Collection Management for Healthy Communities

By Adem Lewis / in , , , , , /

(entertaining music) – I am recording this
webinar, just so you know, and this will be posted on
YouTube in about a week or so. We are gonna be providing CE from the Medical Library Association, and I will share that link in an email after this webinar is over. Let’s see, (mumbling), my name is Bobby Newman, and I’m today’s host for the webinar. I’m gonna go ahead and let
Francisca share her screen, and we’re gonna go ahead and get started. – Okay, thank you, Bobby. And gonna pull up my PowerPoint here, and we’ll have a webinar. So hi, everyone. I don’t care when you ask questions. That’s just great. If you have questions
or comments at any time, go ahead and put them into the chat queue, and Bobby will be paying attention to it. So, don’t expect that I
am paying attention to it and we’ll answer the question immediately, but we’ll get it answered
very, very quickly. Today’s topic is Collection Management for Healthy Communities, and of course it’s aimed
at public libraries. And I am having trouble going forward. Bobby? – Do your arrow keys work? – My arrow keys are not working, which is the interesting part. Here, let me– – There you go. – Okay. So sorry. Okay. Today’s discussion focuses on
how public library collections address many health related
needs and interests. Librarians and many
others look to resources for information in response
to questions about disease, wellness, chronic conditions, prescription and non-prescription drugs, and different kinds of therapies. To provide accurate, and valuable, and correct support for
these information needs, the print, media, and online collections in which your public library relies has to be cultivated
with new resources added and updated once weeded. So that’s what we’ll be talking about during the course of this hour. I’ve developed, my name is Francisca, as I’ve already been introduced, and I’ve developed and taught
curriculum for library staff relating to delivering health information to community members in a number of different geographical areas, some of which have excellent
access to rich resources and also in isolated
places where both budget and online connectivity
are badly underdeveloped. So I do feel like where
we were coming from, I probably have met people
in that situation before who are trying to deliver
good healthcare collections. So, please feel free to ask questions or make comments as we go along. Although we can’t all introduce ourselves, I wanna do welcome you all. There are about 70 of you here, and hope that you will be willing to share your own experiences as
well as your questions so that our time together
today enriches all of us. So let’s start with both the
purpose and the presentation of the collections we
provide community members. We need to make sure
that those collections are evaluated for their
authority, accessibility, they’re fit to our specific community, and it’s micro populations
and staff capacity and understanding of how
library value is added to the collections through
our service points. So when we talk about those collections, we’re talking about
collections that are stored or made available in
different parts of the library with different end uses in mind such as reference material
versus circulating materials, and we’re also talking about collections that may be physical collections, but also collections
that may live only online or in another medium besides print. The reference collection, no matter what topic is being covered, health is just one example, addresses essential information needs that many in your community may need to consult simultaneously. So, instead of having
materials only circulating, you’ve got a collection
that is always available for your community to turn to, but also includes information that your community may need you
to act as an intermediary in order to make that
information useful to them. There’s ready access to
evidence-based science and authoritative guidance
for decision-making in your reference collection
when it comes to health. There is material that
is organized in a way that staff really does need
to provide that guidance because we can’t expect
everyone in our community to understand how to use the
work that has multiple indexes just for an example. And when we talk about any
public library setting, we’re always talking about a local library and its various local issues. So, one of the things that’s
probably in larger libraries, or county libraries, if you’re in a county
public library situation, include environmental impact reports, and those clearly can have health and wellness implications in them. We also, through our reference services, offer directory assistance
for finding health services not just for immediate healthcare, but also things like planning
long-range elder care for someone who may live
outside of the area, and you can’t go and
actually physically help, but you can help them remotely
at your public library. In the circulating
collection, we have also aspects that are addressing
different population groups. So in addition to
materials, and databases, and even suggested websites
that are appropriate for adults, we also keep collections
for kids, for teens, for people who speak
languages other than English, and for a variety of media strengths. So people who would
prefer or rely upon audio or audio visual information
cal also receive it in a circulating collection as well as those who look
for the traditional print. The kinds of things that
people are looking for in the circulating collection
include things like diabetes support diets, and
different HIV treatments, how chemical, toxic
