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Finding Reliable Health Information: A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester Regional Health [email protected] Jennifer Raynor, Pediatric Liaison Librarian, University of Rochester, Edward G. Miner Library [email protected] Daniel Castillo, Liaison Librarian, University of Rochester, Edward G. Miner Library [email protected] Sarah J. Bishopp Velez, Consumer Health Librarian, Science & History Division, Central Library of Rochester & Monroe County [email protected] Barbara Ciambor, Outreach Librarian, Rochester Regional Library Council [email protected] OCTOBER 19, 2016

Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

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Page 1: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Finding Reliable Health Information:

A Guide to Local, Regional and

National Resources

Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester Regional Health

[email protected]

Jennifer Raynor, Pediatric Liaison Librarian, University of Rochester, Edward G. Miner Library

[email protected]

Daniel Castillo, Liaison Librarian, University of Rochester, Edward G. Miner Library

[email protected]

Sarah J. Bishopp Velez, Consumer Health Librarian, Science & History Division,

Central Library of Rochester & Monroe County

[email protected]

Barbara Ciambor, Outreach Librarian, Rochester Regional Library Council

[email protected]

OCTOBER 19, 2016

Page 2: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• Libraries have a long history of meeting public demand for consumer health information.

• A recent IMLS study showed that an estimated 37 percent of library computer users (28 million people) use library computers and seek assistance from librarians for health and wellness issues, including learning about medical conditions, finding health care providers, and assessing health insurance options.

Becker, Samantha, Michael D. Crandall, Karen E. Fisher, Bo Kinney,

Carol Landry, and Anita Rocha. (2010). Opportunity for All: How

the American Public Benefits from Internet Access at U.S. Libraries.

(IMLS-2010-RES-01). Institute of Museum and Library Services.

Washington, D.C.

Page 3: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• A 2015 Pew Research Center Study reveals that 73%

of all those ages 16 and over say libraries contribute

to people finding the health information they need.

42% of those who have gone online at a library using

its computers, internet connections or Wi-Fi have

done so for health-related searches.

http://www.pewinternet.org/2016/09/09/libraries-2016/

Page 4: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• Librarians and library staff may face challenges

assisting their users with health related questions.

• Librarians and library staff will want to know how to

help their users locate and evaluate reliable health

information

• If consumers are to make informed decisions

regarding their health they need to have the capacity

to locate, evaluate and understand the information

they find.

Page 5: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

How will what you learn today help you answer

consumer health questions?

• You will learn how to evaluate a consumer health

website. You will learn the basic rules for evaluating

the quality of online resources.

• You will become aware of reliable web sites that you

can use to answer consumer health related questions,

including MedlinePlus.

• You will be able to find reliable health information

from local, state, regional and national sources.

Page 6: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• Our purpose today is to provide you with

information, not medical advice. Always

consult a health professional to discuss

specific health concerns.

Page 7: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Realities of Health Care Today

• Health consumers are asked to make decisions

about their own health.

• Many consumers use the internet to locate

health information, but is this information

reliable?

Page 8: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

The report OnlineHealth 2013, from the Pew

Research Center’s Internet & American Life

Project found that many searchers begin their

searching using a search engine such as

Google, Bing or Yahoo.

Search engines are easy to use, but are results

consistent, reliable, correct? Not always!

Page 9: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Where’s a health consumer to turn for help?

The National Library of Medicine provides a great 16 minute lesson on how you can evaluate online health information.

• Find it at http://www.nlm.nih.gov/medlineplus/webeval/webeval.html

• A useful checklist on evaluating health websites is included.

Page 10: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Evaluating Internet Health Information

Page 11: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Evaluating websites: watch for these “red flags”:

• Sensationalized content

• Buzz words

• No date

• No author credentials or lack of sources

• Unverified patient testimonials

• Products for sale

• Website is listed on QuackWatch http://www.quackwatch.com

Evaluating Internet Health Information

Page 12: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Remember the ABC’s of evaluation

• Accuracy

• Authority

• Bias

• Currency

• Coverage

and don’t forget user friendliness, ease of use.

Evaluating Internet Health Information

Page 13: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Medical Library Association (MLA)

• MLA’s For Health Consumers

o Top Health Websites

o What Did My Doctor Say? – Dictionary for commonly

used medical terms

• Content Evaluation Guidelines from MLA

(http://www.mlanet.org/p/cm/ld/fid=398)

1. Who is sponsoring the website?

2. How often is the site updated?

3. Does the site present facts and not opinion?

4. Who is the intended audience?

Page 14: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Medical Library Association (MLA)

– 1. Who is sponsoring the website?

• Can you identify the site sponsor, authors, and other

contributors? Don’t stop there, look them up.

