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15 pages, 575 KiB  
Article
Exploring the Relation between Contextual Social Determinants of Health and COVID-19 Occurrence and Hospitalization
Informatics 2024, 11(1), 4; https://doi.org/10.3390/informatics11010004 - 15 Jan 2024
Viewed by 89
Abstract
It is prudent to take a unified approach to exploring how contextual social determinants of health (SDoH) relate to COVID-19 occurrence and outcomes. Poor geographically represented data and a small number of contextual SDoH examined in most previous research studies have left a [...] Read more.
It is prudent to take a unified approach to exploring how contextual social determinants of health (SDoH) relate to COVID-19 occurrence and outcomes. Poor geographically represented data and a small number of contextual SDoH examined in most previous research studies have left a knowledge gap in the relationships between contextual SDoH and COVID-19 outcomes. In this study, we linked 199 contextual SDoH factors covering 11 domains of social and built environments with electronic health records (EHRs) from a large clinical research network (CRN) in the National Patient-Centered Clinical Research Network (PCORnet) to explore the relation between contextual SDoH and COVID-19 occurrence and hospitalization. We identified 15,890 COVID-19 patients and 63,560 matched non-COVID-19 patients in Florida between January 2020 and May 2021. We adopted a two-phase multiple linear regression approach modified from that in the exposome-wide association (ExWAS) study. After removing the highly correlated SDoH variables, 86 contextual SDoH variables were included in the data analysis. Adjusting for race, ethnicity, and comorbidities, we found six contextual SDoH variables (i.e., hospital available beds and utilization, percent of vacant property, number of golf courses, and percent of minority) related to the occurrence of COVID-19, and three variables (i.e., farmers market, low access, and religion) related to the hospitalization of COVID-19. To our best knowledge, this is the first study to explore the relationship between contextual SDoH and COVID-19 occurrence and hospitalization using EHRs in a major PCORnet CRN. As an exploratory study, the causal effect of SDoH on COVID-19 outcomes will be evaluated in future studies. Full article
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20 pages, 3161 KiB  
Article
Integrating IOTA’s Tangle with the Internet of Things for Sustainable Agriculture: A Proof-of-Concept Study on Rice Cultivation
Informatics 2024, 11(1), 3; https://doi.org/10.3390/informatics11010003 - 28 Dec 2023
Viewed by 625
Abstract
Addressing the critical challenges of resource inefficiency and environmental impact in the agrifood sector, this study explores the integration of Internet of Things (IoT) technologies with IOTA’s Tangle, a Distributed Ledger Technology (DLT). This integration aims to enhance sustainable agricultural practices, using rice [...] Read more.
Addressing the critical challenges of resource inefficiency and environmental impact in the agrifood sector, this study explores the integration of Internet of Things (IoT) technologies with IOTA’s Tangle, a Distributed Ledger Technology (DLT). This integration aims to enhance sustainable agricultural practices, using rice cultivation as a case study of high relevance and reapplicability given its importance in the food chain and the high irrigation requirement of its cultivation. The approach employs sensor-based intelligent irrigation systems to optimize water efficiency. These systems enable real-time monitoring of agricultural parameters through IoT sensors. Data management is facilitated by IOTA’s Tangle, providing secure and efficient data handling, and integrated with MongoDB, a Database Management System (DBMS), for effective data storage and retrieval. The collaboration between IoT and IOTA led to significant reductions in resource consumption. Implementing sustainable agricultural practices resulted in a 50% reduction in water usage, 25% decrease in nitrogen consumption, and a 50% to 70% reduction in methane emissions. Additionally, the system contributed to lower electricity consumption for irrigation pumps and generated comprehensive historical water depth records, aiding future resource management decisions. This study concludes that the integration of IoT with IOTA’s Tangle presents a highly promising solution for advancing sustainable agriculture. This approach significantly contributes to environmental conservation and food security. Furthermore, it establishes that DLTs like IOTA are not only viable but also effective for real-time monitoring and implementation of sustainable agricultural practices. Full article
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29 pages, 1909 KiB  
Review
Cloud-Based Platforms for Health Monitoring: A Review
Informatics 2024, 11(1), 2; https://doi.org/10.3390/informatics11010002 - 20 Dec 2023
Viewed by 747
Abstract
Cloud-based platforms have gained popularity over the years because they can be used for multiple purposes, from synchronizing contact information to storing and managing user fitness data. These platforms are still in constant development and, so far, most of the data they store [...] Read more.