chemicals in the work place and in cosmetics might affect them, sports injury exercise regimes. And all of these and more become dated. So keeping the materials in
your circulating collection up-to-date is just as
important as keeping those in your reference collection up-to-date. Multiple formats and styles allow different community members
to access information that’s essential to their
health, needs, and interests. Keeping older materials in your Spanish, or your Vietnamese, or your
Chinese language collection is frankly, unethical. Everyone should receive
equitable treatment from your collections as well
as from your service points. And here on this slide one
of the important elements that you see is a definition
of health literacy itself. Studies have shown that your
guarded variety literacy, that is your capacity to read
and evaluate political moves or the instructions for
using your new blender, really don’t translate necessarily over to having the same level of health literacy. So, keeping in mind that even
people in our communities who are relatively well-educated who may lack specific
education in the health field, may have the source of literacy issues that you would otherwise
not consider them having if it were coming to something like needing a repair manuals
for their automobile, or needing directions to bake a cake. This particular definition is used widely, and you’ll probably
see it in every webinar on health and wellness that you attend. Whether you’re talking about
the reference collection, an adult, or youth circulating collection, a video collection, or even the databases to which your library subscribes, evaluation needs to be ongoing. You need to be able to
evaluate the authority, the currency, the audience accessibility, and the appropriateness to
your collection’s profile have to be considered and
reconsidered on a regular basis. One of the issues that
comes up frequently is, I’ve put a whole lot of money
into buying these materials, or into paying for this
particular service, so I have to keep it. I can’t afford to get rid of it. When it comes to health and wellness, past costs should not be a
factor in current retention if the content no longer passes muster and these other criteria. And you can think of a parallel to this. This about the last time that you went out for a really spectacular
dinner in a restaurant. And maybe you’re a meat eater, and you ordered a fantastic steak, and you had a bottle of champaign. And you weren’t able to finish the steak, and not all of the champaign was drunk, so you took those home with you. Now, if you turn back
to that leftover steak and that leftover
champaign a few days later, not only will it have degraded horribly, but it could actually be, they could actually be injurious too. You have to be able to
think of your health and wellness collections in the same way. There’s no reason to preserve them beyond the time that they can deliver what you bought them
for in the first place. And if they’re no longer
useful, they can be harmful. It’s best if you don’t consume them. Your community doesn’t know that, and they don’t necessarily
know how to judge whether the material is out of date. So it really is up to
us to keep our health and wellness collections
judiciously weeded and make sure that we’re
not serving week old steak or three week old champaign. Okay, but what about health books? There must be some place for
paper in our collections. There actually are. There are very few, but there are a few, as long as they reflect current
evidence-based information and/or current practice, and the terminology that they use reflects our current
awareness of disabilities, gender identity, and other
aspects of personal status. And this means that very,
very few traditional paper health and wellness books
are going to pass muster. And the chorus at the bottom is something that I know all of us have
said at one time or another as well as heard our coworkers say. But that’s what people want. They want books. We’ll get to that. And I don’t actually believe
that’s true anymore at all. There are some books
that are worth keeping. Certainly having the latest
human anatomy works on hand, for instance Gray’s Anatomy’s
in it’s 20th edition. So if you have that, do keep it. The most recent editions
of your state’s codes, legal codes, that refer to health laws and public health laws. If legal codes for your state are part of your general collection, they should always be up to date, and you should think of
any of the state codes that have health references as being part of your health collection as well as part of your legal collection. In you circulating collection, cook books that are currently
listed as high valued by the American Heart Association
you certainly should keep. You should revisit them and the American Heart
Association’s advice on a regular basis. However, cookbooks that are for diets that are either fad diets
or diets that have been more popular five years ago, 10 years ago, and have very little basis
in science if any at all, do not deserve a place in your collection from a health and wellness perspective. If your library happens to
be a resource for cook books for your entire area, you
may end up keeping them, but please try to make sure that people are not relying on the ones
that claim to have health or wellness benefits. Make sure that your users are aware that that might not be the case. Youth collection books
that have to do with health and wellness include
books about the body, the human body, as well as animal bodies, puberty, and chronic diseases
of childhood like asthma. These are books that are
written for kids and teens and are well-reviewed. They should also be less
