Note that when you do this with an online source, you should still include an access date, as in the example.
When a source lacks a clearly identified author, there’s often an appropriate corporate source – the organisation responsible for the source – whom you can credit as author instead, as in the Google and Wikipedia examples above.
When that’s not the case, you can just replace it with the title of the source in both the in-text citation and the reference list:
In-text citation | (‘Divest’, no date) |
Reference list entry | ‘Divest’ (no date) Available at: https://www.merriam-webster.com/dictionary/divest (Accessed: 27 January 2020). |
Harvard referencing uses an author–date system. Sources are cited by the author’s last name and the publication year in brackets. Each Harvard in-text citation corresponds to an entry in the alphabetised reference list at the end of the paper.
Vancouver referencing uses a numerical system. Sources are cited by a number in parentheses or superscript. Each number corresponds to a full reference at the end of the paper.
Harvard style | Vancouver style | |
---|---|---|
In-text citation | Each referencing style has different rules (Pears and Shields, 2019). | Each referencing style has different rules (1). |
Reference list | Pears, R. and Shields, G. (2019). . 11th edn. London: MacMillan. | 1. Pears R, Shields G. Cite them right: The essential referencing guide. 11th ed. London: MacMillan; 2019. |
A Harvard in-text citation should appear in brackets every time you quote, paraphrase, or refer to information from a source.
The citation can appear immediately after the quotation or paraphrase, or at the end of the sentence. If you’re quoting, place the citation outside of the quotation marks but before any other punctuation like a comma or full stop.
In Harvard referencing, up to three author names are included in an in-text citation or reference list entry. When there are four or more authors, include only the first, followed by ‘ et al. ’
In-text citation | Reference list | |
---|---|---|
1 author | (Smith, 2014) | Smith, T. (2014) … |
2 authors | (Smith and Jones, 2014) | Smith, T. and Jones, F. (2014) … |
3 authors | (Smith, Jones and Davies, 2014) | Smith, T., Jones, F. and Davies, S. (2014) … |
4+ authors | (Smith , 2014) | Smith, T. (2014) … |
Though the terms are sometimes used interchangeably, there is a difference in meaning:
If you want to cite this source, you can copy and paste the citation or click the ‘Cite this Scribbr article’ button to automatically add the citation to our free Reference Generator.
Caulfield, J. (2023, September 15). A Quick Guide to Harvard Referencing | Citation Examples. Scribbr. Retrieved 7 June 2024, from https://www.scribbr.co.uk/referencing/harvard-style/
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Referencing is one of the most important aspects of any academic research and poor or lack of referencing will not only diminish your marks, but such practices may also be perceived as plagiarism by your university and disciplinary actions may follow that may even result in expulsion from the course.
Difference between References and Bibliography
It is very important to be able to distinguish between References and Bibliography. Under References you list resources that you referred to within the body of the work that also include quotations. For example,
It has been noted that “time and the management of time is an important issue, and the supply of time management products – books, articles, CDs, workshops, etc. – reflects the huge demand for these products” (Walsh, 2007, p.3).
Interchangeability of identical parts and a high level of straightforwardness of attaching these parts through the assembly line can be considered as revolutionary components of Fordism for the first part of the 20 th century (Nolan, 2008).
Under Bibliography, on the other hand, you need to list resources that you have read during the research process in order to widen your knowledge about the research area , but specific piece of information from these resources have not been used in your research in the direct manner. You do not need to refer to Bibliography within the body of the text.
There are various methods of referencing such as Harvard, APA and Vancouver referencing systems. You should check with your dissertation handbook for the exact type of referencing required and follow this requirement thoroughly.
John Dudovskiy
What is an annotated bibliography, introduction to the annotated bibliography.
An annotated bibliography is the same as a bibliography with one important difference: in an annotated bibliography, the bibliographic information is followed by a brief description of the content, quality, and usefulness of the source. For more, see the section at the bottom of this page.
Footnotes are notes placed at the bottom of a page. They cite references or comment on a designated part of the text above it. For example, say you want to add an interesting comment to a sentence you have written, but the comment is not directly related to the argument of your paragraph. In this case, you could add the symbol for a footnote. Then, at the bottom of the page you could reprint the symbol and insert your comment. Here is an example:
This is an illustration of a footnote. 1 The number “1” at the end of the previous sentence corresponds with the note below. See how it fits in the body of the text? 1 At the bottom of the page you can insert your comments about the sentence preceding the footnote.
When your reader comes across the footnote in the main text of your paper, he or she could look down at your comments right away, or else continue reading the paragraph and read your comments at the end. Because this makes it convenient for your reader, most citation styles require that you use either footnotes or endnotes in your paper. Some, however, allow you to make parenthetical references (author, date) in the body of your work.
Footnotes are not just for interesting comments, however. Sometimes they simply refer to relevant sources -- they let your reader know where certain material came from, or where they can look for other sources on the subject. To decide whether you should cite your sources in footnotes or in the body of your paper, you should ask your instructor or see our section on citation styles.
Whenever possible, put the footnote at the end of a sentence, immediately following the period or whatever punctuation mark completes that sentence. Skip two spaces after the footnote before you begin the next sentence. If you must include the footnote in the middle of a sentence for the sake of clarity, or because the sentence has more than one footnote (try to avoid this!), try to put it at the end of the most relevant phrase, after a comma or other punctuation mark. Otherwise, put it right at the end of the most relevant word. If the footnote is not at the end of a sentence, skip only one space after it.
The only real difference is placement -- footnotes appear at the bottom of the relevant page, while endnotes all appear at the end of your document. If you want your reader to read your notes right away, footnotes are more likely to get your reader's attention. Endnotes, on the other hand, are less intrusive and will not interrupt the flow of your paper.
Sometimes you may be asked to include these -- especially if you have used a parenthetical style of citation. A "works cited" page is a list of all the works from which you have borrowed material. Your reader may find this more convenient than footnotes or endnotes because he or she will not have to wade through all of the comments and other information in order to see the sources from which you drew your material. A "works consulted" page is a complement to a "works cited" page, listing all of the works you used, whether they were useful or not.
Well, yes. The title is different because "works consulted" pages are meant to complement "works cited" pages, and bibliographies may list other relevant sources in addition to those mentioned in footnotes or endnotes. Choosing to title your bibliography "Works Consulted" or "Selected Bibliography" may help specify the relevance of the sources listed.
This information has been freely provided by plagiarism.org and can be reproduced without the need to obtain any further permission as long as the URL of the original article/information is cited.
How Do I Cite Sources? (n.d.) Retrieved October 19, 2009, from http://www.plagiarism.org/plag_article_how_do_i_cite_sources.html
An Annotated Bibliography is a collection of annotated citations. These annotations contain your executive notes on a source. Use the annotated bibliography to help remind you of later of the important parts of an article or book. Putting the effort into making good notes will pay dividends when it comes to writing a paper!
Being an executive summary, the annotated citation should be fairly brief, usually no more than one page, double spaced.
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Published on June 24, 2022 by Jack Caulfield . Revised on November 7, 2022.
A citation style is a set of guidelines on how to cite sources in your academic writing . You always need a citation whenever you quote , paraphrase , or summarize a source to avoid plagiarism . How you present these citations depends on the style you follow. Scribbr’s citation generator can help!
Different styles are set by different universities, academic associations, and publishers, often published in an official handbook with in-depth instructions and examples.
There are many different citation styles, but they typically use one of three basic approaches: parenthetical citations , numerical citations, or note citations.
Parenthetical citations
Numerical citations
Note citations
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Types of citation: parenthetical, note, numerical, which citation style should i use, parenthetical citation styles, numerical citation styles, note citation styles, frequently asked questions about citation styles.
The clearest identifying characteristic of any citation style is how the citations in the text are presented. There are three main approaches:
Citation styles also differ in terms of how you format the reference list or bibliography entries themselves (e.g., capitalization, order of information, use of italics). And many style guides also provide guidance on more general issues like text formatting, punctuation, and numbers.
The AI-powered Citation Checker helps you avoid common mistakes such as:
In most cases, your university, department, or instructor will tell you which citation style you need to follow in your writing. If you’re not sure, it’s best to consult your institution’s guidelines or ask someone. If you’re submitting to a journal, they will usually require a specific style.
Sometimes, the choice of citation style may be left up to you. In those cases, you can base your decision on which citation styles are commonly used in your field. Try reading other articles from your discipline to see how they cite their sources, or consult the table below.
Discipline | Typical citation style(s) |
---|---|
Economics | |
Engineering & IT | |
Humanities | ; ; |
Law | ; |
Medicine | ; ; |
Political science | |
Psychology | |
Sciences | ; ; ; ; |
Social sciences | ; ; ; |
The American Anthropological Association (AAA) recommends citing your sources using Chicago author-date style . AAA style doesn’t have its own separate rules. This style is used in the field of anthropology.
AAA reference entry | Clarke, Kamari M. 2013. “Notes on Cultural Citizenship in the Black Atlantic World.” 28, no. 3 (August): 464–474. https://www.jstor.org/stable/43898483. |
AAA in-text citation | (Clarke 2013) |
APA Style is defined by the 7th edition of the Publication Manual of the American Psychological Association . It was designed for use in psychology, but today it’s widely used across various disciplines, especially in the social sciences.
Wagemann, J. & Weger, U. (2021). Perceiving the other self: An experimental first-person account of nonverbal social interaction. , (4), 441–461. https://doi.org/10.5406/amerjpsyc.134.4.0441 | |
(Wagemann & Weger, 2021) |
The citation style of the American Political Science Association (APSA) is used mainly in the field of political science.
APSA reference entry | Ward, Lee. 2020. “Equity and Political Economy in Thomas Hobbes.” , 64 (4): 823–35. doi: 10.1111/ajps.12507. |
APSA in-text citation | (Ward 2020) |
The citation style of the American Sociological Association (ASA) is used primarily in the discipline of sociology.
ASA reference entry | Kootstra, Anouk. 2016. “Deserving and Undeserving Welfare Claimants in Britain and the Netherlands: Examining the Role of Ethnicity and Migration Status Using a Vignette Experiment.” 32(3): 325–338. doi:10.1093/esr/jcw010. |
ASA in-text citation | (Kootstra 2016) |
Chicago author-date style is one of the two citation styles presented in the Chicago Manual of Style (17th edition). It’s used mainly in the sciences and social sciences.
Encarnação, João, and Gonçalo Calado. 2018. “Effects of Recreational Diving on Early Colonization Stages of an Artificial Reef in North-East Atlantic.” 22, no. 6 (December): 1209–1216. https://www.jstor.org/stable/45380397. | |
(Encarnação and Calado 2018) |
The citation style of the Council of Science Editors (CSE) is used in various scientific disciplines. It includes multiple options for citing your sources, including the name-year system.
CSE name-year reference entry | Graham JR. 2019. The structure and stratigraphical relations of the Lough Nafooey Group, South Mayo. Irish Journal of Earth Sciences. 37: 1–18. |
CSE name-year citation | (Graham 2019) |
Harvard style is often used in the field of economics. It is also very widely used across disciplines in UK universities. There are various versions of Harvard style defined by different universities—it’s not a style with one definitive style guide.
Hoffmann, M. (2016) ‘How is information valued? Evidence from framed field experiments’, , 126(595), pp. 1884–1911. doi:10.1111/ecoj.12401. | |
(Hoffmann, 2016) |
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MLA style is the official style of the Modern Language Association, defined in the MLA Handbook (9th edition). It’s widely used across various humanities disciplines. Unlike most parenthetical citation styles, it’s author-page rather than author-date.
Davidson, Clare. “Reading in Bed with .” , vol. 55, no. 2, Apr. 2020, pp. 147–170. https://doi.org/10.5325/chaucerrev.55.2.0147. | |
(Davidson 155) |
The American Chemical Society (ACS) provides guidelines for a citation style using numbers in superscript or italics in the text, corresponding to entries in a numbered reference list at the end. It is used in chemistry.
ACS reference entry | 1. Hutchinson, G.; Alamillo-Ferrer, C.; Fernández-Pascual, M.; Burés, J. Organocatalytic Enantioselective α-Bromination of Aldehydes with -Bromosuccinimide. , 87, 7968–7974. |
The American Medical Association ( AMA ) provides guidelines for a numerical citation style using superscript numbers in the text, which correspond to entries in a numbered reference list. It is used in the field of medicine.
1. Jabro JD. Predicting saturated hydraulic conductivity from percolation test results in layered silt loam soils. . 2009;72(5):22–27. |
CSE style includes multiple options for citing your sources, including the citation-name and citation-sequence systems. Your references are listed alphabetically in the citation-name system; in the citation-sequence system, they appear in the order in which you cited them.
CSE citation-sequence or citation-name reference entry | 1. Nell CS, Mooney KA. Plant structural complexity mediates trade-off in direct and indirect plant defense by birds. Ecology. 2019;100(10):1–7. |
The Institute of Electrical and Electronics Engineers ( IEEE ) provides guidelines for citing your sources with IEEE in-text citations that consist of numbers enclosed in brackets, corresponding to entries in a numbered reference list. This style is used in various engineering and IT disciplines.
IEEE reference entry | 1. J. Ive, A. Max, and F. Yvon, “Reassessing the proper place of man and machine in translation: A pre-translation scenario,” , vol. 32, no. 4, pp. 279–308, Dec. 2018, doi: 10.1007/s10590-018-9223-9. |
The National Library of Medicine (NLM) citation style is defined in Citing Medicine: The NLM Style Guide for Authors, Editors, and Publishers (2nd edition).
NLM reference entry | 1. Hage J, Valadez JJ. Institutionalizing and sustaining social change in health systems: the case of Uganda. Health Policy Plan. 2017 Nov;32(9):1248–55. doi:10.1093/heapol/czx066. |
Vancouver style is also used in various medical disciplines. As with Harvard style, a lot of institutions and publications have their own versions of Vancouver—it doesn’t have one fixed style guide.
Vancouver reference entry | 1. Bute M. A backstage sociologist: Autoethnography and a populist vision. Am Soc. 2016 Mar 23; 47(4):499–515. Available from: https://link.springer.com/article/10.1007/s12108-016-9307-z doi:10.1007/s12108-016-9307-z |
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The Bluebook: A Uniform System of Citation is the main style guide for legal citations in the US. It’s widely used in law, and also when legal materials need to be cited in other disciplines.
Bluebook footnote citation | David E. Pozen, , 165, U. P🇦. L. R🇪🇻. 1097, 1115 (2017). |
Chicago notes and bibliography is one of the two citation styles presented in the Chicago Manual of Style (17th edition). It’s used mainly in the humanities.
Best, Jeremy. “Godly, International, and Independent: German Protestant Missionary Loyalties before World War I.” 47, no. 3 (September 2014): 585–611. https://doi.org/10.1017/S0008938914001654. | |
1. Jeremy Best, “Godly, International, and Independent: German Protestant Missionary Loyalties before World War I,” 47, no. 3 (September 2014): 599. https://doi.org/10.1017/S0008938914001654. |
The Oxford University Standard for the Citation of Legal Authorities ( OSCOLA ) is the main legal citation style in the UK (similar to Bluebook for the US).
OSCOLA footnote citation | 1. Chris Thornhill, ‘The Mutation of International Law in Contemporary Constitutions: Thinking Sociologically about Political Constitutionalism’ [2016] MLR 207. |
There are many different citation styles used across different academic disciplines, but they fall into three basic approaches to citation:
Check if your university or course guidelines specify which citation style to use. If the choice is left up to you, consider which style is most commonly used in your field.
Other more specialized styles exist for certain fields, such as Bluebook and OSCOLA for law.
The most important thing is to choose one style and use it consistently throughout your text.
A scientific citation style is a system of source citation that is used in scientific disciplines. Some commonly used scientific citation styles are:
APA format is widely used by professionals, researchers, and students in the social and behavioral sciences, including fields like education, psychology, and business.
Be sure to check the guidelines of your university or the journal you want to be published in to double-check which style you should be using.
MLA Style is the second most used citation style (after APA ). It is mainly used by students and researchers in humanities fields such as literature, languages, and philosophy.
If you want to cite this source, you can copy and paste the citation or click the “Cite this Scribbr article” button to automatically add the citation to our free Citation Generator.