Cloud-based platforms have gained popularity over the years because they can be used for multiple purposes, from synchronizing contact information to storing and managing user fitness data. These platforms are still in constant development and, so far, most of the data they store is entered manually by users. However, more and better wearable devices are being developed that can synchronize with these platforms to feed the information automatically. Another aspect that highlights the link between wearable devices and cloud-based health platforms is the improvement in which the symptomatology and/or physical status information of users can be stored and syn-chronized in real-time, 24 h a day, in health platforms, which in turn enables the possibility of synchronizing these platforms with specialized medical software to promptly detect important variations in user symptoms. This is opening opportunities to use these platforms as support for monitoring disease symptoms and, in general, for monitoring the health of users. In this work, the characteristics and possibilities of use of four popular platforms currently available in the market are explored, which are Apple Health, Google Fit, Samsung Health, and Fitbit. Full article
(This article belongs to the Special Issue Novel Informatics Algorithms and Applications to Biomedicine)
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14 pages, 4667 KiB  
Article
A Context-Based Multimedia Vocabulary Learning System for Mobile Users
Informatics 2024, 11(1), 1; https://doi.org/10.3390/informatics11010001 - 19 Dec 2023
Viewed by 548
Abstract
Vocabulary acquisition and retention is an essential part of learning a foreign language and many learners use flashcard applications to repetitively increase vocabulary retention. However, it can be difficult for learners to remember new words and phrases without any context. In this paper, [...] Read more.
Vocabulary acquisition and retention is an essential part of learning a foreign language and many learners use flashcard applications to repetitively increase vocabulary retention. However, it can be difficult for learners to remember new words and phrases without any context. In this paper, we propose a system that allows users to acquire new vocabulary with media which gives context to the words. Theoretically, this use of multimedia context should enable users to practice with interest and increased motivation, which has been shown to enhance the effects of contextual language learning. An experiment with 46 English as foreign language learners showed better retention after two weeks with the proposed system as compared to ordinary flashcards. However, the impact was not universally beneficial to all learners. An analysis of participant attributes that were gathered through surveys and questionnaires shows a link between personality and learning traits and affinity for learning with this system. This result indicates that the proposed system provides a significant advantage in vocabulary retention for some users, while other users should stay with traditional flashcard applications. The implications of this study indicate the need for the development of more personalized learning applications. Full article
(This article belongs to the Section Human-Computer Interaction)
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15 pages, 5438 KiB  
Article
EndoNet: A Model for the Automatic Calculation of H-Score on Histological Slides
Informatics 2023, 10(4), 90; https://doi.org/10.3390/informatics10040090 - 12 Dec 2023
Viewed by 760
Abstract
H-score is a semi-quantitative method used to assess the presence and distribution of proteins in tissue samples by combining the intensity of staining and the percentage of stained nuclei. It is widely used but time-consuming and can be limited in terms of accuracy [...] Read more.
H-score is a semi-quantitative method used to assess the presence and distribution of proteins in tissue samples by combining the intensity of staining and the percentage of stained nuclei. It is widely used but time-consuming and can be limited in terms of accuracy and precision. Computer-aided methods may help overcome these limitations and improve the efficiency of pathologists’ workflows. In this work, we developed a model EndoNet for automatic H-score calculation on histological slides. Our proposed method uses neural networks and consists of two main parts. The first is a detection model which predicts the keypoints of centers of nuclei. The second is an H-score module that calculates the value of the H-score using mean pixel values of predicted keypoints. Our model was trained and validated on 1780 annotated tiles with a shape of 100 × 100 µm and we achieved 0.77 mAP on a test dataset. We obtained our best results in H-score calculation; these results proved superior to QuPath predictions. Moreover, the model can be adjusted to a specific specialist or whole laboratory to reproduce the manner of calculating the H-score. Thus, EndoNet is effective and robust in the analysis of histology slides, which can improve and significantly accelerate the work of pathologists. Full article
(This article belongs to the Special Issue Novel Informatics Algorithms and Applications to Biomedicine)
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20 pages, 3244 KiB  
Article
Knowledge-Based Intelligent Text Simplification for Biological Relation Extraction
Informatics 2023, 10(4), 89; https://doi.org/10.3390/informatics10040089 - 11 Dec 2023
Viewed by 727
Abstract
Relation extraction from biological publications plays a pivotal role in accelerating scientific discovery and advancing medical research. While vast amounts of this knowledge is stored within the published literature, extracting it manually from this continually growing volume of documents is becoming increasingly arduous. [...] Read more.
