Cited by 18Health Literacy and Information AccessibilityInformation Retrieval and Search BehaviorSmoking Behavior and Cessation

Improving Web Searches: Case Study of Quit-Smoking Web Sites for Teenagers

Open access
Koo, Malcolm, Skinner, Harvey·2003·Journal of Medical Internet Research

Abstract

BACKGROUND: The Web has become an important and influential source of health information. With the vast number of Web sites on the Internet, users often resort to popular search sites when searching for information. However, little is known about the characteristics of Web sites returned by simple Web searches for information about smoking cessation for teenagers. OBJECTIVE: To determine the characteristics of Web sites retrieved by search engines about smoking cessation for teenagers and how information quality correlates with the search ranking. METHODS: The top 30 sites returned by 4 popular search sites in response to the search terms "teen quit smoking" were examined. The information relevance and quality characteristics of these sites were evaluated by 2 raters. Objective site characteristics were obtained using a page-analysis Web site. RESULTS: Only 14 of the 30 Web sites are of direct relevance to smoking cessation for teenagers. The readability of about two-thirds of the 14 sites is below an eighth-grade school level and they ranked significantly higher (Kendall rank correlation, tau = -0.39, P =.05) in search-site results than sites with readability above or equal to that grade level. Sites that ranked higher were significantly associated with the presence of e-mail address for contact (tau = -0.46, P =.01), annotated hyperlinks to external sites (tau = -0.39, P =.04), and the presence of meta description tag (tau = -0.48, P =.002). The median link density (number of external sites that have a link to that site) of the Web pages was 6 and the maximum was 735. A higher link density was significantly associated with a higher rank (tau = -0.58, P =.02). CONCLUSIONS: Using simple search terms on popular search sites to look for information on smoking cessation for teenagers resulted in less than half of the sites being of direct relevance. To improve search efficiency, users could supplement results obtained from simple Web searches with human-maintained Web directories and learn to refine their searches with more advanced search syntax.

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  • Reviews have attempted to rate the adequacy of behavior change websites.

    “We acknowledge the important role played by reviews that attempt to rate the adequacy of behavior change websites [4-10].”

    From The Information Architecture of Behavior Change Websites (2005) · cites this paper as [8]

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Authors
Koo, M., & Skinner, H.
Affiliations
University of Toronto (CA)
Corresponding author
Koo, Malcolm
Venue
Journal of Medical Internet Research
Published
2003-11-14
Volume
5
Issue
4
Pages
e28
ISSN
1438-8871 (ISSN-L)
OpenAlex
W1974676139
Cited by
18
References
24
Citations by year
2018: 1 · 2017: 1 · 2013: 1
FWCI
5.70
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Medical Internet Research (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • TSpace (University of Toronto) (submittedVersion, cc-by)
Funders
Ontario Ministry of Health and Long-Term Care
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Physical Sciences › Computer Science › Information Systems › Information Retrieval and Search Behavior
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
Keywords
smoking cessation, adolescents, health information on the web, search engine ranking, website quality, readability, link density, web directories
MeSH terms
Adolescent, Health Education, Humans, Information Services, Patient Education as Topic, Quality Assurance, Health Care, Smoking Cessation, Health Care Surveys, Internet

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