Herbert Amber S, Nemirovsky Amy, Hess Deborah S, Walter Dawn, Abraham Nitya E, Loeb Stacy, Malik Rena D
University of Maryland Medical Center, Baltimore, MD.
Brigham and Women's Hospital, Boston, MA.
Urology. 2021 Aug;154:120-126. doi: 10.1016/j.urology.2021.03.009. Epub 2021 Mar 26.
To evaluate the readability, quality, and accuracy of pelvic organ prolapse (POP) YouTube transcripts.
We analyzed the readability of written transcripts for the first 100 YouTube videos about "Pelvic Organ Prolapse." Transcripts were excluded if they lacked narration in English or contained both no text and no audio. Readability was evaluated using an online software (www.readabilityformulas.com) to determine reading grade levels. The quality of videos was scored using the DISCERN quality criteria and the Patient Education Materials Assessment Tool. Accuracy was assessed by comparing content to accepted POP treatment guidelines.
The median grade level of all 100 videos was 12.6. High quality transcripts or transcripts that discuss the benefits, risk, alternative treatments, and quality of life had a median readability score of 12.5. Transcripts with low misinformation (85%) had a higher median readability index (12.6), than transcripts containing high misinformation (12.2). More than 20% of transcripts discussed shared decision-making. The median readability index for videos with a high Patient Education Materials Assessment Tool score (>75%) for understandability and actionability were both 12.6.
Transcripts of POP YouTube videos are written at difficult levels with many transcripts exceeding the reading capabilities of the American population. The majority of good transcripts or transcripts with high quality content, low misinformation, shared decision-making, no commercial bias, and understandable and actionable content were written at a high school level or above. Efforts should be made to avoid complex terms when creating patient focused content and helping patients navigate to content of appropriate literacy online.
评估盆腔器官脱垂（POP）相关YouTube视频文字记录的可读性、质量和准确性。
我们分析了关于“盆腔器官脱垂”的前100个YouTube视频文字记录的可读性。若文字记录没有英文旁白，或既无文字又无音频，则将其排除。使用在线软件（www.readabilityformulas.com）评估可读性，以确定阅读年级水平。使用DISCERN质量标准和患者教育材料评估工具对视频质量进行评分。通过将内容与公认的POP治疗指南进行比较来评估准确性。
所有100个视频的中位年级水平为12.6。高质量的文字记录或讨论益处、风险、替代治疗方法和生活质量的文字记录，其可读性中位数评分为12.5。错误信息少（85%）的文字记录的中位可读性指数（12.6）高于错误信息多的文字记录（12.2）。超过20%的文字记录讨论了共同决策。患者教育材料评估工具在可理解性和可操作性方面得分高（>75%）的视频，其可读性指数中位数均为12.6。
POP相关YouTube视频的文字记录写作难度较大，许多文字记录超出了美国人群的阅读能力。大多数优质文字记录或内容质量高、错误信息少、有共同决策、无商业偏见且内容可理解和可操作的文字记录，其写作水平达到高中及以上。在创建以患者为中心的内容并帮助患者找到适合其文化程度的在线内容时，应努力避免使用复杂术语。