Caulfield, J. (2022, November 07). Citation Styles Guide | Examples for All Major Styles. Scribbr. Retrieved June 7, 2024, from https://www.scribbr.com/citing-sources/citation-styles/
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Department of Pediatrics, College of Medicine and Health Sciences, National University of Science and Technology, Sohar, Sultanate of Oman
Department of Pediatrics, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, India
The value of scientific research lies in its wide visibility and access/availability to others; this is generally achieved by a scientific publication as an original (research) paper. The scientific inquiry typically advances based on previously laid ideas/research, making it essential to acknowledge the contribution of the previous authors. The references list is a catalog of literature sources chosen by the researcher to represent the most relevant documents pertaining to his/her study.[ 1 ] The British Standards Institution defines reference as “a set of data describing a document, sufficiently precise and detailed to identify it and enable it to be located.” [ 2 ] References lay the foundation of the paper, providing context for the hypothesis, methodology, interpretation, and justification of the study.[ 3 ] Using other's ideas/thoughts without due credit amounts to plagiarism, compromising the academic integrity of research. A well-referenced paper is thus accurate and complete, adds value and credibility to both the researcher and the source author, and enhances the scientific prestige of the chosen journal.[ 3 ] A bibliography also lists the sources used during research. However, while references only include those sources (journals, books, web information, etc.) which are actually cited in the publication, bibliography comprises all accessed sources (works consulted), irrespective of whether they are cited in the study publication or not.[ 4 ] Thus, referencing in academic writing is an important research tool to display as well as integrate knowledge on a particular subject or topic.[ 5 ]
Scientific research is usually developed on previously established ideas/scientific knowledge. A meticulous literature review at the beginning of the study enables the researcher to identify the work done in the field, identify the gaps in knowledge, and recognize the need for further research.[ 6 ] The most relevant sources from this literature search (essentially) form the list of references. Use of proper referencing is thus beneficial in many ways, such as the following:
An initial extensive literature search helps in identifying the appropriate research question, drafting the study protocol, supervising ongoing research, analyzing the results, and writing the paper.[ 3 , 7 ] Although references are displayed at the end of the article/after the text of the article, they should not be actually written after completing the text of the manuscript. While drafting the text of the manuscript, the author/s should type the references on a separate MS Word document simultaneously. This preparation allows the writer to choose adequate number of relevant and rational references, avoid bias in his/her research/writing, and limit the reference number as per the target journal for publication.[ 7 ] While citing, it is imperative not to cite broadly, but to do so with respect to the content of the article. Articles which define the topic, lay down background information regarding the study question, give current knowledge about the research, and describe previous studies on a similar study question should be mentioned in the “Introduction” section of the manuscript.[ 10 ] These studies enable to identify existing knowledge, gaps in knowledge, and justify the rationale of the study.[ 6 ] Studies which identify or refer to the method, protocols, or standards (whether new or previously published), elaborate on complex or lesser-known statistical analysis, describe diagnostic criteria, rationalize sample size estimation, or justify use of specific study design/method are best suited as references to the “Methods” section of the manuscript – they help to plan a strong and supported methodology and describe the technique and criteria of the study group.[ 3 , 10 ] Research that reflects on the study findings/results or provides supportive explanation merit mention in the “Discussion” section of the manuscript – they provide information to interpret the study based on existing published data, compare results with those of other studies, and rationalize the implications of the results.[ 10 ]
Though citation analysis treats all references equally, it is important to weigh references in terms of their value to the paper.[ 11 ] While some references are worthy to be mentioned only once in the paper, some are very relevant to the study question and referred to on multiple occasions, and it is important to re-cite only the most relevant articles.[ 3 ] Referencing is not just about stating the publication source (providing relatedness), but also adds value to the paper in terms of representation on the subject and connectivity between knowledge sources (capture the “aboutness”).[ 11 ] References can be books (author/s), legal documents, journal articles, newspaper articles, reports (e.g., official reports from government departments), university working papers, papers presented at conferences, internet sources (including weblogs – blogs and email correspondence), DVD/CD databases, radio/television/videos/audio cassette/CD-ROMs, interview transcripts, and illustrations.[ 12 ]
As a rule, whenever one uses an idea, data, diagrams, tables, concepts, methods from a previously published work, it should be cited.[ 12 ] With availability of multiple search engines and abundance of online resources, the task of filtering references may seem daunting.[ 5 ] While choosing references, one should ensure that the original source is completely read and correctly interpreted before its citing.[ 6 ] It is preferable to provide direct references to original article sources as far as possible, choosing a landmark article on the topic.[ 5 ] The choice of references should serve as the most relevant, appropriate, and valuable addition, and one should stick to the most pertinent references that actively support/contradict their conclusions or experience.[ 6 ] It is preferable to use the most recent relevant resources to provide the latest and up-to-date information; however, certain landmark papers may also be cited (even if they are old). Note that very old references may not be available/accessible to reviewers as well as readers.[ 7 ] Often, there are multiple sources for the same information; always prefer references that provide the highest level of evidence (such as meta-analysis), most recent publications, or trustworthy sources such as reputed peer-reviewed journals (with higher impact factor), open access and preferably indexed on reputed databases such as MEDLINE and PubMed.[ 13 , 14 ] Citing works from the journal one wishes to submit demonstrates that author follows that particular journal's publications and values it; however, one should refrain from unethical practices such as coercive citation (when authors are coerced/directed to add irrelevant citations from the editor's journals) or padded citation (when authors pad their reference list with superfluous citations).[ 14 , 15 , 16 ] There should be a judicious combination of original as well as review articles. Review articles summarize a large body of literature and reduce the number of references; however they may be biased and may not reflect the original article accurately.[ 16 ] One should stick to the journal guidelines rigorously (in terms of style and number) to avoid rejection or delay in the processing of the manuscript.[ 6 ] Avoid citing conference abstracts as far as possible, as they provide incomplete or limited information on the subject and often lack an appropriate peer review.[ 16 ] Other sources which lack traditional review and thus may cite inappropriate, unchecked, or promotional content include online sources, such as audio and video presentations, and should therefore be used with caution.[ 17 ] It is also prudent to avoid personal communications and limit their use to situations where essential information is unavailable from a public source (if permission is necessary, then name and date of the communication should be cited in brackets in text).[ 16 ] Limit self-citations to the bare crucial ones that are necessary.[ 18 ] Articles accepted but awaiting publications should be cited as “in press.”[ 16 ] Articles submitted but not yet published should be referenced as “unpublished observations” with written permission from the source; however, since they have not undergone a peer review, they should be (preferably) avoided.[ 16 ] It is prudent to avoid citing articles published in predatory journals.[ 16 ]
There is no need to provide references to facts that are expected to be well known to the journal readers, including historical overviews, own experiences, while outlining previously referenced ideas in conclusions, or while summarizing what is regarded as “common knowledge.”[ 12 ] One should be careful with online sources. There may be errors while copying the uniform resource locator (URL) or the webpage, or the website may change or be closed/inaccessible; hence, cite them only if very essential and check for their reliability and give the date of access.[ 3 ] It is preferable to use online sources with digital object identifiers (DOIs), assuring their permanent presence.[ 13 ] Also, before submission, it is worthwhile to check the US National Library of Medicine's (NLM's) PubMed database ( http://www.pubmed.org ) for any recently published articles related to the manuscript's topic.[ 19 ]
The number of references is determined by the target journal requirements as well as the type of manuscript submitted; for example, the Journal of Postgraduate Medicine allows about 30 references for original articles, up to 15 references for brief reports/grand rounds/clinicopathological forum, 12 references for case series, up to 10 references for case reports/research letter, and five references for a letter to editor ( https://www.jpgmonline.com/contributors.asp#Ref ).
Citation consists of two components – the “in-text citation” and the “reference list.”[ 7 ] In the in-text citation, quotation marks are used to cite an exact line/phrase from another source, specifically for definitions, examples, or explanations provided by another/earlier author/s.[ 13 ] To prevent plagiarism, it is suitable to interpret and then summarize the cited content in one's own words, referencing the source at the end of the sentence.[ 14 ]
The parts and order in the citation depend on the source which the author is referencing (journal, book, book chapter, or web source) and the journal guidelines. It is imperative to go through the target journal rules and follow the “Instructions to Authors” related to referencing guidelines (the style, punctuation, italics, abbreviations, issue number, volume number, and pages). All the references are generally cited and numbered as per the order in which they are mentioned in the text (and are to be inserted immediately after the source information and not necessarily at the end of the sentence, especially when multiple facts are stated in a single sentence).[ 6 ] In case of a table or a figure, the citation number should be in sequence to that of the preceding text.[ 7 ] The same reference number in which the source is first cited should be used throughout the manuscript (if cited again) as well as in the reference list.[ 7 ] The citation numbers are placed as superscript/in parentheses as per the journal guidelines.[ 7 ] In case of multiple citations, place them immediately after the fact; they should be placed in order of their chronology of publication (or alphabetically if published in the same year) separated by commas.[ 6 , 7 ] If many references are cited consecutively, the numbers can be separated by a hyphen.[ 7 ]
Any documented knowledge (text, audio, or visual) can serve as a source of reference. They can be print based or electronic and include journals, books, doctoral theses, conference papers, newspapers and magazines, web pages, and so on.[ 4 ]
The basic elements while referencing are as follows:[ 13 , 20 ]
Special attention needs to be paid to the punctuations while composing the reference, and the authors must adhere to the style recommended by the journal (that the manuscript will be eventually submitted to). Note that with each revision that the author makes in the manuscript, there may be changes in the order, addition, or deletion of references, and these adjustments should be meticulously ensured to avoid referencing errors.[ 3 ] It is also the author's responsibility to ensure that every citation has a corresponding reference and every reference is cited in the right place and context in the manuscript.[ 6 ] To avoid citation errors, the authors must verify each reference against an electronic bibliographic source like PubMed or print/pdf copies of original resources.[ 16 ] Authors should also verify that none of the cited references is a retracted article; this can be done via MEDLINE by searching PubMed for “Retracted publication [publication type]” or by going directly to the PubMed's list of retracted publications ( https://www.ncbi.nlm.nih.gov/pubmed/?termretractedpublication[publication type] ).[ 16 ]
“Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals” issued by the International Committee of Medical Journal Editors (ICMJE) provides specific information on how to cite sources, which should be followed.[ 16 ] These recommendations by the ICMJE summarize and provide regular updates on how to cite various sources (print documents; unpublished material; audio and visual media; material on CD-ROM, DVD, or disk; and material on the Internet) via Sample References ( www.nlm.nih.gov/bsd/uniform_requirements.html ) on their webpage.[ 16 ] Detailed information is also available in the NLM's Citing Medicine, 2 nd edition ( www.ncbi.nlm.nih.gov/books/NBK7256/ ).[ 20 ] Number of references to be cited should be in accordance with/within the limits as stated in the “Author Guidelines” issued by the target journal.[ 7 ] Authors should take precaution, so as to avoid citing the same reference twice in the list of references.
“Citation style” is the standard format in which the source is documented in the text as well as in the reference list at the end of the manuscript.[ 4 ] In-text citation styles can be broadly classified into numerical referencing style (Numeric style/Vancouver/Institute of Electrical and Electronic Engineers [IEEE] and Running notes style/Modern Humanities Research Association [MHRA]) and name referencing style (Author Date/Harvard, American Psychological Association [APA] and Modern Languages Association [MLA]).[ 12 ] The two major used citation styles are the Vancouver and the Harvard styles, and most other styles are minor modifications of these two styles.[ 4 ] The common citation styles and their examples are summarized in Table 1 .[ 3 , 12 , 13 , 16 , 20 ] Thus, there is a wide variability in the citation style in text as well as reference list; however, the author does not have a choice, but to stick to the style recommended by the journal to which he/she wishes to submit his/her research.[ 3 ]
Citation styles with examples[ 3 , 12 , 13 , 16 , 20 ]
Style | Example | Citation in reference list | Citation in main text |
---|---|---|---|
Vancouver “Citation sequence” format Common in journals of medical and physical sciences Used by PubMed and MEDLINE | Cines DB, Bussel JB. SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia. N Engl J Med 2021;384 (23):2254-2256. | In Arabic numerals as per chronological appearance in the main text | Within text/at the end of sentence Superscript or in parentheses i.e. (brackets); e.g., (Cines and Bussel, 2021) |
Harvard “Author-date” style Common in humanities and social sciences Recognizes individual scientist’s contribution within text citation | Cines, D. B. and Bussel, J. B. (2021) SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia. , 384 (23), pp. 2254-2256. | Arranged alphabetically as per the surname of the authors | Surname of the author and year of publication in parentheses (brackets) (e.g., Cines and Bussel, 2021) |
American Medical Association | Cines DB, Bussel JB. SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia. 2021;384 (23):2254-2256. | As per chronological appearance in the main text | Numerical in-text citations, written in superscript |
American Psychological Association 7 edition Common in psychology and health sciences Similar to the Harvard style, differences being in citation punctuation, citing multiple authors, and referencing electronic sources | Cines, D. B., and Bussel, J. B. (2021). SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia. , 384 (23), 2254-2256. | Arranged alphabetically (author name and initials followed by the year of publication) | Surname of the author and year of publication in parentheses i.e. (brackets); e.g., (Cines and Bussel, 2021) |
Modern Language Association 9 edition “Author-page” format Common in business and management studies, health education, humanities, sciences, computing and information technology, and in languages journals | Cines, Douglas B., and James B. Bussel. “SARS-CoV-2 Vaccine-Induced Immune Thrombotic Thrombocytopenia.” New England Journal of Medicine, vol. 384, no. 23, 2021, pp. 2254-56. | Arranged alphabetically (for the first author, surname comes first, followed by first names first for additional authors) | Author’s surname and a page number (e.g., Cines and Bussel 2254-56) |
National Library of Medicine | Cines DB, Bussel JB. SARS-CoV-2 vaccine-induced immune thrombotic thrombocytopenia. N Engl J Med 2021 June 10;384 (23):2254-6. | As per chronological appearance in the main text | There is flexibility to cite from the following three styles: 1. Author-Year system 2. Sequence system 3. Author-sequence system |
Referencing is a tedious task and if not taken seriously and performed diligently, it is prone to many (easily avoidable) errors.[ 7 ] A reference should be accurate, clear, and consistent throughout the manuscript.[ 6 ] An incorrect reference not only questions the credibility of the paper, but also makes it difficult for the reviewers and the readers to seek the cited article, thus denying the source author of due credit for his/her work.[ 3 ] It is the author's responsibility to cite the most relevant and appropriate references in his/her research.[ 3 ] The author should not only locate, read, and understand all sources cited by him/her ( intellectual pleasure ), but also confirm the source and provide all elements of the source correctly ( accuracy ).[ 6 ] The author should be careful not to copy references from an earlier article, but should actually rewrite each selected reference afresh.[ 6 ] Some common errors occurring during referencing are summarized in Table 2 .[ 6 , 7 ]
Common errors in the “in-text citation” and the “reference list”[ 6 , 7 ]
Errors in citation | Errors in reference list |
---|---|
Citing a cross reference without reading the original source | The journal format is not followed/not adhered to |
Duplication of citation in the manuscript | Reference is just copied from another published article without verifying the original source reference |
In-text citation does not adhere to the format of the target journal | Errors in listing names of authors, journal, year, volume number, page numbers, and so on |
Multiple citations put at the end of the sentence instead of mentioning the reference just after the fact that the particular reference specifically pertains to | Error in number of authors listed |
In-text citation without mentioning the reference in the reference list | Incorporating irrelevant information such as issue number, date and month of publication (when the target journal does not need it, as per the journal’s instructions to authors) |
Citing a reference based on its abstract only (and without reading the full paper) | Resubmitting a rejected article to another journal without modifying in-text citation or reference list as per the new journal’s requirements |
Using personal communications as references Referencing the abstract and results sections of the manuscript | Citing the print version of a source while the online version has been accessed Citing retracted references |
As described earlier, there is a wide variation in the journal formatting styles and it is laborious for the researcher to store, organize, and manage the references throughout the process of literature review and protocol planning till the drafting and manuscript submission.[ 21 ] Even more challenging is the addition/deletion or reordering of references (in text as well as in the reference list) with each revision or submission to a newer journal.[ 22 ] There is an increased likelihood of making errors in citing, especially while organizing the references and writing the reference list.[ 23 ] To minimize such errors, reference management software (RMS), also known as citation management software or bibliographic management software, are available to the authors/researchers.[ 21 ] They not only help to search and retrieve the online scientific sources, but also help to import them to their database for storing, organization, and subsequent retrieval.[ 22 ] Many RMS have cloud-based storage, enabling users to be able to access the information from multiple devices as well as collaborate with other researchers.[ 22 ] RMS also allow authors to retrieve citations while writing in the format of desired journal, thus permitting to “cite while you write.”[ 14 ] They also enable addition, deletion, insertion of references in the text and automatic (auto) resequencing of their order in the main manuscript (text) as well as in the reference list.[ 22 ] They can generate reference lists in multiple formats/citation styles to suit the target journal requirements and allow conversion of one format style to another with ease at the click of the mouse.[ 14 ] By linking each citation with a full reference, they ensure each citation in the text is accounted for by a corresponding full reference in the list.[ 12 ] Most of them are compatible for use with common programs such as Microsoft Word and Google Docs.[ 24 ]
There are numerous programs for reference management available in the market – independent applications, those operating within an internet interface, and combination of both these modes.[ 1 ] The most commonly used are Mendeley by Elsevier ( www.mendeley.com ), EndNote ( www.endnote.com ) by Thomson Reuters, and Zotero ( www.zotero.org ).[ 1 ] Some others are RefWorks, F1000 Workspace, JabRef, Citavi, Bibsonomy, ReadCube Papers, Colwiz, Sente, RefME, Connotea, CiteULike, BibTeX, and Microsoft Word.[ 22 , 24 , 25 ] While many of them are free, some are fee based and require a (paid) subscription.[ 13 ]
Despite the use of RMS, one cannot guarantee absence of referencing errors, as there can be errors in details (author names, journal title, dates) or duplication of references when retrieved from different databases.[ 23 ] So, ultimately, the authors (themselves) are responsible for the accuracy of the references cited by them (whether they do the referencing using RMS or manually).
Thus, referencing is an essential part of research and should be assigned due importance, right from the conception of the study question till its delivery as a publication. It plays a vital role throughout the manuscript and appears in almost all sections – from laying down the foundation for study rationale (in the “Introduction” section of the manuscript), describing/justifying the study procedure/s (in the “Methods” section), validating the results (in the “Results” section) and its implications (in the “Discussion” section of the manuscript). References are also utilized by editors to identify subject experts for peer review, by readers to obtain more resources on the subject matter, and by peer reviewers to critically evaluate the manuscript in the light of the available evidence. It is thus essential that references are chosen wisely and carefully as they are representative of the study. It is the author's responsibility to confirm the clarity, accuracy, and appropriateness of the cited sources. One should be careful to avoid common referencing errors to prevent delay/rejection by the journal of interest. As Vancouver style is the commonly preferred citation style by journals of medicine and health sciences, researchers should be well versed with it. Authors should diligently stick to the instructions and style of the target journal. The availability of reference management software such as Mendeley and EndNote has made the authors’ task of collecting, storing, organizing, retrieving, and utilizing the references more efficient and easier; however, it is still the authors’ responsibility to select appropriate references and cite them accurately and correctly.
Conflicts of interest.
There are no conflicts of interest.
Know the Differences & Comparisons
Reference and Bibliography is an important part of any project under study because it helps in acknowledging other’s work and also help the readers in finding the original sources of information. It not only prevents plagiarism but also indicates that the writer has done good research on the subject by using a variety of sources to gain information.
Read out the article to know the differences between reference and bibliography.
Comparison chart.
Basis for Comparison | Reference | Bibliography |
---|---|---|
Meaning | Reference implies the list of sources, that has been referred in the research work. | Bibliography is about listing out all the materials which has been consulted during the research work. |
Based on | Primary Sources | Both Primary and Secondary Sources |
Arrangement | Alphabetically and numerically | Numerically |
Includes | Only in-text citations, that have been used in the assignment or project. | Both in-text citations and other sources, that are used to generate the idea. |
Supporting argument | A reference can be used to support an argument. | A bibliography cannot be used to support an argument. |
Used for | Thesis and Dissertation | Journal Papers and Research work |
Reference can be understood as the act of giving credit to or mentioning the name of, someone or something. In research methodology, it denotes the items which you have reviewed and referred to, in the text, in your research work. It is nothing but a way to acknowledge or indirectly showing gratitude, towards the sources from where the information is gathered.
While using references, one thing is to be noted that you go for reliable sources only, because it increases credence and also supports your arguments. It may include, books, research papers, or articles from magazines, journals, newspapers, etc., interview transcripts, internet sources such as websites, blogs, videos watched, and so forth.
These are used to inform the reader about the sources of direct quotations, tables, statistics, photos etc. that are included in the research work.
At the end of the research report, bibliography is added, which contains a list of books, magazines, journals, websites or other publications which are in some way relevant to the topic under study, that has been consulted by the researcher during the research. In finer terms, it comprises of all the references cited in the form of footnotes and other important works that the author has studied.
