Stumpe Tanner R, Graf Austin M, Melton Christopher D, Devarakonda Aditya K, Steflik Michael J, Blair James A, Parada Stephen A, Davis Jana M
Medical College of Georgia at Augusta University, Department of Orthopaedic Surgery, 1120 15 Street, Augusta, GA, 30912, USA.
J Orthop. 2023 Mar 7;38:32-37. doi: 10.1016/j.jor.2023.02.016. eCollection 2023 Apr.
AIMS & OBJECTIVES: YouTube is a non-peer-reviewed platform with a large library of healthcare-related videos which attempt to provide educational content. The goal of this study is to analyze the quality, absorbability, and educational content of videos available to patients on YouTube regarding ankle fractures.
MATERIALS & METHODS: On May 31, 2022, over 550 videos populated the initial search of "ankle fracture" within YouTube's platform. The first 100 videos were reviewed, and 62 videos were included in the final analysis. Video characteristics were recorded and evaluated. Videos were assessed using three objective scoring systems: (1) the Journal of American Medical Association (JAMA) benchmark criteria, (2) the Patient Education Materials Assessment Tool for audio and visual materials (PEMAT), and (3) the novel Ankle Fracture Content Score (AFCS).
Each scoring system had high internal consistency and interrater reliability. The mean JAMA, PEMAT understandability, PEMAT actionability, and AFCS were 2.92, 61.85%, 16.38%, and 4.67, respectively. No association was seen between video popularity metrics and quality of information. The understandability of the patient-targeted videos was greater than those targeted at healthcare professionals ( = 0.049).
The information regarding ankle fractures available on YouTube for patient education is poor with no correlation between quality and popularity. This study illustrates the need for future collaboration between YouTube and trusted medical societies to provide patients with the highest quality information.
YouTube是一个未经同行评审的平台，拥有大量与医疗保健相关的视频库，旨在提供教育内容。本研究的目的是分析YouTube上可供患者观看的有关踝关节骨折视频的质量、可吸收性和教育内容。
2022年5月31日，在YouTube平台上对“踝关节骨折”进行初步搜索，出现了550多个视频。对前100个视频进行了审查，最终分析纳入了62个视频。记录并评估了视频特征。使用三种客观评分系统对视频进行评估：（1）美国医学会（JAMA）基准标准，（2）视听材料患者教育材料评估工具（PEMAT），以及（3）新的踝关节骨折内容评分（AFCS）。
每个评分系统都具有较高的内部一致性和评分者间信度。JAMA、PEMAT可理解性、PEMAT可操作性和AFCS的平均值分别为2.92、61.85%、16.38%和4.67。视频受欢迎程度指标与信息质量之间没有关联。针对患者的视频的可理解性高于针对医疗保健专业人员的视频（P = 0.049）。
YouTube上可供患者教育使用的有关踝关节骨折的信息质量较差，质量与受欢迎程度之间没有相关性。本研究表明，YouTube与可信医学协会未来需要开展合作，为患者提供最高质量的信息。
