Matthew E Lin, Oluwatobiloba Ayo-Ajibola, Carlos X Castellanos, Jonathan West, Neil Luu, Ian Kim, Niels C Kokot
{"title":"评估 YouTube 上的喉切除术患者教育:调查质量和可靠性。","authors":"Matthew E Lin, Oluwatobiloba Ayo-Ajibola, Carlos X Castellanos, Jonathan West, Neil Luu, Ian Kim, Niels C Kokot","doi":"10.1002/oto2.113","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to characterize the quality of laryngectomy-related patient education on YouTube and understand factors impacting video content quality.</p><p><strong>Study design: </strong>Cross-sectional cohort analysis.</p><p><strong>Setting: </strong>Laryngectomy-related videos on YouTube.</p><p><strong>Methods: </strong>YouTube was anonymously queried for various laryngectomy procedure search terms. Video quality was evaluated using the validated DISCERN instrument which assesses treatment-related information quality. Descriptive statistics were used to characterize our cohort. Univariate and multivariable linear regression were used to assess factors associated with increased DISCERN score. Significance was set at <i>P</i> < .05.</p><p><strong>Results: </strong>Our 78-video cohort exhibited moderate levels of engagement, averaging 13,028.40 views (SD = 24,246.93), 69.79 likes (SD = 163.75), and 5.27 comments (SD = 18.81). Videos were most frequently uploaded to accounts belonging to physicians (43.59%) or health care groups (41.03%) and showcased operations (52.56%) or physician-led education (20.51%). Otolaryngologists were featured in most videos (85.90%), and most videos originated outside the United States (67.95%). Laryngectomy videos demonstrated poor reliability (mean = 2.35, SD = 0.77), quality of treatment information (mean = 1.92, SD = 0.86), and overall video quality (mean = 1.97, SD = 1.12). In multivariable linear regression, operative videos were associated with lower video quality relative to nonoperative videos (<i>β</i> = -1.63, 95% confidence interval [CI] = [-2.03 to -1.24], <i>P</i> < .001); the opposite was true for videos from accounts with higher subscriber counts (<i>β</i> = 0.02, 95% CI = [0.01-0.03], <i>P</i> = .005).</p><p><strong>Conclusion: </strong>The quality and quantity of YouTube's laryngectomy educational content is limited. There is an acute need to increase the quantity and quality of online laryngectomy-related content to better support patients and caregivers as they cope with their diagnosis, prepare for, and recover from surgery.</p>","PeriodicalId":19697,"journal":{"name":"OTO Open","volume":"8 1","pages":"e113"},"PeriodicalIF":1.8000,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10828916/pdf/","citationCount":"0","resultStr":"{\"title\":\"Assessing Laryngectomy Patient Education on YouTube: Investigating Quality and Reliability.\",\"authors\":\"Matthew E Lin, Oluwatobiloba Ayo-Ajibola, Carlos X Castellanos, Jonathan West, Neil Luu, Ian Kim, Niels C Kokot\",\"doi\":\"10.1002/oto2.113\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aimed to characterize the quality of laryngectomy-related patient education on YouTube and understand factors impacting video content quality.</p><p><strong>Study design: </strong>Cross-sectional cohort analysis.</p><p><strong>Setting: </strong>Laryngectomy-related videos on YouTube.</p><p><strong>Methods: </strong>YouTube was anonymously queried for various laryngectomy procedure search terms. Video quality was evaluated using the validated DISCERN instrument which assesses treatment-related information quality. Descriptive statistics were used to characterize our cohort. Univariate and multivariable linear regression were used to assess factors associated with increased DISCERN score. Significance was set at <i>P</i> < .05.