than five years old. They should be less than five years old not only sot hat the health information is current enough to be useful but also because of
books for kids and teens. A book that’s older than five years that is giving non-historic information will tend to look very
dated after five years, and I don’t just mean what the kids in the pictures are wearing, but also just how
information is displayed. As we all become more and more attuned to collecting our information online, kids and teens are scanning book information differently as well. And so, newer books are
laid out in a way that has that understanding behind it. Ones that are older tend to
look too old to be useful whether or not they are
to the discerning teen or older child. Just because information lives online doesn’t automatically imply
that it’s current, of quality, or has a good fit to the user. Evaluate and reevaluate your databases and any websites you use and
refer your community to use. Make sure you know the ones
that widely publicize themselves that are in fact of poor
quality, such as WebMD, which has posters advertising itself in doctor offices for instance. You can test how authoritative it is by trying to find when the
information and it was updated. You’ll have considerable difficulty. And in terms of access and
level of understanding of that, users need to bring it winnowing out what was said by an expert
versus what was said by somebody who is a quote-unquote doctor or perhaps not in that area of expertise, is very difficult to do in WebMD too. So generally avoid that when you can. Be prepared to teach the skills
that your community needs to navigate complex and
valuable websites and databases. And you do that best, of course, by learning how to do that yourself first. So, back when we were talking about, don’t people really
just want books anyway? Be honest with yourself. Are you actually saying, I’m more comfortable
using print information. These websites, these databases
are all set up differently. It’s gonna take me a long time to become proficient at using them. Instead of worrying about it, jump in and start making
yourself proficient, and you do that with practice. So where can you find
authoritative health collections? Fortunately, there are a whole
lot of free ones out there. So what we have available
isn’t going to cost more money in terms of materials. It may in fact require that
you have more public access, computers, and spend more
staff time helping people with navigating databases and websites, but it’s not as if you’re being asked to get rid of thousands
of dollars worth of books and replace them with thousands
of dollars worth of books. I’m going to move to a
different screen now. So just a minute. And. See. You’re all being so patient while I try to get myself to the right screen. Okay. The Public Library Association
working in conjunction with the Medical Library
Association has developed healthy community’s tools. Healthy community tools
for public libraries kit has a large range of resources. When we get the PowerPoint
that I’m showing you today you’ll have the URL for this. Don’t worry about it. Has a huge range of programing ideas, but also among its resources
includes glossaries, and also it includes databases. And these databases are
freely open to you to use. As I said, some of them are complex, and we should take the time to learn to be proficient among yourselves, but you don’t have to come
to this with the mindset that this is going to
cost a whole lot of money to rebuild your collection. Because in point of fact,
you’ve got a lot of databases at that ready at one
URL to get you started. Let’s see, I would like to take you into one of them in particular. And that is HealthFinder. is a very basic, I think of it as a health encyclopedia aimed at an adult audience but certainly accessible
by middle to older teens that covers a huge range of topics and does it in a way that is
laid out relatively simply. So if you yourself are
feeling a little bit shy about becoming proficient in different databases and websites, this would be a good starting place. It’s fairly straightforward. It has an enormous range of topicality, and because it’s free, and because it’s very frequently updated, you’re always going to
find solid information here without paying a high price. Okay. Let’s see here. Whoops. Sorry about that. Um. I need to move this over so that I can in fact get us to the right view. Okay. Thanks for all your patience. Okay, I showed you HealthFinder. Some of the other free
things available to you that are essential to a
good health and wellness collection that’s online
is hospital profiles, which lists almost all of
the hospitals in the U.S., as well as other healthcare facilities, and provides you with directory assistance as well as grading and
directories to individual staff such as the director, or the bursar, people like that with whom we want, you might want to be in
touch for planning purposes. The value of hospital profiles to view in the reference collection is for those of your community members
who are trying to help someone who is remote from then, a family member who lives
in a different state, for instance, to find
appropriate healthcare or appropriate life support care when you cannot be there to take them into their own library to find it. And the Insurance Glossary is another kind of surprising thing that still lives from the Federal government online. It’s part of the site, and it provides terms that are frankly quite hard for most of us to understand when they’re used in a
health insurance context. So having quick availability
to that glossary can be a great benefit to you (laughs) as well as to one of
your community members. Probably the biggest and best of the whole bunch of free