Relation extraction from biological publications plays a pivotal role in accelerating scientific discovery and advancing medical research. While vast amounts of this knowledge is stored within the published literature, extracting it manually from this continually growing volume of documents is becoming increasingly arduous. Recently, attention has been focused towards automatically extracting such knowledge using pre-trained Large Language Models (LLM) and deep-learning algorithms for automated relation extraction. However, the complex syntactic structure of biological sentences, with nested entities and domain-specific terminology, and insufficient annotated training corpora, poses major challenges in accurately capturing entity relationships from the unstructured data. To address these issues, in this paper, we propose a Knowledge-based Intelligent Text Simplification (KITS) approach focused on the accurate extraction of biological relations. KITS is able to precisely and accurately capture the relational context among various binary relations within the sentence, alongside preventing any potential changes in meaning for those sentences being simplified by KITS. The experiments show that the proposed technique, using well-known performance metrics, resulted in a 21% increase in precision, with only 25% of sentences simplified in the Learning Language in Logic (LLL) dataset. Combining the proposed method with BioBERT, the popular pre-trained LLM was able to outperform other state-of-the-art methods. Full article
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18 pages, 876 KiB  
Article
Unraveling Microblog Sentiment Dynamics: A Twitter Public Attitudes Analysis towards COVID-19 Cases and Deaths
Informatics 2023, 10(4), 88; https://doi.org/10.3390/informatics10040088 - 07 Dec 2023
Viewed by 549
Abstract
The identification and analysis of sentiment polarity in microblog data has drawn increased attention. Researchers and practitioners attempt to extract knowledge by evaluating public sentiment in response to global events. This study aimed to evaluate public attitudes towards the spread of COVID-19 by [...] Read more.
The identification and analysis of sentiment polarity in microblog data has drawn increased attention. Researchers and practitioners attempt to extract knowledge by evaluating public sentiment in response to global events. This study aimed to evaluate public attitudes towards the spread of COVID-19 by performing sentiment analysis on over 2.1 million tweets in English. The implications included the generation of insights for timely disease outbreak prediction and assertions regarding worldwide events, which can help policymakers take suitable actions. We investigated whether there was a correlation between public sentiment and the number of cases and deaths attributed to COVID-19. The research design integrated text preprocessing (regular expression operations, (de)tokenization, stopwords), sentiment polarization analysis via TextBlob, hypothesis formulation (null hypothesis testing), and statistical analysis (Pearson coefficient and p-value) to produce the results. The key findings highlight a correlation between sentiment polarity and deaths, starting at 41 days before and expanding up to 3 days after counting. Twitter users reacted to increased numbers of COVID-19-related deaths after four days by posting tweets with fading sentiment polarization. We also detected a strong correlation between COVID-19 Twitter conversation polarity and reported cases and a weak correlation between polarity and reported deaths. Full article
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14 pages, 960 KiB  
Article
ChatGPT in Education: Empowering Educators through Methods for Recognition and Assessment
Informatics 2023, 10(4), 87; https://doi.org/10.3390/informatics10040087 - 29 Nov 2023
Viewed by 1252
Abstract
ChatGPT is widely used among students, a situation that challenges educators. The current paper presents two strategies that do not push educators into a defensive role but can empower them. Firstly, we show, based on statistical analysis, that ChatGPT use can be recognized [...] Read more.
ChatGPT is widely used among students, a situation that challenges educators. The current paper presents two strategies that do not push educators into a defensive role but can empower them. Firstly, we show, based on statistical analysis, that ChatGPT use can be recognized from certain keywords such as ‘delves’ and ‘crucial’. This insight allows educators to detect ChatGPT-assisted work more effectively. Secondly, we illustrate that ChatGPT can be used to assess texts written by students. The latter topic was presented in two interactive workshops provided to educators and educational specialists. The results of the workshops, where prompts were tested live, indicated that ChatGPT, provided a targeted prompt is used, is good at recognizing errors in texts but not consistent in grading. Ethical and copyright concerns were raised as well in the workshops. In conclusion, the methods presented in this paper may help fortify the teaching methods of educators. The computer scripts that we used for live prompting are available and enable educators to give similar workshops. Full article
(This article belongs to the Topic AI Chatbots: Threat or Opportunity?)
