Efficacy and efficiency of information retrieval of community family physicians at the point of care: exploring the associations with information and computer literacy

Authors

  • Jumana Antoun American University of Beirut
  • Jennifer Lapin Richard W. Riley College of Education and Leadership, Walden University
  • Dennis Beck University of Arkansas

DOI:

https://doi.org/10.5195/jmla.2023.1539

Keywords:

Evidence-based medicine, information literacy, digital literacy, computer literacy, family physicians, Arab countries

Abstract

Objective: This study aimed to measure the association between the efficacy/efficiency of digital information retrieval among community family physicians at the point of care and information and computer literacy.

Methods: This study is a part of a cross-sectional anonymous online survey-based study among community family physicians who reported no affiliation with an academic institution in eight Arab countries.

Results: A total of 72 physicians were included. The mean total score for the information literacy scale was 59.8 out of 91 (SD = 11.4). The mean score was 29.3 (SD = 5.6) out of 55 on the computer literacy scale. A one-way ANOVA revealed a statistically significant association between information literacy and information retrieval efficacy (F (2,69) = 4.466, p = 0.015) and efficiency of information retrieval (F (2.69) = 4.563, p = 0.014). Computer literacy was not associated with information retrieval efficacy or efficiency.

Conclusion: The information and computer literacy scores of community family physicians in eight Arab countries are average. Information literacy, rather than computer literacy, is positively associated with the efficacy and efficiency of information retrieval at the point of care. There is room for improvement in evidence-based medicine curricula and continuous professional development to improve information literacy for better information retrieval and patient care.

Author Biographies

Jumana Antoun, American University of Beirut

https://orcid.org/0000-0002-2159-427X, Professor of Famly Medicine, American University of Beirut, Beirut, Lebanon

Jennifer Lapin, Richard W. Riley College of Education and Leadership, Walden University

Contributing Faculty, Richard W. Riley College of Education and Leadership, Walden University, Minneapolis, Minnesota, USA

Dennis Beck, University of Arkansas

https://orcid.org/0003-1771-3237, Associate Professor of Educational Technology, University of Arkansas, Fayetteville, Arkansas, USA

References

Aakre CA, Pencille LJ, Sorensen KJ, Shellum JL, Del Fiol G, Maggio LA, Prokop LJ, Cook DAJAM. Electronic knowledge resources and point-of-care learning: A scoping review. 2018 93(11S):S60-S7. https://doi.org/10.1097/acm.0000000000002375.

Aakre CA, Maggio LA, Fiol GD, Cook DA. Barriers and facilitators to clinical information seeking: a systematic review. Journal of the American Medical Informatics Association. 2019 26(10):1129-40. https://doi.org/10.1093/jamia/ocz065.

Barzkar F, Baradaran HR, Koohpayehzadeh J. Knowledge, attitudes and practice of physicians toward evidence‐based medicine: A systematic review. Journal of Evidence‐Based Medicine. 2018 11(4):246-51. https://doi.org/10.1111/jebm.12325.

Brassil E, Gunn B, Shenoy AM, Blanchard R. Unanswered clinical questions: a survey of specialists and primary care providers. Journal of the Medical Library Association. 2017 105(1):4-11. https://doi.org/10.5195/jmla.2017.101.

Daei A, Soleymani MR, Ashrafi-rizi H, Zargham-Boroujeni A, Kelishadi R. Clinical Information Seeking Behavior of Physicians: A Systematic Review. International Journal of Medical Informatics. 2020:104144. https://doi.org/10.1016/j.ijmedinf.2020.104144.

van der Keylen P, Tomandl J, Wollmann K, Möhler R, Sofroniou M, Maun A, Voigt-Radloff S, Frank L. The Online Health Information Needs of Family Physicians: Systematic Review of Qualitative and Quantitative Studies. Journal of Medical Internet Research. 2020 22(12):e18816. https://doi.org/10.2196/18816.

