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Mobile Access to Licensed
                               Databases in Medicine &
                                 Other Subject Areas

                                                      Bohyun Kim, Digital Access Librarian, Medical Library

                                        Marissa Ball, E
                                        M i     B ll Emerging T h l i Lib i
                                                          i Technologies Librarian, G
                                                                                    Green Lib
                                                                                          Library


photo:http://www.flickr.com/photos/johanl/2968794599/sizes/l/
Potential & Opportunities
 Demands for “advanced” mobile content & capabilities are growing.
       54 5 million smartphones were shipped i th 4th quarter of 2009 an i
        54.5 illi        t h           hi     d in the     t    f 2009,   increase of 39%
                                                                                    f
        compared to the same period in 2008.
        (Source: IDC, a market research firm)
       2010 estimation: 1.3 bill. Mobile phones will ship globally, 250 mill. of them will be
                                                           g      y
        smartphones.

 The boundary between handheld devices and desktops is beginning to blur.
       Mobile devices are inundating the market it’s not just cell phones any more.
                                          market-                              more
             SmartPhones, iPods, iPhones, iPad, netbooks, labtops, PDAs, e-Readers…




photo: http://www.flickr.com/photos/niallkennedy/668565224/sizes/l/
Reality... & Practice
 Mobile browsing capabilities currently exist only on ~60% of handsets today, by 2013, that
  number will climb to +80%.

 Handheld devices, sites, tools and applications in libraries:
       Play mostly a supplemental role
       Consists of a mobile-friendly website/presence
                                    y         p
       Basic services
             Renew materials, SMS/text reference, search capabilities for OPACs/licensed
              databases, locate available computers, tours, podcasts
       Quick, on-the-go information: Hours, directions, contact information

 Both services and resources are in infancy.




photo: http://www.flickr.com/photos/misbehave/2352753067/sizes/l/
Licensed Resources Available
 Content providers & databases:
    EBSCO
    Gale’s AccessMyLibrary
    IEEExplore
    Factiva
    Naxos Music Library, NML and NML:Jazz apps
    Westlaw
    LexisNexis GetCases & Shepardize
     LexisNexis,
    Hoover’s
    American Institute of Physics, iResearch
    N t
     Nature.com mobile
                  bil
    WorldCat
    Serials Solutions, SummonMobile
    Alexander Street Press (in development)
Recurring Themes & Features
 Mobile versions of library databases and licensed content are not always available for
  institutional accounts.

 Majority of providers who are developing mobile-ready apps are iPhone/iTouch compatible only.

 The “authentication process” varies (or does not exist).

 Location-aware features vary.

 Apps vs mobile optimized websites.

 Limited number of databases, resources, articles, results, search capabilities

 PDFs , OpenURL, branding and associations with desktop/web account on some platforms




photo: http://www.flickr.com/photos/40853856@N03/3940583561/sizes/l/
Other Outcomes
 “Mobile-centrics” are driving the bus
 Licensed database content for mobile devices in non-subject-specific
  areas are still in infancy given existing limitations
                                            limitations.
 Mobile learning is about how effectively and quickly you can search for
  and retrieve the information you need (2010 Horizon Report).
    However, the benefit of using these mobile products in research seems to be
     unclear.
    How can handhelds improve learning and affect research and teaching?
 We see much wider adoption of mobile devices in specific fields of study,
  especially practice-based disciplines like medicine…
In Medicine & Healthcare




Photo Credit: CBS News
Mobile Devices in Medicine

 32% of all Americans have gotten online with a mobile device.
  (Pew I t
  (P   Internet Report 2009)
              tR     t

 54% of U.S. doctors own a PDA or smartphone. More than half of
  them consider it to be an integral part of their practice
                                                   practice.
  (iHealthBeat, Feb. 2009.)