The bibliography is helpful to the reader in gaining information regarding the literature available on the topic and what influenced the author. For better presentation and convenient reading, the bibliography can be grouped into two parts, wherein the first part lists out the names of books and pamphlets consulted, and the other contains the names of magazines and newspapers considered.
The difference between reference and bibliography can be drawn clearly on the following grounds:
To sum up, references and bibliography are almost same, but there are only subtle differences between the two, which lies in the items which are included in them. The primary use of references is to get recognition and authentication of the research work, whereas bibliography is appended with the aim of giving the reader the information on the sources relating to the topic.
manjitha says
October 5, 2019 at 9:56 am
It was so helpful to study easily. Easy to understand. Gud job
November 5, 2019 at 6:41 am
Thanks for the work.
Amirjan Samim says
November 11, 2019 at 11:22 pm
All of the descriptions and information about the “reference and bibliography” and the difference between them are useful for the readers. Since both terms are closely related, this is why both terms are sometimes confusing for some people. Thanks for the helpful explanations you have given about the two terms mentioned above.
Chiranjit Singha says
January 20, 2020 at 8:01 pm
This webpage is very helpful and easy to understand, Thanks all of you sir.
Maya Zita says
February 10, 2020 at 2:19 pm
Very helpful for my studies… Best explained, thank you very much for this upload.
Amit Kumar Das says
May 6, 2020 at 8:07 pm
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Nidhi Suhag says
June 27, 2020 at 9:40 am
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Ishaka Ibrahim says
March 2, 2021 at 2:07 pm
Very interesting and educative write up but would like to see reference/source of the work.
hassan sakaba says
March 25, 2021 at 5:23 pm
April 8, 2021 at 3:29 pm
Very helpful However I had a doubt regarding the placement of bibliography. Usually references are placed after the main body and conclusion. But where is bibliography placed?
Aladuge says
August 28, 2021 at 1:39 pm
This is a wonderful piece. Thanks for a job well done
Darlington mwape says
September 8, 2022 at 2:17 pm
Thanks for this wonderful piece of information but iam going with S. N says
I had a doubt regarding the placement of bibliography. Usually references are placed after the main body and conclusion. But where is bibliography placed?
OMVITI NOBERT says
January 13, 2023 at 4:41 pm
The comparisons are very good. Thank you. Be blessed more in wisdom.
March 25, 2023 at 4:32 am
So for my podcast, which is mainly audio essays, which should I use?
Pias Hebal Karmakar says
June 9, 2023 at 2:50 pm
I am much more pleased with this work. I helped me a lot in my study. Thanks.
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When you start out with citing and referencing it's easy to get confused as to which is which:
You do not need to acknowledge a source for information that is common knowledge .
Common knowledge is information that either the general public or the average reader in your subject area would know. If you are unsure if something is common knowledge you should include a reference for it.
For detailed information with specific examples and a link to the full length version of DkIT's Guide to Harvard Referencing see:
Quick guide to Harvard referencing.
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Chapter 13: Unobtrusive Research: Qualitative And Quantitative Approaches
Babbie, E. (2010). The practice of social research (12th ed.). Belmont, CA: Wadsworth.
Esterberg, K. G. (2002). Qualitative methods in social research . Boston, MA: McGraw-Hill.
Garfinkle, H. (1967). Studies in ethnomethodology. Englewood Cliffs, NJ: Prentice Hall.
Gubrium, J. F., & Holstein, J. A. (2000). Analyzing interpretative practice. In N. Denzin & Y.S. Lincoln (Eds.), The handbook of qualitative research (2nd ed.), (pp. 487-508). Thousand Oaks, CA: SAGE Publications.
Heritage, J. C. (1984). Garfinkel & ethnomethodology. Cambridge: UK. Polity Press.
Krippendorff, K. (2004a). Content analysis: An introduction to its methodology (2nd ed.). Thousand Oaks, CA: Sage.
Krippendorf, K. (2004b). Reliability in content analysis: Some common misconceptions and recommendations. Human Communication Research, 30 (3), 411-433. https://doi.org/10.1111/j.1468-2958.2004.tb00738.x
Lombard, M., Snyder-Duch, J., & Campenella Bracken, C. (2010). Practical resources for assessing and reporting intercoder reliability in content analysis research projects. Retrieved from http://matthewlombard.com/reliability/#How%20should%20researchers%20calculate%20intercoder%20reliability%20What%20software%20is%20available
Palys, T., & Atchison, C. (2014). Research decisions: Quantitative, qualitative, and mixed methods approaches (5th ed.) . Toronto, Canada: Nelson Education.
Patton, M. Q. (2015). Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Thousand Oaks, CA: SAGE Publications.
Saylor Academy. (2012). Principles of sociological inquiry: Qualitative and quantitative methods. Washington, DC: Saylor Academy. Retrieved from https://www.saylor.org/site/textbooks/Principles%20of%20Sociological%20Inquiry.pdf
Schutt, R. K. (2012). Investigating the social world: The process and practice of research. Thousand Oaks, CA: SAGE Publications.
Sheppard, V. A., & Fennell, D. A. (2019, August). Progress in public sector tourism policy: Toward an ethic for non-human animals. Tourism Management, 73 , 134-142. doi: https://doi.org/10.1016/j.tourman.2018.11.017
Research Methods for the Social Sciences: An Introduction Copyright © 2020 by Valerie Sheppard is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License , except where otherwise noted.
More than 100 reference examples and their corresponding in-text citations are presented in the seventh edition Publication Manual . Examples of the most common works that writers cite are provided on this page; additional examples are available in the Publication Manual .
To find the reference example you need, first select a category (e.g., periodicals) and then choose the appropriate type of work (e.g., journal article ) and follow the relevant example.
When selecting a category, use the webpages and websites category only when a work does not fit better within another category. For example, a report from a government website would use the reports category, whereas a page on a government website that is not a report or other work would use the webpages and websites category.
Also note that print and electronic references are largely the same. For example, to cite both print books and ebooks, use the books and reference works category and then choose the appropriate type of work (i.e., book ) and follow the relevant example (e.g., whole authored book ).
Examples on these pages illustrate the details of reference formats. We make every attempt to show examples that are in keeping with APA Style’s guiding principles of inclusivity and bias-free language. These examples are presented out of context only to demonstrate formatting issues (e.g., which elements to italicize, where punctuation is needed, placement of parentheses). References, including these examples, are not inherently endorsements for the ideas or content of the works themselves. An author may cite a work to support a statement or an idea, to critique that work, or for many other reasons. For more examples, see our sample papers .
Reference examples are covered in the seventh edition APA Style manuals in the Publication Manual Chapter 10 and the Concise Guide Chapter 10
Textual works are covered in Sections 10.1–10.8 of the Publication Manual . The most common categories and examples are presented here. For the reviews of other works category, see Section 10.7.
Data sets are covered in Section 10.9 of the Publication Manual . For the software and tests categories, see Sections 10.10 and 10.11.
Audiovisual media are covered in Sections 10.12–10.14 of the Publication Manual . The most common examples are presented together here. In the manual, these examples and more are separated into categories for audiovisual, audio, and visual media.
Online media are covered in Sections 10.15 and 10.16 of the Publication Manual . Please note that blog posts are part of the periodicals category.
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Case study completion should be seen merely as an interaction process, where many actions take place before the actual empirical data is gathered and analysed, and where previous research plays a key role. Systematic and well-planned data-gathering is at the heart of the process. It is illustrated here that case methodology references only change very slowly, if at all: two studies from the 1980s are still considered to be key methodological sources today. However, some new additions have appeared in the last two decades.
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Eisenhardt, K. M. (1989). Building theories from case study research. Academy of Management Review, 14 (4), 532–550.
Google Scholar
Eisenhardt, K. M., & Graebner, M. E. (2007). Theory building from cases: Opportunities and challenges. Academy of Management Journal, 50 (1), 25–32.
Article Google Scholar
Ellram, L. M. (1996). The use of case study method in logistics research. Journal of Business Logistics, 17 (2), 93–138.
Glaser, B. G., & Strauss, A. L. (1967). The discovery of grounded theory: Strategies for qualitative research . Chicago: Aldine.
McCutcheon, D. M., & Meredith, J. R. (1993). Conducting case study research in operations management. Journal of Operations Management, 11 (3), 239–259.
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks: Sage.
Voss, C., Tsikriktsis, N., & Frohlich, M. (2002). Case research in operations management. International Journal of Operations & Production Management, 22 (2), 195–219.
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Hilmola, OP. (2018). Research Methodology and Identifying Key References Used. In: Supply Chain Cases. Palgrave Pivot, Cham. https://doi.org/10.1007/978-3-319-71658-9_8
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1. introduction, 3. discussion, 4. conclusions, acknowledgments, funding information, author contributions, competing interests, data availability, scite: a smart citation index that displays the context of citations and classifies their intent using deep learning.
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Josh M. Nicholson , Milo Mordaunt , Patrice Lopez , Ashish Uppala , Domenic Rosati , Neves P. Rodrigues , Peter Grabitz , Sean C. Rife; scite: A smart citation index that displays the context of citations and classifies their intent using deep learning. Quantitative Science Studies 2021; 2 (3): 882–898. doi: https://doi.org/10.1162/qss_a_00146
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Citation indices are tools used by the academic community for research and research evaluation that aggregate scientific literature output and measure impact by collating citation counts. Citation indices help measure the interconnections between scientific papers but fall short because they fail to communicate contextual information about a citation. The use of citations in research evaluation without consideration of context can be problematic because a citation that presents contrasting evidence to a paper is treated the same as a citation that presents supporting evidence. To solve this problem, we have used machine learning, traditional document ingestion methods, and a network of researchers to develop a “smart citation index” called scite , which categorizes citations based on context. Scite shows how a citation was used by displaying the surrounding textual context from the citing paper and a classification from our deep learning model that indicates whether the statement provides supporting or contrasting evidence for a referenced work, or simply mentions it. Scite has been developed by analyzing over 25 million full-text scientific articles and currently has a database of more than 880 million classified citation statements. Here we describe how scite works and how it can be used to further research and research evaluation.
https://publons.com/publon/10.1162/qss_a_00146
Citations are a critical component of scientific publishing, linking research findings across time. The first citation index in science, created in 1960 by Eugene Garfield and the Institute for Scientific Information, aimed to “be a spur to many new scientific discoveries in the service of mankind” ( Garfield, 1959 ). Citation indices have facilitated the discovery and evaluation of scientific findings across all fields of research. Citation indices have also led to the establishment of new research fields, such as bibliometrics, scientometrics, and quantitative studies, which have been informative in better understanding science as an enterprise. From these fields have come a variety of citation-based metrics, such as the h -index, a measurement of researcher impact ( Hirsch, 2005 ); the Journal Impact Factor (JIF), a measurement of journal impact ( Garfield, 1955 , 1972 ); and the citation count, a measurement of article impact. Despite the widespread use of bibliometrics, there have been few improvements in citations and citation indices themselves. Such stagnation is partly because citations and publications are largely behind paywalls, making it exceedingly difficult and prohibitively expensive to introduce new innovations in citations or citation indices. This trend is changing, however, with open access publications becoming the standard ( Piwowar, Priem, & Orr, 2019 ) and organizations such as the Initiative for Open Citations ( Initiative for Open Citations, 2017 ; Peroni & Shotton, 2020 ) helping to make citations open. Additionally, with millions of documents being published each year, creating a citation index is a large-scale challenge involving significant financial and computational costs.
Historically, citation indices have only shown the connections between scientific papers without any further contextual information, such as why a citation was made. Because of the lack of context and limited metadata available beyond paper titles, authors, and the date of publications, it has only been possible to calculate how many times a work has been cited, not analyze broadly how it has been cited. This is problematic given citations’ central role in the evaluation of research. In short, not all citations are made equally, yet we have been limited to treating them as such.
Here we describe scite (scite.ai), a new citation index and tool that takes advantage of recent advances in artificial intelligence to produce “Smart Citations.” Smart Citations reveal how a scientific paper has been cited by providing the context of the citation and a classification system describing whether it provides supporting or contrasting evidence for the cited claim, or if it just mentions it.
Such enriched citation information is more informative than a traditional citation index. For example, when Viganó, von Schubert et al. (2018) cites Nicholson, Macedo et al. (2015) , traditional citation indices report this citation by displaying the title of the citing paper and other bibliographic information, such as the journal, year published, and other metadata. Traditional citation indices do not have the capacity to examine contextual information or how the citing paper used the citation, such as whether it was made to support or contrast the findings of the cited paper or if it was made in the introduction or the discussion section of the citing paper. Smart Citations display the same bibliographical information shown in traditional citation indices while providing additional contextual information, such as the citation statement (the sentence containing the in-text citation from the citing article), the citation context (the sentences before and after the citation statement), the location of the citation within the citing article (Introduction, Materials and Methods, Results, Discussion, etc.), the citation type indicating intent (supporting, contrasting, or mentioning), and editorial information from Crossref and PubMed, such as corrections and whether the article has been retracted ( Figure 1 ). Scite previously relied on Retraction Watch data but moved away from this due to licensing issues. Going forward, scite will use its own approach 1 to retraction detection, as well as data from Crossref and PubMed.
Example of scite report page. The scite report page shows citation context, citation type, and various features used to filter and organize this information, including the section where the citation appears in the citing paper, whether or not the citation is a self-citation, and the year of the publication. The example scite report shown in the figure can be accessed at the following link: https://scite.ai/reports/10.7554/elife.05068 .
Adding such information to citation indices has been proposed before. In 1964, Garfield described an “intelligent machine” to produce “citation markers,” such as “critique” or, jokingly, “calamity for mankind” ( Garfield, 1964 ). Citation types describing various uses of citations have been systematically described by Peroni and Shotton in CiTO, the Ci tation T yping O ntology ( Peroni & Shotton, 2012 ). Researchers have used these classifications or variations of them in several bibliometric studies, such as the analysis of citations ( Suelzer, Deal et al., 2019 ) made to the retracted Wakefield paper ( Wakefield, Murch et al., 1998 ), which found most citations to be negative in sentiment. Leung, Macdonald et al. (2017) analyzed the citations made to a five-sentence letter purporting to show opioids as nonaddictive ( Porter & Jick, 1980 ), finding that most citations were uncritically citing the work. Based on these findings, the journal appended a public health warning to the original letter. In addition to citation analyses at the individual article level, citation analyses taking into account the citation type have also been performed on subsets of articles or even entire fields of research. Greenberg (2009) discovered that citations were being distorted, for example being used selectively to exclude contradictory studies to create a false authority in a field of research, a practice carried into grant proposals. Selective citing might be malicious, as suggested in the Greenberg study, but it might also simply reflect sloppy citation practices or citing without reading. Indeed, Letrud and Hernes (2019) recently documented many cases where people were citing reports for the opposite conclusions than the original authors made.
Despite the advantages of citation types, citation classification and analysis require substantial manual effort on the part of researchers to perform even small-scale analyses ( Pride, Knoth, & Harag, 2019 ). Automating the classification of citation types would allow researchers to dramatically expand the scale of citation analyses, thereby allowing researchers to quickly assess large portions of scientific literature. PLOS Labs attempted to enhance citation analysis with the introduction of “rich citations,” which included various additional features to traditional citations such as retraction information and where the citation appeared in the citing paper ( PLOS, 2015 ). However, the project seemed to be mostly a proof of principle, and work on rich citations stopped in 2015, although it is unclear why. Possible reasons that the project did not mature reflect the challenges of accessing the literature at scale, finding a suitable business model for the application, and classifying citation types with the necessary precision and recall for it to be accepted by users. It is only recently that machine learning techniques have evolved to make this task possible, as we demonstrate here. Additional resources, such as the Colil Database ( Fujiwara & Yamamoto, 2015 ) and SciRide Finder ( Volanakis & Krawczyk, 2018 ) both allow users to see the citation context from open access articles indexed in PubMed Central. However, adoption seems to be low for both tools, presumably due to limited coverage of only open access articles. In addition to the development of such tools to augment citation analysis, various researchers have performed automated citation typing. Machine learning was used in early research to identify citation intent ( Teufel, Siddharthan, & Tidhar, 2006 ) and recently Cohan, Ammar et al. (2019) used deep learning techniques. Athar (2011) , Yousif, Niu et al. (2019) , and Yan, Chen, and Li (2020) also used machine learning to identify positive and negative sentiments associated with the citation contexts.
Here, by combining the largest citation type analysis performed to date and developing a useful user interface that takes advantage of the extra contextual information available, we introduce scite, a smart citation index.
The retrieval of scientific articles
The identification and matching of in-text citations and references within a scientific article
The matching of references against a bibliographic database
The classification of the citation statements into citation types using deep learning.
The scite ingestion process. Documents are retrieved from the internet, as well as being received through file transfers directly from publishers and other aggregators. They are then processed to identify citations, which are then tied to items in a paper’s reference list. Those citations are then verified, and the information is inserted into scite’s database.
We describe the four components in more detail below.
Access to full-text scientific articles is necessary to extract and classify citation statements and the citation context. We utilize open access repositories such as PubMed Central and a variety of open sources as identified by Unpaywall ( Else, 2018 ), such as open access publishers’ websites, university repositories, and preprint repositories, to analyze open access articles. Other relevant open access document sources, such as Crossref TDM and the Internet Archive have been and are continually evaluated as new sources for document ingestion. Subscription articles used in our analyses have been made available through indexing agreements with over a dozen publishers, including Wiley, BMJ, Karger, Sage, Europe PMC, Thieme, Cambridge University Press, Rockefeller University Press, IOP, Microbiology Society, Frontiers, and other smaller publishers. Once a source of publications is established, documents are retrieved on a regular basis as new articles become available to keep the citation record fresh. Depending on the source, documents may be retrieved and processed anywhere between daily and monthly.
A large majority of scientific articles are only available as PDF files 2 , a format designed for visual layout and printing, not text-mining. To match and extract citation statements from PDFs with high fidelity, an automated process for converting PDF files into reliable structured content is required. Such conversion is challenging, as it requires identifying in-text citations (the numerical or textual callouts that refer to a particular item in the reference list), identifying and parsing the full bibliographical references in the reference list, linking in-text citations to the correct items in this list, and linking these items to their digital object identifiers (DOIs) in a bibliographic database. As our goal is to eventually process all scientific documents, this process must be scalable and affordable. To accomplish this, we utilize GROBID, an open-source PDF-to-XML converter tool for scientific literature ( Lopez, 2020a ). The goal of GROBID is to automatically convert scholarly PDFs into structured XML representations suitable for large-scale analysis. The structuration process is realized by a cascade of supervised machine learning models. The tool is highly scalable (around five PDF documents per second on a four-core server), is robust, and includes a production-level web API, a Docker image, and benchmarking facilities. GROBID is used by many large scientific information service providers, such as ResearchGate, CERN, and the Internet Archive to support their ingestion and document workflows ( Lopez, 2020a ). The tool is also used for creating machine-friendly data sets of research papers, for instance, the recent CORD-19 data set ( Wang, Lo et al., 2020 ).
