Madathil Kapil Chalil, Rivera-Rodriguez A Joy, Greenstein Joel S, Gramopadhye Anand K
Clemson University, USA.
Clemson University, USA
Health Informatics J. 2015 Sep;21(3):173-94. doi: 10.1177/1460458213512220. Epub 2014 Mar 25.
This article reviews the peer-reviewed literature addressing the healthcare information available on YouTube. Inclusion and exclusion criteria were determined, and the online databases PubMed and Web of Knowledge were searched using the search phrases: (1) YouTube* AND Health* and (2) YouTube* AND Healthcare*. In all, 18 articles were reviewed, with the results suggesting that (1) YouTube is increasingly being used as a platform for disseminating health information; (2) content and frame analysis were the primary techniques employed by researchers to analyze the characteristics of this information; (3) YouTube contains misleading information, primarily anecdotal, that contradicts the reference standards and the probability of a lay user finding such content is relatively high; (4) the retrieval of relevant videos is dependent on the search term used; and (5) videos from government organizations and professional associations contained trustworthy and high-quality information. YouTube is used as a medium for promoting unscientific therapies and drugs that are yet to be approved by the appropriate agencies and has the potential to change the beliefs of patients concerning controversial topics such as vaccinations. This review recognizes the need to design interventions to enable consumers to critically assimilate the information posted on YouTube with more authoritative information sources to make effective healthcare decisions.
本文回顾了经同行评审的关于YouTube上提供的医疗保健信息的文献。确定了纳入和排除标准,并使用搜索短语在在线数据库PubMed和Web of Knowledge中进行搜索:(1) YouTube* AND Health* 和(2) YouTube* AND Healthcare*。总共审查了18篇文章,结果表明:(1) YouTube越来越多地被用作传播健康信息的平台;(2) 内容和框架分析是研究人员用来分析此类信息特征的主要技术;(3) YouTube包含误导性信息,主要是轶事性的,与参考标准相矛盾,普通用户找到此类内容的可能性相对较高;(4) 相关视频的检索取决于所使用的搜索词;(5) 来自政府组织和专业协会的视频包含可靠和高质量的信息。YouTube被用作推广未经适当机构批准的不科学疗法和药物的媒介,并且有可能改变患者对诸如疫苗接种等有争议话题的看法。本综述认识到需要设计干预措施,使消费者能够将YouTube上发布的信息与更具权威性的信息来源进行批判性地整合,以便做出有效的医疗保健决策。