data were collected via an online questionnaire distributed to students on various postgraduate programs at a large UK university. In total, 291 responses were processed for descriptive statistics, Principal Component Analysis, and Poisson regression. Search engines are the most frequently used among the four channels of information discussed in this study. Credibility, ease of use, style, usefulness, and recommendation are the key factors influencing users' judgments of information characteristics (explaining over 62% of the variance). Poisson regression indicated that individuals' channel experience, age, student status, health status, and triangulation (comparing sources) as well as style, credibility, usefulness, and recommendation are substantive predictors for channel selection of OHI

Evaluating a pedagogical approach to promoting academic integrity in higher education: an online induction program

Academic integrity is at the heart of excellent education. However, resources explaining the concept tend to be definition-driven, while using complex language and sometimes even an austere tone designed to discourage students from breaches. This study aims to design and evaluate an online module at a UK University across 2 years, designed to improve students’ understanding of concepts of academic integrity and practice. The module includes a range of interactive resources (e.g., gamified quizzes and e-booklets) and was made available to a large cohort of postgraduate students (448). The study adopts a mixed-methods approach composed of three sequential phases involving first collecting students’ views on existing academic integrity resources (7 students participating in a focus group and 39 competing a questionnaire), then developing a range of new ones based on students’ feedback to form the content of the module, and finally gathering students’ evaluation on the newly created resources (sample size: 361 students). Results illustrate a clear improvement in relation to the accessibility, usefulness and understandability of new resources. Results also highlight a remarkable increase in student confidence levels regarding academic integrity. Students also considered the new module as more appealing and informative. This manuscript offers a good example of a pedagogical approach aimed at promoting academic integrity in an innovative and engaging fashion

Trust in robot-mediated health information

This paper outlines a social robot platform for providing health information. In comparison with previous findings for accessing information online, the use of a social robot may affect which factors users consider important when evaluating the trustworthiness of health information provided