Particularly relevant to scite, GROBID was benchmarked as the best open source bibliographical references parser by Tkaczyk, Collins et al. (2018) and has a relatively unique focus on citation context extraction at scale, as illustrated by its usage for building the large-scale Semantic Scholar Open Research Corpus (S2ORC), a corpus of 380.5 million citations, including citation mentions excerpts from the full-text body ( Lo, Wang et al., 2020 ).
In addition to PDFs, some scientific articles are available as XML files, such as the Journal Article Tag Suite (JATS) format. Formatting articles in PDF and XML has become standard practice for most mainstream publishers. While structured XML can solve many issues that need to be addressed with PDFs, XML full texts appear in a variety of different native publisher XML formats, often incomplete and inconsistent from one to another, loosely constrained, and evolving over time into specific versions.
To standardize the variety of XML formats we receive into a common format, we rely upon the open-source tool Pub2TEI ( Lopez, 2020b ). Pub2TEI converts various XML styles from publishers to the same standard TEI format as the one produced by GROBID. This centralizes our document processing across PDF and XML sources.
Once we have identified and matched the in-text citation to an item in a paper’s reference list, this information must be validated. We use an open-source tool, biblio-glutton ( Lopez, 2020c ), which takes a raw bibliographical reference, as well as optionally parsed fields (title, author names, etc.) and matches it against the Crossref database—widely regarded as the industry standard source of ground truth for scholarly publications 3 . The matching accuracy of a raw citation reaches an F-score of 95.4 on a set of 17,015 raw references associated with a DOI, extracted from a data set of 1,943 PMC articles 4 compiled by Constantin (2014) . In an end-to-end perspective, still based on an evaluation with the corpus of 1,943 PMC articles, combining GROBID PDF extraction of citations and bibliographical references with biblio-glutton validations, the pipeline successfully associates around 70% of citation contexts to cited papers with correctly identified DOIs in a given PDF file. When the full-text XML version of an article is available from a publisher, references and linked citation contexts are normally correctly encoded, and the proportion of fully solved citation contexts corresponding to the proportion of cited paper with correctly identified DOIs is around 95% for PMC XML JATS files. The scite platform today only ingests publications with a DOI and only matches references against bibliographical objects with a registered DOI. The given evaluation figures have been calculated relative to these types of citations.
Extracted citation statements are classified into supporting, contrasting, or mentioning, to identify studies that have tested the claim and to evaluate how a scientific claim has been evaluated in the literature by subsequent research.
We emphasize that scite is not doing sentiment analysis. In natural language processing, sentiment analysis is the study of affective and subjective statements. The most common affective state considered in sentiment analysis is a mere polar view from positive sentiment to negative sentiment, which appeared to be particularly useful in business applications (e.g., product reviews and movie reviews). Following this approach, a subjective polarity can be associated with a citation to try to capture an opinion about the cited paper. The evidence used for sentiment classification relies on the presence of affective words in the citation context, with an associated polarity score capturing the strength of the affective state ( Athar, 2014 ; Halevi & Schimming, 2018 ; Hassan, Imran et al., 2018 ; Yousif et al., 2019 ). Yan et al. (2020) , for instance, use a generic method called SenticNet to identify sentiments in citation contexts extracted from PubMed Central XML files, without particular customization to the scientific domain (only a preprocessing to remove the technical terms from the citation contexts is applied). SenticNet uses a polarity measure associated with 200,000 natural language concepts, propagated to the words and multiword terms realizing these concepts.
In contrast, scite focuses on the authors’ reasons for citing a paper. We use a discrete classification into three discursive functions relative to the scientific debate; see Murray, Lamers et al. (2019) for an example of previous work with typing citations based on rhetorical intention. We consider that for capturing the reliability of a claim, a classification decision into supporting or contrasting must be backed by scientific arguments. The evidence involved in our assessment of citation intent is directed to the factual information presented in the citation context, usually statements about experimental facts and reproducibility results or presentation of a theoretical argument against or agreeing with the cited paper.
Examples of supporting, contrasting, and mentioning citation statements are given in Table 1 , with explanations describing why they are classified as such, including examples where researchers have expressed confusion or disagreement with our classification.
Real-world examples of citation statement classifications with examples explaining why a citation type has or has not been assigned. Citation classifications are based on the following two requirements: there needs to be a written indication that the statement supports or contrasts the cited paper; and there needs to be an indication that it provides evidence for this assertion.
. | . | . |
---|---|---|
“In agreement with previous work ( ), the trisomic clones showed similar aberrations, albeit to a lesser extent (Supplemental Figure S2B).” | Supporting | “In agreement with previous work” indicates support, while “the trisomic clones showed similar aberrations, albeit to a lesser degree (Supplemental Figure S2B)” provides evidence for this supporting statement. |
“In contrast to several studies in anxious adults that examined amygdala activation to angry faces when awareness was not restricted ( ; ; ), we found no group differences in amygdala activation.” | Contrasting | “In contrast to several studies” indicates a contrast between the study and studies cited, while “we found no group differences in amygdala activation” indicates a difference in findings. |
“The amygdala is a key structure within a complex circuit devoted to emotional interpretation, evaluation and response ( ; ).” | Mentioning | This citation statement refers to without providing evidence that supports or contrasts the claims made in the cited study. |
“In social cognition, the amygdala plays a central role in social reward anticipation and processing of ambiguity [87]. Consistent with these findings, amygdala involvement has been outlined as central in the pathophysiology of social anxiety disorders [27], [88].” | Mentioning | Here, the statement “consistent with these findings” sounds supportive, but, in fact, cites two previous studies: [87] and [27] without providing evidence for either. Such cites can be valuable, as they establish connections between observations made by others, but they do not provide primary evidence to support or contrast the cited studies. Hence, this citation statement is classified as mentioning. |
“For example, a now-discredited article purporting a link between vaccination and autism ( ) helped to dissuade many parents from obtaining vaccination for their children.” | Mentioning | This citation statement describes the cited paper critically and with negative sentiment but there is no indication that it presents primary contrasting evidence, thus this statement is classified as mentioning. |
. | . | . |
---|---|---|
“In agreement with previous work ( ), the trisomic clones showed similar aberrations, albeit to a lesser extent (Supplemental Figure S2B).” | Supporting | “In agreement with previous work” indicates support, while “the trisomic clones showed similar aberrations, albeit to a lesser degree (Supplemental Figure S2B)” provides evidence for this supporting statement. |
“In contrast to several studies in anxious adults that examined amygdala activation to angry faces when awareness was not restricted ( ; ; ), we found no group differences in amygdala activation.” | Contrasting | “In contrast to several studies” indicates a contrast between the study and studies cited, while “we found no group differences in amygdala activation” indicates a difference in findings. |
“The amygdala is a key structure within a complex circuit devoted to emotional interpretation, evaluation and response ( ; ).” | Mentioning | This citation statement refers to without providing evidence that supports or contrasts the claims made in the cited study. |
“In social cognition, the amygdala plays a central role in social reward anticipation and processing of ambiguity [87]. Consistent with these findings, amygdala involvement has been outlined as central in the pathophysiology of social anxiety disorders [27], [88].” | Mentioning | Here, the statement “consistent with these findings” sounds supportive, but, in fact, cites two previous studies: [87] and [27] without providing evidence for either. Such cites can be valuable, as they establish connections between observations made by others, but they do not provide primary evidence to support or contrast the cited studies. Hence, this citation statement is classified as mentioning. |
“For example, a now-discredited article purporting a link between vaccination and autism ( ) helped to dissuade many parents from obtaining vaccination for their children.” | Mentioning | This citation statement describes the cited paper critically and with negative sentiment but there is no indication that it presents primary contrasting evidence, thus this statement is classified as mentioning. |
Importantly, just as it is critical to optimize for accuracy of our deep learning model when classifying citations, it is equally important to make sure that the right terminology is used and understood by researchers. We have undergone multiple iterations of the design and display of citation statements and even the words used to define our citation types, including using previous words such as refuting and disputing to describe contrasting citations and confirming to describe supporting citations. The reasons for these changes reflect user feedback expressing confusion over certain terms as well as our intent to limit any potentially inflammatory interpretations. Indeed, our aim with introducing these citation types is to highlight differences in research findings based on evidence, not opinion. The main challenge of this classification task is the highly imbalanced distribution of the three classes. Based on manual annotations of different publication domains and sources, we estimate the average distribution of citation statements as 92.6% mentioning, 6.5% supporting, and 0.8% contrasting statements. Obviously, the less frequent the class, the more valuable it is. Most of the efforts in the development of our automatic classification system have been directed to address this imbalanced distribution. This task has required first the creation of original training data by experts—scientists with experience in reading and interpreting scholarly papers. Focusing on data quality, the expert classification was realized by multiple-blind manual annotation (at least two annotators working in parallel on the same citation), followed by a reconciliation step where the disagreements were further discussed and analyzed by the annotators. To keep track of the progress of our automatic classification over time, we created a holdout set of 9,708 classified citation records. To maintain a class distribution as close as possible to the actual distribution in current scholarly publications, we extracted the citation contexts from Open Access PDF of Unpaywall by random sampling with a maximum of one context per document.
We separately developed a working set where we tried to oversample the two less frequent classes (supporting, contrasting) with the objective of addressing the difficulties implied by the imbalanced automatic classification. We exploited the classification scores of our existing classifiers to select more likely supporting and contrasting statements for manual classification. At the present time, this set contains 38,925 classified citation records. The automatic classification system was trained with this working set, and continuously evaluated with the immutable holdout set to avoid as much bias as possible. An n -fold cross-evaluation on the working set, for instance, would have been misleading because the distribution of the classes in this set was artificially modified to boost the classification accuracy of the less frequent classes.
Before reconciliation, the observed average interannotator agreement percentage was 78.5% in the open domain and close to 90% for batches in biomedicine. It is unclear what accounts for the difference. Reconciliation, further completed with expert review by core team members, resulted in highly consensual classification decisions, which contrast with typical multiround disagreement rates observed with sentiment classification. Athar (2014) , for instance, reports Cohen’s k annotator agreement of 0.675 and Ciancarini, Di Iorio et al. (2014) report k = 0.13 and k = 0.15 for the property groups covering confirm / supports and critiques citation classification labels. A custom open source document annotation web application, docanno ( Nakayama, Kubo et al., 2018 ) was deployed to support the first round of annotations.
Overall, the creation of our current training and evaluation holdout data sets has been a major 2-year effort involving up to eight expert annotators and nearly 50,000 classified citation records. In addition to the class, each record includes the citation sentence, the full “snippet” (citation sentence plus previous and next sentences), the source and target DOI, the reference callout string, and the hierarchical list of section titles where the citation occurs.
Improving the classification architecture: After initial experiments with RNN (Recursive Neural Network) architectures such as BidGRU (Bidirectional Gated Recurrent Unit, an architecture similar to the approach of Cohan et al. (2019) for citation intent classification), we obtained significant improvements with the more recently introduced ELMo (Embeddings from Language Models) dynamic embeddings ( Peters, Neumann et al., 2018 ) and an ensemble approach. Although the first experiments with BERT (Bidirectional Encoder Representations from Transformers) ( Devlin, Chang et al., 2019 ), a breakthrough architecture for NLP, were disappointing, fine-tuning SciBERT (a science-pretrained base BERT model) ( Beltagy, Lo, & Cohan, 2019 ) led to the best results and is the current production architecture of the platform.
Using oversampling and class weighting techniques: It is known that the techniques developed to address imbalanced classification in traditional machine learning can be applied successfully to deep learning too ( Johnson & Khoshgoftaar, 2019 ). We introduced in our system oversampling of less frequent classes, class weighting, and metaclassification with three binary classifiers. These techniques provide some improvements, but they rely on empirical parameters that must be re-evaluated as the training data changes.
Extending the training data for less frequent classes: As mentioned previously, we use an active learning approach to select the likely less frequent citation classes based on the scores of the existing classifiers. By focusing on edge cases over months of manual annotations, we observed significant improvements in performance for predicting contrasting and supporting cases.
Progress on classification results over approximately 1 year, evaluated on a fixed holdout set of 9,708 examples. In parallel with these various iterations on the classification algorithms, the training data was raised from 30,665 (initial evaluation with BidGRU) to 38,925 examples (last evaluation with SciBERT) via an active learning approach.
. | -score . | ||
---|---|---|---|
. | . | . | |
BidGRU | .206 | .554 | .964 |
BidGRU + metaclassifier | .260 | .590 | .964 |
BidGRU + ELMo | .405 | .590 | .969 |
BidGRU + ELMo + ensemble (10 classifiers) | .460 | .605 | .972 |
SciBERT | .590 | .648 | .973 |
0.8% | 6.5% | 92.6% |
. | -score . | ||
---|---|---|---|
. | . | . | |
BidGRU | .206 | .554 | .964 |
BidGRU + metaclassifier | .260 | .590 | .964 |
BidGRU + ELMo | .405 | .590 | .969 |
BidGRU + ELMo + ensemble (10 classifiers) | .460 | .605 | .972 |
SciBERT | .590 | .648 | .973 |
0.8% | 6.5% | 92.6% |
Accuracy of SciBERT classifier, currently deployed on the scite platform, evaluated on a holdout set of 9,708 examples.
. | . | . | -score . |
---|---|---|---|
Contrasting | .852 | .451 | .590 |
Supporting | .741 | .576 | .648 |
Mentioning | .962 | .984 | .973 |
. | . | . | -score . |
---|---|---|---|
Contrasting | .852 | .451 | .590 |
Supporting | .741 | .576 | .648 |
Mentioning | .962 | .984 | .973 |
Note: When deploying classification models in production, we balance the precision/recall so that all the classes have a precision higher than 80%.
Given the unique nature of scite, there are a number of additional considerations. First, scaling is a key requirement of scite, which addresses the full corpus of scientific literature. While providing good results, the prediction with the ELMo approach is 20 times slower than with SciBERT, making it less attractive for our platform. Second, we have experimented with using section titles to improve classifications—for example, one might expect to find supporting and contrasting statements more often in the Results section of a paper and mentioning statements in the Introduction. Counterintuitively, including section titles in our model had no impact on F -scores, although it did slightly improve precision. It is unclear why including section titles failed to improve F -scores. However, it might relate to the challenge of correctly identifying and normalizing section titles from documents. Third, segmenting scientific text into sentences presents unique challenges due to the prevalence of abbreviations, nomenclatures, and mathematical equations. Finally, we experimented with various context windows (i.e., the amount of text used in the classification of a citation) but were only able to improve the F -score for the contrasting category by eight points by manually selecting the most relevant phrases in the context window. Automating this process might improve classifications, but doing so presents a significant technical challenge. Other possible improvements of the classifier include multitask training, refinement of classes, increase of training data via improved active learning techniques, and integration of categorical features in the transformer classifier architecture.
We believe that the specificity of our evidence-based citation classes, the size and the focus on the quality of our manually annotated data set (multiple rounds of blind annotations with final collective reconciliation), the customization and continuous improvement of a state of the art deep learning classifier, and finally the scale of our citation analysis distinguishes our work from existing developments in automatic citation analysis.
TEI XML data is parsed in Python using the BeautifulSoup library and further segmented into sentences using a combination of spaCy ( Honnibal, Montani et al., 2018 ) and Natural Language Toolkit’s Punkt Sentence Tokenizer ( Bird, Klein, & Loper, 2009 ). These sentence segmentation candidates are then postprocessed with custom rules to better fit scientific texts, existing text structures, and inline markups. For instance, a sentence split is forbidden inside a reference callout, around common abbreviations not supported by the general-purpose sentence segmenters, or if it is conflicting with a list item, paragraph, or section break.
The implementation of the classifier is realized by a component we have named Veracity , which provides a custom set of deep learning classifiers built on top of the open source DeLFT library ( Lopez, 2020d ). Veracity is written in Python and employs Keras and TensorFlow for text classification. It runs on a single server with an NVIDIA GP102 (GeForce GTX 1080 Ti) graphics card with 3,584 CUDA cores. This single machine is capable of classifying all citation statements as they are processed. Veracity retrieves batches of text from the scite database that have yet to be classified, processes them, and updates the database with the results. When deploying classification models in production, we balance the precision/recall so that all the classes have a precision higher than 80%. For this purpose, we use the holdout data set to adjust the class weights at the prediction level. After evaluation, we can exploit all available labeled data to maximize the quality, and the holdout set captures a real-world distribution adapted to this final tuning.
The resulting classified citations are stored and made available on the scite platform. Data from scite can be accessed in a number of ways (downloads of citations to a particular paper; the scite API, etc.). However, users will most commonly access scite through its web interface. Scite provides a number of core features, detailed below.
The scite report page ( Figure 1 ) displays summary information about a given paper. All citations in the scite database to the paper are displayed, and users can filter results by classification (supporting, mentioning, contrasting), paper section (e.g., Introduction, Results), and the type of citing article (e.g., preprint, book, etc.). Users can also search for text within citation statements and surrounding citation context. For example, if a user wishes to examine how an article has been cited with respect to a given concept (e.g., fear), they can search for citation contexts that contain that key term. Each citation statement is accompanied by a classification label, as well as an indication of how confident the model is of said classification. For example, a citation statement may be classified as supporting with 90% confidence, meaning that the model is 90% certain that the statement supports the target citation. Finally, each citation statement can be flagged by individual users as incorrect, so that users can report a classification as incorrect, as well as justify their objection. After a citation statement has been flagged as incorrect, it will be reviewed and verified by two independent reviewers, and, if both agree, the recommended change will be implemented. In this way, scite supplements machine learning with human interventions to ensure that citations are accurately classified. This is an important feature of scite that allows researchers to interact with the automated citation types, correcting classifications that might otherwise be difficult for a machine to classify. It also opens the possibility for authors and readers to add more nuance to citation typing by allowing them to annotate snippets.
To improve the utility and usability of the smart citation data, scite offers a wide variety of tools common to other citation platforms, such as Scopus and Web of Science and other information retrieval software. These include literature searching functionality for researchers to find supported and contrasted research, visualizations to see research in context, reference checking for automatically evaluating references with scite’s data on an uploaded manuscript and more. Scite also offers plugins for popular web browsers and reference management software (e.g., Zotero) that allow easy access to scite reports and data in native research environments.
A number of researchers have already made use of scite for quantitative assessments of the literature. For example, Bordignon (2020) examined self-correction in the scientific record and operationalized “negative” citations as those that scite classified as contrasting. They found that negative citations are rare, even among works that have been retracted. In another example from our own group, Nicholson et al. (2020) examined scientific papers cited in Wikipedia articles and found that—like the scientific literature as a whole—the vast majority presented findings that have not been subsequently verified. Similar analyses could also be applied to articles in the popular press.