sites is the database, and it’s a highly nuanced
database, MedlinePlus. MedlinePlus addresses a wide number of, or a wide range of
different kinds of users. So it addresses the needs of clinicians, and it addresses the needs of researchers, but it also addresses the needs of people who are trying to become better informed about their own information holdings in things like herbal supplements, or what the steps are
going to be of a surgery that they’re going to have
on their knee next week, or why it’s a good thing
to have childhood vaccines roll out in a specific
order and at specific ages. All of those things are available to you, and I frankly am so startled
about how responsive the staff at MedlinePlus
have been over the years. I was once teaching a course in which one of the class participants came across a piece of information in MedlinePlus about juvenile diabetes
that had only recently been shown to be out of date, and by very recently I
mean within that month. And so, she found a place
in MidlinePlus’ site that called on, this was the point at which
you could contact them. She contacted them during the course of the three hour class that we were in, and by the end of the class
she’d been contacted back by them with a thank you and with assurance that
it would be researched and amended within 24 hours, but a point of fact, it
was amended by the evening. So (laughs) just the level of response was mind numbing, I think. I mean, can you imagine
if we as librarians were able to take on and
do that in every area? We’d be superstars. You’ll also need to think
though about how the database and website choices you make
actually fit your community. If you’re in a community, for instance, where there is a high
concentration of military veterans who are without their own
access to the internet in a reliable fashion
other than their phone, which has a very small keypad on it, you might wanna make sure that
you do have a station set up within your library at a full computer that guides them to the
Veterans Health Administration. Because virtually every service that the Veterans Health
Administration provides, and they do provide a huge
number both for veterans and for military dependents, but all of those services
require online interaction. You can’t get the
services with a phone call or a visit to a geographic location. So, if you do have that
kind of population, you wanna make sure that
your collection, so to speak, includes that access point and that’s it’s ready and identifiable, pre-bookmarked, perhaps
an icon on the screen. Just make it as simple as
possible for people to find it. KidsHealth is published by an
organization called Nemours. And one of the valuable things about it is it actually has
three different portals. It has a portal that is for parents, it has a portal that’s for teachers, and then it also has a portal
that’s for kids themselves. So if you have a child, say a 12 year old, who is interested in
finding out what they can do more expeditiously about
their emerging acne, here’s a place where you can
get kid friendly information that’s thorough and reliable
that is also addressing them in a manner that is appropriate. Okay, let’s get back to that,
my community wants only books. First check your assumptions. And point of fact, numerous people are, in the United States, are
actually looking online to find high quality information today. Be sure to read Pew Research as frequently as you see any announcement
of the latest report on connectivity in the United States. Most people do rely on smartphones
for their connectivity. So it is more difficult
to see very nuanced and complex websites on a phone, which is one reason why you
still need to have plenty of library access to full computers. But don’t be surprised that
people are more than willing to use computer skills and
grow new computer skills than they were 10 years ago. Spend time teaching those
computer use skills. And one of the wonderful
things about health and wellness information is that it’s exactly the sort of topic
that inspires engagement. And so, you can teach a whole
lot about website evaluation and help people understand
things about databases, and differences between
databases and websites, and how many databases that
have embargoes on information for a certain period of
time, and so forth and so on. It’s the perfect time. Teach all that stuff because people really want to take
care of their own health and the health and wellness
of their loved ones. So they are engaged, and
they’re ready to learn it, and what they learn related
to health and wellness, they’ll be able to take elsewhere as well and into their other research as well. Leading beyond people’s comfort zones can be uncomfortable itself, but think of it in the same way that you would think of teaching
someone how to cook, or how to clean house, or any other skill that’s fairly necessary if you want to be able
to live independently. Consider how you yourself
would want to be approached and design a skill-based
workshop that is respectful and also touches on
things of high interest from your community’s standpoint. Earlier I had mentioned the
environmental impact reports that may or may not be
in your collections. If they’re not, you might wanna find out where they are located and help people understand
why they’re important for them to have access to and what kind of information that things like environmental impact reports will give them that lead or can lead to making healthy choices,
or at least informed choices. We have an exceptionally long
question and answer period, but we do have one. So we can turn to that now. – [Bobby] Well, we have
a lot of questions. – [Francisca] Oh, wait a second, sorry. – [Bobby] Sorry.
