Table 2.
Summary of results.
| Outcome | General findings | Skill differences | |
| Less-skilled cohort | More-skilled cohort | ||
| Attitudes | |||
| Participants hesitated to use online health data (20/22, 91%), in particular to make inferences | Rationale: the plethora of data cannot be managed (6/12, 50%) | Rationale: the quality of online data is low (8/10, 80%) | |
| Although data quality was a matter of concern... | ...keywords may override distrust toward sites (6/12, 50%) | ...once accessed, data from any site were used (4/10, 40%) | |
| Technical skills | |||
| Search implementation | Reliance on search engine Google.de (22/22, 100%) | No differences observed | Few entered URLs directly (2/10, 20%) |
| Use of search terms (20/22, 91%); often misspelled; rarely corrected | 83% used a single search term (10/12); 67% used search term suggestions (8/12); 17% used natural language phrases (2/12) | 100% used two or more search terms (10/10) | |
| Site selection | Reliance on first 5 links on first search engine result page (20/22, 91%) | Selection based on keywords (often unrelated to original search) inferred from links/excerpts (7/12, 58%) | Selection based on data sources inferred from URL or links/excerpts (9/10, 90%) |
| Site navigation | Relevance of website contents was appraised | Text was read rather than scanned. In 23% of searches (14/61) links were followed up. | Text was scanned for keywords. In 6% of searches (3/49), links were followed up. |
| Information was rarely cross-referenced | No cross-referencing or use of tabs (0/12, 0%). | Use of multiple tabs to compare results (2/10, 20%). | |
| Cognitive strategies (based on inference scenarios only) | |||
| Search intentions | People searched for online contents related to personal, a priori opinions, knowledge, cues, or expert opinions. | Distribution of intentions: 70% a priori opinions (21/30); 10% cues (3/30); 10% knowledge (3/30); 10% expert opinions (3/30) | Distribution of intentions: 14% a priori opinions (4/28); 29% cues (8/28); 29% knowledge (8/28); 29% expert opinions (8/28) |
| Information evaluation | Information was trusted if consistent with search intentions—that is, if... | ...a website confirmed a priori opinions (21/30, 70%) or yielded search contents (9/30, 30%) | ...a website confirmed a priori opinions (4/28, 14%) or yielded search contents (24/28, 86%). |
| Stopping rule | Search was stopped once the first piece of online information satisfied search intentions | No participant further cross-referenced (0/12, 0%) | 20% further cross-referenced information (2/10) |
| Inference rule | Participants were hesitant to make inferences based on online searches, except when they searched to confirm personal, a priori opinions | In 73% of the inference queries, inferences were made based on a priori opinions (22/30). In 27% no inferences were made (8/30). | In 14% of the inference queries, inferences were made based on a priori opinions (4/28); in 7% based on cues (2/28). In 79% no inferences were made (22/28). |