One can imagine a number of additional metascientific applications. For example, network analyses with directed graphs, valenced edges (by type of citation—supporting, contrasting, and mentioning), and individual papers as nodes could aid in understanding how various fields and subfields are related. A simplified form of this analysis is already implemented on the scite website (see Figure 3 ), but more complicated analyses that assess traditional network indices, such as centrality and clustering, could be easily implemented using standard software libraries and exports of data using the scite API.
A citation network representation using the scite Visualization tool. The nodes represent individual papers, with the edges representing supporting (green) or contrasting (blue) citation statements. The graph is interactive and can be expanded and modified for other layouts. The interactive visualization can be accessed at the following link: https://scite.ai/visualizations/global-analysis-of-genome-transcriptome-9L4dJr?dois%5B0%5D=10.1038%2Fmsb.2012.40&dois%5B1%5D=10.7554%2Felife.05068&focusedElement=10.7554%2Felife.05068 .
There are a number of implications for scholarly publishers. At a very basic level, this is evident in the features that scite provides that are of particular use to publishers. For example, the scite Reference Check parses the reference list of an uploaded document and produces a report indicating how items in the list have been cited, flagging those that have been retracted or have otherwise been the subject of editorial concern. This type of screening can help publishers and editors ensure that articles appearing in their journals do not inadvertently cite discredited works. Evidence in scite’s own database indicates that this would solve a seemingly significant problem, as in 2019 alone nearly 6,000 published papers cited works that had been retracted prior to 2019. Given that over 95% of citations made to retracted articles are in error ( Schneider, Ye et al., 2020 ), had the Reference Check tool been applied to these papers during the review process, the majority of these mistakes could have been caught.
However, there are additional implications for scholarly publishing that go beyond the features provided by scite. We believe that by providing insights into how articles are cited—rather than simply noting that the citation has occurred—scite can alter the way in which journals, institutions, and publishers are assessed. Scite provides journals and institutions with dashboards that indicate the extent to which papers with which they are associated have been supported or contrasted by subsequent research ( Figure 4 ). Even without reliance on specific metrics, the approach that scite provides prompts the question: What if we normalized the assessment of journals, institutions and researchers in terms of how they were cited rather than the simple fact that they were cited alone?
A scite Journal Dashboard showing the aggregate citation information at the journal level, including editorial notices and the scite Index, a journal metric that shows the ratio of supporting citations over supporting plus contrasting citations. Access to the journal dashboard in the figure and other journal dashboards is available here: https://scite.ai/journals/0138-9130 .
Given the fact that nearly 3 million scientific papers are published every year ( Ware & Mabe, 2015 ), researchers increasingly report feeling overwhelmed by the amount of literature they must sift through as part of their regular workflow ( Landhuis, 2016 ). Scite can help by assisting researchers in identifying relevant, reliable work that is narrowly tailored to their interests, as well as better understanding how a given paper fits into the broader context of the scientific literature. For example, one common technique for orienting oneself to new literature is to seek out the most highly cited papers in that area. If the context of those citations is also visible, the value of a given paper can be more completely assessed and understood. There are, however, additional—although perhaps less obvious—implications. If citation types are easily visible, it is possible that researchers will be incentivized to make replication attempts easier (for example, by providing more explicit descriptions of methods or instruments) in the hope that their work will be replicated.
At present, the biggest limitation for researchers using scite is the size of the database. At the time of this writing, scite has ingested over 880 million separate citation statements from over 25 million scholarly publications. However, there are over 70 million scientific publications in existence ( Ware & Mabe, 2015 ); scite is constantly ingesting new papers from established sources and signing new licensing agreements with publishers, so this limitation should abate over time. However, given that the ingestion pipeline fails to identify approximately 30% of citation statements/references in PDF files (~5% in XML), the platform will necessarily contain fewer references than services such as Google Scholar and Web of Science, which do not rely on ingesting the full text of papers. Even if references are reliably extracted and matched with a DOI or directly provided by publishers, a reference is currently only visible on the scite platform if it is matched with at least one citation context in the body of the article. As such, the data provided by scite will necessarily miss a measurable percentage of citations to a given paper. We are working to address these limitations in two ways: First, we are working toward ingesting more full-text XML and improving our ability to detect document structure in PDFs. Second, we have recently supplemented our Smart Citation data with “traditional” citation metadata provided by Crossref (see “Without Citation Statements” shown in Figure 1 ), which surfaces references that we would otherwise miss. Indeed, this Crossref data now includes references from publishers with previously closed references such as Elsevier and the American Chemical Society. These traditional citations can later be augmented to include citation contexts as we gain access to full text.
Another limitation is related to the classification of citations. First, as noted previously, the Veracity software does not perfectly classify citations. This can partly be explained by the fact that language in the (biomedical) sciences is little standardized (unlike law, where shepardizing is a standing term describing the “process of using a citator to discover the history of a case or statute to determine whether it is still good law”; see Lehman & Phelps, 2005 ). However, the accuracy of the classifier will likely increase over time as technology improves and the training data set increases in size. Second, the ontology currently employed by scite (supporting, mentioning, and contrasting) necessarily misses some nuance regarding how references are cited in scientific papers. One key example relates to what “counts” as a contrasting citation: At present, this category is limited to instances where new evidence is presented (e.g., a failed replication attempt or a difference in findings). However, it might also be appropriate to include conceptual and logical arguments against a given paper in this category. Moreover, in our system, the evidence behind the supporting or contrasting citation statements is not being assessed; thus a supporting citation statement might come from a paper where the experimental evidence is weak and vice versa. We do display the citation tallies that papers have received so that users can assess this but it would be exceedingly difficult to also classify the sample size, statistics, and other parameters that define how robust a finding is.
The automated extraction and analysis of scientific citations is a technically challenging task, but one whose time has come. By surfacing the context of citations rather than relying on their mere existence as an indication of a paper’s importance and impact, scite provides a novel approach to addressing pressing questions for the scientific community, including incentivizing replicable works, assessing an increasingly large body of literature, and quantitatively studying entire scientific fields.
We would like to thank Yuri Lazebnik for his help in conceptualizing and building scite.
This work was supported by NIDA grant 4R44DA050155-02.
Josh M. Nicholson: Conceptualization, Data acquisition, Analysis and interpretation of data, Writing—original draft, Writing—Review and editing. Milo Mordaunt: Data acquisition, Analysis and interpretation of data. Patrice Lopez: Conceptualization, Analysis and interpretation of data, Writing—original draft, Writing—Review and editing. Ashish Uppala: Analysis and interpretation of data, Writing—original draft, Writing—Review and editing. Domenic Rosati: Analysis and interpretation of data, Writing—original draft, Writing—Review and editing. Neves P. Rodrigues: Conceptualization. Sean C. Rife: Conceptualization, Data acquisition, Analysis and interpretation of data, Writing—original draft, Writing—Review and editing. Peter Grabitz: Conceptualization, Data acquisition, Analysis and interpretation of data, Writing—original draft, Writing—Review and editing.
The authors are shareholders and/or consultants or employees of Scite Inc.
Code used in the ingestion of manuscripts is available at https://github.com/kermitt2/grobid , https://github.com/kermitt2/biblio-glutton , and https://github.com/kermitt2/Pub2TEI . The classification of citation statements is performed by a modified version of DeLFT ( https://github.com/kermitt2/delft ). The training data used by the scite classifier is proprietary and not publicly available. The 880+ million citation statements are available at scite.ai but cannot be shared in full due to licensing arrangements made with publishers.
Details of how retractions and other editorial notices can be detected through an automated examination of metadata—even when there is no explicit indication that such notice(s) exist—will be made public via a manuscript currently in preparation.
As an illustration, the ISTEX project has been an effort from the French state leading to the purchase of 23 million full text articles from the mainstream publishers (Elsevier, Springer-Nature, Wiley, etc.) mainly published before 2005, corresponding to an investment of €55 million in acquisitions. The delivery of full text XML when available was a contractual requirement, but an XML format with structured body could be delivered by publishers for only around 10% of the publications.
For more information on the history and prevalence of Crossref, see https://www.crossref.org/about/ .
The evaluation data and scripts are available on the project GitHub repository; see biblio-glutton ( Lopez, 2020c ).
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Traditional randomized clinical trials (RCTs) have long been a key tool underpinning drug and device development. The use of individual participant randomization and active or placebo controls in RCTs, combined with comprehensive collection of highly structured data, supports assay sensitivity. At the same time, focused enrollment criteria and careful attention to the collection of adverse events for specified follow-up periods promote detection of toxicities and risks. These trials support a system, regulated by the US Food and Drug Administration (FDA) and other global regulators, that allows the majority of candidate therapies whose risks outweigh benefits for intended use to be screened out while enabling safe and effective medical products to advance to market. However, the next stage—after product development and marketing authorization are completed and a therapy is integrated into clinical practice—needs serious attention.
Abbasi AB , Curtis LH , Califf RM. Why Should the FDA Focus on Pragmatic Clinical Research? JAMA. Published online June 03, 2024. doi:10.1001/jama.2024.6227
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A cancer diagnosis and its treatment may be an especially isolating experience. Despite evidence that positive health behaviours can improve outcomes for people living with and beyond cancer (LWBC), no studies have examined associations between loneliness and different health behaviours in this population. This study aimed to describe the prevalence of loneliness in a large sample of UK adults LWBC and to explore whether loneliness was associated with multiple health behaviours.
Participants were adults (aged ≥ 18 years) diagnosed with breast, prostate or colorectal cancer who completed the Health and Lifestyle After Cancer Survey. Loneliness was reported using the UCLA loneliness score, dichotomised into higher ( ≥ 6) versus lower (< 6) loneliness. Engagement in moderate-to-vigorous physical activity, dietary intake, smoking status, alcohol use, and self-reported height and weight were recorded. Behaviours were coded to reflect meeting or not meeting the World Cancer Research Fund recommendations for people LWBC. Logistic regression analyses explored associations between loneliness and health behaviours. Covariates were age, sex, ethnicity, education, marital status, living situation, cancer type, spread and treatment, time since treatment, time since diagnosis and number of comorbid conditions. Multiple imputation was used to account for missing data.
5835 participants, mean age 67.4 (standard deviation = 11.8) years, completed the survey. 56% were female ( n = 3266) and 44% ( n = 2553) male, and 48% ( n = 2786) were living with or beyond breast cancer, 32% ( n = 1839) prostate, and 21% ( n = 1210) colorectal. Of 5485 who completed the loneliness scale, 81% ( n = 4423) of participants reported lower and 19% ( n = 1035) higher loneliness. After adjustment for confounders, those reporting higher levels of loneliness had lower odds of meeting the WCRF recommendations for moderate-to-vigorous physical activity (Odds Ratio [OR] 0.78, 95% Confidence Internal [CI], 0.67, 0.97, p =.028), fruit and vegetable intake (OR 0.81, CI 0.67, 1.00, p =.046), and smoking (OR 0.62, 0.46, 0.84, p =.003). No association was observed between loneliness and the other dietary behaviours, alcohol, or body mass index.
Loneliness is relatively common in people LWBC and may represent an unmet need. People LWBC who experience higher levels of loneliness may need additional support to improve their health behaviours.
Peer Review reports
There are over 3 million people living with and beyond a cancer diagnosis (LWBC) in the United Kingdom (UK) [ 1 ]. Assuming trends continue, this will increase by 1 million per decade to 2040 [ 2 ]. Similar increases have been observed in other developed countries [ 3 ]. As cancer survival rates continue to improve, it is crucial to ensure that people LWBC are supported to achieve the best quality of life, a key aim of cancer strategies [ 4 , 5 ]. Loneliness (the subjective negative experience of social isolation [ 6 , 7 ]) is an established risk factor for poorer health and higher mortality in the general population [ 8 , 9 , 10 , 11 ], and there is some indication that loneliness may result in worse outcomes after a cancer diagnosis [ 12 ].
In a meta-analysis of 87 prospective cohorts of cancer patients, factors associated with lower loneliness, such as greater social network size, higher perceived social support, and being married, were associated with 12–25% lower mortality, although a measure of loneliness itself was not included [ 13 ]. Furthermore, a synthesis of 20 qualitative studies identified sources of loneliness specifically related to a cancer diagnosis and treatments, including feeling alone in the experience, others’ avoidance of discussion about cancer, lack of understanding/misperceptions of cancer, lack of recognition of the impact of the side effects of treatment, and unmet needs in the healthcare system [ 14 ]. For instance, Rosedale described how women diagnosed with breast cancer reported that their healthy peers had difficulty grasping the magnitude of the challenges they faced. They described feeling left behind as others continued with their lives, resulting in feelings of loneliness, disconnectedness, and distress [ 15 ]. A meta-analysis of 15 observational studies describing the prevalence of loneliness after a cancer diagnosis found moderate prevalence and associations with a number of demographic and clinical factors [ 16 ]. However, the samples within the included studies were small (13/15 included ≤ 200 participants), and larger studies exploring loneliness after acute cancer treatment phases are needed.
Loneliness may impact health outcomes via both direct biological mechanisms and behavioural mechanisms [ 17 , 18 ]. For example, loneliness may have a negative impact on health behaviours in people LWBC and an ever-growing body of evidence suggests that healthier behaviours lead to better outcomes after a cancer diagnosis [ 19 , 20 , 21 , 22 ]. This has led a number of governing bodies, such as the World Cancer Research Fund and American Institute for Cancer Research (WCRF/AICR), to issue health behaviour guidance for those LWBC [ 23 , 24 ]. There is already evidence to suggest that some health behaviours worsen following a diagnosis of cancer and its treatments (e.g., decline in physical activity [ 25 , 26 ]), so negative effects could be exacerbated in lonelier people. However, data exploring associations between loneliness and health behaviours are mainly from the general population. A systematic review of 37 studies exploring the association between loneliness and physical activity, including healthy older adults and adolescents, found negative associations between physical activity and loneliness in 12 cross-sectional studies and one longitudinal study [ 27 ]. Although relationships are likely to be bidirectional, four prospective studies have found that people with higher levels of loneliness at baseline were less likely to be physically active at follow-up [ 28 , 29 , 30 , 31 ]. While Newall and colleagues reported that loneliness predicted perceived engagement in physical activity in a sample of 228 older adults, they also found that this relationship was moderated by happiness, suggesting that happiness may buffer against the negative effect of loneliness in this age group [ 29 ]. In a study of older adults taking part in the English Longitudinal Study of Ageing (ELSA), Kobayashi and Steptoe investigated the associations between social isolation and loneliness at baseline and engagement in health behaviours over 10 years [ 32 ]. After dichotomisation of health behaviours into meeting or failing to meet the public health recommendations, they observed that higher loneliness was associated with lower odds of meeting the recommendations for physical activity, smoking and body mass index (BMI), although the association between loneliness and health behaviours was lost after adjustment for sociodemographic variables [ 32 , 33 ]. Similarly, where Schrempf and colleagues examined how objective physical activity differs according to levels of social isolation and loneliness in ELSA, a negative association was observed between total physical activity counts and loneliness, although this was attenuated after adjusting for covariates [ 33 ]. Data exploring associations between loneliness and physical activity in people LWBC are lacking. In older breast cancer survivors, one prospective study found an inverse association between loneliness and physical activity over a five-year follow-up period [ 34 ], while another cross-sectional study found that lower social support and living alone was associated with lower levels of physical activity [ 35 ].
In addition to physical activity, there is also some evidence that loneliness can also impact health via smoking and poor dietary intake. A systematic review of studies on loneliness and smoking reported that over half of the 23 included studies observed an association between smoking and loneliness, and their results consistently demonstrated that lonely people were more likely to be smokers [ 36 ]. This association is likely to be bidirectional whereby smokers are also more likely to be lonely [ 37 ]. Despite qualitative data suggesting that experiencing loneliness may negatively impact eating habits in older adults [ 38 , 39 ], quantitative data exploring associations between loneliness and intake of different dietary components are lacking. Lastly, loneliness may impact body mass index (BMI) in people LWBC, as evidence from the general population suggests a complex association between loneliness and obesity due to factors such as weight-related stigma [ 40 , 41 ]. While there is conflicting evidence suggesting a BMI in the overweight range (25-29.9) may be associated with improved survival across some cancer types, explanations for this paradox have still yet to be established [ 42 , 43 ]. Acknowledging that this evidence is still inadequate to make specific recommendations with confidence, the WCRF recommends that people LWBC follow the guidelines published for healthy populations in maintaining a BMI in the healthy range (18.5–24.9), recognising that this is unlikely to be harmful to people LWBC who have completed treatment [ 42 ].
While the link between loneliness and health behaviours in this population remains underexplored, behaviour change theories such as social cognitive theory (SCT [ 44 ]) and the capability, opportunity, and motivation model of behaviour (COM-B [ 45 ]) can complement each other in providing us with possible explanations for this relationship. In line with SCT, it is plausible that individuals with LWBC experiencing loneliness may experience low self-efficacy attributed to feeling a loss of control over their health and how others react [ 14 ], and this lack of confidence can hinder their ability to engage in behaviours such as physical activity [ 46 ]. This is also emphasised by the COM-B model where reduced capability can erode the individual’s confidence and belief in their ability to perform positive health behaviours. Furthermore, the opportunity component of the COM-B model asserts that the environment must make the execution of the behaviour possible [ 45 ]. As lonelier people LWBC may have fewer supportive networks to encourage and facilitate participation in health-promoting behaviours, their opportunity to perform these behaviours can be limited [ 15 ].
The aims of the current study were to (i) describe the prevalence of loneliness in a large sample of LWBC in the UK and (ii) explore associations between loneliness and health behaviours while adjusting for sociodemographic and clinical factors.
The ‘Health and Lifestyle after Cancer’ survey was mailed to patients who had received a diagnosis of breast, prostate, or colorectal cancer between 2012 and 2015 at 10 participating National Health Service (NHS) hospital sites in London and Essex (United Kingdom). Dates of diagnosis for survey administration were chosen because the survey was also used to identify initial interest in the Advancing Survival after Cancer Outcomes Trial (ASCOT) (which included only patients who had completely primary curative treatment) [ 47 ]. Patients were identified by hospital staff and although primarily included patients diagnosed between 2012 and 2015, the final sample for the analysis included patients diagnosed with breast, prostate, or colorectal cancer outside of these dates (range: 1994–2017). As some participants had received a subsequent cancer diagnosis, the date of their most recent breast, prostate, or colorectal cancer diagnosis was reported and used in the analysis. This ranged between 2001 and 2017 in the final sample (mean time in months = 35.5, standard deviation (SD) = 13.6). Survey packs were sent between February 2015 and November 2017 and included a letter of invitation signed by the hospital consultant, a paper version of the survey, and a link to an online version. Participants completed the survey via their preferred method and returned it directly to the research team. Returned questionnaires were accepted until 4th January 2018. No data were collected on non-responders.
