YouTube视频对2型糖尿病患者的自我教育有用吗？
Are YouTube videos useful for patient self-education in type 2 diabetes?
作者信息
Gimenez-Perez Gabriel, Robert-Vila Neus, Tomé-Guerreiro Marta, Castells Ignasi, Mauricio Didac
机构信息
Hospital General de Granollers, Spain.
Institut Català de la Salut, Spain.
出版信息
Health Informatics J. 2020 Mar;26(1):45-55. doi: 10.1177/1460458218813632. Epub 2018 Nov 29.
OBJECTIVE
To evaluate the usefulness of YouTube videos as an educative tool for type 2 diabetes self-management.
DESIGN
Search terms were "diabetes diet" and "diabetes treatment." Videos were jointly assessed by two reviewers. A third investigator evaluated a random sample to check for agreement.
MAIN MEASURES
Usefulness defined as making reference to AAD7 Self-Care Behaviors and presence of misleading information.
RESULTS
Of the 393 videos included, 42.2 percent (n = 166) classified as "alternative medicine." 40.2 percent (n = 158) contained useful information. 25.7 percent (n = 101) videos contained misleading information. Videos displaying "alternative medicine" professionals (60 out of 200) were less useful (17% vs 57%; p < 0.001) and more misleading (40% vs 2%; p < 0.001).
CONCLUSION
The probability of finding videos that relate to AADE7 self-care behaviors is below 50 percent. The odds of finding misleading information are high. Therefore, it is inadvisable for professionals to recommend the use of YouTube as an educating tool if specific videos are not suggested.
目的
评估YouTube视频作为2型糖尿病自我管理教育工具的实用性。
设计
搜索词为“糖尿病饮食”和“糖尿病治疗”。由两名评审员共同评估视频。第三名研究人员评估随机样本以检查一致性。
主要指标
实用性定义为提及美国糖尿病教育者协会（AADE）7项自我护理行为以及存在误导性信息。
结果
在纳入的393个视频中，42.2%（n = 166）归类为“替代医学”。40.2%（n = 158）包含有用信息。25.7%（n = 101）的视频包含误导性信息。展示“替代医学”专业人员的视频（200个中的60个）实用性较低（17%对57%；p < 0.001）且误导性更强（40%对2%；p < 0.001）。
结论
找到与AADE7自我护理行为相关视频的概率低于50%。发现误导性信息的几率很高。因此，如果不推荐特定视频，专业人员不宜推荐将YouTube用作教育工具。
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