Iyer Indiresha, Iyer Amogh, Kanthawar Pooja, Khot Umesh N
Lerner College of Medicine, Cleveland Clinic Akron General, Akron, Ohio.
The Ohio State University College of Medicine, Columbus, Ohio.
Cardiovasc Digit Health J. 2022 Jul 15;3(4):189-196. doi: 10.1016/j.cvdhj.2022.06.003. eCollection 2022 Aug.
Physicians recommend electrophysiological (EP) procedures to patients with arrhythmic risk. This involves shared decision-making (SDM). Patients increasingly search for additional information online. Freely available online videos are an attractive source.
We assessed freely available online videos for EP procedures from the perspective of SDM to determine if such videos can be shared with patients for SDM.
We searched for freely available online videos related to 6 common EP procedures limited to English language and duration between 1 and 10 minutes using Google and Bing. Data collected included date and source of upload, number of hits, and duration. Videos were assessed systematically for understandability, actionability (PEMAT tool), relatability, teamwork, and mention of risk.
A total of 78 videos met our inclusion criteria, out of 960 video links. Overall inter-rater agreement was moderate to good. Video upload dates spanned 12 years and number of hits ranged from 87 to 594,000. The majority of videos (63%) were produced by health care systems or academic institutions. For all 78 videos the mean total PEMAT tool score was 48.6%. Thirty-five percent of videos showed a patient engaged in a conversation with the physician or a team member; 41% of videos showed other team members. The potential for complications was mentioned in 10%.
The majority of online, freely available videos for common EP procedures lack features useful for SDM and may not be helpful for sharing with patients from that perspective. It is possible to create high-quality videos that can facilitate SDM.
医生会向有心律失常风险的患者推荐电生理（EP）手术。这涉及共同决策（SDM）。患者越来越多地在网上搜索更多信息。免费的在线视频是一个有吸引力的信息来源。
我们从共同决策的角度评估了免费的EP手术在线视频，以确定此类视频是否可与患者分享用于共同决策。
我们使用谷歌和必应搜索了与6种常见EP手术相关的免费在线视频，限制为英语且时长在1至10分钟之间。收集的数据包括上传日期和来源、点击量以及时长。对视频进行系统评估，包括可理解性、可操作性（PEMAT工具）、相关性、团队合作以及风险提及情况。
在960个视频链接中，共有78个视频符合我们的纳入标准。总体评分者间一致性为中等至良好。视频上传日期跨度为12年，点击量从87到594,000不等。大多数视频（63%）由医疗系统或学术机构制作。所有78个视频的PEMAT工具总平均分是48.6%。35%的视频显示有患者与医生或团队成员进行对话；41%的视频显示有其他团队成员。10%的视频提到了并发症的可能性。
大多数关于常见EP手术的免费在线视频缺乏对共同决策有用的特征，从这个角度来看可能对与患者分享并无帮助。有可能制作出有助于共同决策的高质量视频。