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17 pages, 1986 KiB  
Article
Automated Detection of Persuasive Content in Electronic News
Informatics 2023, 10(4), 86; https://doi.org/10.3390/informatics10040086 - 21 Nov 2023
Viewed by 1071
Abstract
Persuasive content in online news contains elements that aim to persuade its readers and may not necessarily include factual information. Since a news article only has some sentences that indicate persuasiveness, it would be quite challenging to differentiate news with or without the [...] Read more.
Persuasive content in online news contains elements that aim to persuade its readers and may not necessarily include factual information. Since a news article only has some sentences that indicate persuasiveness, it would be quite challenging to differentiate news with or without the persuasive content. Recognizing persuasive sentences with a text summarization and classification approach is important to understand persuasive messages effectively. Text summarization identifies arguments and key points, while classification separates persuasive sentences based on the linguistic and semantic features used. Our proposed architecture includes text summarization approaches to shorten sentences without persuasive content and then using classifiers model to detect those with persuasive indication. In this paper, we compare the performance of latent semantic analysis (LSA) and TextRank in text summarization methods, the latter of which has outperformed in all trials, and also two classifiers of convolutional neural network (CNN) and bidirectional long short-term memory (BiLSTM). We have prepared a dataset (±1700 data and manually persuasiveness-labeled) consisting of news articles written in the Indonesian language collected from a nationwide electronic news portal. Comparative studies in our experimental results show that the TextRank–BERT–BiLSTM model achieved the highest accuracy of 95% in detecting persuasive news. The text summarization methods were able to generate detailed and precise summaries of the news articles and the deep learning models were able to effectively differentiate between persuasive news and real news. Full article
(This article belongs to the Section Machine Learning)
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14 pages, 885 KiB  
Article
Why Do People Use Telemedicine Apps in the Post-COVID-19 Era? Expanded TAM with E-Health Literacy and Social Influence
Informatics 2023, 10(4), 85; https://doi.org/10.3390/informatics10040085 - 06 Nov 2023
Viewed by 1150
Abstract
This study delves into the determinants influencing individuals’ intentions to adopt telemedicine apps during the COVID-19 pandemic. The study aims to offer a comprehensive framework for understanding behavioral intentions by leveraging the Technology Acceptance Model (TAM), supplemented by e-health literacy and social influence [...] Read more.
This study delves into the determinants influencing individuals’ intentions to adopt telemedicine apps during the COVID-19 pandemic. The study aims to offer a comprehensive framework for understanding behavioral intentions by leveraging the Technology Acceptance Model (TAM), supplemented by e-health literacy and social influence variables. The study analyzes survey data from 364 adults using partial least squares structural equation modeling (PLS-SEM) to empirically examine the internal relationships within the model. Results indicated that e-health literacy, attitude, and social influence significantly impacted the intention to use telemedicine apps. Notably, e-health literacy positively influenced both perceived usefulness and ease of use, expanding beyond mere usage intention. The study underscored the substantial role of social influence in predicting the intention to use telemedicine apps, challenging the traditional oversight of social influence in the TAM framework. The findings will help researchers, practitioners, and governments understand how social influence and e-health literacy influence the adoption of telehealth apps and promote the use of telehealth apps through enhancing social influence and e-health literacy. Full article
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24 pages, 3743 KiB  
Article
Classifying Crowdsourced Citizen Complaints through Data Mining: Accuracy Testing of k-Nearest Neighbors, Random Forest, Support Vector Machine, and AdaBoost
Informatics 2023, 10(4), 84; https://doi.org/10.3390/informatics10040084 - 01 Nov 2023
Viewed by 1210
Abstract
Crowdsourcing has gradually become an effective e-government process to gather citizen complaints over the implementation of various public services. In practice, the collected complaints form a massive dataset, making it difficult for government officers to analyze the big data effectively. It is consequently [...] Read more.
