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How One Box                                     Search




         Can Mean Different Things
         to Different People


September 16, 2011


                                Jasmin Phua | @jasphua
                                jasmin@designforcontext.com



     www.designforcontext.com   Duane Degler | @ddegler
                                duane@designforcontext.com
Consider how you get stuff into that 'box'

                                                                     Where shall we go for dinner?
                                                                     You:     I want Greek food
                                                                     Harry:   As long as it has pasta too
                                                                     Jack:    Coffee, I need coffee
                                                                     Eric:    That place on the corner of Clark & Kent
                                                                     Jamie:   Let's find a place where we can sit outside



                                                                                       Search



                                                                                          closest gas station




                                            Find only medications
                                            that have been
                                            approved for pediatric
                                            use




SLIDE   2   Search Mental Models | Sept 16, 2011
Goals: External to seeking task


                                                             Situation



                                             Experience




                                            Expectations     Platforms




                                                   Mental
                                                   models


                                                            Information




SLIDE   3   Search Mental Models | Sept 16, 2011
When users seek & what designers must transcend
                  “The deepest form of understanding another person is
                  empathy...[which] involves a shift from...observing how you seem on
                  the outside, to ... imagining what it feels like to be you on the inside”
                  — attributed to Harvard Negotiation Project, Indi Young, Mental Models




                                                                                       Novices? Experts in specific domain?
            Focus on...                                                                Experts outside of domain?

            » Needs                                                            Ability to articulate search problem


            » Awareness                                                                      Knowing when to change tactics

                                                                               Urgency and persistence of seeking
            » Perception                                                                     Accuracy and precision

                                                                               Authority, trust, and credibility

                                                                                           Recognizing success

SLIDE   4   Search Mental Models | Sept 16, 2011
Not all searching is casual

                             We ♥ hardcore seekers
    medical researchers | scientists | lawyers | intelligence analysts | patent examiners | librarians



                      » Finding what you were seeking
                        doesn't mean you're done
                      » Not finding what you were seeking
                        can mean you're done

                             Engage in a broad variety of search strategies
                             Tend to be very articulate when formulating search strategy / tactics
                             Longitudinal perspective of search tasks


SLIDE   5   Search Mental Models | Sept 16, 2011
Need & Awareness

                                         Specific awareness of
                                         content and ability to
                                                                                                            “I know what I’m looking for--
                                         articulate problem
                                                                                                                    get me to it!”
              User’s awareness of need




                                                                              “Just tell me
                                                                            what I absolutely
                                                                              must know”                                 “I don’t know
                                         Awareness of problem but                                                     what I need to know”
                                         little ability to articulate




                                                                                  “I didn’t know I needed that”

                                         No awareness of need for
                                         information



                                                                                   Required                                      Available

                                                                                                      Nature of content related to task

                                                           Adapted from Degler/Battle (2003). Can Topic Maps Describe Enterprise-Wide Context?
                                                         http://www.designforcontext.com/publications/dd-lb_topic-maps_context_extreme2003.pdf

SLIDE   6   Search Mental Models | Sept 16, 2011
Motivations and Understanding when Seeking

             1 Survey                              4 Archival
             2 Targeted                            5 Routine
             3 Exploratory                         6 Collaborative




SLIDE   7   Search Mental Models | Sept 16, 2011
General stages of seeking

                    Catalyst

                    Goal                 Info Task
                    Achieve in the       Achieve in the
                    world                search space




                                         Activity

                                         Formulate        Seek                 Evaluate         Review
                                         Strategy         Type in the box      Assess results   Assess content
                                         Tactics

                                                                        Refine
                                                                 Adjust criteria & tactics




                                                                                                Outcome

                                                                                                Use              Keep
                                                                                                Apply what you   Persistent
                                                                                                gained           resource




SLIDE   8   Search Mental Models | Sept 16, 2011
Survey
                                         “ What are the symptoms of arthritis? ”
                                               arthritis                             Search

  Seeking Process / Stages
                                                    Formulate   Seek      Evaluate        Review

                                                                       REFINE




        »     Satisficing: "good enough"
        »     Tend to be single session
        »     Look for correlations between results to bolster confidence
        »     Focused on authoritative sources
        »     Preview to support decision-making



SLIDE   9   Search Mental Models | Sept 16, 2011
Survey: Examples of design features
  Google
                                                    Bing