(laughing) – [Francisca] One more slide
and then we’ll get there. And this is just basically a reminder that Google’s not the answer. This is why I’ve given you
specific URLs to go to. So to save you time and
also to make sure that you’re going to well-evaluated sites. There is one other thing
in a bullet point here that I wanna point out to you and that is that you can find app
evaluations related to health and wellness too online, and this also would form a great topic for an in library workshop
to help people increase their skills in doing health
and wellness research. Learning where to find good apps. And now, I’m ready. I’m sorry about that. Okay, Bobby, shoot.
(laughing) – [Bobby] All right. All right, so I’m just gonna start at the, the ones that were asked first and sort of work down the list. – [Francisca] Okay. – [Bobby] Someone is
interested in discussing the outdated health collection. The health titles are
not updated frequently, and sometimes the information in the book, they’re saying sometimes
the information in the book doesn’t change much. I think this is the point
where you were suggesting weeding those items. – Yes. I’m not quite sure. Well, there are a whole lot
of health and wellness books. Basically, the areas that I pointed out, which are things like human anatomy are the ones that don’t change much. A lot of other things
do change very quickly. You’re just not probably as aware of it as you might be if you
were actually a nurse, or an EMT, or otherwise in a health field. It takes a book at least two years from inception to publication. So by the time a book is published, the information in it tends to be at least two years old already. So if you add that to
the publication date, you’re looking at something
that’s rather older. If you’re thinking about something like the Physician’s Desk Reference, which comes out every year
and talks about drugs, one of the things that the print
book itself cannot tell you is what drugs have just been
approved for uses in different, for different ends than
the ones that showed up in the current PDR. Or if you look online, you
will find that information. So, I’m struggling to imagine
that will be very many books in your health and
wellness collection as such that are older than five years for which the information
really is good enough. – Yeah, and I would agree with that one. When I teach the Stand Up For Health and other classes for public librarians, we definitely recommend
reading anything over I think two to three years, especially anything
related to sort of like chronic diseases, etc.,
that is just is out of date, typically. And I know that’s unfortunate because sometimes those books can be expensive. – Well, it’s back to that steak
and champaign dinner though. (laughing) You have to be grateful
that you had a good dinner, and then just understand that having what’s left of that dinner now is probably not gonna
serve you all that well. (laughs) – Yeah, so the next question is just will they be getting the slides? Are you gonna share your slides? – Yes. – Okay, there we go.