 60-70% of medical students and residents use handheld computers
  for education or patient care. (Kho et al., 2006)

 PDAs are often required during medical students’ clinical training.
Use of Mobile Devices in Medicine

    Classroom
         Lecture content as a podcast
         Polling
         Evaluation


    At the point of care
         Clinical education
         Clinical decision support
         Healthcare communication
         Patient care/documentation


        (Ducut and Fontelo, 2008)
Photo Credit: Daniel Morris
Content for Mobile Devices

 More diverse than in other areas:
   General medical reference

   Drug Reference
       g
   EBM (evidence-based medicine)
    resources for clinical
    decision support
   Anatomical diagrams

   Medical calculators

   Study guides

   Patient education
Mobile Access to Licensed Databases in Medicine and Other Subject Areas
Licensed Databases in Medicine

 DynaMed               Valued as a quick look-up tool
 Epocrates
 Harrison’s Practice

 MD Consult
 Micromedex

 Natural Standard
 Pepid
 VisualDX
 UpToDate
 And more…
Issues for Mobile Device Users
 What’s available?

 What to choose –
  free or paid?

 Where to get help –
  library or IT?

 How to make them work?
      Registration
      Serial Number
      Authentication

 What’s the right format?
      Downloadable applications
      Mobile web sites
      Free vs. Paid

Photo Credit: Oberazzi
Time-consuming Installation

 Specific URL for mobile access
 Personal account required
 Serial number for installation
 Authentication




                    Finally!
More work for installation
Use per Device? - Authentication

 Example: MD Consult
Same Content on Different Devices
        Many different licensing models
            Free with existing licensed product (e g Dynamed)
                                                 (e.g.

            User add-on purchase (e.g. Pepid)

            Institutional site license (
                                        (e.g. Epocrates)
                                                       )

            Set number of downloads

            Electronic loaning with due dates (e.g. eBooks)

            Devices with resources pre-installed (e.g. AACN, Epocrates)

            Freeware (e.g. Apps for iPhone/iPod Touch)
           (Koufogiannakis et al., 2005)
           (Cuddy d Wrynn, 2007)
           (C dd and W


Photo Credit: Howard Gees
Medical Libraries & Mobile Devices

 Resources                      Support
   Licensed databases             Devices
   Free resources                 Software installation & updates
   Guides for mobile devices      User training
                                                g
   Library mobile websites
Challenges for Libraries

        Collection Development
              How to gauge demand
              How to track usage
              Licensing


        Providing Actual Service
              Device purchase for testing
              Staff training & support
              Promotion of service
              Coordinating with other units
              Sustaining the program


Photo Credit: Eleaf
Librarians on Mobile Devices

        The majority of librarians don’t know (Spires, 2008)
             the percentage of their patrons using mobile devices.
             how mobile devices are being used in their libraries.
             if there is a demand for more or different services for mobile device
              users.

        Librarians are split into three camps: (i) addressing issues now, (ii)
            waiting until the demand increases and/or devices improve, and (iii) doing
            nothing. (Spires, 2008)




Photo Credit: AndresV
Can we assume that
            mobile devices will
            become popular
            in non-practice-focused
            subject areas
               bj t
            as in medicine?




       Probably. But…

Photo Credit:Darwin Bell
Medicine vs. Other Subject Areas

        Decision support          Learning/Research tool
                                           g
        Quick reference           Journal articles & books
        Up-to-date information
         Up to date                Comprehensive information

        Immediate access          More flexible time frame

        T k i t d
         Task-oriented             Process oriented
                                    Process-oriented

        At the point of care     ?




Photo Credit: mag3737
Capabilities that only mobile devices can provide?




From YouTube:
Ivor Ković - An EMR Physician with an iPhone
Clear and unique benefits
                  from using mobile devices in learning/research?




From YouTube:
Ivor Ković - An EMR Physician with an iPhone
Mobile devices not as a supplemental but an essential tool




From YouTube:
Ivor Ković - An EMR Physician with an iPhone
Mobile Devices at the Point of Need

                 Users




Information
 Resources                      Mobile
   & Data                      Computing
                                  p    g
References
 Cuddy, C., Wrynn, P. (2007). Licensing content for PDAs. Journal of Electronic Resources in
       Medical Libraries, 4 (1/2), 175-184.

 Ducut, E., Fontelo, P. (2008). Mobile devices in health education: current use and practice.
       Journal of Computing in Higher Education, 20 (2), 59-68.