                                                           Previews (Bing)




SLIDE   10   Search Mental Models | Sept 16, 2011
Targeted
                                          "What is the maximum dosage for aspirin per day?"
                                                DOSAGE ˅ |      aspirin                       Search

  Seeking Process / Stages
                                                    Formulate      Seek            Evaluate            Review

                                                                          REFINE                                KEEP




         » Typically start out with a known domain
         » Clear, known expectation of outcome or nature of outcome
         » High recognition when evaluating result set




SLIDE   11   Search Mental Models | Sept 16, 2011
Targeted: Examples of design features
                                                    Different views and varying
                                                    degrees of detail, depending on
                                                    what is needed for recognition




SLIDE   12   Search Mental Models | Sept 16, 2011
Targeted: Examples of design features

        Summary information to disambiguate, and help get to the most relevant result sets



        Recommended dosage for treating...          Dosage based on age...         Dosage based on drug form...     Recommended dosage based on
                                                                                                                    drug interactions...
                •Pain & anti-inflammatory                 •Infant                        •Liquid
                                                                                                                          •salicyclates
                •Headaches                                •Under 18                      •Powder
                                                                                                                          •antidiabetic
                •Stroke                                   •18-65                         •Solution
                                                                                                                          •corticosteroids
                •Heart attack                             •65 and over                   •Tablet, delayed release
                                                                                                                          •immunosuppresants
                •Arthritis                                                               •Rectal suppository




                                                                             search results




SLIDE   13   Search Mental Models | Sept 16, 2011
Exploratory
  “ Preparing research paper on effectiveness of physical therapy vs. drugs for arthritis treatment”
                                                .....                                 Search
                                                    .....                                Search
                                                        .....                                Search

  Seeking Process / Stages

                                                    Formulate   Seek            Evaluate       Review

                                                                       REFINE                           KEEP



         »     Longitudinal
         »     Iterative, layered, evolving
         »     Search strategy is a critical component
         »     Inputs to search formulation must be actionable
         »     Outcomes must be actionable: capture, organize, save



SLIDE   14   Search Mental Models | Sept 16, 2011
Exploratory: Examples of design features
        Search input must be actionable e.g. tagging or flagging for search
             The increase in OA-related musculoskeletal pain especially in
             the growing elderly population has created heightened interest
             in effective treatments with better safety profiles. The
             Glucosamine/chondroitin Arthritis Intervention Trial (GAIT) was
             designed to examine the effects of the dietary supplements
                                 chondroitin sulfate
             glucosamine and chondroitin sulfate given alone or in
             combination as compared to celcoxib or placebo on pain
                                             celecoxib
             associated with osteoarthritis of the knee. The primary
             symptomatic outcome assessment of the GAIT study was after
             24 weeks of randomized, double-blinded, placebo-controlled
             therapy.[6] An ancillary structural study describing the effects of
             the agents on radiographic joint space width loss for up to twoAdd note, action
                             radiographic joint space
             years has also recently been reported.[7] To date, very few data Search on this now
             have been reported for the long-term treatment of OA with any
                                                                              Tag for search
             agent including the supplements and celecoxib studied here.
             Patients in the structural study continued to have safety and
             clinical efficacy assessments at all scheduled visits. This paper
             details the clinical efficacy and safety experience with these
             agents alone and in combination along with celecoxib as
             compared to placebo in patients from this subset of GAIT over
             24 months of follow-up.



        Prior search formulations and strategies are products                                      arthritis – synonyms and instances
                                                                                                    Ankylosing spondylitis
             Search Builder                                                    Assist:
                                                                                                    Gonococcal arthritis
             Search Phrase                                                                          Gout
                                                                                                    Juvenile rheumatoid arthritis
                arthritis +4     and methotrexate
                                                                                                       Psoriatic arthritis
                                                                                                       Reactive arthritis (Reiter syndrome)
                                                                                                       Rheumatoid arthritis (in adults)
                                                                                                       Scleroderma
             Operator Toolbar
             Special Symbols                                                                           Systemic lupus erythematosus (SLE)
             Equations and Formulas                                                                + Add another