(laughing) – And Bobby, you do have the current ones, or should I resend them? – You should probably resend them. – Okay, I will do that. I’ll do that today. – Okay. The next question is, does that mean you shouldn’t
purchase diet books that have questionable science at all? Should you just not be purchasing those? – I would not purchase them. I would not purchase
them for the same reason that I would not purchase any non-fiction, something that’s labeling
itself as non-fiction for a public library situation in which there was no
expert opinion behind. I, for instance, have the
mechanical aptitude of a snail. If I were to write a book about how to repair your automobile, I could write a quite nice one because I’ve answered a lot of
reference questions about it, but I am no authority. And if you were to buy that
book just because I wrote it, it would not serve any
of your users quite well. So really do go by reviews when it comes to that kind of material, and I don’t mean just reviews, I do mean reviews in library professional journals like that, but also reviews that you
will find from organizations like the American Heart
Association, Diabetes Association. All of those health and
wellness organizations do list titles that they
have found to be okay. So you should be able to find
plenty of things that now, there’s the question of
that people are asking for that such and such a diet. Okay, if it were fiction, sure. You probably would buy
what somebody asked for, or you may, it would not be unheard of for you to buy what was asked for in the way of new science
fiction, new mystery, new short story collections. However, when it comes
to science information that is not evidence based, it is no more a favor to
your community to buy that than it would be to buy books in a language that no
one in your community or very few people in your community had any passing acquaintance with. It doesn’t help them. It doesn’t add to their
store of ready information. Much better would be to help them by showing them why you’re not buying it, showing them the evidence based criticism of that particular diet book, etc. If you have in the past,
and all of us have, collected diet books for
years, and years, and years, and years, and years in libraries, and these are the things
that are very hard to weed if you’re weeding only
based on circulation. Because of course, they
have high circulation. So you need to cut through
that noise and say, no, they’re not evidence based. They are not actually
providing the information that they promise to be providing. People can find all kinds of
fad information now online without filling our shelves
and making it difficult to find the good stuff. You can also think of it that way. How hard do we want it
to be for people to find the valuable stuff because you’ve allowed the not valuable stuff to take up room? – Good. And the next question is that when weeding outdated
circulating material, sometimes they keep older stuff ’cause there’s no good new alternative. This is particularly common, and they have a fairly elderly population in this part of where they’re at. They’re not comfortable with technology. I guess it’s not really a question, but maybe more wants you to comment. (laughing) – Okay, if I had a five year
who was not really comfortable eating his sandwiches but really
liked eating his cupcakes, I don’t think I would
serve him just cupcakes. There are a couple of things going here, so let’s unpack this. Providing older information to people because it’s in a particular
format is not okay. It’s not ethical. It’s saying, because
you’re an older person, I’m not gonna give you
the good information. I’m just gonna let you
make do with this old stuff that’s outdated, and maybe it’s wrong, but I’m not even gonna look at that because I’m much more
interested in the fact that it’s in a format that I
think that you will prefer. I’d go to those Pew Reports and see how much of the population
under the age of 85 actually is feeling more, and
more, and more comfortable using computers, having smartphones, etc., and making sure that
it’s not an age issue, or making sure that what you
have identified as an age issue actually is an age issue as opposed to, is it a training issue? Is it because when computers became endemic and the
World Wide Web was developed these people were in their 40s, and they were resistant thinking that it would be a passing fad. And now you know, it’s 30 years later, and hey, it’s not a passing fad. And so some of them are kind
of in an ugly spot right now because at a point when they
could of kept up, they didn’t. So, it’s your job actually now
to maybe develop a workshop that is specific for
people who kind of missed a critical 25 years of
computer development, not by making them listen
to the whole 25 years of development by
showing them here and now what information they can
find at their fingertips and the fact that this
is real information, good information, appropriate
information to their questions as opposed to outdated
information in a format that you think and perhaps
they think is the easiest, most comfortable format to use. – Okay. The next question is a site, recommendations for sites,
websites for health statistics. Any of them more or less reliable, especially for addiction statistics? – I’m sorry, especially
for what statistics? – Addiction, substance– – Addiction, yeah. – Okay. – Actually, look at the
sites that I shared earlier. That suite of tools from the
Public Library Association and the Medical Library Association, what they’ve put together. You’ll find a whole lot of great
information at those sites, and they’re in the slides, so you’ll be able to go to them readily. There’s a quantity of addiction
information out there. Bobby, I don’t know if you have some off the top of your
head that you wanna share. – Yeah, I have a couple
that we usually teach. CDC has some great stats.