Inclusion criteria were adults ( ≥ 18 years) who had received a diagnosis of breast, prostate, or colorectal cancer in one of the participating hospitals. Survey exclusion criteria were intentionally minimal to make administration at hospital sites as low-burden as possible. Patients were only excluded if it was identified that they were deceased or if hospital staff deemed it inappropriate to send the patient a questionnaire for any other reason (e.g., they had previously requested not to be approached about participation in research).
This study received ethical approval from the NHS National Research Ethics Committee– South Central Oxford B (reference 14/SC/1369). The initial page of the survey stated that completion and return of the questionnaire meant giving consent for the anonymous collected data to be used in research on lifestyle in people diagnosed with cancer.
Age was recorded as a continuous variable (in years). Sex (male/female), highest level of education (no formal qualifications/General Certificate of Secondary Education,Vocational or equivalent/A-levelor equivalent/Bachelor’s Degree and above), marital status (married/divorced or separated or widowed or single), and living arrangements (alone/with others) were recorded. Ethnicity information was collected by 15 possible responses to the question “Which of these best describes your ethnic group?”. For cancer-related questions, participants were asked to answer in relation to their most recent cancer diagnosis, given the questionnaire was sent based on their diagnosis of breast, prostate, or colorectal cancer in 2012 or 2013. Participants were asked to report their cancer stage (1/2/3/4/don’t know), but because a high proportion (43%) didn’t know, ‘has your cancer spread’ (yes/no) was used as a proxy (after confirmation from an oncologist that this was acceptable). Cancer treatments (no treatment or active surveillance/surgery/surgery plus one other/other combination of treatment) and time since main treatment completed (< 1 year/1–5 years/on active surveillance) were reported. Time since diagnosis was calculated as the time between their most recent cancer diagnosis date and the date when the questionnaire was received back by the research team (in months). Participants self-reported their comorbidities from a pre-defined list including 15conditions (osteoporosis/diabetes/asthma/emotional or psychiatric illness/stroke/Parkinsons disease/Alzheimer’s disease or dementia/lung disease/arthritis/angina/heart attack/heart murmur/irregular heart rhythm/any other heart trouble/another cancer) and could report any ‘other’ comorbidities that were not present on the list. Total comorbidities were calculated by adding these together and where participants did not report having any of these conditions, this was interpreted as having no comorbidities. Self-reporting of comorbid conditions has shown a high level of accuracy when compared with medical records in people LWBC [ 48 , 49 ].
Loneliness was assessed using the 3-item short form of the Revised UCLA Loneliness Scale [ 50 ]. The UCLA scale has been the most commonly used to assess loneliness after cancer [ 16 ], and items in the short form are ‘How often do you feel you lack companionship?’, ‘How often do you feel left out?’ and ‘How often do you feel isolated from others?’ with response options: ‘1 = Hardly ever or never’, ‘2 = Some of the time’, and ‘3 = Often’. Scores for each item are summed to create a total loneliness score that can range from 3 to 9. Total scores were not normally distributed, so they were dichotomised to represent higher ( ≥ 6) and lower loneliness (< 6). This approach was taken in previous research in the English Longitudinal Study of Ageing [ 32 ], allowing for descriptive comparison of the prevalence of loneliness with a representative sample of older adults in the general population.
The guidelines for each behaviour for people LWBC were taken from the WCRF/AICR [ 4 ] and national UK guidelines, and these were coded as meeting vs. not meeting guidelines.
Weekly minutes of moderate to vigorous physical activity (MVPA) were assessed using the Godin Leisure Time Exercise Questionnaire (GLTEQ). The GLTEQ is the most commonly used self-report measure of activity in oncology and compares favourably to objective measures [ 51 , 52 , 53 ]. The questionnaire was modified to include a question about duration of activity to allow calculation of minutes of MVPA, which is a very common approach in oncology research [ 52 ]. MVPA was dichotomised as meeting ( ≥ 150 min/week) or not meeting (< 150 min/week) recommendations.
The validated Dietary Instrument for Nutrition Education Food Frequency Questionnaire (DINE FFQ) [ 54 ] was used to assess dietary intake including fibre and fat intake, with some food items updated to reflect those currently available and items amended to include red and processed meat estimation [ 47 ]. This measure has been previously validated in the general population [ 54 ] and was chosen after a review of validated food frequency questionnaires and a review of how diet has previously been assessed in people LWBC [ 47 ]. To estimate free sugar, the survey asked about consumption of sugary drinks and fruit juices [ 55 ] and included a custom-made question asking participants to write their total number of teaspoons of added sugar per day. Two items were included to measure the number of daily portions of fruit and vegetables [ 56 ]. This measure has demonstrated sufficient validity when compared against blood chemistry [ 56 , 57 ]. The cut-off scores for meeting the WCRF recommendations were as follows: fruit and vegetables (≥ 5 portions/day), fibre (≥ 30 g Association of Official Analytical Collaboration fibre [ 58 ]/day), free sugar (< 5% calories from free sugars/day), fat (< 33% total energy), red meat (< 500 g/week), and processed meat (none). The scoring system implemented for operationalising meeting or not meeting the recommendations has been described previously [ 59 ].
Smoking status was collected with a single item from the Health Survey for England to categorise participants as current smokers (not meeting) or non-smokers (meeting) [ 60 ]. Alcohol consumption was self-reported with two items (How often do you have a drink containing alcohol?; How many units of alcohol do you drink on a typical day when you are drinking?), adapted from The Alcohol Use Disorders Identifcation Test consumption questions (AUDIT-C [ 61 ]) which were calculated into an estimate of the average number of units consumed per week. The use of the AUDIT in its original and reduced form has been validated across different contexts and cultures [ 62 ]. Meeting or not meeting this recommendation was operationalised based on the national UK guidelines for alcohol consumption of not exceeding more than 14 units of alcohol per week [ 63 ].
BMI was calculated from participants’ self-reported height and weight. Participants were classified into the following categories: underweight, healthy, overweight, or obese [ 64 ]. Meeting the WCRF recommendation for BMI was operationalised as being classified into the healthy weight category (18.5–24.9 kg/m 2 ).
Demographic and clinical variables that have previously been associated with loneliness and/or health behaviours were included as covariates [ 16 , 65 , 66 , 67 , 68 , 69 , 70 , 71 ]. This included age, sex, level of education, marital status, and living arrangements. Ethnicity was dichotomised (white/any other ethnicity) due to a very high proportion reporting being white (90%). ‘Has your cancer spread’ was used as a proxy to determine cancer stage. Type of cancer, type of treatment, time since diagnosis, time since completion of main treatment, and number of reported comorbidities were also included.
IBM Statistical Package for the Social Sciences (SPSS) version 26 was used [ 72 ]. Descriptive statistics were used to present participant characteristics and to describe the proportion of people reporting higher versus lower loneliness (Aim i).
Missing value analysis found that 5.5% of 518,348 values were missing and that 27.8% of 5,835 cases had at least 1 piece of missing data. Multiple imputation with 20 iterations was conducted to account for missing data [ 73 ].
To examine whether loneliness was associated with health behaviours (Aim ii), a series of binary logistic regressions were run with loneliness as the exposure, each WCRF health behaviour recommendation as the outcome and adjusting for all covariates. To avoid the ‘Table 2 fallacy’ [ 74 ], only the odds ratio (OR) and 95% confidence interval (CI) for the associations between exposure and outcomes are presented here. Regression analyses were repeated in the non-imputed original data to explore whether findings were similar.
A total of 13,645 surveys were sent, and 5835 were returned (43%response rate). No data were collected on non-responders.
Demographic and clinical characteristics are presented in Table 1 . Participants mean age was 67 years (SD = 12, range 26–97). 44% ( n = 2553) were male and 56% ( n = 3266) were female. 48% ( n = 2786) were living with or beyond breast cancer, 32% ( n = 1839) prostate and 21% ( n = 1210) colorectal.
Descriptive data for loneliness and health behaviours are presented in Table 2 . 76% ( n = 4423) participants reported lower loneliness, and 18% ( n = 1035) reported higher loneliness. 377 participants (7%) had missing data. Of the 5485 participants who completed the loneliness scale, 81% ( n = 4423) reported lower and 19% (1035) reported higher loneliness. A descriptive comparison of those with complete data versus imputed data is presented in Additional file 1 .
Pooled (20 iterations) associations between loneliness and health behaviours are presented in Table 3 . After adjustment for covariates, those reporting higher levels of loneliness had lower odds of meeting the WCRF recommendations for MVPA (OR 0.78, 95% CI 0.67, 0.97), fruit and vegetables (OR 0.81, CI 0.67, 1.00), and smoking (OR 0.62, 0.46, 0.84), but not other dietary recommendations (fibre, red or processed meat, sugar, fat– OR and CIs presented in Table 3 ), alcohol (OR 0.89, CI 0.67, 1.19) or BMI (0.79, CI 0.46, 1.16).
Logistic regression analyses with the complete case data showed similar associations to the imputed data (see Additional file 1 ).
In this sample of 5835 people LWBC, 76% reported experiencing lower levels of loneliness, while 18% reported higher loneliness. Individuals who reported higher levels of loneliness were less likely to meet the WCRF recommendations for MVPA, fruit and vegetable intake, and smoking (i.e. they are less likely to do the recommended levels of activity (150 min a week), they are less likely to eat 5 portions of fruit and vegetables a day and they are more likely to be smokers). No association was observed between loneliness and meeting the recommendations for fibre, red or processed meat, fat, sugar, or alcohol and BMI.
The results of this study demonstrate slightly lower levels of loneliness in people diagnosed with breast, prostate, or colorectal cancer than previous studies conducted in people LWBC (22-36%) [ 75 , 76 ]. This discrepancy might be attributed to the dichotomisation of UCLA scores in this study, resulting in an arbitrary definition of being lonely or not lonely. It therefore is not directly comparable to other studies using different scales and thresholds, for example, De Boer and colleague’s study in breast cancer patients used the De Jong Gierveld Scale [ 66 ], where a score above three was interpreted to mean experiencing loneliness [ 76 ]. However, where the same scale and threshold for loneliness was applied in the general population in the UK, the prevalence of loneliness in people LWBC was similar (16%; [ 32 ]). Differences in the prevalence of loneliness may also be attributed to the timing of the study, with the majority (70%) of participants being 1 to 5 years post finishing their primary treatment. Loneliness levels are likely to fluctuate considerably within this period, with loneliness scores in studies conducted during or just after initial treatment for cancer being significantly lower than loneliness scores in studies conducted in participants more than a year after diagnosis [ 16 ]. This finding is also supported by qualitative research [ 15 , 77 ] and may be attributed to the plausible increase in social support in the period immediately after diagnosis and initial treatment [ 75 ].
Although the effect size observed was small, the results of this study converge with previous research reporting a decreased likelihood of engaging in physical activity in people who report higher levels of loneliness [ 18 ] and extend sparse findings of an association between loneliness and physical activity in people LWBC [ 34 , 35 ]. Lemij and colleagues' study in older women (aged 70+) diagnosed with breast cancer reported that increasing loneliness was associated with lower levels of physical activity over time [ 46 ]. Although the current study used a different approach to dichotomise physical activity and loneliness, the results still support this inverse association in a younger, larger sample of adults diagnosed with breast, prostate, or colorectal cancer. This is important because there is strong evidence of improved outcomes for people LWBC who engage in higher levels of physical activity, including increased chances of survival and improvements in psychosocial outcomes [ 20 , 78 , 79 ]. Although this study was cross-sectional, it has identified a need for the consideration of psychosocial variables such as loneliness in efforts to increase physical activity in this population. While physical activity interventions in oncology often include a social component and encourage social support [ 80 , 81 ], a more targeted approach may be needed to address the subjective experience of loneliness. Given the distinction between social isolation and loneliness, efforts to increase social contact and social support may not necessarily address aspects of loneliness, including sense of belonging and feeling cared for by others [ 82 ]. Supporting this, Dowd and colleagues reported that an intervention where physical activity was framed as being beneficial for both health and social skills led to increased engagement in physical activity while simultaneously improving loneliness in university students [ 83 ]. The results of the current study provide scope for investigating whether this type of interventional approach may also show promise in people LWBC.
The WCRF recommends that people LWBC follow a healthy diet by adhering to the published dietary recommendations for primary cancer prevention [ 23 ]. To the authors’ knowledge, this is the first study to quantitatively explore loneliness and specific dietary component intake in people LWBC and highlights that experiencing loneliness may contribute to making poorer dietary choices. Given the sparse evidence base, more research is needed to understand the potential reasons for a lack of association between loneliness and meeting the recommendations for red and processed meat, fat, fibre, and alcohol. In the current study, this may be due to the limited variation in the sample, with a high percentage of participants meeting some of the recommendations (e.g., red meat and alcohol). Loneliness was associated with fruit and vegetable consumption in this sample, where participants who reported experiencing higher levels of loneliness were less likely to meet this dietary recommendation. However, it is important to note that this effect size was small, and the confidence intervals suggest that the impact of loneliness on intake of fruit and vegetable may be relatively weak. Richard and colleagues’ also found that lonelier men and women in a Swiss national survey had worse adherence to the recommendations for fruit and vegetables, although their study measured adherence using a subjective question on whether they perceive that they meet the recommendations, rather than being calculated from a food frequency questionnaire [ 84 ]. The observed association in this study is small, but diverges from Kobayashi and colleagues’ finding of no relationship between meeting the fruit and vegetable recommendations and loneliness in the UK general population [ 32 ], and instead suggests that people diagnosed with cancer may be particularly susceptible to the negative impact of loneliness on their eating behaviours. More research is needed to investigate the potential mechanisms that underlie this relationship, to ultimately inform targeted intervention design in this population.
Our finding that loneliness was associated with smoking in people LWBC is in line with findings from a systematic review of loneliness and smoking, whereby lonely people were more likely to be smokers [ 36 ]. More recently, this association has also been found in a longitudinal analysis of the UK Biobank data, where Eloivaino and colleagues reported that smoking, alcohol, and physical activity accounted for 32-54% of the excess risk of mortality associated with loneliness in the general population [ 85 ]. Furthermore, previous research indicates a bidirectional association, where smokers are also more likely to experience higher loneliness over time [ 37 ]. In the current study, the possibility of reverse causality in associations between loneliness and health behaviours cannot be ruled out. Specifically, it is possible that loneliness may be influenced by engagement in certain health behaviours. However, with the available cross-sectional data, it is challenging to determine the temporal ordering to provide a more comprehensive understanding of causality in the observed associations. In any case, bidirectional evidence suggests a vicious cycle wherein loneliness and unfavourable health behaviours reinforce one another [ 27 , 36 , 37 ]. Further research, particularly longitudinal studies, is needed to unravel the complexities of the relationship between loneliness and health behaviours and to understand the directionality and underlying mechanisms involved. Using a longitudinal design would also help identify if there are critical periods where loneliness may be particularly influential on health behaviours. This is particularly important for this population as people LWBC move between the phases of diagnosis, treatment, and survivorship and each of these phases present unique demands and challenges to the individual [ 86 ].
The mechanisms linking loneliness and health behaviours remain relatively unexplored, but it is important to acknowledge the potential mediating role of depression. Loneliness and depression are considered to be reciprocally associated [ 9 , 87 ], therefore, it may be that depression lies on a causal pathway where negative affect resulting from loneliness impacts health behaviours [ 32 ]. As the data were cross-sectional, no mediation analysis was conducted and accordingly, depression was not included in the model as it was deemed inappropriate to control for potential mediators [ 88 , 89 ]. Additionally, social interactions and norms can shape health behaviours and lonelier people may not be as exposed to others engaging in practices such as healthy eating and exercise due to reduced social engagement [ 90 , 91 ]. In line with the recognition of the social environment in SCT [ 44 ] and the opportunity component of the COM-B model [ 45 ], studies in both the general population and people LWBC have demonstrated that witnessing health-promoting behaviours is associated with increased likelihood of engaging in these behaviours [ 92 , 93 , 94 , 95 ]. Lastly, as demonstrated in Newall and colleagues’ study in the general population, happiness may moderate this association whereby higher levels of happiness may weaken the association between loneliness and unhealthy behaviours [ 29 ]. This may be attributed to the broadening influence of positive emotions, which can counteract the negative impact of loneliness [ 29 , 96 ]. Future research should employ qualitative methods to uncover the nuances in these associations and to explore potential mechanisms. For example, qualitative interviews with a sample of people with type 2 diabetes revealed reduced motivation due to loneliness and reduced social contact inhibited engagement in physical activity during the COVID-19 pandemic [ 97 ].
The results of this study can inform policy and practice by directing support toward the creation of environments that promote social connections and reduce loneliness in this population. Addressing loneliness is a key part of public health agendas with strategies such as social prescribing being implemented into the NHS Long Term Plan [ 98 ]. This type of approach aims to combat loneliness by enabling individuals to co-develop solutions to help them cope with their health, while developing connections with communities and building social engagement [ 99 , 100 ]. The impact of this approach on reducing the negative effect of loneliness on health behaviours has yet to be explored in people LWBC, but combining strategies that target both elements simultaneously shows promise in this population [ 101 ].
Strengths of the study include the use of multiple imputation to overcome any bias or loss of statistical power introduced by only performing complete case analyses [ 102 ]. Despite limitations in establishing causality, a strength of the cross-sectional design of this study is that it allowed for the identification of a new area of inquiry that requires attention, and the observed associations can help inform theory development and intervention design [ 103 , 104 ]. While the ease with which a self-report survey can be distributed to many people is a strength of this type of research, the validity of health research can be threatened by selection biases [ 105 ]. In this study, 43% of those sent the initial letter completed the survey. Previous research has demonstrated that people who agree to take part in questionnaire asking about their health behaviours often demonstrate a higher interest in their health and improving health behaviours [ 106 , 107 ]. Therefore, selection biases may threaten the generalisability of our findings. Limitations of this study also include that this was not an ethnically diverse sample of LWBC, with 90% of participants identifying as white. Another limitation was the use of self-report for recording health behaviours, which might be subject to recall errors and social desirability [ 108 ]. Additionally, inherent in research is the limitation of unmeasured confounders that may have contributed to the results. In this study, direct measures of socioeconomic position (e.g., level of income) were not included in the survey and regression model. However, the observed associations remained even after controlling for education level, a variable that has been previously identified as the strongest independent predictor of health behaviours among people LWBC out of three variables indicative of socioeconomic position (including household income and occupation type) [ 109 ]. Lastly, some dietary instruments were custom-made for this study, for example, the free sugar measure and this may threaten their validity. However, any adaptations were made based on a review of available measures alongside the main components of the UK diet [ 47 ], and modifications were made to validated measures used in previous population level research [ 54 , 110 ].