SLIDE   15   Search Mental Models | Sept 16, 2011
Exploratory: Examples of design features
         Outcomes must be actionable
                            Title                                    Date      Publication            Author                             Preview     1 Best bets (3)
                                                                       1989
                                                                       May;18(4 Semin Arthritis          Gregory PJ, Sperry M, Wilson
                            Dietary supplements for osteoarthritis.                                                                                  2 Likely (5)
                                                                       Suppl      Rheum–7                AF.
                                                                      Dietary supplements for osteoarthritis
                                                                       2):14
                                                                      1989. Gregory PJ, et al
                           Abstract: A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third     3 Interesting (1)
                           of those patients have used a supplement to treat their condition. Glucosamine-containing supplements…
                           KWIC:
                                                                                                                                                     4 Check on (9)
                            Following feedback from Osteoarthritis Research International members on the draft guidelines and six Delphi rounds
                           consensus was reached on 25 carefully worded recommendations. Optimal management of patients with OA hip or
                           knee requires a combination of non-pharmacological and pharmacological modalities of therapy. Recommendations
                                                                                                                                                      Add Category
                           cover the use of 12 non-pharmacological modalities: education and self-management, regular telephone contact,
                           referral to a physical therapist, aerobic, muscle strengthening and water-based exercises, weight reduction, walking
                           aids, knee braces, footwear and insoles, thermal modalities, transcutaneous electrical nerve stimulation and
                           acupuncture. Eight recommendations cover pharmacological modalities of treatment including acetaminophen,
                           cyclooxygenase-2 (COX-2) non-selective and selective oral non-steroidal anti-inflammatory drugs (NSAIDs), topical
                           NSAIDs and capsaicin, intra-articular injections of corticosteroids and hyaluronates, glucosamine
                           OARSI recommendations for the
                                                                       2008                              Zhang W, Moskowitz RW, Nuki
                           management of hip and knee                             Osteoarthritis
                                                                       Feb;16(2)                         G, Abramson S, Altman RD, et
                           osteoarthritis, Part II: OARSI evidence-               Cartilage
                                                                       :137–62                           al.
                           based, expert consensus guidelines.
                           Abstract: To develop concise, patient-focussed, up to date, evidence-based, expert consensus recommendations for
                           the management of hip and knee osteoarthritis (OA), which are adaptable and designed to assist physicians and
                           allied health care professionals in general and specialist practise throughout the world.…
                           KWIC:
                           Loss of cartilage in OA is usually assessed as a radiographic interbone distance. Precision and reproducibility in the
                           measurement of this distance are improved by application of standardized acquisition protocols. Each protocol
                           attempts to address difficulties inherent in obtaining reproducible positioning and projection of the joint. At the
                           inception of this study, both anteroposterior (AP) and posteroanterior (PA) projection protocols using various degrees
                           of knee flexion with or without fluoroscopic guidance of positioning were under scrutiny (6–12). Fluoroscopy was not
                           commonly employed due to limited availability, difficulty in achieving and maintaining technician training and the need
                           to minimize cost and radiation exposure. Using available approaches, a narrowing of approximately 0.25mm per year
                           was observed and reported (9). The metatarsophalangeal (MTP) view of Buckland-Wright, a PA directed flexed knee
                           view, was thought to have a balance of ease, thrift and precision adequate to detect the anticipated change in joint
                           space width (JSW) over the two year study (10).
                           The effect of glucosamine and/or
                                                                                                 Sawitzke AD, Shi H, Finco MF, Dunlop
                           chondroitin sulfate on the progression of              Drugs Aging.
                                                                                                 DD, Bingham CO, 3rd, Harris CL, et
                           knee osteoarthritis: A report from the      07/2007 2007;24(7):5
                                                                                                 al.322
                           glucosamine/chondroitin arthritis                      73–80
                                                                                                 Poor
                           intervention trial.
                           Abstract: An apparatus and method are provided for scoring nonobjective assessment materials recorded on paper,
                           such

SLIDE   16   Search Mental Models | Sept 16, 2011
Archival
                      "Where methotrexate caused or contributed to patient adverse events"
                                                ...                       Search

  Seeking Process / Stages
                                            Formulate   Seek           Evaluate       Review