 Fox, M. K. (2007). Mobile Technologies in Libraries. Retrieved from:
             (    )                 g
            http://web.simmons.edu/~fox/pda/


 Frost & Sullivan. (2009). 2010 Outlook & Forecast: Mobile & Wireless Communications.
            http://www.slideshare.net/FrostandSullivan/2010-outlook-forecast-mobile-wireless-communications-2635125


 Gartner, Inc. Research Firm. (2009). Gartner Identifies the Top 10 Consumer Mobile
  Applications for 2012. http://www.gartner.com/it/page.jsp?id=1230413

 iHealthBeat (2009) Smartphones becoming integral tools for health care providers, medical
  iHealthBeat. (2009).                                                                      providers
        Students. http://www.ihealthbeat.org/Special-Reports/2009/Smartphones-Becoming-Integral-Tools-for-Health-Care-
     Providers-Medical-Students.aspx


 Koufogiannakis, D., Ryan, P., and Dahl, S. (2005). Just another format: integrating resources
        g               y                      (    )                             g    g
  for users of personal digital assistants. The Acquisition Librarian, 17 (33/34), 133-145.
References (2)
 Ković, I. (2010, Feb 2). An EMR physician with an iPhone, Mobile Monday Amsterdam. [Video
        File] Video posted to http://www.youtube.com/watch?v=Q-E-B3Pc8mk&feature=player_embedded

 Kyo, A., Henderson, L.E., Dressler, D.D., Kripalani, S. (2006). Use of handheld computers in
  medical education: a systematic review. Journal of General Internal Medicine. 21(5), 531-7.

 M Libraries (n d ) Retrieved from Library Success: A Best Practices Wiki:
  M-Libraries. (n.d.).
          http://www.libsuccess.org/index.php?title=M-Libraries#Vendors_and_Publishers


 Pew Internet & American Life Project. (2009). Wireless Internet Use Report.
          http://www.pewinternet.org/Reports/2009/12 Wireless Internet Use.aspx?r 1
          http://www pewinternet org/Reports/2009/12-Wireless-Internet-Use aspx?r=1


 Spires, T. (2008). Handheld librarians: a survey of librarian and library patron use of wireless
        handheld devices. Internet Reference Services Quarterly, 13 (4), 287-309.
Bohyun Kim, Digital Access Librarian, Medical Library

     Marissa Ball, Emerging Technologies Librarian, Green Library




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Mobile Access to Licensed Databases in Medicine and Other Subject Areas

