Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Department of Surgery, Division of Radiation Oncology, University of British Columbia, Vancouver, Canada; BC Cancer- Vancouver, Department of Radiation Oncology, Vancouver, Canada.
Clin Breast Cancer. 2023 Jun;23(4):e230-e238. doi: 10.1016/j.clbc.2023.02.011. Epub 2023 Feb 24.
Radiotherapy (RT) is an important component of breast cancer management but is underutilized due to barriers such as the lack of proper education. YouTube is commonly used for obtaining health information, yet the quality of information has been a previous concern. This study systematically evaluates the characteristics of educational YouTube videos on RT for breast cancer.
A total of 200 YouTube videos were identified by recording the top 50 videos of 4 searches. Duplicates were removed, videos were rank ordered and screened against pre-determined inclusion criteria, then the first 50 videos were reviewed using a video assessment tool. Two independent reviewers were used. Positively skewed distributions were observed for most general parameters including views, likes, length and View Ratio.
The USA (66%) or UK (20%) were the most common locations of publication. Publishers were frequently affiliated with health care facilities (48%) or non-profits (30%). The interview using a physician (68%) or patient (26%) was the most common media type, and B-roll footage with narration (48%) was the second most common. Most videos were targeted towards patients (96%), had comments (56%) and subtitles available (96%). The most common themes identified were Explaining RT (54%), Acute Side Effects (40%) and Patient Care Experience (32%).
This review is useful to inform the future development of video resources for health education in this topic. Though parameters were variable and inconsistently followed best practice guidelines, YouTube remains as a potentially important tool for the dissemination of health information.
放射治疗(RT)是乳腺癌管理的重要组成部分,但由于缺乏适当的教育等障碍,其应用并不广泛。YouTube 通常用于获取健康信息,但之前人们一直担心其信息质量。本研究系统评估了 YouTube 上关于乳腺癌 RT 的教育视频的特点。
通过记录 4 次搜索的前 50 个视频,共确定了 200 个 YouTube 视频。去除重复项后,对视频进行排序,并根据预先确定的纳入标准进行筛选,然后使用视频评估工具对前 50 个视频进行审查。使用了两名独立的审查员。大多数一般参数(包括浏览量、点赞数、时长和浏览率)都呈现出正向偏态分布。
最常见的发布地点是美国(66%)或英国(20%)。发布者经常与医疗机构(48%)或非营利组织(30%)有关联。使用医生(68%)或患者(26%)进行访谈是最常见的媒体类型,其次是带旁白的 B 段镜头(48%)。大多数视频针对患者(96%),有评论(56%)和字幕(96%)。确定的最常见主题包括解释 RT(54%)、急性副作用(40%)和患者护理体验(32%)。
本综述有助于为今后在这一主题的健康教育中开发视频资源提供信息。尽管参数存在差异且不一致地遵循最佳实践指南,但 YouTube 仍然是传播健康信息的一个潜在重要工具。