                                                                        REFINE                 KEEP




         »      Search has been comprehensive and complete
         »      Important to know you have found all that there is (within limit)
         »      Haven't missed critical findings
         »      Comprehensive search is itself a product;
                if I can't find it, does that mean:
                 • it likely doesn't exist
                 • not relevant to the context that I have applied
                 • the search index does not successfully map the content
SLIDE   17   Search Mental Models | Sept 16, 2011
Archival: Examples of design features
        Tools to help prompt evaluations of completeness
             Related to...Methotrexate
              Extend search to other similar categories   Extend search to other known names
                 Anti-metabolites 6
                                                             amethopterin
                        Folic acid antagonists
                                                             MTX
                        Pyrimidine antagonists
                        Purine antagonists                  Maxtrex (UK)

                        Adenosine deaminase inhibitor       Metoject (UK)
                 Anti-folates 4                             Rheumatrex®
                                                             TrexallTM


                                                                     Update     or     Cancel




SLIDE   18   Search Mental Models | Sept 16, 2011
Routine
        "Keep me up-to-date on hematological cancer involving Velcade as an agent"
                                                ...                             Search

  Seeking Process / Stages

                                                    Formulate   Seek            Evaluate   Review

                                                                       REFINE                       KEEP




         » Take a successful search strategy and give it an identity
         » Focus on new and unique results
         » Search parameters and filters are not necessarily related
                to a specific result set




SLIDE   19   Search Mental Models | Sept 16, 2011
Routine: Examples of design features
"Keep me up-to-date on hematological cancer treatments involving Velcade as an agent"



              "Leukemia treatments" searches                                    "drug delivery agent" searches encompass...
              encompass...
                                                                                 subcutaneous injection
               Leukemia 1947 to present
                                                                                 nano-particle passive carrier
               Hodgkin Lymphoma
                                                                                 monoclonal antibody
               Myeloma 1960 to present not involving radiation
                                                                                 radioimmunotherapy
               Plasma cell neoplasms




                                                                                         "Keep me up-to-date...ignore drug
         Search Now                           Monitor >>                                 deliver mechanism"
                                                                              relax it
                                              WEEKLY |    No results found                    WEEK 5 |     3 results found

        No results found                      WEEK 16 |   3 results found
                                                                                     "Keep me up-to-date on myeloma
                                              WEEK 28 |   27 results found
                                                                                     treatments involving..."
                                               WEEKLY |   236 results found                    WEEKLY |     20 results found
                                                                              tighten it




SLIDE   20   Search Mental Models | Sept 16, 2011
Collaborative
        "What is the maximum dosage for aspirin per day?"
                                                        Is this for a child or an adult?

                                                        How many milligrams is your aspirin pill?
  Seeking Process / Stages

                                            Formulate      Seek              Evaluate               Review

                                                              REFINE                                         KEEP



         »     Agent for others
         »     Sharing
         »     Refinement might be multi-session, iterative, not real-time
         »     Formulation task requires:
                • Negotiation to articulate goals and scope
                • Translation


SLIDE   21   Search Mental Models | Sept 16, 2011
Summary: Seeking Behaviors by Process / Stage
        Survey                       Formulate           Seek          Evaluate                Review

                                                                 REFINE



        Targeted                     Formulate           Seek                  Evaluate                 Review

                                                                 REFINE                                                   KEEP



        Exploratory                          Formulate                 Seek                  Evaluate            Review

                                                                                REFINE                                                KEEP



        Archival                     Formulate                  Seek                         Evaluate            Review

                                                                                              REFINE                               KEEP




        Routine                              Formulate                 Seek                       Evaluate           Review

                                                                                    REFINE                                                KEEP



        Collaborative                        Formulate                  Seek                 Evaluate                     Review

                                                                           REFINE                                                         KEEP

SLIDE   22   Search Mental Models | Sept 16, 2011
Thank you

                                  For more information,
                                  contact us:

                           jasmin@designforcontext.com
                           duane@designforcontext.com
www.designforcontext.com

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Search: How One Box Search Can Mean Different Things to Different People

