Mobile Access to Licensed Databases in Medicine and Other Subject Areas

Mobile Access to LicensedMobile Access to Licensed Databases in Medicine &

Other Subject Areas

Bohyun Kim, Digital Access Librarian, Medical Library

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

photo:http://www.flickr.com/photos/johanl/2968794599/sizes/l/

Potential & Opportunities

Demands for “advanced” mobile content & capabilities are growing. 54 5 illi t h hi d i th 4th t f 2009 i f 39% 54.5 million smartphones were shipped in the 4th quarter of 2009, an increase of 39%

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 ysmartphones.

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 Mobile devices are inundating the market- it’s not just cell phones any 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/presencey 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 Factiva Naxos Music Library, NML and NML:Jazz apps Westlaw LexisNexis GetCases & Shepardize LexisNexis, GetCases & Shepardize Hoover’s American Institute of Physics, iResearch N t bil Nature.com mobile 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 limitationsareas are still in infancy given existing 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. (P I t t R t 2009)(Pew Internet Report 2009)

54% of U.S. doctors own a PDA or smartphone. More than half of them consider it to be an integral part of their practicethem consider it to be an integral part of their 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 Evaluation

At the point of care 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 Referenceg

EBM (evidence-based medicine) resources for clinical decision supportdecision support

Anatomical diagrams

Medical calculators

Study guides

Patient education

Licensed Databases in Medicine

DynaMed Valued as a quick look-up tool Epocrates

Harrison’s Practice

MD Consult

Micromedex

Natural Standard

Pepid Pepid

VisualDX

UpToDate UpToDate

And more…

Issues for Mobile Device Users What’s available?

What to choose What to choose –free or paid?

Where to get help – 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 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!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) Free with existing licensed product (e.g. Dynamed)

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)(C dd d W 2007)(Cuddy and Wrynn, 2007)

Photo Credit: Howard Gees

Medical Libraries & Mobile Devices

Resources Support Licensed databases Free resources Guides for mobile devices

Devices Software installation & updates User training

Library mobile websitesg

Challenges for Libraries

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

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

bj tsubject areas as in medicine?

Probably. But…

Photo Credit:Darwin Bell

Medicine vs. Other Subject Areas

Decision support Learning/Research tool

Quick reference

Up-to-date information

g

Journal articles & books

Comprehensive information Up to date information

Immediate access

T k i t d

Comprehensive information

More flexible time frame

Process oriented Task-oriented

At the point of care

Process-oriented

?

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 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

UsersUsers

InformationMobile

Computing

InformationResources

& Data 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: ( ) ghttp://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). Smartphones becoming integral tools for health care providers, medical 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 gfor 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.). Retrieved from Library Success: A Best Practices Wiki: 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=1http://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

Questions?