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

Measurement of electron density and temperature in plasmas

Application of two laser wavelengths passing through plasma measures electron density and temperature. Function depends on determining absorption of light at two wavelengths. Nature of reaction is explained and schematic diagram of equipment is included

Lessons and Prospects from the pMSSM after LHC Run I: Neutralino LSP

We study SUSY signatures at the 7, 8 and 14 TeV LHC employing the 19-parameter, R-Parity conserving p(henomenological)MSSM, in the scenario with a neutralino LSP. Our results were obtained via a fast Monte Carlo simulation of the ATLAS SUSY analysis suite. The flexibility of this framework allows us to study a wide variety of SUSY phenomena simultaneously and to probe for weak spots in existing SUSY search analyses. We determine the ranges of the sparticle masses that are either disfavored or allowed after the searches with the 7 and 8 TeV data sets are combined. We find that natural SUSY models with light squarks and gluinos remain viable. We extrapolate to 14 TeV with both 300 fb$^{-1}$ and 3 ab$^{-1}$ of integrated luminosity and determine the expected sensitivity of the jets + MET and stop searches to the pMSSM parameter space. We find that the high-luminosity LHC will be powerful in probing SUSY with neutralino LSPs and can provide a more definitive statement on the existence of natural Supersymmetry.Comment: 41 pages, 27 figures. arXiv admin note: substantial text overlap with arXiv:1307.844

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

Density Matrix Renormalization for Model Reduction in Nonlinear Dynamics

We present a novel approach for model reduction of nonlinear dynamical systems based on proper orthogonal decomposition (POD). Our method, derived from Density Matrix Renormalization Group (DMRG), provides a significant reduction in computational effort for the calculation of the reduced system, compared to a POD. The efficiency of the algorithm is tested on the one dimensional Burgers equations and a one dimensional equation of the Fisher type as nonlinear model systems.Comment: 12 pages, 12 figure

How do hospitals respond to feedback about blood transfusion practice? A multiple case study investigation

National clinical audits play key roles in improving care and driving system-wide change. However, effects of audit and feedback depend upon both reach (e.g. relevant staff receiving the feedback) and response (e.g. staff regulating their behaviour accordingly). This study aimed to investigate which hospital staff initially receive feedback and formulate a response, how feedback is disseminated within hospitals, and how responses are enacted (including barriers and enablers to enactment). Using a multiple case study approach, we purposively sampled four UK hospitals for variation in infrastructure and resources. We conducted semi-structured interviews with staff from transfusion-related roles and observed Hospital Transfusion Committee meetings. Interviews and analysis were based on the Theoretical Domains Framework of behaviour change. We coded interview transcripts into theoretical domains, then inductively identified themes within each domain to identify barriers and enablers. We also analysed data to identify which staff currently receive feedback and how dissemination is managed within the hospital. Members of the hospital’s transfusion team initially received feedback in all cases, and were primarily responsible for disseminating and responding, facilitated through the Hospital Transfusion Committee. At each hospital, key individuals involved in prescribing transfusions reported never having received feedback from a national audit. Whether audits were discussed and actions explicitly agreed in Committee meetings varied between hospitals. Key enablers of action across all cases included clear lines of responsibility and strategies to remind staff about recommendations. Barriers included difficulties disseminating to relevant staff and needing to amend feedback to make it appropriate for local use. Appropriate responses by hospital staff to feedback about blood transfusion practice depend upon supportive infrastructures and role clarity. Hospitals could benefit from support to disseminate feedback systematically, particularly to frontline staff involved in the behaviours being audited, and practical tools to support strategic decision-making (e.g. action-planning around local response to feedback)

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

The Salmonella specific, σE-regulated, STM1250 and AgsA, function with the sHsps IbpA and IbpB, to counter oxidative stress and survive macrophage killing

The host presents an array of environments which induce bacterial stress including changes in pH, antimicrobial compounds and reactive oxygen species. The bacterial envelope sits at the interface between the intracellular and extracellular environment and its maintenance is essential for Salmonella cell viability under a range of conditions, including during infection. In this study, we aimed to understand the contribution of the σH- and σE-regulated small heat shock proteins IbpA, IbpB, and AgsA and the putative σE-regulated stress response protein STM1250 to the Salmonella envelope stress response. Due to shared sequence identity, regulatory overlap, and the specificity of STM1250 and AgsA to Salmonella sp., we hypothesized that functional overlap exists between these four stress response proteins, which might afford a selective advantage during Salmonella exposure to stress. We present here new roles for three small heat shock proteins and a putative stress response protein in Salmonella that are not limited to heat shock. We have shown that, compared to WT, a quadruple mutant is significantly more sensitive to hydrogen peroxide, has a lower minimum bactericidal concentration to the cationic antimicrobial peptide polymyxin B, and is attenuated in macrophages