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YouTube医生对季节性流感的看法:对患者可获取信息的批判性评估。

Doctor YouTube's opinion on seasonal influenza: A critical appraisal of the information available to patients.

作者信息

Kallur Akhil, Albalbissi Ahmad, Carillo-Martin Ismael, Boonpheng Boonphiphop, Kallur Lakshmi, Kherallah Yaman, Mahajan Akhilesh, Mahapatra Shayan, Mohan Kaushik, Mohan Priyasree, Reddy Keerti, Sankhyan Pratyaksha, Lopez-Alvarez Sonia, Youssef Dima, El Abbassi Adel M, Gonzalez-Estrada Alexei

机构信息

St. George's University School of Medicine, West Indies.

Internal Medicine, East Tennessee State University, USA.

出版信息

Digit Health. 2020 Feb 16;6:2055207620906968. doi: 10.1177/2055207620906968. eCollection 2020 Jan-Dec.

DOI:10.1177/2055207620906968
PMID:32110430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7026813/
Abstract

BACKGROUND

Seasonal influenza is a respiratory illness caused by the influenza virus. During the 2017-2018 flu season, the Centers for Disease Control and Prevention noted approximately 959,000 hospitalizations and 79,400 deaths from influenza. We sought to evaluate the educational quality of informational videos pertaining to seasonal influenza on the popular social media forum, YouTube.

METHODS

Using the keywords "seasonal influenza," all videos from 28 January to 5 February 2017 were included and analyzed for characteristics, source, and content. The source was further classified as healthcare provider, alternative-medicine provider, the patient and/or their parents, company, media, or professional society. Videos about other categories of influenza (e.g. swine or Spanish) or in foreign languages were excluded. A total of 10 blinded reviewers scored each video independently.

RESULTS

Overall, 300 videos were analyzed, with a median of 341.50 views, 1.00 likes, 0 dislikes, and 0 comments. Based on the average scores of videos by source, there was statistically significant difference in the average score among videos by video source ( < 0.01). Healthcare provider videos had the highest mean scores whereas alternative medicine provider videos had the lowest.

CONCLUSIONS

Although the aforementioned video sources scored higher than others, these videos did not fulfill our criteria as far as educating patients thoroughly. Our data also suggest alternative medicine and patient source videos were misleading for patients.Clinical implications: Although videos by healthcare providers were a better source of information, videos on seasonal influenza were shown to be poor sources of valid healthcare information. This study reiterates the need for higher-quality educational videos on seasonal influenza by the medical community.

摘要

背景

季节性流感是一种由流感病毒引起的呼吸道疾病。在2017 - 2018年流感季节,美国疾病控制与预防中心指出,因流感住院的人数约为95.9万,死亡人数为7.94万。我们试图评估在热门社交媒体平台YouTube上与季节性流感相关的信息视频的教育质量。

方法

使用关键词“季节性流感”,纳入并分析了2017年1月28日至2月5日期间的所有视频,分析其特点、来源和内容。来源进一步分为医疗保健提供者、替代医学提供者、患者及/或其父母、公司、媒体或专业协会。排除关于其他类型流感(如猪流感或西班牙流感)或外语的视频。共有10名盲评人员独立对每个视频进行评分。

结果

总体而言,共分析了300个视频,中位数观看次数为341.50次,点赞1.00次,无差评,无评论。根据视频来源的平均得分,视频来源之间的平均得分存在统计学显著差异(<0.01)。医疗保健提供者的视频平均得分最高,而替代医学提供者的视频得分最低。

结论

尽管上述视频来源的得分高于其他来源,但就全面教育患者而言,这些视频未达到我们的标准。我们的数据还表明,替代医学和患者来源的视频对患者具有误导性。临床意义:尽管医疗保健提供者制作的视频是更好的信息来源,但有关季节性流感的视频被证明是有效医疗信息的不良来源。这项研究重申了医学界需要制作更高质量的季节性流感教育视频。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7026813/bb8a6bd564fd/10.1177_2055207620906968-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7026813/cf323a1aee85/10.1177_2055207620906968-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7026813/bb8a6bd564fd/10.1177_2055207620906968-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7026813/cf323a1aee85/10.1177_2055207620906968-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b55e/7026813/bb8a6bd564fd/10.1177_2055207620906968-fig2.jpg

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本文引用的文献

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Social Media as a Tool for the Management of Food Allergy in Children.社交媒体在儿童食物过敏管理中的应用。
J Investig Allergol Clin Immunol. 2018;28(4):233-240. doi: 10.18176/jiaci.0235. Epub 2018 Feb 7.
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Clostridium difficile on YouTube: A need for greater focus on prevention.YouTube 上的艰难梭菌:更需要关注预防。
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J Infect Public Health. 2018 Mar-Apr;11(2):290-293. doi: 10.1016/j.jiph.2017.08.003. Epub 2017 Aug 26.
4
Vaccine Adverse Events: Separating Myth from Reality.疫苗不良事件:分清虚实
Am Fam Physician. 2017 Jun 15;95(12):786-794.
5
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6
Utilizing social networks, blogging and YouTube in allergy and immunology practices.在过敏和免疫学实践中利用社交网络、博客和YouTube。
Expert Rev Clin Immunol. 2015;11(10):1065-8. doi: 10.1586/1744666X.2015.1065731. Epub 2015 Jul 10.
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