  • 1. How One Box Search Can Mean Different Things to Different People September 16, 2011 Jasmin Phua | @jasphua jasmin@designforcontext.com www.designforcontext.com Duane Degler | @ddegler duane@designforcontext.com
  • 2. Consider how you get stuff into that 'box' Where shall we go for dinner? You: I want Greek food Harry: As long as it has pasta too Jack: Coffee, I need coffee Eric: That place on the corner of Clark & Kent Jamie: Let's find a place where we can sit outside Search closest gas station Find only medications that have been approved for pediatric use SLIDE 2 Search Mental Models | Sept 16, 2011
  • 3. Goals: External to seeking task Situation Experience Expectations Platforms Mental models Information SLIDE 3 Search Mental Models | Sept 16, 2011
  • 4. When users seek & what designers must transcend “The deepest form of understanding another person is empathy...[which] involves a shift from...observing how you seem on the outside, to ... imagining what it feels like to be you on the inside” — attributed to Harvard Negotiation Project, Indi Young, Mental Models Novices? Experts in specific domain? Focus on... Experts outside of domain? » Needs Ability to articulate search problem » Awareness Knowing when to change tactics Urgency and persistence of seeking » Perception Accuracy and precision Authority, trust, and credibility Recognizing success SLIDE 4 Search Mental Models | Sept 16, 2011
  • 5. Not all searching is casual We ♥ hardcore seekers medical researchers | scientists | lawyers | intelligence analysts | patent examiners | librarians » Finding what you were seeking doesn't mean you're done » Not finding what you were seeking can mean you're done Engage in a broad variety of search strategies Tend to be very articulate when formulating search strategy / tactics Longitudinal perspective of search tasks SLIDE 5 Search Mental Models | Sept 16, 2011
  • 6. Need & Awareness Specific awareness of content and ability to “I know what I’m looking for-- articulate problem get me to it!” User’s awareness of need “Just tell me what I absolutely must know” “I don’t know Awareness of problem but what I need to know” little ability to articulate “I didn’t know I needed that” No awareness of need for information Required Available Nature of content related to task Adapted from Degler/Battle (2003). Can Topic Maps Describe Enterprise-Wide Context? http://www.designforcontext.com/publications/dd-lb_topic-maps_context_extreme2003.pdf SLIDE 6 Search Mental Models | Sept 16, 2011
  • 7. Motivations and Understanding when Seeking 1 Survey 4 Archival 2 Targeted 5 Routine 3 Exploratory 6 Collaborative SLIDE 7 Search Mental Models | Sept 16, 2011
  • 8. General stages of seeking Catalyst Goal Info Task Achieve in the Achieve in the world search space Activity Formulate Seek Evaluate Review Strategy Type in the box Assess results Assess content Tactics Refine Adjust criteria & tactics Outcome Use Keep Apply what you Persistent gained resource SLIDE 8 Search Mental Models | Sept 16, 2011
  • 9. Survey “ What are the symptoms of arthritis? ” arthritis Search Seeking Process / Stages Formulate Seek Evaluate Review REFINE » Satisficing: "good enough" » Tend to be single session » Look for correlations between results to bolster confidence » Focused on authoritative sources » Preview to support decision-making SLIDE 9 Search Mental Models | Sept 16, 2011
  • 10. Survey: Examples of design features Google Bing Previews (Bing) SLIDE 10 Search Mental Models | Sept 16, 2011
  • 11. Targeted "What is the maximum dosage for aspirin per day?" DOSAGE ˅ | aspirin Search Seeking Process / Stages Formulate Seek Evaluate Review REFINE KEEP » Typically start out with a known domain » Clear, known expectation of outcome or nature of outcome » High recognition when evaluating result set SLIDE 11 Search Mental Models | Sept 16, 2011
  • 12. Targeted: Examples of design features Different views and varying degrees of detail, depending on what is needed for recognition SLIDE 12 Search Mental Models | Sept 16, 2011
  • 13. Targeted: Examples of design features Summary information to disambiguate, and help get to the most relevant result sets Recommended dosage for treating... Dosage based on age... Dosage based on drug form... Recommended dosage based on drug interactions... •Pain & anti-inflammatory •Infant •Liquid •salicyclates •Headaches •Under 18 •Powder •antidiabetic •Stroke •18-65 •Solution •corticosteroids •Heart attack •65 and over •Tablet, delayed release •immunosuppresants •Arthritis •Rectal suppository search results SLIDE 13 Search Mental Models | Sept 16, 2011