  • 1. Mobile Access to Licensed Databases in Medicine & Other Subject Areas Bohyun Kim, Digital Access Librarian, Medical Library Marissa Ball, E M i B ll Emerging T h l i Lib i i Technologies Librarian, G Green Lib Library photo:http://www.flickr.com/photos/johanl/2968794599/sizes/l/
  • 2. Potential & Opportunities  Demands for “advanced” mobile content & capabilities are growing.  54 5 million smartphones were shipped i th 4th quarter of 2009 an i 54.5 illi t h hi d in the t f 2009, increase of 39% f compared to the same period in 2008. (Source: IDC, a market research firm)  2010 estimation: 1.3 bill. Mobile phones will ship globally, 250 mill. of them will be g y smartphones.  The boundary between handheld devices and desktops is beginning to blur.  Mobile devices are inundating the market it’s not just cell phones any more. market- more  SmartPhones, iPods, iPhones, iPad, netbooks, labtops, PDAs, e-Readers… photo: http://www.flickr.com/photos/niallkennedy/668565224/sizes/l/
  • 3. Reality... & Practice  Mobile browsing capabilities currently exist only on ~60% of handsets today, by 2013, that number will climb to +80%.  Handheld devices, sites, tools and applications in libraries:  Play mostly a supplemental role  Consists of a mobile-friendly website/presence y p  Basic services  Renew materials, SMS/text reference, search capabilities for OPACs/licensed databases, locate available computers, tours, podcasts  Quick, on-the-go information: Hours, directions, contact information  Both services and resources are in infancy. photo: http://www.flickr.com/photos/misbehave/2352753067/sizes/l/
  • 4. Licensed Resources Available  Content providers & databases:  EBSCO  Gale’s AccessMyLibrary  IEEExplore  Factiva  Naxos Music Library, NML and NML:Jazz apps  Westlaw  LexisNexis GetCases & Shepardize LexisNexis,  Hoover’s  American Institute of Physics, iResearch  N t Nature.com mobile bil  WorldCat  Serials Solutions, SummonMobile  Alexander Street Press (in development)
  • 5. Recurring Themes & Features  Mobile versions of library databases and licensed content are not always available for institutional accounts.  Majority of providers who are developing mobile-ready apps are iPhone/iTouch compatible only.  The “authentication process” varies (or does not exist).  Location-aware features vary.  Apps vs mobile optimized websites.  Limited number of databases, resources, articles, results, search capabilities  PDFs , OpenURL, branding and associations with desktop/web account on some platforms photo: http://www.flickr.com/photos/40853856@N03/3940583561/sizes/l/
  • 6. Other Outcomes  “Mobile-centrics” are driving the bus  Licensed database content for mobile devices in non-subject-specific areas are still in infancy given existing limitations limitations.  Mobile learning is about how effectively and quickly you can search for and retrieve the information you need (2010 Horizon Report).  However, the benefit of using these mobile products in research seems to be unclear.  How can handhelds improve learning and affect research and teaching?  We see much wider adoption of mobile devices in specific fields of study, especially practice-based disciplines like medicine…
  • 7. In Medicine & Healthcare Photo Credit: CBS News
  • 8. Mobile Devices in Medicine  32% of all Americans have gotten online with a mobile device. (Pew I t (P Internet Report 2009) tR t  54% of U.S. doctors own a PDA or smartphone. More than half of them consider it to be an integral part of their practice practice. (iHealthBeat, Feb. 2009.)  60-70% of medical students and residents use handheld computers for education or patient care. (Kho et al., 2006)  PDAs are often required during medical students’ clinical training.
  • 9. Use of Mobile Devices in Medicine  Classroom  Lecture content as a podcast  Polling  Evaluation  At the point of care  Clinical education  Clinical decision support  Healthcare communication  Patient care/documentation (Ducut and Fontelo, 2008) Photo Credit: Daniel Morris
  • 10. Content for Mobile Devices  More diverse than in other areas:  General medical reference  Drug Reference g  EBM (evidence-based medicine) resources for clinical decision support  Anatomical diagrams  Medical calculators  Study guides  Patient education
  • 12. Licensed Databases in Medicine  DynaMed Valued as a quick look-up tool  Epocrates  Harrison’s Practice  MD Consult  Micromedex  Natural Standard  Pepid  VisualDX  UpToDate  And more…
  • 13. Issues for Mobile Device Users  What’s available?  What to choose – free or paid?  Where to get help – library or IT?  How to make them work?  Registration  Serial Number  Authentication  What’s the right format?  Downloadable applications  Mobile web sites  Free vs. Paid Photo Credit: Oberazzi
  • 14. Time-consuming Installation  Specific URL for mobile access  Personal account required  Serial number for installation  Authentication Finally!