– Yeah. – And they do have a whole
section on opioid misuse. I’m not sure if that’s particular health one that you’re looking for or the particular addiction
you’re looking for. Another that we recommend is
the Kaiser State Health Facts. – Yes. – And that has some good information. There is also a website called that has some good information. The Census Bureau does
have some good information. (laughing) Not one we think about, but it does. And then if you’re in a rural area, has
some good information. I’ve made myself a note to
put this email list, so. – Great, thank you. Thank you. – Okay, let’s see. This is a general question. What is everyone’s input
about the health books published by Mayo and Cleveland Clinic? They’re great and reader friendly, however, they don’t update often. Are there similar publishers like this? – Actually, Mayo has a great website, and that’s in the tool kit that
you’ll see from PLA and MLA. And yeah, they don’t update
the book as much as we’d like, but keep in mind that it takes two years just to get it out on the streets. So is an updated book
really what you’re after, or are you after the current information? So, do look at their
website because it does, it can serve as an
up-to-date version of that, and it has the same accessibility. And yes, it is wonderfully accessible. And back in the day, before we had an appreciable understanding
of the importance of health and wellness
information being up-to-date as well as highly evaluated
and science based, that was the cat’s pajamas,
but not so much anymore. And I’m sorry, what was the other one? – Mayo Clinic and Cleveland. Mayo Clinic and Cleveland Clinic, yeah. – Cleveland Clinic, okay. Are other people commenting on this one? – No, I’m trying to keep
track of what’s happening at the bottom and it keep scrolling. (laughing) They’re scrolling. Let’s see. I’m not sure what this question is. It says that there’s one
fee database we recommend that provides the most
up-to-date information, what would it be? But I’m wondering if that’s
supposed to be free database. – Yeah, I mean, I start
with MidlinePlus every time just because it can take you
in so many different directions and has so many sub-databases in it, but it is free rather than fee based, and I’m not sure the advantage
of paying money for something that isn’t as good as it,
what the advantage might be. (laughing) – So, and somebody did then say, if there’s one database
that you were to buy, which would it be? – I wouldn’t. I would actually, I would stick, I’d stick with my
MidlinePlus to my dying day. There are other ones that are
from the Federal government besides that one that so far have not been disarranged by policies. So as long as they’re
there, I say, use them. – Yeah, definitely, yeah, I second that. The nice thing about MidlinePlus is that if you’re teaching it in the library and someone goes home to use
it, there’s no login required. They don’t have to remember
any special information. – Right. – And all the information has been vetted as you talked about. – And there are tutorials that are readily available online too. So if you’re trying to plan a workshop, you’ll be able to find a
lot of help for yourself and how to roll out that workshop. – Yeah, and then you can always
contact me or someone else at one of the regional offices, and we’ll be happy to give you. One of the other things
too about MidlinePlus that I like to highlight is that if you use the print function on the page, it actually produces
a really nice printout for those of you that are worried about having print resources. And my recommendation is that you print from MidlinePlus for free, so. (laughs) There’s another (laughs) – Another thing is that that website, that database, I’m sorry,
that particular tool is fully made in Spanish
as well as in English. – Yes, that is true. There’s a discussion that, yes, Physician’s Desk Reference is
no longer available in print. It has a website and an app now. There’s a question about health books in braille or large print. – That’s interesting. Braille is an interesting
topic in and of itself because braille readers tend to be people who have been blind
from their whole lives. Because of the required sensitivity needed in the fingertips, it’s very, very difficult to learn braille if you have had a previous
life using your fingers to do things like wash
dishes for 50 years, or be a carpenter. You’ve lost that kind of
sensitivity that you need. So, typically blind people these days are not relying on braille unless they have a lifetime disability that is going back to the
beginnings of their lives. And most states will supply
whatever materials are needed, and that is a function of
typically of a state library. If in the few states that it’s not a function in the state library, you can go directly to the
National Institute of Blindness, which is part of the Library of Congress. So, large print is an interesting one because instead of concentrating on health books in large print, which are going to be out of date. They just are going to be out of date because they’re not gonna be printed any sooner than (laughs)
the non-large print books. However, do look at your large
print cook book collection and see if it is sufficient
and if it’s up-to-date. Really do a good job of
reading it and also feeding it. That’s a collection that
