Hong H Stephen, Lang J Jacob, Damodaran Shivashankar, Sindhwani Puneet
Department of Urology, University of Toledo College of Medicine and Life Sciences, Toledo, Ohio, USA.
Indian J Urol. 2021 Oct-Dec;37(4):339-344. doi: 10.4103/iju.iju_201_21. Epub 2021 Oct 1.
YouTube™ has grown into one of the largest disseminators of health care information. We assessed the quality of information on varicoceles and their treatment, available on YouTube™.
Using a YouTube™ search query with the keyword "varicocele," the quality of the first 50, nonrepeat videos in English were assessed as a representative group for the topic. DISCERN and Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-AV) standardized tools were utilized by three independent reviewers to grade the quality of these videos based on content, understandability, and actionability.
The average and median DISCERN score was 31.34 (±9.37) and 31 (interquartile range 25-35), respectively, indicating poor quality. The interrater reliability (IRR) scores ranged from 0.51 to 0.93, indicating fair to excellent reliability. The average PEMAT-AV understandability and actionability scores were 69.8% ±15.4% and 11.0% ±24.6%, respectively, indicating mostly understandable but poor actionability. The -test results showed that international videos scored higher without statistical significance in the DISCERN or PEMAT-AV scores ( = 0.18, 0.59, and 0.20).
The current quality of videos on YouTube™ on the topic of varicoceles is of poor quality due to a lack of a holistic approach in explaining the wide range of treatment options available. With the ease of access to produce and disseminate health information, there is a need to create high-quality videos on varicoceles that empower a patient to make an informed decision.
YouTube™已发展成为医疗保健信息的最大传播者之一。我们评估了YouTube™上有关精索静脉曲张及其治疗的信息质量。
使用带有关键词“精索静脉曲张”的YouTube™搜索查询，对前50个非重复英文视频的质量进行评估，作为该主题的代表性样本。由三位独立评审员使用DISCERN和视听材料患者教育材料评估工具（PEMAT-AV）标准化工具，根据内容、可理解性和可操作性对这些视频的质量进行评分。
DISCERN评分的平均值和中位数分别为31.34（±9.37）和31（四分位间距25-35），表明质量较差。评分者间信度（IRR）分数范围为0.51至0.93，表明信度从中等到优秀。PEMAT-AV可理解性和可操作性评分的平均值分别为69.8%±15.4%和11.0%±24.6%，表明大多可理解但可操作性较差。t检验结果显示，国际视频在DISCERN或PEMAT-AV评分中得分较高，但无统计学意义（t = 0.18、0.59和0.20）。
由于在解释广泛的可用治疗选择时缺乏整体方法，YouTube™上当前关于精索静脉曲张主题的视频质量较差。鉴于制作和传播健康信息的便捷性，有必要制作高质量的精索静脉曲张视频，使患者能够做出明智的决定。