• Look at the website address. A government address will

have .gov, an educational institution will have .edu, an

organization will have .org, and a commercial site will have

.com.

• Companies may have a commercial interest in hosting a

commercial site, advertising and selling products.

However, not all commercial sites are bad and not all .org

sites are good. For Health Consumers and Patients. (2015).

Page 15: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Medical Library Association (MLA)

– 2. How often is the site updated?

• Health information changes constantly, a good health

resource should have frequent updates.

• The site should include revision dates, typically found

along the bottom of the page.

Page 16: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Medical Library Association (MLA)

– 3. Does the site present facts and not opinion?

• Information should be presented in a clear manner.

• Information should be verifiable using professional

literature or links to other reputable websites.

• If opinions are offered, they should be clearly indicated as

opinions.

• This is one of the toughest areas to evaluate!

Page 17: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Medical Library Association (MLA)

– 4. Who is the intended audience?

• Site should state whether the information is intended for

consumer or health professional. Some sites have areas for

both, this should be clearly indicated.

Page 18: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE – Health on the Net Foundation

The Health On the Net Foundation (HON) promotes and guides the deployment of useful and reliable online health information, and its appropriate and efficient use. Created in 1995, HON is a non-profit, non-governmental organization, accredited to the Economic and Social Council of the United Nations.

– Authority (Give qualifications of authors), Complementarity (Information to support, not replace), Confidentiality (Respect the privacy of site users), Attribution (Cite the sources and dates of medical information), Justifiability (Justification of claims / balanced and objective claims), Transparency (Accessibility, provide valid contact details), Financial disclosure (Provide details of funding), Advertising (Clearly distinguish advertising from editorial content)

Page 19: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

EVALUATE- Your Turn

• http://www.nvic.org

• http://www.voicesforvaccines.org

Page 20: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Now that you know about the tools you can use to

evaluate health websites, here is a reliable website

that we recommend for consumer health questions:

MedlinePlus Includes health topics, diseases and

conditions, drug information, clinical trials,

alternative medicine, directories of doctors and

hospitals, health information in Spanish, and the latest

health news. Updated and reviewed daily. From the

National Library of Medicine.

Let’s take a short tour of MedlinePlus…

Page 21: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Now let’s look at some local,

Rochester area resources

Page 22: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• CLIC-on-Health(http://www.cliconhealth.org), is

administered by the Rochester Regional Library

Council, includes a website which acts as a

gateway to free, full text health information for

health consumers and health professionals.

• CLIC-on-Health can be used by anyone with

internet access. All the websites are vetted by the

CLIC-on-Health Steering Committee made up of

Rochester area librarians.

Page 23: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

The CLIC-on-Health website is arranged by

general categories:

• Drugs & Medications

• For Consumers

• For Health Professionals

• Healthcare in NY

Page 24: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

CLIC-on-Health

• Under Drugs and Medications you’ll find drug

identification sites, medication information,

paying for medication.

• Under For Consumers you’ll find websites

specific to Kids Health, Teens Health, Seniors

Health.

Page 26: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• Under Healthcare in NY you’ll find

information about:

o Physicians

oNYS health insurance options

oNursing home comparisons

oWestern NY Rochester region hospital profiles

Page 27: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

RochesterHealth.com

RochesterHealth.com (www.rochesterhealth.com) is a

non-profit community focused website where you can

find collection of local healthcare resources: doctor,

dentist and medical service listings; links to service

agencies and support groups; senior and cancer

resources; a community health calendar and more.

Information is provided by local health professionals

and is endorsed by regional health organizations.

Page 28: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Central Library of Rochester & Monroe County

Wellness Center

Sarah J. Bishopp Velez Consumer Health Librarian

Science & History Division

585-428-8194 | [email protected]

Page 29: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester
Page 30: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Center for Community Health -

https://www.urmc.rochester.edu/community-

health.aspx

Alzheimer’s Association -

http://www.alz.org/rochesterny/

Cornell Cooperative Extension -

http://monroe.cce.cornell.edu/nutrition

Community Organizations

Page 31: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Other Resources

CAPHIS - http://caphis.mlanet.org/

RUSA Medical Reference Guidelines -

http://www.ala.org/rusa/resources/guidelines/guidelinesmed

ical

County Health Rankings and Roadmaps -

http://www.countyhealthrankings.org/

Community Health Assessment -

https://www2.monroecounty.gov/files/health/DataReports/

Monroe%20County%20cha%20chip%202013.pdf

Greater Rochester Health Foundation -

http://www.thegrhf.org/

Grants Resource Center -

http://www3.libraryweb.org/central.aspx?id=114

Page 32: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Rochester Regional Health Werner Medical Library Ask a Medical Librarian