  • 14. Exploratory “ Preparing research paper on effectiveness of physical therapy vs. drugs for arthritis treatment” ..... Search ..... Search ..... Search Seeking Process / Stages Formulate Seek Evaluate Review REFINE KEEP » Longitudinal » Iterative, layered, evolving » Search strategy is a critical component » Inputs to search formulation must be actionable » Outcomes must be actionable: capture, organize, save SLIDE 14 Search Mental Models | Sept 16, 2011
  • 15. Exploratory: Examples of design features Search input must be actionable e.g. tagging or flagging for search The increase in OA-related musculoskeletal pain especially in the growing elderly population has created heightened interest in effective treatments with better safety profiles. The Glucosamine/chondroitin Arthritis Intervention Trial (GAIT) was designed to examine the effects of the dietary supplements chondroitin sulfate glucosamine and chondroitin sulfate given alone or in combination as compared to celcoxib or placebo on pain celecoxib associated with osteoarthritis of the knee. The primary symptomatic outcome assessment of the GAIT study was after 24 weeks of randomized, double-blinded, placebo-controlled therapy.[6] An ancillary structural study describing the effects of the agents on radiographic joint space width loss for up to twoAdd note, action radiographic joint space years has also recently been reported.[7] To date, very few data Search on this now have been reported for the long-term treatment of OA with any Tag for search agent including the supplements and celecoxib studied here. Patients in the structural study continued to have safety and clinical efficacy assessments at all scheduled visits. This paper details the clinical efficacy and safety experience with these agents alone and in combination along with celecoxib as compared to placebo in patients from this subset of GAIT over 24 months of follow-up. Prior search formulations and strategies are products arthritis – synonyms and instances  Ankylosing spondylitis Search Builder Assist:  Gonococcal arthritis Search Phrase  Gout  Juvenile rheumatoid arthritis arthritis +4 and methotrexate  Psoriatic arthritis  Reactive arthritis (Reiter syndrome)  Rheumatoid arthritis (in adults)  Scleroderma Operator Toolbar Special Symbols  Systemic lupus erythematosus (SLE) Equations and Formulas + Add another SLIDE 15 Search Mental Models | Sept 16, 2011
  • 16. Exploratory: Examples of design features Outcomes must be actionable Title Date Publication Author Preview 1 Best bets (3) 1989 May;18(4 Semin Arthritis Gregory PJ, Sperry M, Wilson Dietary supplements for osteoarthritis. 2 Likely (5) Suppl Rheum–7 AF. Dietary supplements for osteoarthritis 2):14 1989. Gregory PJ, et al Abstract: A large number of dietary supplements are promoted to patients with osteoarthritis and as many as one third 3 Interesting (1) of those patients have used a supplement to treat their condition. Glucosamine-containing supplements… KWIC: 4 Check on (9) Following feedback from Osteoarthritis Research International members on the draft guidelines and six Delphi rounds consensus was reached on 25 carefully worded recommendations. Optimal management of patients with OA hip or knee requires a combination of non-pharmacological and pharmacological modalities of therapy. Recommendations Add Category cover the use of 12 non-pharmacological modalities: education and self-management, regular telephone contact, referral to a physical therapist, aerobic, muscle strengthening and water-based exercises, weight reduction, walking aids, knee braces, footwear and insoles, thermal modalities, transcutaneous electrical nerve stimulation and acupuncture. Eight recommendations cover pharmacological modalities of treatment including acetaminophen, cyclooxygenase-2 (COX-2) non-selective and selective oral non-steroidal anti-inflammatory drugs (NSAIDs), topical NSAIDs and capsaicin, intra-articular injections of corticosteroids and hyaluronates, glucosamine OARSI recommendations for the 2008 Zhang W, Moskowitz RW, Nuki management of hip and knee Osteoarthritis Feb;16(2) G, Abramson S, Altman RD, et osteoarthritis, Part II: OARSI evidence- Cartilage :137–62 al. based, expert consensus guidelines. Abstract: To develop concise, patient-focussed, up to date, evidence-based, expert consensus recommendations for the management of hip and knee osteoarthritis (OA), which are adaptable and designed to assist physicians and allied health care professionals in general and specialist practise throughout the world.