1. Workshop: Themes 1 & 2 Theme 1. The Cochrane Library: continuing its development as the world’s leading library of evidence Theme 2. Cochrane Database of Systematic Reviews (CDSR): relevance, coverage, and user experience

3. The Cochrane Library Strengths and weaknesses Design, search, features Key user groups Prioritization & customization Range of databasesUser experience

5. What do you like best about The Cochrane Library?

6. Strengths quality of the Cochrane Reviews and content access to content (“easy & free accessibility”) coverage and comprehensiveness of content (“comprehensive source of knowledge”) concept, reputation, independence associated with Cochrane (“Excellent reputation, transparent, robust, good coverage”) website (eg “Colourful, lively front page”)

7. Weaknesses search functionality (“trying to search using MeSH or natural language terms – I never know if I am getting everything”) access to content (“not all the reviews are available for every reader in the library”) readability or article design (“format of reviews is too long, unfriendly to busy readers”) website (“the lack of clarity on the front page – you really have to know a lot about Cochrane already to make head or tail of it”) topic coverage, including how topics are divided between Cochrane Reviews (“Many reviews are too large, and in contrast many cover too small a question”). 1&31&3

8. Experience of using CLIB Ways to improve: searching experience article-level experience website new types of content (eg reader resources and commentaries for Cochrane Reviews). Why not? content is not consumer-friendly access difficulties poor readability poor search functionality

9. Key user groups Those that use the content to inform healthcare decisions 1.Clinicians and healthcare workers 2.Researchers (including information specialists and guideline developers) 3.Students 4.Consumers (including patients and carers) 5.Policy-makers

10. Other groups are important too Knowledge translation and dissemination – via media outlets, journalists, and bloggers to global audiences Content ‘repackaging’ – via database providers, policy-setting bodies, and others Providing access to content by purchasing institutional, regional, and national licences to The Cochrane Library Providing funding for the preparation of Cochrane content

11. Prioritising and customising 355 = no 51% 347 = yes 49% 2

12. Select your location 2

13. Range of databases 5

14. Integrating and cross-linking databases 6

15. Website design Look and feel Reducing offline time and technical faults Index content Link similar contentLink to external content Navigation Search Cochrane universe 3

16. Priorities for The Cochrane Library Maintain reputation for quality Make it easier for people to access content Maintain the independence of Cochrane Reviews (eg free from conflicted funding) Increasing awareness of Cochrane improve relevance and coverage of Cochrane Reviews Keep content up to date Continue to improve the website, including utilising technological advances 8 High-quality content Make content accessible Enable it to be used

17. Cochrane Database of Systematic Reviews What is valued Topic coverage Types of articlesNon-English language users Meeting needs? Low- and middle-income countries

18. Cochrane Database of Systematic Reviews

19. Most valued Scientific rigour Independence from commercial funding Comprehensive topic coverage Updating of Cochrane Reviews

20. How well are Cochrane Reviews addressing priorities and needs? 87% = good job But...could improve 9 to 12 How we prioritize topics Summaries Presentation of individual article How we promote the use of Cochrane Reviews

21. Low- and middle-income countries Prominence: – Prioritise and highlight – Setting and context 13 Access: – Improve access – Mobile phones – Internet bandwidth – Translation

22. Non-English language users Translation strategy 14 Translate key sections Develop search interfaces for other languages Web-based translation services Signpost translated content

23. Coverage of healthcare topics No rec, but further work

25. Diverticulitis Hyperthyroidism *2 Abnormal liver function tests - differential diagnosis *1 Anemia - differential diagnosis *1 Gout *2 Hyponatremia Dizziness - differential diagnosis *1 Abdominal pain - differential diagnosis *1 Celiac disease DynaMed: of 500 most frequently viewed topics in DynaMed, 81 topics (16%) with no Cochrane Review “shows a strong breadth of coverage for The Cochrane Collaboration”

26. Types of articles Strong desire for the CDSR to include other article types: – registered review titles (ie reviews in development) – methodological articles – commentaries 15

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28. Visual presentation and user experience of Cochrane articles Make key messages clearer Improve readability (including making Cochrane Reviews more concise) Improve the article format to make it more user-friendly and easier to navigate Easier to print help users differentiate the three PDF versions 10

29. Article metrics 16 Use in guidelines Number of citations for the Cochrane Review (eg number of times cited in PubMed Central or Google Scholar) Article access statistics (eg number of times review viewed) Social bookmarking metrics?

30. Timely publication 2010 moved from quarterly to monthly 2013 move to publish when ready? 17

31. High-quality, high-impact content Web presentation Dissemination and knowledge translation

32. Small groups

33. Group 1 Rec no.Recommendation 3...improving The Cochrane Library website... 10...article-level display of Cochrane Reviews... The survey showed that our users like website best and least. What are the specific positives and negatives that they could be referring to, and what do you think? Are there any specific changes you would like to see to CLIB (feel free to draw!)? Some of our users think CLIB = Cochrane Reviews. Do you think this should be reflected in the design? If so, how?

34. Group 2 Rec no.Recommendation 13 …improve how we meet the needs of readers and users from low- and middle-income countries… 14…meet the needs of non-English language users… How would you like to see this happen (also considering technology developments, eg semantic web)? For access, Appendix 5 may be useful

35. Group 3 Rec no.Recommendation 1… access options for The Cochrane Library … 11Promote the use of Cochrane Reviews … What are the issues around access that need to be considered? (Refer to Appendix 5) Think about working with health organizations

36. Group 4 Rec no.Recommendation 15Expand the range of article types… 7…added-value features … How could we make the added-value features more useful and increase awareness? (Refer to Appendix 6)

37. Tasks General questions for discussion: – Does the recommendation cover what you expect it to cover? – Is it achievable? – Suggestions and ideas for implementation? – Does it need to further consultation? With who? For reporting back: – What do you want to record for us to take away? – What key points (eg 3 key points) would you want to report back to the plenary?