Bruyère Research Institute, Ottawa, ON, Canada.
Department of Family Medicine, University of Ottawa, Ottawa, ON, Canada.
Int J Pharm Pract. 2022 Nov 4;30(5):441-448. doi: 10.1093/ijpp/riac054.
Deprescribing is the planned and supervised process of dose reduction or stopping medication. Few clinical guidelines exist to help health care professionals in making decisions about deprescribing. The Bruyère Deprescribing Guidelines Team developed a series of evidence-based medication-class specific deprescribing guidelines and, to extend reach and uptake, disseminated them as whiteboard videos published on YouTube. This paper reports on the creation, sharing and evaluation of videos on proton pump inhibitor (PPI), antihyperglycemic (AHG), antipsychotic (AP) and benzodiazepine receptor agonist (BZRA) deprescribing guidelines.
Whiteboard videos depict an animator drawing on a whiteboard, while the narrator reads the script. In each video, the deprescribing algorithm is applied to mock patient cases. The videos were shared on YouTube and promoted via Twitter and other web-based tools. Evaluation methods included YouTube analytics and the validated Information Assessment Method (IAM) questionnaire.
The four videos have a combined total of 26 387 views over the approximately 50 months since publishing, with viewers watching 34-40% of the videos' runtimes on average. The PPI and AHG deprescribing videos were viewed 4318 times in 97 countries during the first year. IAM respondents perceived the PPI, AHG and AP video content to be relevant, useful to learning and applicable to patient care.
Using whiteboard videos on YouTube to explain deprescribing guidelines was a successful approach to knowledge mobilization. The evaluation approach is innovative as it combines typical success factors for online learning videos (e.g. views, estimated minutes watched) with responses to a validated information assessment tool.
逐渐减少药物剂量或停药是指有计划、有监督的减药过程。目前，仅有少数临床指南可以帮助医疗保健专业人员做出减药决策。布鲁耶尔减药指南制定小组制定了一系列基于证据的药物类别特定减药指南，并将其作为在 YouTube 上发布的白板视频进行传播，以扩大指南的覆盖范围和采用率。本文介绍质子泵抑制剂（PPI）、抗高血糖药（AHG）、抗精神病药（AP）和苯二氮䓬受体激动剂（BZRA）减药指南的制作、分享和评估情况。
白板视频由动画师在白板上绘图，旁白者同时朗读脚本。在每个视频中，均应用减药算法来处理模拟患者病例。这些视频在 YouTube 上分享，并通过 Twitter 和其他网络工具进行宣传。评估方法包括 YouTube 分析和经过验证的信息评估方法（IAM）问卷。
自发布以来，大约 50 个月内，这四个视频的总观看次数达到了 26387 次，观看者平均观看视频时长的 34%-40%。在第一年，有 97 个国家的 4318 人观看了 PPI 和 AHG 减药视频。IAM 受访者认为 PPI、AHG 和 AP 视频内容具有相关性、对学习有用且适用于患者护理。
使用 YouTube 上的白板视频来解释减药指南是一种成功的知识传播方法。评估方法具有创新性，它结合了在线学习视频的典型成功因素（例如，浏览量、估计观看时长）和对经过验证的信息评估工具的响应。