… KWIC: Loss of cartilage in OA is usually assessed as a radiographic interbone distance. Precision and reproducibility in the measurement of this distance are improved by application of standardized acquisition protocols. Each protocol attempts to address difficulties inherent in obtaining reproducible positioning and projection of the joint. At the inception of this study, both anteroposterior (AP) and posteroanterior (PA) projection protocols using various degrees of knee flexion with or without fluoroscopic guidance of positioning were under scrutiny (6–12). Fluoroscopy was not commonly employed due to limited availability, difficulty in achieving and maintaining technician training and the need to minimize cost and radiation exposure. Using available approaches, a narrowing of approximately 0.25mm per year was observed and reported (9). The metatarsophalangeal (MTP) view of Buckland-Wright, a PA directed flexed knee view, was thought to have a balance of ease, thrift and precision adequate to detect the anticipated change in joint space width (JSW) over the two year study (10). The effect of glucosamine and/or Sawitzke AD, Shi H, Finco MF, Dunlop chondroitin sulfate on the progression of Drugs Aging. DD, Bingham CO, 3rd, Harris CL, et knee osteoarthritis: A report from the 07/2007 2007;24(7):5 al.322 glucosamine/chondroitin arthritis 73–80 Poor intervention trial. Abstract: An apparatus and method are provided for scoring nonobjective assessment materials recorded on paper, such SLIDE 16 Search Mental Models | Sept 16, 2011
  • 17. Archival "Where methotrexate caused or contributed to patient adverse events" ... Search Seeking Process / Stages Formulate Seek Evaluate Review REFINE KEEP » Search has been comprehensive and complete » Important to know you have found all that there is (within limit) » Haven't missed critical findings » Comprehensive search is itself a product; if I can't find it, does that mean: • it likely doesn't exist • not relevant to the context that I have applied • the search index does not successfully map the content SLIDE 17 Search Mental Models | Sept 16, 2011
  • 18. Archival: Examples of design features Tools to help prompt evaluations of completeness Related to...Methotrexate Extend search to other similar categories Extend search to other known names  Anti-metabolites 6  amethopterin  Folic acid antagonists  MTX  Pyrimidine antagonists  Purine antagonists  Maxtrex (UK)  Adenosine deaminase inhibitor  Metoject (UK)  Anti-folates 4  Rheumatrex®  TrexallTM Update or Cancel SLIDE 18 Search Mental Models | Sept 16, 2011
  • 19. Routine "Keep me up-to-date on hematological cancer involving Velcade as an agent" ... Search Seeking Process / Stages Formulate Seek Evaluate Review REFINE KEEP » Take a successful search strategy and give it an identity » Focus on new and unique results » Search parameters and filters are not necessarily related to a specific result set SLIDE 19 Search Mental Models | Sept 16, 2011
  • 20. Routine: Examples of design features "Keep me up-to-date on hematological cancer treatments involving Velcade as an agent" "Leukemia treatments" searches "drug delivery agent" searches encompass... encompass... subcutaneous injection Leukemia 1947 to present nano-particle passive carrier Hodgkin Lymphoma monoclonal antibody Myeloma 1960 to present not involving radiation radioimmunotherapy Plasma cell neoplasms "Keep me up-to-date...ignore drug Search Now Monitor >> deliver mechanism" relax it WEEKLY | No results found WEEK 5 | 3 results found No results found WEEK 16 | 3 results found "Keep me up-to-date on myeloma WEEK 28 | 27 results found treatments involving..." WEEKLY | 236 results found WEEKLY | 20 results found tighten it SLIDE 20 Search Mental Models | Sept 16, 2011
  • 21. Collaborative "What is the maximum dosage for aspirin per day?" Is this for a child or an adult? How many milligrams is your aspirin pill? Seeking Process / Stages Formulate Seek Evaluate Review REFINE KEEP » Agent for others » Sharing » Refinement might be multi-session, iterative, not real-time » Formulation task requires: • Negotiation to articulate goals and scope • Translation SLIDE 21 Search Mental Models | Sept 16, 2011
  • 22. Summary: Seeking Behaviors by Process / Stage Survey Formulate Seek Evaluate Review REFINE Targeted Formulate Seek Evaluate Review REFINE KEEP Exploratory Formulate Seek Evaluate Review REFINE KEEP Archival Formulate Seek Evaluate Review REFINE KEEP Routine Formulate Seek Evaluate Review REFINE KEEP Collaborative Formulate Seek Evaluate Review REFINE KEEP SLIDE 22 Search Mental Models | Sept 16, 2011
  • 23. Thank you For more information, contact us: jasmin@designforcontext.com duane@designforcontext.com www.designforcontext.com