Content Quality of YouTube Videos About Pain Management After Cesarean Birth: Content Analysis.

IF 3.5 Q1 HEALTH CARE SCIENCES & SERVICES
JMIR infodemiology Pub Date : 2023-06-23 DOI:10.2196/40802
Natalie A Squires, Elizabeth Soyemi, Lynn M Yee, Eleanor M Birch, Nevert Badreldin
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引用次数: 0

Abstract

Background: YouTube is an increasingly common source of health information; however, the reliability and quality of the information are inadequately understood. Several studies have evaluated YouTube as a resource during pregnancy and found the available information to be of poor quality. Given the increasing attention to postpartum health and the importance of promoting safe opioid use after birth, YouTube may be a source of information for birthing individuals. However, little is known about the available information on YouTube regarding postpartum pain.

Objective: The purpose of this study is to systematically evaluate the quality of YouTube videos as an educational resource for postpartum cesarean pain management.

Methods: A systematic search of YouTube videos was conducted on June 25, 2021, using 36 postpartum cesarean pain management-related keywords, which were identified by clinical experts. The search replicated a default YouTube search via a public account. The first 60 results from each keyword search were reviewed, and unique videos were analyzed. An overall content score was developed based on prior literature and expert opinion to evaluate the video's relevance and comprehensiveness. The DISCERN instrument, a validated metric to assess consumer health information, was used to evaluate the reliability of video information. Videos with an overall content score of ≥5 and a DISCERN score of ≥39 were classified as high-quality health education resources. Descriptive analysis and intergroup comparisons by video source and quality were conducted.

Results: Of 73 unique videos, video sources included medical videos (n=36, 49%), followed by personal video blogs (vlogs; n=32, 44%), advertisements (n=3, 4%), and media (n=2, 3%). The average overall content score was 3.6 (SD 2.0) out of 9, and the average DISCERN score was 39.2 (SD 8.1) out of 75, indicating low comprehensiveness and fair information reliability, respectively. High-quality videos (n=22, 30%) most frequently addressed overall content regarding pain duration (22/22, 100%), pain types (20/22, 91%), return-to-activity instructions (19/22, 86%), and nonpharmacologic methods for pain control (19/22, 86%). There were differences in the overall content score (P=.02) by video source but not DISCERN score (P=.45). Personal vlogs had the highest overall content score at 4.0 (SD 2.1), followed by medical videos at 3.3 (SD 2.0). Longer video duration and a greater number of comments and likes were significantly correlated with the overall content score, whereas the number of video comments was inversely correlated with the DISCERN score.

Conclusions: Individuals seeking information from YouTube regarding postpartum cesarean pain management are likely to encounter videos that lack adequate comprehensiveness and reliability. Clinicians should counsel patients to exercise caution when using YouTube as a health information resource.

Abstract Image

Abstract Image

剖宫产后疼痛处理YouTube视频内容质量分析
背景:YouTube是一个越来越普遍的健康信息来源;然而,人们对这些信息的可靠性和质量了解不足。几项研究评估了YouTube作为怀孕期间的资源,发现可用的信息质量很差。鉴于对产后健康的日益关注和促进产后安全使用阿片类药物的重要性,YouTube可能是分娩个体的信息来源。然而,我们对YouTube上关于产后疼痛的信息知之甚少。目的:本研究的目的是系统评价YouTube视频作为产后剖宫产疼痛管理教育资源的质量。方法:系统检索2021年6月25日的YouTube视频,使用36个经临床专家鉴定的产后剖宫产疼痛处理相关关键词。该搜索通过一个公共账户复制了一个默认的YouTube搜索。对每个关键词搜索的前60个结果进行审查,并对独特的视频进行分析。根据先前的文献和专家意见制定了一个总体内容评分,以评估视频的相关性和全面性。辨别仪器,一个有效的度量来评估消费者健康信息,被用来评估视频信息的可靠性。综合内容评分≥5分、DISCERN评分≥39分的视频被归类为优质健康教育资源。进行描述性分析和视频源、视频质量组间比较。结果:在73个独特视频中,视频来源包括医疗视频(n=36, 49%),其次是个人视频博客(vlogs;N = 32,44%),广告(N = 3,4%)和媒体(N = 2,3%)。总体内容的平均得分为3.6分(SD 2.0),而辨别的平均得分为39.2分(SD 8.1),满分为75分,分别表明信息的综合性较低,信息的可靠性一般。高质量视频(n= 22,30 %)最常涉及有关疼痛持续时间(22/22,100%)、疼痛类型(20/22,91%)、恢复活动指导(19/22,86%)和疼痛控制的非药物方法(19/22,86%)的总体内容。不同视频源的总体内容评分差异有统计学意义(P= 0.02),而不同视频源的DISCERN评分差异无统计学意义(P= 0.45)。个人视频的整体内容得分最高,为4.0 (SD 2.1),其次是医疗视频,为3.3 (SD 2.0)。视频时长越长、评论点赞数越多与整体内容得分显著相关,而视频评论数与DISCERN得分呈负相关。结论:个人在YouTube上寻找有关产后剖宫产疼痛管理的信息,可能会遇到缺乏足够的全面性和可靠性的视频。临床医生应建议患者在使用YouTube作为健康信息资源时要谨慎。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
4.80
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