Department of Anesthesiology and Perioperative Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Neuromodulation. 2021 Jan;24(1):156-161. doi: 10.1111/ner.13303. Epub 2020 Nov 2.
BACKGROUND: Social media platforms may play an important role in the dissemination of medical information on interventional pain procedures. This cross-sectional study quantitatively assessed the reliability and quality of information from YouTube regarding spinal cord stimulation. MATERIALS AND METHODS: YouTube was queried on May 20, 2020 using keywords "spinal cord stimulator," "spinal cord stimulation experience," and "spinal cord stimulation risks." The top 50 viewed videos from each search were analyzed. The primary outcome was video quality, which was analyzed using the modified DISCERN (mDISCERN) criteria. RESULTS: Seventy-nine of 103 (77%) videos were classified as useful. Fifteen of 103 (14%) videos were classified as misleading and contained nonfactual information on spinal cord stimulation. Hospitals, group practices, or physicians produced a greater proportion of useful videos compared to misleading videos (63.3% vs. 26.7%, p = 0.008). Nonmedical independent users produced a greater proportion of misleading videos compared to useful videos (73.3% vs. 16.4%, p < 0.001). Useful videos had significantly higher mDISCERN scores compared to misleading videos (2.6 vs. 1.9, p = 0.009). Nonmedical independent users produced a greater proportion of low-quality videos (mDISCERN score < 3) than high-quality videos (mDISCERN score ≥ 3; 50.8% vs. 2.4%, respectively, p < 0.001). Educational videos from professional pain medicine societies were not captured. CONCLUSION: YouTube is an accessible platform for medical information on spinal cord stimulation, yet a significant amount of nonfactual information is present. As social media platforms continue to gain prominence in health care, future efforts to appraise the quality of medical content delivered to the public are warranted. In addition, reputable sources including professional pain medicine societies should consider collaborating with producers to disseminate high-quality video content that reaches a wider audience.
背景:社交媒体平台可能在传播介入性疼痛程序的医学信息方面发挥重要作用。本横断面研究定量评估了关于脊髓刺激的 YouTube 信息的可靠性和质量。
材料和方法:2020 年 5 月 20 日,使用关键词“脊髓刺激器”、“脊髓刺激体验”和“脊髓刺激风险”在 YouTube 上进行了查询。分析了每个搜索的前 50 个观看次数最多的视频。主要结果是视频质量,使用改良的 DISCERN(mDISCERN)标准进行分析。
结果:在 103 个视频中,79 个(77%)被归类为有用。103 个视频中有 15 个(14%)被归类为误导性的,包含了关于脊髓刺激的非事实信息。与误导性视频相比,医院、集团诊所或医生制作的有用视频比例更高(63.3%对 26.7%,p=0.008)。非医学独立用户制作的误导性视频比例高于有用视频(73.3%对 16.4%,p<0.001)。有用视频的 mDISCERN 评分明显高于误导性视频(2.6 对 1.9,p=0.009)。非医学独立用户制作的低质量视频(mDISCERN 评分<3)比例高于高质量视频(mDISCERN 评分≥3;分别为 50.8%和 2.4%,p<0.001)。未捕获专业疼痛医学协会的教育视频。
结论:YouTube 是一个易于获取脊髓刺激相关医学信息的平台,但存在大量非事实信息。随着社交媒体平台在医疗保健领域的地位不断提高,未来有必要评估向公众提供的医疗内容的质量。此外,包括专业疼痛医学协会在内的知名机构应考虑与制作方合作,传播更广泛受众的高质量视频内容。
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