Fode Mikkel, Nolsøe Alexander B, Jacobsen Frederik M, Russo Giorgio Ivan, Østergren Peter B, Jensen Christian Fuglesang S, Albersen Maarten, Capogrosso Paolo, Sønksen Jens
Department of Urology, Zealand University Hospital, Roskilde, Denmark; Department of Urology, Herlev and Gentofte Hospital, Herlev, Denmark; Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Department of Urology, Herlev and Gentofte Hospital, Herlev, Denmark.
Sex Med. 2020 Sep;8(3):408-413. doi: 10.1016/j.esxm.2020.05.007. Epub 2020 Jun 24.
Many patients seek information online including on social media.
To assess the quality of information regarding erectile dysfunction (ED) in YouTube videos.
We searched "erectile dysfunction" on YouTube in October 2019 and evaluated the first 100 videos in English sorted by relevance.
We recorded the user engagement, video producer, intended audience, and content. Videos containing medical information were evaluated using the Patient Education Materials Assessment Tool (PEMAT) and the DISCERN quality criteria for consumer health information. The PEMAT evaluates the understandability and actionability of materials as a percentage. The DISCERN assesses the quality of information by a scale from 1 (serious or extensive shortcomings) to 5 (minimal shortcomings).
The median number of total views was 22,450 (range 591-20,255,133) and the median number of views/month was 654 (range 9-723,398). 42 percent of the videos were posted by professional medical institutions, and 21% were posted by individual medical professionals. Most videos were aimed at the general public or patients suffering from ED. The median PEMAT understandability and actionability scores were both 100% (range 50-100% and 33-100%, respectively). The median DISCERN score was 2 (range 1-5) with 80.4% receiving a score of ≤3. Overall, 28% of the videos contained direct misinformation. DISCERN scores were higher in videos produced by medical institutions (P = .0104), not selling specific products (P = .007) and not promoting alternative medicine (P = .0002). The number of subscribers was an independent predictor of views/month (P < .0001).
Patients may be exposed to videos of poor quality when searching for information about ED on YouTube. The medical community needs to adapt a strategy to improve the quality of online medical information. Fode M, Nolsøe AB, Jacobsen FM, et al. Quality of Information in YouTube Videos on Erectile Dysfunction. J Sex Med 2020;8:408-413.
许多患者在网上搜索信息，包括在社交媒体上。
评估YouTube视频中关于勃起功能障碍（ED）的信息质量。
我们于2019年10月在YouTube上搜索“勃起功能障碍”，并对按相关性排序的前100个英文视频进行评估。
我们记录了用户参与度、视频制作者、目标受众和内容。使用患者教育材料评估工具（PEMAT）和消费者健康信息的DISCERN质量标准对包含医学信息的视频进行评估。PEMAT以百分比形式评估材料的易懂性和可操作性。DISCERN通过从1（严重或广泛缺陷）到5（最小缺陷）的量表评估信息质量。
总观看次数的中位数为22450次（范围591 - 20255133次），每月观看次数的中位数为654次（范围9 - 723398次）。42%的视频由专业医疗机构发布，21%由个体医学专业人员发布。大多数视频面向普通公众或患有勃起功能障碍的患者。PEMAT易懂性和可操作性得分的中位数均为100%（范围分别为50 - 100%和33 - 100%）。DISCERN得分的中位数为2（范围1 - 5），80.4%的视频得分≤3。总体而言，28%的视频包含直接错误信息。医疗机构制作的视频、不销售特定产品的视频以及不推广替代医学的视频的DISCERN得分更高（P = 0.0104、P = 0.007、P = 0.0002）。订阅者数量是每月观看次数的独立预测因素（P < 0.0001）。
患者在YouTube上搜索勃起功能障碍信息时可能会接触到质量较差的视频。医学界需要采取策略来提高在线医学信息的质量。Fode M、Nolsøe AB、Jacobsen FM等。YouTube上关于勃起功能障碍视频的信息质量。《性医学杂志》2020年；8：408 - 413。