often gets overlooked. – Okay, and the next one is, in other webinars we learned
about creating disease kits for common conditions, diabetes, high blood pressure, Alzheimer’s. Are you recommending that we
provide pathfinders to websites versus prints/DVDs? – I would recommend
creating pathfinders, yes. However, in terms of DVDs and video, I would make sure that
the DVDs are up-to-date in terms of the information
that they contain, but I would not issue the
DVD format in and of itself. I would evaluate the content
rather than the format. From time to time, Kaiser
makes wonderful sets of DVDs on specific chronic conditions. However, they rarely
update any of those sets. So if you get it while
it’s hot, great, use it, and then when it’s out of date,
make sure to stop using it. But certainly your pathfinder
should include video because that is a really important way of getting some information across. It’s a much more reliable way of getting some information across than simply text, whether it’s
text online or text in print. Use multimedia. And it’s not just because some
people can’t read so well. It’s also because there’s some concepts that are actually much easier to express as well as to understand if you can see and hear at the same time, if you can see a function,
if you can see an activity and have it explained. For instance, the surgical process. And you will find that MidlinePlus among other databases that
we’ve recommended here has video content. So, certainly this is not a text only, but the text is online. It’s definitely multimedia is valuable. – The next question I think is for, well, it’s for, somebody is asking about if these disease kits
are for public libraries? And yes, that is a thing. If somebody wants to know more about that, feel free to send me an email. My next question is, they want to know how we compare the National Center for Health Statistics to the others I mentioned? The National Center for Health Statistics is part of the CDC, and I don’t think it bureaus
down county by county the way the other ones I mentioned do, which is particularly helpful
if you’re looking for things that you wanna focus on in
the population you serve. So, it’s a good resource
for a general overview. I think it’s great. – It’s good for students who are taking a more global approach. Whereas, the county by county is what you need as a service provider. – And that looks like
where there’s a little bit of discussion about the PDR, and some America Printing
House for the Blind, and talking about services, but I don’t see any other questions. We got about four minutes left, so if somebody has
anything that they haven’t, I missed, or that you like to ask, go ahead and put that in the chat box. I think this was great. Thank you for doing this. – Thank you, Bobby, and thank all of you. I’m so glad you asked questions. (laughing) – Oh, yes, I did miss one. Is the drugs, herbs, and
supplement section of MidlinePlus a sufficient substitute for
info available in the PDR? – The information that was available, or is available in the
PDR was never intended for the end user patient. It was intended for physicians to identify pharmaceutical properties of things that, they are not pharmacists, so it’s not their first skill either. The drugs and supplements
portal in MidlinePlus is exactly what both
physicians and consumers need because it does explain things like generic name versus brand name, the amounts of dosage, why
something would be prescribed, how it functions in the body, how it interacts with other things including things in your diet, what sorts of side effects can you expect, what sorts of sides effects should you report to your doctor, what sorts of side effects
are relatively common, what ones are rare, etc., etc. And because non-prescription
drugs are also included and because herbals are also included, there’s actually much more information (laughing)
than in the PDR. And it’s all provided
in a consistent voice, so you’re not having to
have four different books open in front of you
and trying to function with four different indexes, and one that’s written in
a conversational style, and one that is just
bullet points, etc., etc. It’s much more balanced. – Yeah, I would say too
that if you’re looking for some sort of information you’re
not getting on MidlinePlus about drugs particularly, there’s a resource from the
National Library of Medicine called Pill Box. (coughs)
Excuse me. That is good. It will help you identify a pill by like searching for
the shape or the color, which I think is one
of the unique features. And then (coughs)
there’s a resource called the Drug Information Portal, and that tends to more
have the information, (coughs)
excuse me, than you might find on
that printout that you get when you pick up your prescription and then throw away without reading. (laughing) – When you regret it, you
can go look it up there. (laughs) – Yeah, so there’s a
couple of good resources. Somebody asked about the
county statistics source. I made a note. I’ll send those websites
I mentioned in the, when I send out the email with the slides. All right, I don’t see any questions, and we’re right at two o’clock. So thank you, everyone. (upbeat music) – [Announcer] Thanks for watching. This video was produced
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