585-922-WELL (922-9355)

www.wernerlibrary.org/wellness

[email protected]

Page 33: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Werner Medical Library www.wernerlibrary.org/wellness

• Health information websites

• Specific health websites - diabetes, heart health, nutrition, more

• Foreign language health information

• Health literacy

• Mindfulness apps

Page 34: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

34

• Miner Library in the Medical Center

• Family Resource Library at Golisano

Children’s Hospital

• Bibby Library at the Eastman Institute for Oral

Health

• Williams Library at Highland Hospital

Libraries &

Technologies

Page 35: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

35

Ask A Librarian

Page 37: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Let’s look at a resource available

through New York State

Page 38: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• NOVELNY includes the Health Reference

Center Academic database which includes

information on medicine and alternative

medicine for medical professionals as well as

general consumers.

Page 39: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Let’s look at regional and national

resources

Page 40: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

National Network Libraries of

Medicine(NN/LM) Consumer Health Outreach Resources

• Evaluating Health Websites

• Health Literacy

• Consumer Health Information in Many Languages Resources

• Professional Development for Consumer Health

• The Consumer Health Reference Interview and Ethical Issues

• Health Information Partnerships: Tips from a Partnership

• Finding Consumer Health Materials in Spanish

Page 41: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

National Network Libraries of

Medicine/Middle Atlantic Region

Page 42: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

National Library of Medicine(NLM)

Databases, research, apps and much more…

Page 43: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

National Library of Medicine Specialized

Information Services

Outreach Activities & Resources

Programs and resources for K-12 science education,

minority and other specific populations

Page 44: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Use these reliable websites to help you

answer health related questions

CLIC-on-Health cliconhealth.org

MedlinePlus https://medlineplus.gov/

FamilyDoctor.org http://familydoctor.org/familydoctor/en.html

Lab Tests Online www.labtestsonline.org

Skinsight www.skinsight.com

NLM Drug Information Portal http://druginfo.nlm.nih.gov/drugportal/drugportal.jsp

National Cancer Institute www.cancer.gov

Clinical Trials.gov www.clinicaltrials.gov

Center for Disease Control and Prevention (CDC) www.cdc.gov

Merck Manual Home Health Handbook www.merckmanuals.com/home/index.html

Household Products Database www.householdproducts.nlm.nih.gov

Rochester Health http://www.rochesterhealth.com

Nursing Home Compare http://www.medicare.gov/NursingHomeCompare/search.aspx

Prescription Drug Prices in NYS https://apps.health.ny.gov/pdpw/SearchDrugs/Home.action

2-1-1 Lifeline https://211lifeline.

For more links to reliable websites check out CLIC-on-Health.

Page 45: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Try answering these questions using the reliable

websites you learned about in today’s class

• What is cholelithiasis?

• Is there any evidence that ginger is effective for treating arthritis?

• My friend needs to find a nursing home for her father within 10 miles of Ithaca, NY.

• Are there any current clinical trials for alternative treatment of fibromyalgia?

• What will the creatinine lab test test for?

• What does rosacea look like?

• How can I compare the cost of the drug abilify in Livingston County?

• My Mom was just diagnosed with thyroid cancer. Where can I find some factual information that is written for the patient?

Page 46: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

• What is cholelithiasis? MedlinePlus

• Is there any evidence that ginger is effective for treating arthritis? MedlinePlus

• My friend needs to find a nursing home for her father within 10 miles of Ithaca, NY. NursingHome Compare

• Are there any current clinical trials for alternative treatment of fibromyalgia? Clinicaltrials.gov

• What will the creatinine lab test test for? Lab Tests Online

• What does rosacea look like? Skinsight

• How can I compare the cost of the drug abilify in Livingston County? Prescription Drug Prices in NYS

• My Mom was just diagnosed with thyroid cancer. Where can I find some factual information that is written for the patient? National Cancer Institute, MedlinePlus

Page 47: Finding Reliable Health Information: A Guide to Local ... · A Guide to Local, Regional and National Resources Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester

Finding Reliable Health Information:

A Guide to Local, Regional and

National Resources

Mary Ann Howie, Wellness Librarian, Werner Medical Library, Rochester Regional Health

[email protected]

Jennifer Raynor, Pediatric Liaison Librarian, University of Rochester, Edward G. Miner Library

[email protected]

Daniel Castillo, Liaison Librarian, University of Rochester, Edward G. Miner Library

[email protected]

Sarah J. Bishopp Velez, Consumer Health Librarian, Science & History Division,

Central Library of Rochester & Monroe County

[email protected]

Barbara Ciambor, Outreach Librarian, Rochester Regional Library Council

[email protected]

OCTOBER 19, 2016