This study reports a similar prevalence of loneliness in people diagnosed with breast, prostate, and colorectal cancer in the UK to that observed in the general population and identifies the need to consider the impact of loneliness on health behaviours in this population. Given the associations between loneliness and physical activity, smoking, and fruit and vegetable consumption, future studies should aim to explore the factors predicting higher levels of loneliness in this population, to identify the people LWBC who are most at risk. Additionally, the mechanisms that might explain the association between loneliness and these health behaviours remain unexplored and future research and care would benefit from exploring why these relationships exist. Particularly following the COVID-19 pandemic and the associated heightened prevalence of loneliness among LWBC [ 111 , 112 ], future research should aim to take a holistic view of the cancer experience and target aspects of loneliness in health behaviour intervention design.
The datasets used and/or analysed during the current study are available from the corresponding author upon reasonable request.
American Institute for Cancer Research
Alcohol Use Disorders Identification Test consumption questions
body mass index
confidence interval
Dietary Instrument for Nutrition Education Food Frequency Questionnaire
English longitudinal Study of Ageing
General Certificate of Secondary Education
Godin leisure time exercise questionnaire
living with and beyond cancer
moderate-to-vigorous physical activity
National Health Service
Statistical Package for Social Sciences
United Kingdom
World Cancer Research Fund
Macmillan Cancer Support. Statistics fact sheet 2022 [Available from: https://www.macmillan.org.uk/dfsmedia/1a6f23537f7f4519bb0cf14c45b2a629/9468-10061/2022-cancer-statistics-factsheet .
Maddams J, Utley M, Møller H. Projections of cancer prevalence in the United Kingdom, 2010–2040. Br J Cancer. 2012;107(7):1195–202. https://doi.org/10.1038/bjc.2012.366 .
Article CAS PubMed PubMed Central Google Scholar
Cancer Council Australia. Facts and figures. Cancer statistics in Australia 2023 [Available from: https://www.cancer.org.au/cancer-information/what-is-cancer/facts-and-figures .
Independent Cancer Taskforce. Achieving world-class cancer outcomes: a strategy for england 2015–2020. 2016.
NHS. The NHS Long Term Plan. 2019.
Steptoe A, Shankar A, Demakakos P, Wardle J. Social isolation, loneliness, and all-cause mortality in older men and women. Proc Natl Acad Sci U S A. 2013;110(15):5797–801. https://doi.org/10.1073/pnas.1219686110 .
Article CAS PubMed PubMed Central ADS Google Scholar
Prohaska T, Burholt V, Burns A, Golden J, Hawkley L, Lawlor B, et al. Consensus statement: loneliness in older adults, the 21st century social determinant of health? BMJ Open. 2020;10(8):e034967. https://doi.org/10.1136/bmjopen-2019-034967 .
Article PubMed PubMed Central Google Scholar
Cacioppo JT, Hawkley LC, Crawford LE, Ernst JM, Burleson MH, Kowalewski RB, et al. Loneliness and health: potential mechanisms. Psychosom Med. 2002;64(3):407–17. https://doi.org/10.1097/00006842-200205000-00005 .
Article PubMed Google Scholar
Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA. Loneliness as a specific risk factor for depressive symptoms: cross-sectional and longitudinal analyses. Psychol Aging. 2006;21(1):140–51. https://doi.org/10.1037/0882-7974.21.1.140 .
Shankar A, Hamer M, McMunn A, Steptoe A. Social isolation and loneliness: relationships with cognitive function during 4 years of follow-up in the English Longitudinal Study of Ageing. Psychosom Med. 2013;75(2):161–70. https://doi.org/10.1097/PSY.0b013e31827f09cd .
Hawkley LC, Thisted RA, Masi CM, Cacioppo JT. Loneliness predicts increased blood pressure: 5-year cross-lagged analyses in middle-aged and older adults. Psychol Aging. 2010;25(1):132–41. https://doi.org/10.1037/a0017805 .
Konski AA, Pajak TF, Movsas B, Coyne J, Harris J, Gwede C, et al. Disadvantage of men living alone participating in Radiation Therapy Oncology Group head and neck trials. J Clin Oncol. 2006;24(25):4177–83. https://doi.org/10.1200/jco.2006.06.2901 .
Pinquart M, Duberstein PR. Associations of social networks with cancer mortality: a meta-analysis. Crit Rev Oncol Hematol. 2010;75(2):122–37. https://doi.org/10.1016/j.critrevonc.2009.06.003 .
Raque-Bogdan TL, Lamphere B, Kostiuk M, Gissen M, Beranek M. Unpacking the layers: a meta-ethnography of cancer survivors’ loneliness. J Cancer Surviv. 2019;13(1):21–33. https://doi.org/10.1007/s11764-018-0724-6 .
Rosedale M. Survivor loneliness of women following breast cancer. Number 2/March 2009. 2009;36(2):175–83.
Google Scholar
Deckx L, van den Akker M, Buntinx F. Risk factors for loneliness in patients with cancer: a systematic literature review and meta-analysis. Eur J Oncol Nurs. 2014;18(5):466–77. https://doi.org/10.1016/j.ejon.2014.05.002 .
Hackett RA, Hamer M, Endrighi R, Brydon L, Steptoe A. Loneliness and stress-related inflammatory and neuroendocrine responses in older men and women. Psychoneuroendocrinology. 2012;37(11):1801–9. https://doi.org/10.1016/j.psyneuen.2012.03.016 .
Article CAS PubMed Google Scholar
Shankar A, McMunn A, Banks J, Steptoe A. Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychol. 2011;30(4):377–85. https://doi.org/10.1037/a0022826 .
Ergas IJ, Cespedes Feliciano EM, Bradshaw PT, Roh JM, Kwan ML, Cadenhead J, et al. Diet quality and breast Cancer recurrence and survival: the pathways Study. JNCI Cancer Spectrum. 2021;5(2). https://doi.org/10.1093/jncics/pkab019 .
Friedenreich CM, Stone CR, Cheung WY, Hayes SC. Physical activity and mortality in Cancer survivors: a systematic review and Meta-analysis. JNCI Cancer Spectr. 2020;4(1):pkz080. https://doi.org/10.1093/jncics/pkz080 .
Buffart LM, Kalter J, Sweegers MG, Courneya KS, Newton RU, Aaronson NK, et al. Effects and moderators of exercise on quality of life and physical function in patients with cancer: an individual patient data meta-analysis of 34 RCTs. Cancer Treat Rev. 2017;52:91–104. https://doi.org/10.1016/j.ctrv.2016.11.010 .
Wang Y, Tao H, Paxton RJ, Wang J, Mubarik S, Jia Y, et al. Post-diagnosis smoking and risk of cardiovascular, cancer, and all-cause mortality in survivors of 10 adult cancers: a prospective cohort study. Am J Cancer Res. 2019;9(11):2493–514.
World Cancer Research Fund/American Institute for Cancer Research. Diet, nutrition, Physical Activity and Cancer: a Global perspective. Continuous Update Project Expert Report 2018. 2018.
World Cancer Research Fund/American Institute for Cancer Research. Food, Nutrition, Physical Activity, and the Prevention of Cancer: A Global Perspective. Washington, DC; 2007.
Turner RR, Steed L, Quirk H, Greasley RU, Saxton JM, Taylor SJ, et al. Interventions for promoting habitual exercise in people living with and beyond cancer. Cochrane Database Syst Rev. 2018;9:CD010192. https://doi.org/10.1002/14651858.CD010192.pub3 .
Irwin ML, Ainsworth BE. Physical activity interventions following cancer diagnosis: methodologic challenges to delivery and assessment. Cancer Invest. 2004;22(1):30–50.
Pels F, Kleinert J. Loneliness and physical activity: a systematic review. Int Rev Sport Exerc Psychol. 2016;9(1):231–60. https://doi.org/10.1080/1750984X.2016.1177849 .
Article Google Scholar
Hawkley LC, Thisted RA, Cacioppo JT. Loneliness predicts reduced physical activity: cross-sectional & longitudinal analyses. Health Psychol. 2009;28(3):354–63. https://doi.org/10.1037/a0014400 .
Newall NE, Chipperfield JG, Bailis DS, Stewart TL. Consequences of loneliness on physical activity and mortality in older adults and the power of positive emotions. Health Psychol. 2013;32(8):921–4. https://doi.org/10.1037/a0029413 .
Theeke LA. Sociodemographic and health-related risks for loneliness and outcome differences by loneliness status in a sample of U.S. older adults. Res Gerontol Nurs. 2010;3(2):113–25. https://doi.org/10.3928/19404921-20091103-99 .
Luo Y, Waite LJ. Loneliness and mortality among older adults in China. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2014;69(4):633–45.
Kobayashi LC, Steptoe A. Social isolation, loneliness, and Health behaviors at older ages: Longitudinal Cohort Study. Ann Behav Med. 2018;52(7):582–93. https://doi.org/10.1093/abm/kax033 .
Schrempft S, Jackowska M, Hamer M, Steptoe A. Associations between social isolation, loneliness, and objective physical activity in older men and women. BMC Public Health. 2019;19(1):74. https://doi.org/10.1186/s12889-019-6424-y .
Lemij AA, Liefers GJ, Derks MGM, Bastiaannet E, Fiocco M, Lans TE, et al. Physical function and physical activity in older breast Cancer survivors: 5-Year Follow-Up from the climb every mountain study. Oncologist. 2023;28(6):e317–e23. https://doi.org/10.1093/oncolo/oyad027 .
Krok-Schoen JL, Pennell ML, Saquib N, Naughton M, Zhang X, Shadyab AH, et al. Correlates of physical activity among older breast cancer survivors: findings from the women’s Health Initiative LILAC study. J Geriatr Oncol. 2022;13(2):143–51. https://doi.org/10.1016/j.jgo.2021.11.012 .
Dyal SR, Valente TW. A systematic review of loneliness and smoking: small effects, Big implications. Subst Use Misuse. 2015;50(13):1697–716. https://doi.org/10.3109/10826084.2015.1027933 .
Philip KEJ, Bu F, Polkey MI, Brown J, Steptoe A, Hopkinson NS, et al. Relationship of smoking with current and future social isolation and loneliness: 12-year follow-up of older adults in England. Lancet Reg Health - Europe. 2022;14:100302. https://doi.org/10.1016/j.lanepe.2021.100302 .
Whitelock E, Ensaff H. On Your Own: Older Adults’ Food Choice and Dietary Habits. Nutrients. 2018;10(4). https://doi.org/10.3390/nu10040413 .
Bloom I, Lawrence W, Barker M, Baird J, Dennison E, Sayer AA, et al. What influences diet quality in older people? A qualitative study among community-dwelling older adults from the Hertfordshire Cohort Study, UK. Public Health Nutr. 2017;20(15):2685–93. https://doi.org/10.1017/s1368980017001203 .
Jung FU, Luck-Sikorski C. Overweight and lonely? A Representative Study on loneliness in obese people and its determinants. Obes Facts. 2019;12(4):440–7. https://doi.org/10.1159/000500095 .
Jones RA, Christiansen P, Maloney NG, Duckworth JJ, Hugh-Jones S, Ahern AL, et al. Perceived weight-related stigma, loneliness, and mental wellbeing during COVID-19 in people with obesity: a cross-sectional study from ten European countries. Int J Obes. 2022;46(12):2120–7. https://doi.org/10.1038/s41366-022-01220-1 .
World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Expert Report. Diet, nutrition, physical activity and breast cancer. 2018.
Tu H, McQuade JL, Davies MA, Huang M, Xie K, Ye Y, et al. Body mass index and survival after cancer diagnosis: a pan-cancer cohort study of 114 430 patients with cancer. The Innovation. 2022;3(6):100344. https://doi.org/10.1016/j.xinn.2022.100344 .
Bandura A. Social cognitive theory: an agentic perspective. Ann Rev Psychol. 2001;52(1):1–26.
Article MathSciNet CAS Google Scholar
Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81–95. https://doi.org/10.1007/s12160-013-9486-6 .
Weemaes ATR, Sieben JM, Beelen M, Mulder LTMA, Lenssen AF. Determinants of physical activity maintenance and the acceptability of a remote coaching intervention following supervised exercise oncology rehabilitation: a qualitative study. J Cancer Surviv. 2023. https://doi.org/10.1007/s11764-023-01455-5 .
Beeken RJ, Croker H, Heinrich M, Smith L, Williams K, Hackshaw A, et al. Study protocol for a randomised controlled trial of brief, habit-based, lifestyle advice for cancer survivors: exploring behavioural outcomes for the advancing Survivorship Cancer outcomes Trial (ASCOT). BMJ Open. 2016;6(11):e011646. https://doi.org/10.1136/bmjopen-2016-011646 .
Ye F, Moon DH, Carpenter WR, Reeve BB, Usinger DS, Green RL, et al. Comparison of Patient Report and Medical Records of Comorbidities results from a Population-based cohort of patients with prostate Cancer. Jama Oncol. 2017;3(8):1035–42. https://doi.org/10.1001/jamaoncol.2016.6744 .
Vigen C, Kwan ML, John EM, Gomez SL, Keegan TH, Lu Y, et al. Validation of self-reported comorbidity status of breast cancer patients with medical records: the California breast Cancer Survivorship Consortium (CBCSC). Cancer Causes Control. 2016;27(3):391–401. https://doi.org/10.1007/s10552-016-0715-8 .
Hughes ME, Waite LJ, Hawkley LC, Cacioppo JT. A short scale for measuring loneliness in large surveys: results from two Population-Based studies. Res Aging. 2004;26(6):655–72. https://doi.org/10.1177/0164027504268574 .
Amireault S, Godin G. The Godin-Shephard leisure-time physical activity questionnaire: validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories. Percept Mot Skills. 2015;120(2):604–22. https://doi.org/10.2466/03.27.PMS.120v19x7 .
Amireault S, Godin G, Lacombe J, Sabiston CM. The use of the Godin-Shephard leisure-time physical activity questionnaire in oncology research: a systematic review. BMC Med Res Methodol. 2015;15:60. https://doi.org/10.1186/s12874-015-0045-7 .
Amireault S, Godin G, Lacombe J, Sabiston CM. Validation of the Godin-Shephard leisure-time physical activity questionnaire classification coding system using accelerometer assessment among breast cancer survivors. J Cancer Surviv. 2015;9(3):532–40. https://doi.org/10.1007/s11764-015-0430-6 .
Roe L, Strong C, Whiteside C, Neil A, Mant D. Dietary intervention in primary care: validity of the DINE method for diet assessment. Fam Pract. 1994;11(4):375–81. https://doi.org/10.1093/fampra/11.4.375 .
McGowan L, Cooke LJ, Gardner B, Beeken RJ, Croker H, Wardle J. Healthy feeding habits: efficacy results from a cluster-randomized, controlled exploratory trial of a novel, habit-based intervention with parents. Am J Clin Nutr. 2013;98(3):769–77. https://doi.org/10.3945/ajcn.112.052159 .
Cappuccio FP, Rink E, Perkins-Porras L, McKay C, Hilton S, Steptoe A. Estimation of fruit and vegetable intake using a two-item dietary questionnaire: a potential tool for primary health care workers. Nutr Metab Cardiovasc Dis. 2003;13(1):12–9. https://doi.org/10.1016/s0939-4753(03)80163-1 .
Steptoe A, Perkins-Porras L, McKay C, Rink E, Hilton S, Cappuccio FP. Behavioural counselling to increase consumption of fruit and vegetables in low income adults: randomised trial. BMJ. 2003;326(7394):855. https://doi.org/10.1136/bmj.326.7394.855 .
Public Health England. Scientific Advisory Committee on Nutrition: carbohydrates and health report. Public Health England under license from the Controller of Her Majesty's?.... 2015.
Kennedy F, Lally P, Miller NE, Conway RE, Roberts A, Croker H, et al. Fatigue, quality of life and associations with adherence to the World Cancer Research Fund guidelines for health behaviours in 5835 adults living with and beyond breast, prostate and colorectal cancer in England: a cross-sectional study. Cancer Med. 2023;12(11):12705–16. https://doi.org/10.1002/cam4.5899 .
Craig R, Mindell J, Hirani V. Health Survey for England 2008. Volume 1: physical activity and fitness. London: The Health and Social Care Information Centre. NHS; 2009.
Bush K, Kivlahan DR, McDonell MB, Fihn SD, Bradley KA. The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use disorders Identification Test. Arch Intern Med. 1998;158(16):1789–95. https://doi.org/10.1001/archinte.158.16.1789 .
de Meneses-Gaya C, Zuardi AW, Loureiro SR, Crippa JAS. Alcohol Use disorders Identification Test (AUDIT): an updated systematic review of psychometric properties. Psychol Neurosci. 2009;2(1):83–97. https://doi.org/10.3922/j.psns.2009.1.12 .
Department of Health and Social Care. UK chief medical officer’s low risk drinking guidelines. 2016.
World Health Organisation. Physical Status: The use and interpretation of anthropometry; Report of a WHO Expert Committee. Geneva; 1995.
Yang K, Victor C. Age and loneliness in 25 European nations. Ageing Soc. 2011;31(8):1368–88.
De Jong Gierveld J, Van Tilburg T. The De Jong Gierveld short scales for emotional and social loneliness: tested on data from 7 countries in the UN generations and gender surveys. Eur J Ageing. 2010;7(2):121–30. https://doi.org/10.1007/s10433-010-0144-6 .
Barreto M, Victor C, Hammond C, Eccles A, Richins MT, Qualter P. Loneliness around the world: age, gender, and cultural differences in loneliness. Pers Indiv Differ. 2021;169:110066. https://doi.org/10.1016/j.paid.2020.110066 .
Cornelius ME, Loretan CG, Jamal A, Davis Lynn BC, Mayer M, Alcantara IC, et al. Tobacco product use among adults– United States, 2021. MMWR Morbidity and Mortality Weekly Report. 2023;72(18):475–83. https://doi.org/10.15585/mmwr.mm7218a1 .
Herbec A, Schneider V, Fisher A, Kale D, Shahab L, Lally P. Correlates of and changes in aerobic physical activity and strength training before and after the onset of COVID-19 pandemic in the UK: findings from the HEBECO study. BMJ Open. 2022;12(6):e054029. https://doi.org/10.1136/bmjopen-2021-054029 .
Dibble KE, Connor AE. Evaluation of disparities in maintaining healthy lifestyle behaviors among female cancer survivors by race/ethnicity and US nativity. Cancer Epidemiol. 2022;80:102235. https://doi.org/10.1016/j.canep.2022.102235 .