Crowdsourcing has gradually become an effective e-government process to gather citizen complaints over the implementation of various public services. In practice, the collected complaints form a massive dataset, making it difficult for government officers to analyze the big data effectively. It is consequently vital to use data mining algorithms to classify the citizen complaint data for efficient follow-up actions. However, different classification algorithms produce varied classification accuracies. Thus, this study aimed to compare the accuracy of several classification algorithms on crowdsourced citizen complaint data. Taking the case of the LAKSA app in Tangerang City, Indonesia, this study included k-Nearest Neighbors, Random Forest, Support Vector Machine, and AdaBoost for the accuracy assessment. The data were taken from crowdsourced citizen complaints submitted to the LAKSA app, including those aggregated from official social media channels, from May 2021 to April 2022. The results showed SVM with a linear kernel as the most accurate among the assessed algorithms (89.2%). In contrast, AdaBoost (base learner: Decision Trees) produced the lowest accuracy. Still, the accuracy levels of all algorithms varied in parallel to the amount of training data available for the actual classification categories. Overall, the assessments on all algorithms indicated that their accuracies were insignificantly different, with an overall variation of 4.3%. The AdaBoost-based classification, in particular, showed its large dependence on the choice of base learners. Looking at the method and results, this study contributes to e-government, data mining, and big data discourses. This research recommends that governments continuously conduct supervised training of classification algorithms over their crowdsourced citizen complaints to seek the highest accuracy possible, paving the way for smart and sustainable governance. Full article
(This article belongs to the Special Issue Feature Papers in Big Data)
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25 pages, 2500 KiB  
Article
Federated Secure Computing
Informatics 2023, 10(4), 83; https://doi.org/10.3390/informatics10040083 - 31 Oct 2023
Viewed by 959
Abstract
Privacy-preserving computation (PPC) enables encrypted computation of private data. While advantageous in theory, the complex technology has steep barriers to entry in practice. Here, we derive design goals and principles for a middleware that encapsulates the demanding cryptography server side and provides a [...] Read more.
Privacy-preserving computation (PPC) enables encrypted computation of private data. While advantageous in theory, the complex technology has steep barriers to entry in practice. Here, we derive design goals and principles for a middleware that encapsulates the demanding cryptography server side and provides a simple-to-use interface to client-side application developers. The resulting architecture, “Federated Secure Computing”, offloads computing-intensive tasks to the server and separates concerns of cryptography and business logic. It provides microservices through an Open API 3.0 definition and hosts multiple protocols through self-discovered plugins. It requires only minimal DevSecOps capabilities and is straightforward and secure. Finally, it is small enough to work in the internet of things (IoT) and in propaedeutic settings on consumer hardware. We provide benchmarks for calculations with a secure multiparty computation (SMPC) protocol, both for vertically and horizontally partitioned data. Runtimes are in the range of seconds on both dedicated workstations and IoT devices such as Raspberry Pi or smartphones. A reference implementation is available as free and open source software under the MIT license. Full article
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16 pages, 335 KiB  
Review
AI Chatbots in Digital Mental Health
Informatics 2023, 10(4), 82; https://doi.org/10.3390/informatics10040082 - 27 Oct 2023
Viewed by 3266
Abstract
Artificial intelligence (AI) chatbots have gained prominence since 2022. Powered by big data, natural language processing (NLP) and machine learning (ML) algorithms, they offer the potential to expand capabilities, improve productivity and provide guidance and support in various domains. Human–Artificial Intelligence (HAI) is [...] Read more.