</p><p><strong>Results: </strong>Our 78-video cohort exhibited moderate levels of engagement, averaging 13,028.40 views (SD = 24,246.93), 69.79 likes (SD = 163.75), and 5.27 comments (SD = 18.81). Videos were most frequently uploaded to accounts belonging to physicians (43.59%) or health care groups (41.03%) and showcased operations (52.56%) or physician-led education (20.51%). Otolaryngologists were featured in most videos (85.90%), and most videos originated outside the United States (67.95%). Laryngectomy videos demonstrated poor reliability (mean = 2.35, SD = 0.77), quality of treatment information (mean = 1.92, SD = 0.86), and overall video quality (mean = 1.97, SD = 1.12). In multivariable linear regression, operative videos were associated with lower video quality relative to nonoperative videos (<i>β</i> = -1.63, 95% confidence interval [CI] = [-2.03 to -1.24], <i>P</i> < .001); the opposite was true for videos from accounts with higher subscriber counts (<i>β</i> = 0.02, 95% CI = [0.01-0.03], <i>P</i> = .005).</p><p><strong>Conclusion: </strong>The quality and quantity of YouTube's laryngectomy educational content is limited. There is an acute need to increase the quantity and quality of online laryngectomy-related content to better support patients and caregivers as they cope with their diagnosis, prepare for, and recover from surgery.</p>\",\"PeriodicalId\":19697,\"journal\":{\"name\":\"OTO Open\",\"volume\":\"8 1\",\"pages\":\"e113\"},\"PeriodicalIF\":1.8000,\"publicationDate\":\"2024-01-31\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10828916/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"OTO Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1002/oto2.113\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"OTO Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/oto2.113","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
研究目的本研究旨在描述YouTube上与喉切除术相关的患者教育的质量,并了解影响视频内容质量的因素:横断面队列分析:YouTube上与喉切除术相关的视频:对YouTube上各种喉切除术搜索词进行匿名查询。视频质量采用经过验证的 DISCERN 工具进行评估,该工具可评估与治疗相关的信息质量。描述性统计用于描述我们的队列特征。单变量和多变量线性回归用于评估与 DISCERN 评分增加相关的因素。显著性设定为 P 结果:我们的 78 个视频群组显示出中等水平的参与度,平均观看次数为 13,028.40 次(SD = 24,246.93 次),点赞数为 69.79 次(SD = 163.75 次),评论数为 5.27 条(SD = 18.81 条)。视频最常上传至医生(43.59%)或医疗团体(41.03%)的账户,并展示手术(52.56%)或医生主导的教育(20.51%)。大多数视频中都有耳鼻喉科医生的身影(85.90%),而且大多数视频都来自美国境外(67.95%)。喉切除术视频的可靠性(平均值=2.35,标准差=0.77)、治疗信息质量(平均值=1.92,标准差=0.86)和整体视频质量(平均值=1.97,标准差=1.12)均较差。在多变量线性回归中,手术视频的视频质量低于非手术视频(β = -1.63, 95% 置信区间 [CI] = [-2.03 to -1.24], P β = 0.02, 95% CI = [0.01-0.03], P = .005):YouTube喉切除术教育内容的质量和数量都很有限。迫切需要提高在线喉切除术相关内容的数量和质量,以便在患者和护理人员应对诊断、准备手术和术后恢复时为他们提供更好的支持。
Assessing Laryngectomy Patient Education on YouTube: Investigating Quality and Reliability.
Objective: This study aimed to characterize the quality of laryngectomy-related patient education on YouTube and understand factors impacting video content quality.
Study design: Cross-sectional cohort analysis.
Setting: Laryngectomy-related videos on YouTube.
Methods: YouTube was anonymously queried for various laryngectomy procedure search terms. Video quality was evaluated using the validated DISCERN instrument which assesses treatment-related information quality. Descriptive statistics were used to characterize our cohort. Univariate and multivariable linear regression were used to assess factors associated with increased DISCERN score. Significance was set at P < .05.
Results: Our 78-video cohort exhibited moderate levels of engagement, averaging 13,028.40 views (SD = 24,246.93), 69.79 likes (SD = 163.75), and 5.27 comments (SD = 18.81). Videos were most frequently uploaded to accounts belonging to physicians (43.59%) or health care groups (41.03%) and showcased operations (52.56%) or physician-led education (20.51%). Otolaryngologists were featured in most videos (85.90%), and most videos originated outside the United States (67.95%). Laryngectomy videos demonstrated poor reliability (mean = 2.35, SD = 0.77), quality of treatment information (mean = 1.92, SD = 0.86), and overall video quality (mean = 1.97, SD = 1.12). In multivariable linear regression, operative videos were associated with lower video quality relative to nonoperative videos (β = -1.63, 95% confidence interval [CI] = [-2.03 to -1.24], P < .001); the opposite was true for videos from accounts with higher subscriber counts (β = 0.02, 95% CI = [0.01-0.03], P = .005).
Conclusion: The quality and quantity of YouTube's laryngectomy educational content is limited. There is an acute need to increase the quantity and quality of online laryngectomy-related content to better support patients and caregivers as they cope with their diagnosis, prepare for, and recover from surgery.