{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T13:45:27Z","timestamp":1772891127371,"version":"3.50.1"},"reference-count":36,"publisher":"Emerald","issue":"1","license":[{"start":{"date-parts":[[2019,1,14]],"date-time":"2019-01-14T00:00:00Z","timestamp":1547424000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JD"],"published-print":{"date-parts":[[2019,1,14]]},"abstract":"<jats:sec><jats:title content-type=\"abstract-subheading\">Purpose<\/jats:title><jats:p>The purpose of this paper is to advance our understanding of the challenges of health information literacy (IL) education in disadvantaged and disengaged at-risk populations; and from the perspective of professionals out with information professions occupying everyday support roles.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Design\/methodology\/approach<\/jats:title><jats:p>A qualitative in-depth case study. The participants were a team of UK Family Nurses providing outreach support to young expectant mothers from areas of multiple deprivations, and the mothers themselves. The data collection methods were observation, survey, interviews and focus groups.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Findings<\/jats:title><jats:p>Information needs of mothers are multiple, and not always recognised as information problems, or revealed. Several felt overwhelmed, and actively avoided health information. There is low awareness and\/or use of state sources of online health information. Family nurses provide an important information intermediary role, but are unfamiliar with IL concepts and models; consequently, there is limited evidence of client transitions to independent information seeking, or underpinning pedagogical practices to achieve such goals.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Research limitations\/implications<\/jats:title><jats:p>Further research is required into appropriate pedagogical approaches to IL education adaptable to semi-structured everyday situations. Recognition of information need requires particular attention, including methods of elicitation and specification in the problematic context.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Practical implications<\/jats:title><jats:p>In an era of digital transitions and public service reforms, the authors raise important questions regarding the true reach of public health policy.<\/jats:p><\/jats:sec><jats:sec><jats:title content-type=\"abstract-subheading\">Originality\/value<\/jats:title><jats:p>The paper holistically examines nurse\u2013client information behaviours, and extends the discussion of low IL in nurses beyond issues of evidence-based practice to issues of developing healthcare self-efficacy in at-risk clients.<\/jats:p><\/jats:sec>","DOI":"10.1108\/jd-06-2018-0086","type":"journal-article","created":{"date-parts":[[2018,11,15]],"date-time":"2018-11-15T09:08:08Z","timestamp":1542272888000},"page":"172-189","source":"Crossref","is-referenced-by-count":8,"title":["Developing health information literacy in disengaged at-risk populations"],"prefix":"10.1108","volume":"75","author":[{"given":"Steven","family":"Buchanan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Nicol","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"140","reference":[{"issue":"1","key":"key2020092511111880800_ref001","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1111\/hir.12204","article-title":"Hospital nurses\u2019 information retrieval behaviours in relation to evidence based nursing: a literature review","volume":"35","year":"2018","journal-title":"Health Information & Libraries Journal"},{"key":"key2020092511111880800_ref002","unstructured":"American Library Association (1989), \u201cPresidential committee on information literacy: final report\u201d, American Library Association, Chicago, IL."},{"issue":"2","key":"key2020092511111880800_ref003","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1177\/0165551508095781","article-title":"The dark side of information: overload, anxiety and other paradoxes and pathologies","volume":"35","year":"2009","journal-title":"Journal of Information Science"},{"issue":"4","key":"key2020092511111880800_ref004","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.contraception.2012.08.020","article-title":"Pre-teen literacy and subsequent teenage childbearing in a US population","volume":"87","year":"2013","journal-title":"Contraception"},{"issue":"2","key":"key2020092511111880800_ref005","doi-asserted-by":"crossref","first-page":"97","DOI":"10.7326\/0003-4819-155-2-201107190-00005","article-title":"Low health literacy and health outcomes: an updated systematic review","volume":"155","year":"2011","journal-title":"Annals of Internal Medicine"},{"issue":"3","key":"key2020092511111880800_ref006","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.wombi.2014.05.004","article-title":"How do health professionals support pregnant and young mothers in the community?","volume":"27","year":"2014","journal-title":"Women and Birth"},{"issue":"2","key":"key2020092511111880800_ref007","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","year":"2006","journal-title":"Qualitative Research in Psychology"},{"issue":"3","key":"key2020092511111880800_ref008","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1108\/JD-05-2015-0060","article-title":"The information behaviours of disadvantaged and disengaged adolescents","volume":"72","year":"2016","journal-title":"Journal of Documentation"},{"key":"key2020092511111880800_ref009","article-title":"Information behaviours in disadvantaged and dependent circumstances and the role of information intermediaries","year":"2018","journal-title":"Journal of the American Society for Information Science and Technology"},{"key":"key2020092511111880800_ref010","doi-asserted-by":"crossref","unstructured":"Buchanan, S., Jardine, C. and Ruthven, I. 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