Department of Anesthesiology and Perioperative Medicine, Division of Pain Medicine, Mayo Clinic Hospital, Rochester, MN, USA.
Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
Int J Obstet Anesth. 2021 Feb;45:133-137. doi: 10.1016/j.ijoa.2020.11.005. Epub 2020 Nov 16.
Large gaps remain in our understanding of the role of social media platforms in the dissemination of medical information. This cross-sectional study quantitatively assessed the accuracy and quality of information on YouTube regarding epidural labor analgesia.
YouTube was searched on May 23, 2020 using keywords 'epidural,' 'epidural for labor,' 'epidural for pregnancy,' 'epidural experience,' and 'epidural risks,' and the top 50 viewed videos from each search were screened. Primary outcomes included the proportion of videos containing non-factual information, and video quality analyzed using the modified DISCERN (mDISCERN) score.
Thirteen of 60 (21.7%) videos included non-factual information about epidural analgesia; these videos were viewed more than 16.5 million times (60% of total viewership of the videos analyzed). Mean (standard deviation) mDISCERN score for all included videos was 1.9 (1.3), which is below the threshold for high video-quality. Videos from medical sources (hospitals, medical practices, physicians, other medical professionals) had a higher mDISCERN score compared with videos by non-medical sources (P <0.001). Educational videos from professional societies of obstetrics or obstetric anesthesiology were not captured.
YouTube is an accessible platform for medical information on epidural labor analgesia, although a significant proportion of videos studied contained non-factual information and presented low video quality. Increased efforts by reputable sources including hospitals, physicians, other medical professionals, and professional societies, to disseminate accurate information, are warranted.
我们对于社交媒体平台在传播医学信息方面的作用仍存在很大的理解空白。本横断面研究定量评估了关于硬膜外分娩镇痛的 YouTube 上信息的准确性和质量。
于 2020 年 5 月 23 日使用关键词“硬膜外”“分娩硬膜外”“妊娠硬膜外”“硬膜外体验”和“硬膜外风险”在 YouTube 上进行搜索，并对每个搜索的前 50 个观看视频进行筛选。主要结果包括包含非事实信息的视频比例，以及使用改良 DISCERN（mDISCERN）评分分析的视频质量。
在 60 个视频中，有 13 个（21.7%）视频包含硬膜外镇痛的非事实信息；这些视频的观看次数超过 1650 万次（占分析视频总观看次数的 60%）。所有纳入视频的平均（标准差）mDISCERN 得分为 1.9（1.3），低于视频质量高的阈值。与非医疗来源的视频相比，来自医疗来源（医院、医疗实践、医生、其他医疗专业人员）的视频的 mDISCERN 评分更高（P <0.001）。未捕获来自妇产科或产科麻醉专业协会的教育视频。
YouTube 是一个可获取硬膜外分娩镇痛医学信息的平台，尽管研究中的很大一部分视频包含非事实信息，且呈现出低视频质量。包括医院、医生、其他医疗专业人员和专业协会在内的可靠来源应加大努力传播准确信息。
