Vaira Luigi Angelo, Sergnese Silvia, Salzano Giovanni, Maglitto Fabio, Arena Antonio, Carraturo Emanuele, Abbate Vincenzo, Committeri Umberto, Vellone Valentino, Biglio Andrea, Lechien Jérome R, De Riu Giacomo
Maxillofacial Surgery Operative Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari, 07100 Sassari, Italy.
Biomedical Science Department, PhD School of Biomedical Science, University of Sassari, 07100 Sassari, Italy.
J Clin Med. 2023 Jan 19;12(3):817. doi: 10.3390/jcm12030817.
Counseling is considered a first-line conservative therapy with respect to temporomandibular joint disorders (TMJD). Nowadays, 50 to 80% of patients acquire health information from the internet before turning to professionals. The purpose of this study has been to investigate the quality of information about TMJD that patients can obtain from YouTube. A YouTube.com search was conducted using the terms "temporomandibular joint disorder"; "limited movement of the mandible"; and "mandibular joint pain". The videos identified were assessed independently by two panels of three professional and lay reviewers with HONcode, modified DISCERN (MD) and the global quality scale (GQS). A total of 106 videos were included. The professional reviewers reported a mean HONcode score of 4.148 ± 1.314 and a mean MD score of 2.519 ± 1.267, testifying to a modest general quality of the videos. The mean GQS score was 2.987 ± 1.012 for the professional and 3.469 ± 0.891 for the lay reviewers ( < 0.001). The correlations between the ratings were significant between the reviewers within the same group but not between the two groups. The presence of animations significantly influenced the GQS score expressed by the lay reviewers ( = 0.011) but not that of the professionals ( = 0.640). The quality of the information on TMJD on YouTube is generally of poor quality. Healthcare systems and professionals should be prepared to correct misinformation and build trusting relationships with patients which are based on quality counseling. Similarly, academic institutions should produce quality content that leads patients with TMJD toward a correct diagnostic-therapeutic process.
就颞下颌关节紊乱病(TMJD)而言,咨询被视为一线保守治疗方法。如今,50%至80%的患者在咨询专业人士之前会先从互联网获取健康信息。本研究的目的是调查患者可从YouTube上获取的有关TMJD的信息质量。在YouTube.com上使用“颞下颌关节紊乱病”“下颌运动受限”和“下颌关节疼痛”等关键词进行搜索。对识别出的视频由两组评审人员独立评估,每组包括三名专业评审员和非专业评审员,采用健康网络基金会(HONcode)标准、改良的辨别能力量表(MD)和整体质量量表(GQS)。共纳入106个视频。专业评审员报告的HONcode平均评分为4.148±1.314,MD平均评分为2.519±1.267,这证明这些视频的总体质量一般。专业评审员的GQS平均评分为2.987±1.012,非专业评审员的为3.469±0.891(P<0.001)。同一组评审员之间的评分相关性显著,但两组之间不显著。动画的存在显著影响非专业评审员给出的GQS评分(P = 0.011),但对专业评审员的评分没有影响(P = 0.640)。YouTube上有关TMJD的信息质量总体较差。医疗保健系统和专业人员应准备好纠正错误信息,并与患者建立基于高质量咨询的信任关系。同样,学术机构应制作高质量的内容,引导患有TMJD的患者走向正确的诊断治疗过程。