Department of Urology, Division of Female Pelvic Medicine & Reconstructive Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Neurourol Urodyn. 2021 Jun;40(5):1165-1174. doi: 10.1002/nau.24673. Epub 2021 Apr 9.
To analyze the quality, understandability, and actionability of pelvic organ prolapse (POP) content and to characterize creators of content and treatment options discussed on social media platforms YouTube, Instagram, and Pinterest.
A cross-sectional, qualitative study was conducted for each platform. A search for "pelvic organ prolapse" was conducted and the first 100 relevant results analyzed. Data collected include source characteristics, treatments discussed, and scores for each criterion of validated Patient Education Materials and Assessment Tool and DISCERN metrics to evaluate quality, actionability, and understandability. The χ analysis, univariate and multivariate logistic regressions were done to assess correlations and the impact of variables on outcomes of interest across platforms.
Low to moderate quality was present in 74.1% of posts. Poor understandability was seen in 37.1% of posts, and 56.1% had poor actionability. The most common publisher of content overall was health and wellness or physical therapy groups (44.6%). The most common YouTube publisher was doctors, hospitals, or clinics (49%). Pelvic floor muscle training was the most discussed treatment overall (57.4%). On YouTube surgery was discussed more frequently than Instagram or Pinterest (58% vs. 11% vs. 43%, p < 0.001. Pinterest posts had better understandability ratings than YouTube videos (odds ratio = 0.19; 95% confidence interval: [0.10-0.36]; p < 0.001).
Information on popular platforms regarding POP demonstrates inconsistent quality and poor understandability and actionability. There is an opportunity for health care providers to direct patients to curated lists of high-quality educational content on these platforms. Awareness of information available on social media is an increasingly important aspect of patient care.
分析盆腔器官脱垂（POP）内容的质量、可理解性和可操作性，并描述社交媒体平台 YouTube、Instagram 和 Pinterest 上讨论的内容创作者和治疗选择。
对每个平台进行了一项横断面、定性研究。在每个平台上都进行了“盆腔器官脱垂”的搜索，并对前 100 个相关结果进行了分析。收集的数据包括来源特征、讨论的治疗方法以及验证后的患者教育材料和评估工具以及 DISCERN 指标的每个标准的评分，以评估质量、可操作性和可理解性。χ²检验、单变量和多变量逻辑回归用于评估相关性以及跨平台变量对感兴趣结果的影响。
74.1%的帖子质量较低或中等。37.1%的帖子理解性较差，56.1%的帖子可操作性较差。总体而言，内容最常见的发布者是健康和健身或物理治疗团体（44.6%）。最常见的 YouTube 发布者是医生、医院或诊所（49%）。整体而言，盆底肌肉训练是讨论最多的治疗方法（57.4%）。在 YouTube 上，手术的讨论频率高于 Instagram 或 Pinterest（58%比 11%比 43%，p<0.001）。Pinterest 帖子的理解性评分高于 YouTube 视频（优势比=0.19；95%置信区间：[0.10-0.36]；p<0.001）。
关于 POP 的热门平台上的信息显示质量不一致，且理解性和可操作性较差。医疗保健提供者有机会在这些平台上为患者提供高质量教育内容的精选列表。了解社交媒体上提供的信息是患者护理的一个日益重要的方面。