Kostagiolas PA, Kourouthanassis PE, Martzoukou K, Korfiatis N, Niakas D. Information seeking behavioural paths of physicians for diabetes mellitus care: a qualitative comparative analysis of information needs, sources, and barriers. Health Systems. 2018 7(1):13-28. https://doi.org/10.1080/20476965.2017.1390050.

Jimenez G, Spinazze P, Matchar D, Huat GKC, van der Kleij RM, Chavannes NH, Car J. Digital health competencies for primary healthcare professionals: A scoping review. International Journal of Medical Informatics. 2020:104260. https://doi.org/10.1016/j.ijmedinf.2020.104260.

Antoun J, Lapin J, Beck D. Information retrieval at the point of care of community family physicians in Arab countries. Health Info Libr J. 2022 Apr 8. https://doi.org/10.1111/hir.12429.

Aspinall EE, Hunt SL, Theis-Mahon NR, Chew KV, Olawsky E. Addressing disparities in physician access to information in support of evidence-based practice. Health Communication. 2021 36(7):900-8. https://doi.org/10.1080/10410236.2020.1723049.

de Fernelmont Laurence L, Van Laere S, Devroey D. The Quality of EBM Sources Perceived By Belgian Family Physicians. Open Access Macedonian Journal of Medical Sciences. 2018 6(10):1918-23. https://doi.org/10.3889/oamjms.2018.382.

Shaarani I, Berjaoui H, Daher A, Khalil M, Al Rifai AER, Saati R, Antoun J. Attitudes of patients towards digital information retrieval by their physician at point of care in an ambulatory setting. International journal of medical informatics. 2019 130:103936. https://doi.org/10.1016/j.ijmedinf.2019.07.015.

World Organization of Family Physicians (WONCA). Region: East Mediterranean. Retrieved from https://www.globalfamilydoctor.com/AboutWonca/Regions/EastMediterranean2.aspx.

Boechler P, Dragon K, Wasniewski E. Competence D. Digital literacy concepts and definitions: Implications for educational assessment and practice. 2014 5(4):1-18. http://dx.doi.org/10.4018/978-1-4666-8200-9.ch011.

Covello S, Lei J. A review of digital literacy assessment instruments. Syracuse University. 2010:1-31.

Smith EE, Kahlke R, Judd T. Not just digital natives: Integrating technologies in professional education contexts. Australasian Journal of Educational Technology. 2020:1-14. http://dx.doi.org/10.14742/ajet.5689.

De Meulemeester A, Buysse H, Peleman R. Development and validation of an information literacy self-efficacy scale for medical students. Journal of Information Literacy. 2018 12(1). https://doi.org/10.11645/12.1.2300.

Kurbanoglu SS, Akkoyunlu B, Umay A. Developing the information literacy self‐efficacy scale. Journal of documentation. 2006. https://doi.org/10.1108/00220410610714949.

Soroya SH, Iqbal MMY, Soroya MS, Mahmood K. Predictors of information literacy self-efficacy among medical students: PLS-SEM analysis. Library Hi Tech. 2020. https://doi.org/10.1108/LHT-07-2020-0172.

Fogarty G, Cretchley P, Harman C, Ellerton N, Konki N. Validation of a questionnaire to measure mathematics confidence, computer confidence, and attitudes towards the use of technology for learning mathematics. Mathematics Education Research Journal. 2001 13(2):154-60. https://doi.org/10.1007/BF03217104.

Hallit S, Tawil S, Sacre H, Rahme C, Hajj A, Salameh P. Lebanese pharmacists’ confidence and self-perceptions of computer literacy: scale validation and correlates. Journal of Pharmaceutical Policy and Practice. 2020 13(1):1-8. https://doi.org/10.1186/s40545-020-00246-y.

Burches E, Burches M. Efficacy, effectiveness and efficiency in the health care: the need for an agreement to clarify its meaning. Int Arch Public Health Community Med. 2020 4:35. https://doi.org/10.23937/2643-4512/1710035.