Artificial intelligence (AI) chatbots have gained prominence since 2022. Powered by big data, natural language processing (NLP) and machine learning (ML) algorithms, they offer the potential to expand capabilities, improve productivity and provide guidance and support in various domains. Human–Artificial Intelligence (HAI) is proposed to help with the integration of human values, empathy and ethical considerations into AI in order to address the limitations of AI chatbots and enhance their effectiveness. Mental health is a critical global concern, with a substantial impact on individuals, communities and economies. Digital mental health solutions, leveraging AI and ML, have emerged to address the challenges of access, stigma and cost in mental health care. Despite their potential, ethical and legal implications surrounding these technologies remain uncertain. This narrative literature review explores the potential of AI chatbots to revolutionize digital mental health while emphasizing the need for ethical, responsible and trustworthy AI algorithms. The review is guided by three key research questions: the impact of AI chatbots on technology integration, the balance between benefits and harms, and the mitigation of bias and prejudice in AI applications. Methodologically, the review involves extensive database and search engine searches, utilizing keywords related to AI chatbots and digital mental health. Peer-reviewed journal articles and media sources were purposively selected to address the research questions, resulting in a comprehensive analysis of the current state of knowledge on this evolving topic. In conclusion, AI chatbots hold promise in transforming digital mental health but must navigate complex ethical and practical challenges. The integration of HAI principles, responsible regulation and scoping reviews are crucial to maximizing their benefits while minimizing potential risks. Collaborative approaches and modern educational solutions may enhance responsible use and mitigate biases in AI applications, ensuring a more inclusive and effective digital mental health landscape. Full article
(This article belongs to the Topic AI Chatbots: Threat or Opportunity?)
21 pages, 1546 KiB  
Article
Artificial Intelligence: A Blessing or a Threat for Language Service Providers in Portugal
Informatics 2023, 10(4), 81; https://doi.org/10.3390/informatics10040081 - 23 Oct 2023
Viewed by 1464
Abstract
According to a recent study by OpenAI, Open Research, and the University of Pennsylvania, large language models (LLMs) based on artificial intelligence (AI), such as generative pretrained transformers (GPTs), may have potential implications for the job market, specifically regarding occupations that demand writing [...] Read more.
According to a recent study by OpenAI, Open Research, and the University of Pennsylvania, large language models (LLMs) based on artificial intelligence (AI), such as generative pretrained transformers (GPTs), may have potential implications for the job market, specifically regarding occupations that demand writing or programming skills. This research points out that interpreters and translators are one of the main occupations with greater exposure to AI in the US job market (76.5%), in a trend that is expected to affect other regions of the globe. This article, following a mixed-methods survey-based research approach, provides insights into the awareness and knowledge about AI among Portuguese language service providers (LSPs), specifically regarding neural machine translation (NMT) and large language models (LLM), their actual use and usefulness, as well as their potential influence on work performance and the labour market. The results show that most professionals are unable to identify whether AI and/or automation technologies support the tools that are most used in the profession. The usefulness of AI is essentially low to moderate and the professionals who are less familiar with it and less knowledgeable also demonstrate a lack of trust in it. Two thirds of the sample estimate negative or very negative effects of AI in their profession, expressing the devaluation and replacement of experts, the reduction of income, and the reconfiguration of the career of translator to mere post-editors as major concerns. Full article
(This article belongs to the Collection Uncertainty in Digital Humanities)
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14 pages, 1974 KiB  
Article
A Method for Analyzing Navigation Flows of Health Website Users Seeking Complex Health Information with Google Analytics
Informatics 2023, 10(4), 80; https://doi.org/10.3390/informatics10040080 - 20 Oct 2023
Viewed by 1044
Abstract
People are increasingly seeking complex health information online. However, how they access this information and how influential it is on their health choices remains poorly understood. Google Analytics (GA) is a widely used web analytics tool and it has been used in academic [...] Read more.
People are increasingly seeking complex health information online. However, how they access this information and how influential it is on their health choices remains poorly understood. Google Analytics (GA) is a widely used web analytics tool and it has been used in academic research to study health information-seeking behaviors. Nevertheless, it is rarely used to study the navigation flows of health websites. To demonstrate the usefulness of GA data, we adopted both top-down and bottom-up approaches to study how web visitors navigate within a website delivering complex health information about stem cell research using GA’s device, traffic and path data. Custom Treemap and Sankey visualizations were used to illustrate the navigation flows extracted from these data in a more understandable manner. Our methodology reveals that different device and traffic types expose dissimilar search approaches. Through the visualizations, popular web pages and content categories frequently browsed together can be identified. Information on a website that is often overlooked but needed by many users can also be discovered. Our proposed method can identify content requiring improvements, enhance usability and guide a design for better addressing the needs of different audiences. This paper has implications for how web designers can use GA to help them determine users’ priorities and behaviors when navigating complex information. It highlights that even where there is complex health information, users may still want more direct and easy-to-understand navigations to retrieve such information. Full article
(This article belongs to the Section Health Informatics)
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