  • 15. More work for installation
  • 16. Use per Device? - Authentication  Example: MD Consult
  • 17. Same Content on Different Devices  Many different licensing models  Free with existing licensed product (e g Dynamed) (e.g.  User add-on purchase (e.g. Pepid)  Institutional site license ( (e.g. Epocrates) )  Set number of downloads  Electronic loaning with due dates (e.g. eBooks)  Devices with resources pre-installed (e.g. AACN, Epocrates)  Freeware (e.g. Apps for iPhone/iPod Touch) (Koufogiannakis et al., 2005) (Cuddy d Wrynn, 2007) (C dd and W Photo Credit: Howard Gees
  • 18. Medical Libraries & Mobile Devices  Resources  Support  Licensed databases  Devices  Free resources  Software installation & updates  Guides for mobile devices  User training g  Library mobile websites
  • 19. Challenges for Libraries  Collection Development  How to gauge demand  How to track usage  Licensing  Providing Actual Service  Device purchase for testing  Staff training & support  Promotion of service  Coordinating with other units  Sustaining the program Photo Credit: Eleaf
  • 20. Librarians on Mobile Devices  The majority of librarians don’t know (Spires, 2008)  the percentage of their patrons using mobile devices.  how mobile devices are being used in their libraries.  if there is a demand for more or different services for mobile device users.  Librarians are split into three camps: (i) addressing issues now, (ii) waiting until the demand increases and/or devices improve, and (iii) doing nothing. (Spires, 2008) Photo Credit: AndresV
  • 21. Can we assume that mobile devices will become popular in non-practice-focused subject areas bj t as in medicine? Probably. But… Photo Credit:Darwin Bell
  • 22. Medicine vs. Other Subject Areas  Decision support  Learning/Research tool g  Quick reference  Journal articles & books  Up-to-date information Up to date  Comprehensive information  Immediate access  More flexible time frame  T k i t d Task-oriented  Process oriented Process-oriented  At the point of care ? Photo Credit: mag3737
  • 23. Capabilities that only mobile devices can provide? From YouTube: Ivor Ković - An EMR Physician with an iPhone
  • 24. Clear and unique benefits from using mobile devices in learning/research? From YouTube: Ivor Ković - An EMR Physician with an iPhone
  • 25. Mobile devices not as a supplemental but an essential tool From YouTube: Ivor Ković - An EMR Physician with an iPhone
  • 26. Mobile Devices at the Point of Need Users Information Resources Mobile & Data Computing p g
  • 27. References  Cuddy, C., Wrynn, P. (2007). Licensing content for PDAs. Journal of Electronic Resources in Medical Libraries, 4 (1/2), 175-184.  Ducut, E., Fontelo, P. (2008). Mobile devices in health education: current use and practice. Journal of Computing in Higher Education, 20 (2), 59-68.  Fox, M. K. (2007). Mobile Technologies in Libraries. Retrieved from: ( ) g http://web.simmons.edu/~fox/pda/  Frost & Sullivan. (2009). 2010 Outlook & Forecast: Mobile & Wireless Communications. http://www.slideshare.net/FrostandSullivan/2010-outlook-forecast-mobile-wireless-communications-2635125  Gartner, Inc. Research Firm. (2009). Gartner Identifies the Top 10 Consumer Mobile Applications for 2012. http://www.gartner.com/it/page.jsp?id=1230413  iHealthBeat (2009) Smartphones becoming integral tools for health care providers, medical iHealthBeat. (2009). providers Students. http://www.ihealthbeat.org/Special-Reports/2009/Smartphones-Becoming-Integral-Tools-for-Health-Care- Providers-Medical-Students.aspx  Koufogiannakis, D., Ryan, P., and Dahl, S. (2005). Just another format: integrating resources g y ( ) g g for users of personal digital assistants. The Acquisition Librarian, 17 (33/34), 133-145.
  • 28. References (2)  Ković, I. (2010, Feb 2). An EMR physician with an iPhone, Mobile Monday Amsterdam. [Video File] Video posted to http://www.youtube.com/watch?v=Q-E-B3Pc8mk&feature=player_embedded  Kyo, A., Henderson, L.E., Dressler, D.D., Kripalani, S. (2006). Use of handheld computers in medical education: a systematic review. Journal of General Internal Medicine. 21(5), 531-7.  M Libraries (n d ) Retrieved from Library Success: A Best Practices Wiki: M-Libraries. (n.d.). http://www.libsuccess.org/index.php?title=M-Libraries#Vendors_and_Publishers  Pew Internet & American Life Project. (2009). Wireless Internet Use Report. http://www.pewinternet.org/Reports/2009/12 Wireless Internet Use.aspx?r 1 http://www pewinternet org/Reports/2009/12-Wireless-Internet-Use aspx?r=1  Spires, T. (2008). Handheld librarians: a survey of librarian and library patron use of wireless handheld devices. Internet Reference Services Quarterly, 13 (4), 287-309.
  • 29. Bohyun Kim, Digital Access Librarian, Medical Library Marissa Ball, Emerging Technologies Librarian, Green Library Questions?