Altemani AH, Altemani AH. Primary health care Physicians' Knowledge, attitude and practice towards evidence-based medicine in Tabuk City, KSA. The Egyptian Journal of Hospital Medicine. 2018 70(9):1475-9. https://doi.org/10.3390/healthcare10112285.

Brown J, Morgan A, Mason J, Pope N, Bosco AM. Student nurses' digital literacy levels: Lessons for curricula. CIN: Computers, Informatics, Nursing. 2020 38(9):451-8. https://doi.org/10.1097/cin.0000000000000615.

Shaker HA, Farooq MU. Computer literacy of physicians among the hospitals of Makkah region. Journal of Family and Community Medicine. 2013 20(3):173-8. https://doi.org/10.4103/2230-8229.121998.

Alipour J, Payandeh A. Assessing the level of digital health literacy among healthcare workers of teaching hospitals in the southeast of Iran. Informatics in Medicine Unlocked. 2022 29:100868. https://doi.org/10.1016/j.imu.2022.100868.

MacLure K, Stewart D. Digital literacy knowledge and needs of pharmacy staff: A systematic review. Journal of Innovation in Health Informatics. 2016 23(3):840. https://doi.org/10.14236/jhi.v23i3.840.

Hong J, Chen J. Clinical physicians’ attitudes towards evidence-based medicine (EBM) and their evidence-based practice (EBP) in Wuhan, China. International journal of environmental research and public health. 2019 16(19):3758. https://doi.org/10.3390/ijerph16193758.

Albarqouni L, Hoffmann T, Glasziou P. Evidence-based practice educational intervention studies: a systematic review of what is taught and how it is measured. BMC medical education. 2018 18(1):177. https://doi.org/10.1186/s12909-018-1284-1.

Horntvedt M-ET, Nordsteien A, Fermann T, Severinsson E. Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC medical education. 2018 18(1):1-11.https://doi.org/10.1186/s12909-018-1278-z.

Ullah M, Ameen K. Teaching information literacy skills to medical students: perceptions of health sciences librarians. Health Information & Libraries Journal. 2019 36(4):357-66. https://doi.org/10.1186/s12909-018-1278-z.

Pettersson J, Bjorkander E, Bark S, Holmgren D, Wekell P. Using scenario-based training to promote information literacy among on-call consultant pediatricians. Journal of the Medical Library Association: JMLA. 2017 105(3):262. https://doi.org/10.5195/jmla.2017.79.

Simons MR, Zurynski Y, Cullis J, Morgan MK, Davidson AS. Does evidence-based medicine training improve doctors’ knowledge, practice and patient outcomes? A systematic review of the evidence. Medical teacher. 2019 41(5):532-8. https://doi.org/10.1080/0142159X.2018.1503646.

Yevelson-Shorsher A, Bronstein J. Three perspectives on information literacy in academia: Talking to librarians, faculty, and students. College & Research Libraries. 2018 79(4):535. https://doi.org/10.5860/crl.79.4.535.

Adeoye AA, Adeoye BJ. Digital Literacy Skills of Undergraduate Students in Nigeria Universities. Library Philosophy and Practice (ejournal). 2017 1665. https://digitalcommons.unl.edu/libphilprac/1665.

Kuek A, Hakkennes S. Healthcare staff digital literacy levels and their attitudes towards information systems. Health informatics journal. 2020 26(1):592-612. https://doi.org/10.1177/1460458219839613.

Miranda P, Isaias P, Pifano S, editors. Digital Literacy in Higher Education. International Conference on Learning and Collaboration Technologies; 2018: Springer.

Noh Y. A study on the effect of digital literacy on information use behavior. Journal of Librarianship and Information Science. 2017 49(1):26-56. http://dx.doi.org/10.1177/0961000615624527.

Sparks JR, Katz IR, Beile PM. Assessing digital information literacy in higher education: A review of existing frameworks and assessments with recommendations for next‐generation assessment. ETS Research Report Series. 2016 2016(2):1-33. http://dx.doi.org/10.1002/ets2.12118.

Published

2023-07-10

Issue

Section

Original Investigation