Bourassa KJ, Ruiz JM, Sbarra DA. Smoking and physical activity explain the increased mortality risk following marital separation and divorce: evidence from the English Longitudinal Study of Ageing. Ann Behav Med. 2019;53(3):255–66. https://doi.org/10.1093/abm/kay038 .
IBM Corp. IBM SPSS Statistics for Windows Version 26.0. Armonk, NY2019.
He Y. Missing data analysis using multiple imputation: getting to the heart of the matter. Circulation Cardiovasc Qual Outcomes. 2010;3(1):98–105. https://doi.org/10.1161/circoutcomes.109.875658 .
Westreich D, Greenland S. The table 2 fallacy: presenting and interpreting confounder and modifier coefficients. Am J Epidemiol. 2013;177(4):292–8. https://doi.org/10.1093/aje/kws412 .
Deckx L, van den Akker M, van Driel M, Bulens P, van Abbema D, Tjan-Heijnen V, et al. Loneliness in patients with cancer: the first year after cancer diagnosis. Psycho-oncology. 2015;24(11):1521–8. https://doi.org/10.1002/pon.3818 .
de Boer AZ, Derks MGM, de Glas NA, Bastiaannet E, Liefers GJ, Stiggelbout AM, et al. Metastatic breast cancer in older patients: a longitudinal assessment of geriatric outcomes. J Geriatric Oncol. 2020;11(6):969–75. https://doi.org/10.1016/j.jgo.2020.04.002 .
Ekwall E, Ternestedt B-M, Sorbe B. Recurrence of ovarian Cancer-living in Limbo. Cancer Nurs. 2007;30(4):270–7. https://doi.org/10.1097/01.NCC.0000281729.10362.3a .
Aune D, Markozannes G, Abar L, Balducci K, Cariolou M, Nanu N, et al. Physical activity and Health-Related Quality of Life in women with breast Cancer: a Meta-analysis. JNCI Cancer Spectrum. 2022;6(6). https://doi.org/10.1093/jncics/pkac072 .
Mishra SI, Scherer RW, Geigle PM, Berlanstein DR, Topaloglu O, Gotay CC, et al. Exercise interventions on health-related quality of life for cancer survivors. Cochrane Database of Systematic Reviews. 2012;8:CD007566. https://doi.org/10.1002/14651858.CD007566.pub2 .
Salisbury CE, Hyde MK, Cooper ET, Stennett RC, Gomersall SR, Skinner TL. Physical activity behaviour change in people living with and beyond cancer following an exercise intervention: a systematic review. J Cancer Surviv. 2023;17(3):569–94. https://doi.org/10.1007/s11764-023-01377-2 .
Grimmett C, Corbett T, Brunet J, Shepherd J, Pinto BM, May CR, et al. Systematic review and meta-analysis of maintenance of physical activity behaviour change in cancer survivors. Int J Behav Nutr Phys Act. 2019;16(1):37. https://doi.org/10.1186/s12966-019-0787-4 .
O’Rourke HM, Collins L, Sidani S. Interventions to address social connectedness and loneliness for older adults: a scoping review. BMC Geriatr. 2018;18(1):214. https://doi.org/10.1186/s12877-018-0897-x .
Dowd AJ, Schmader T, Sylvester BD, Jung ME, Zumbo BD, Martin LJ, et al. Effects of Social Belonging and Task Framing on Exercise cognitions and Behavior. J Sport Exerc Psychol. 2014;36(1):80–92. https://doi.org/10.1123/jsep.2013-0114 .
Richard A, Rohrmann S, Vandeleur CL, Schmid M, Barth J, Eichholzer M. Loneliness is adversely associated with physical and mental health and lifestyle factors: results from a Swiss national survey. PLoS ONE. 2017;12(7):e0181442. https://doi.org/10.1371/journal.pone.0181442 .
Elovainio M, Hakulinen C, Pulkki-Råback L, Virtanen M, Josefsson K, Jokela M, et al. Contribution of risk factors to excess mortality in isolated and lonely individuals: an analysis of data from the UK Biobank cohort study. The Lancet Public Health. 2017;2(6):e260–e6. https://doi.org/10.1016/S2468-2667(17)30075-0 .
Halpern MT, McCabe MS, Burg MA. The Cancer Survivorship Journey: models of Care, disparities, barriers, and future directions. Am Soc Clin Oncol Educational Book. 2016;36231–9. https://doi.org/10.1200/edbk_156039 .
Hawkley LC, Cacioppo JT. Loneliness matters: a theoretical and empirical review of consequences and mechanisms. Ann Behav Med. 2010;40(2):218–27. https://doi.org/10.1007/s12160-010-9210-8 .
Tennant PWG, Murray EJ, Arnold KF, Berrie L, Fox MP, Gadd SC, et al. Use of directed acyclic graphs (DAGs) to identify confounders in applied health research: review and recommendations. Int J Epidemiol. 2021;50(2):620–32. https://doi.org/10.1093/ije/dyaa213 .
Fairchild AJ, McDaniel HL. Best (but oft-forgotten) practices: mediation analysis1,2. Am J Clin Nutr. 2017;105(6):1259–71. https://doi.org/10.3945/ajcn.117.152546 .
Heller K. Prevention activities for older adults: social structures and personal competencies that maintain useful social roles. J Couns Dev. 1993;72(2):124–30.
Peplau LA, Perlman D, Loneliness. A sourcebook of current theory, research, and therapy. (No Title). 1982.
Ball K, Jeffery RW, Abbott G, McNaughton SA, Crawford D. Is healthy behavior contagious: associations of social norms with physical activity and healthy eating. Int J Behav Nutr Phy. 2010;7(1):86. https://doi.org/10.1186/1479-5868-7-86 .
Rogers LQ, Markwell S, Hopkins-Price P, Vicari S, Courneya KS, Hoelzer K, et al. Reduced barriers mediated physical activity maintenance among breast Cancer survivors. J Sport Exerc Psychol. 2011;33(2):235–54. https://doi.org/10.1123/jsep.33.2.235 .
Park CL, Gaffey AE. Relationships between psychosocial factors and health behavior change in cancer survivors: an integrative review. Ann Behav Med. 2007;34(2):115–34.
Keaver L, Douglas P, O’Callaghan N. Perceived barriers and facilitators to a healthy Diet among Cancer survivors: a qualitative exploration using the TDF and COM-B. Dietetics. 2023;2(1):123–39.
Fredrickson BL. What good are positive emotions? Rev Gen Psychol. 1998;2(3):300–19. https://doi.org/10.1037/1089-2680.2.3.300 .
Leite NJC, Raimundo AMM, Mendes RDC, Marmeleira JFF. Impact of COVID-19 pandemic on Daily Life, Physical Exercise, and General Health among older people with type 2 diabetes: a qualitative interview study. Int J Environ Res Public Health. 2022;19(7):3986.
Drinkwater C, Wildman J, Moffatt S. Social prescribing. BMJ. 2019;364:l1285. https://doi.org/10.1136/bmj.l1285 .
Dayson C. Social prescribing ‘plus’: a model of asset-based collaborative innovation? People. Place and Policy. 2017;11(2):90–104.
Foster A, Thompson J, Holding E, Ariss S, Mukuria C, Jacques R, et al. Impact of social prescribing to address loneliness: a mixed methods evaluation of a national social prescribing programme. Health Soc Care Commun. 2021;29(5):1439–49. https://doi.org/10.1111/hsc.13200 .
Macmillan Social Prescribing Service. Macmillan Social Prescribing Service Summary evaluation report phase 1 pilot July 2015– June 2017. London: Bromley by Bow Centre; 2018.
Carreras G, Miccinesi G, Wilcock A, Preston N, Nieboer D, Deliens L, et al. Missing not at random in end of life care studies: multiple imputation and sensitivity analysis on data from the ACTION study. BMC Med Res Methodol. 2021;21(1):13. https://doi.org/10.1186/s12874-020-01180-y .
Markovitz AR, Goldstick JE, Levy K, Cevallos W, Mukherjee B, Trostle JA, et al. Where science meets policy: comparing longitudinal and cross-sectional designs to address diarrhoeal disease burden in the developing world. Int J Epidemiol. 2012;41(2):504–13. https://doi.org/10.1093/ije/dyr194 .
Spector PE. Do not Cross Me: optimizing the Use of cross-sectional designs. J Bus Psychol. 2019;34(2):125–37. https://doi.org/10.1007/s10869-018-09613-8 .
Kho ME, Duffett M, Willison DJ, Cook DJ, Brouwers MC. Written informed consent and selection bias in observational studies using medical records: systematic review. BMJ. 2009;338:b866. https://doi.org/10.1136/bmj.b866 .
Clark T. On ‘being researched’: why do people engage with qualitative research? Qualitative Res. 2010;10(4):399–419. https://doi.org/10.1177/1468794110366796 .
Article ADS Google Scholar
Tarpey M. Why people get involved in health and social care research: a working paper 2006.
Newell SA, Girgis A, Sanson-Fisher RW, Savolainen NJ. The accuracy of self-reported health behaviors and risk factors relating to cancer and cardiovascular disease in the general population. Am J Prev Med. 1999;17(3):211–29. https://doi.org/10.1016/S0749-3797(99)00069-0 .
Naik H, Qiu X, Brown MC, Eng L, Pringle D, Mahler M, et al. Socioeconomic status and lifestyle behaviours in cancer survivors: smoking and physical activity. Curr Oncol. 2016;23(6):e546–e55. https://doi.org/10.3747/co.23.3166 .
National Cancer Institute. National Health and Nutrition Examination Survey (NHANES) Dietary Screener Questionnaire 2010 [Available from: https://epi.grants.cancer.gov/nhanes/dietscreen/questionnaires.html#paper .
Swainston J, Chapman B, Grunfeld EA, Derakshan N. COVID-19 lockdown and its adverse impact on Psychological Health in breast Cancer. Front Psychol. 2020;11:2033. https://doi.org/10.3389/fpsyg.2020.02033 .
Rentscher KE, Zhou X, Small BJ, Cohen HJ, Dilawari AA, Patel SK, et al. Loneliness and mental health during the COVID-19 pandemic in older breast cancer survivors and noncancer controls. Cancer. 2021;127(19):3671–9. https://doi.org/10.1002/cncr.33687 .
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The authors thank Cancer Research UK (grant number C1418/A14133) for funding the Advancing Survivorship Cancer Outcomes Trial (ASCOT (47)), from which the survey data used in this study was obtained.
This work was funded by Cancer Research UK (grant number C1418/A14133).
Rebecca J Beeken and Abi Fisher are joint senior authors.
Department of Behavioural Science and Health, University College London, Gower Street, WC1E 6BT, London, UK
Susan Smith, Andrew Steptoe & Abi Fisher
Department of Psychological Sciences, University of Surrey, GU2 7XH, Guildford, Surrey, UK
Phillippa Lally
MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge School of Clinical Medicine, Cambridge Biomedical Campus, CB2 0QQ, Cambridge, Box 285, UK
Yanaina Chavez-Ugalde
Leeds Institute of Health Sciences, University of Leeds, LS2 9JT, Leeds, UK
Rebecca J Beeken
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RB and AF were responsible for the funding acquisition and are joint study leads. AS, AF, and YC contributed to the study conception and design. PL was responsible for the data curation and cleaning. Data analysis was performed by AF. SS and AF interpreted the data and wrote the manuscript. All authors contributed to the manuscript revision. All authors read and approved the final manuscript.
Correspondence to Abi Fisher .
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This study received ethical approval from the NHS National Research Ethics Committee– South Central Oxford B (reference 14/SC/1369). Informed consent was obtained from all participants.
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Smith, S., Lally, P., Steptoe, A. et al. Prevalence of loneliness and associations with health behaviours and body mass index in 5835 people living with and beyond cancer: a cross-sectional study. BMC Public Health 24 , 635 (2024). https://doi.org/10.1186/s12889-024-17797-3
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The difference between reference and bibliography in research is that an individual source in the list of references can be linked to an in-text citation, while an individual source in the bibliography may not necessarily be linked to an in-text citation. It's understandable how these terms may often be used interchangeably as they are serve ...
1. Focus on your objectives and research questions. The methodology section should clearly show why your methods suit your objectives and convince the reader that you chose the best possible approach to answering your problem statement and research questions. 2.
Reference list / bibliography: A numbered or alphabetical list of references and other resources at the end of the manuscript (endnotes) or at the bottom of each page (footnotes). In-text citation: Link to the reference in the body of manuscript. Referencing styles: The author-date style (such as the Harvard style) and the footnote/endnote ...
Introduction to Reference, Bibliography, and Citation Quick Summary • Reference: ... Research and writing are integral parts of the professional work for researchers, academics, and biomedical professionals. ... formed manually using the traditional method of storing references in a pile of index cards. Some inherent problems with the manual ...
References in your reference list must be a full description of the in-text citations. If there is more than one publication by the same author, arrange the works in chronological order. In your reference list/bibliography the following abbreviations are accepted: - (ed.) editor - (eds) editors - col. column - comp(s). compiler/compilers
Formatting a Harvard style bibliography. Sources are alphabetised by author last name. The heading 'Reference list' or 'Bibliography' appears at the top. Each new source appears on a new line, and when an entry for a single source extends onto a second line, a hanging indent is used: Harvard bibliography example.
Methodology refers to the overarching strategy and rationale of your research.Developing your methodology involves studying the research methods used in your field and the theories or principles that underpin them, in order to choose the approach that best matches your objectives.. Methods are the specific tools and procedures you use to collect and analyse data (e.g. interviews, experiments ...
Two more variants of Vancouver system are prevalent where references are identified by notation, namely, the Citation-Name system and the Footnote method. Citation-Name System. The Citation-Name system (C-N system) or the Alphanumeric method is an improvement over the Citation-Sequence system. CSE style recommends Citation-Name system too along ...
When you cite a source with up to three authors, cite all authors' names. For four or more authors, list only the first name, followed by ' et al. ': Number of authors. In-text citation example. 1 author. (Davis, 2019) 2 authors. (Davis and Barrett, 2019) 3 authors.
If you need help with research and citation, Purdue OWL® is your go-to source for comprehensive and reliable guidance. You can find information on various citation styles, such as APA, MLA, Chicago, and more, as well as tips on how to conduct and evaluate research using different methods and sources. Purdue OWL® also offers examples and exercises to help you master the skills of academic ...
Writing up research, or its oral presentation, is a 'site of contestation' (1), one which can be regarded as problem solving with its own subprocesses and mental events (2). Lewis-Beck, M.S., Bryman, A. & Liao, T.F. (eds) (2004) The Sage Encyclopaedia of Social Science Research Methods.
Referencing is one of the most important aspects of any academic research and poor or lack of referencing will not only diminish your marks, but such practices may also be perceived as plagiarism by your university and disciplinary actions may follow that may even result in expulsion from the course. Difference between References and Bibliography.
A bibliography is a list of all of the sources you have used in the process of researching your work. In general, a bibliography should include: the authors' names. the titles of the works. the names and locations of the companies that published your copies of the sources. the dates your copies were published.
The Bluebook: A Uniform System of Citation is the main style guide for legal citations in the US. It's widely used in law, and also when legal materials need to be cited in other disciplines. Bluebook footnote citation. 1 David E. Pozen, Freedom of Information Beyond the Freedom of Information Act, 165, U. P🇦 .
A bibliography also lists the sources used during research. ... It is a proof of the author's in-depth reading and knowledge on the subject pertaining to his/her research. References not only highlight similarities in research, ... or justify use of specific study design/method are best suited as references to the "Methods" section of the ...
Reference implies the list of sources, that has been referred in the research work. Bibliography is about listing out all the materials which has been consulted during the research work. Only in-text citations, that have been used in the assignment or project. Both in-text citations and other sources, that are used to generate the idea.
Abstract. It's a bibliography of hundred books on Research Methodology. Entries made following standard bibliographical format with guide to users'. May be useful for research scholars ...
Validates your work - by showing that your work is based on that of authorities in the field, you give credibility to and showcase the research you have done; Maintains academic integrity by giving credit to the original authors of the sources you have used; Helps readers to locate the sources you have consulted; Situates your work in the discipline - you are building on work that has already ...
5.6 The Difference Between a Literature Review and an Annotated Bibliography. 5.7 APA Referencing (from JIBC Online Library) Key Takeaways. ... References Babbie, E. (2010). The practice of social research (12th ed.). Belmont, CA: Wadsworth. ... Qualitative research & evaluation methods: Integrating theory and practice (4th ed.). Thousand Oaks ...
Reference List: Textual Sources; Reference List: Online Media; APA Formatting and Style Guide (7th Edition) Suggested Resources Style Guide Overview MLA Guide APA Guide Chicago Guide OWL Exercises. Purdue OWL; Research and Citation; APA Style (7th Edition) APA Style (7th Edition) APA Style (7th Edition)
The present manual has been designed in a way to elaborate the major differences that exist among various types of referencing styles so the conversion from one style to the other becomes easier ...
Qualitative dissertation methodology: A guide for research design and methods. Thou-sand Oaks, CA: Sage. Overview of designing and writing about qualitative approaches, specifically for dissertation content and format. Leavy, P. (2017). Research design: Quantitative, qualitative, mixed methods, arts-based, and community-
More than 100 reference examples and their corresponding in-text citations are presented in the seventh edition Publication Manual.Examples of the most common works that writers cite are provided on this page; additional examples are available in the Publication Manual.. To find the reference example you need, first select a category (e.g., periodicals) and then choose the appropriate type of ...
Welcome to the OWL Overview of MLA Style. This page introduces you to the Modern Language Association (MLA) Style for writing and formatting research papers. To get the most out of this page, you should begin with the introductory material below, which covers what is MLA Style, why it is used, and who should apply this style to their work.
reminded of the importance of citation and referencing. And, the four major or leading methods. in the Nigerian academic mi lieu are given - namel y the Harvard, the American Psychological ...
Systematic and well-planned data-gathering is at the heart of the process. It is illustrated here that case methodology references only change very slowly, if at all: two studies from the 1980s are still considered to be key methodological sources today. However, some new additions have appeared in the last two decades.
Abstract. Citation indices are tools used by the academic community for research and research evaluation that aggregate scientific literature output and measure impact by collating citation counts. Citation indices help measure the interconnections between scientific papers but fall short because they fail to communicate contextual information about a citation. The use of citations in research ...
This Viewpoint from the FDA discusses how pragmatic clinical research—assessment that uses real-world data, often in combination with research data, after initial marketing approval—can help in evaluation of new technologies, benefit research sites in underresourced settings, and better inform...
Future research should employ qualitative methods to uncover the nuances in these associations and to explore potential mechanisms. For example, qualitative interviews with a sample of people with type 2 diabetes revealed reduced motivation due to loneliness and reduced social contact inhibited engagement in physical activity during the COVID ...