Department of Neurosciences, Reproductive Sciences and Odontostomatology, Urology Unit, University of Naples "Federico II", Naples, Italy.
Int J Impot Res. 2024 Nov;36(7):747-754. doi: 10.1038/s41443-023-00762-w. Epub 2023 Oct 21.
Several previous studies on YouTube information on medical topics have already been published. The current study aimed to evaluate the quality information of YouTube videos on Phosphodiesterase 5 inhibitors (PDE5-is). A systematic search on YouTube™ was conducted using 30 keyword combinations. For each keyword's combination, the first 50 videos were recorded. The quality of videos on YouTube™ was assessed with Patient Education Materials Assessment Tool for audio-visual content (PEMAT A/V), DISCERN score and a specified created Misinformation tool. According to the selection criteria, 229 YouTube™ videos were suitable for the analyses. Videos were stratified according to the five main identified topics: sildenafil [n = 98; 42.79%] vs tadalafil [n = 50; 21.83%] vs vardenafil [n = 44;19.21%] vs avanafil [n = 17; 7.42%] vs PDE5-is in general [n = 20; 8.73%]. The median overall PEMAT A/V Understandability score and Actionability score were 55% (interquartile range [IQR]: 42-75) and 0% (IQR = 0-67), respectively. Specifically, according to our stratification, YouTube Videos on avanafil reached higher values of both Understandability and Actionability (72.7% and 66.7, respectively) in contrast to other categories. According to DISCERN tool, the total overall median score was 29.5 (IQR = 18-41). According to Misinformation scale, the item 1 ('sexual stimulation') harboured an overall median score of 2 (IQR = 1-2); the item 2 ('side effects') an overall median score of 2 (IQR = 1-3); the item 3 ('treatment choices') an overall median score of 1 (IQR = 1-2); the item 4 ('contraindications') an overall median score of 2 (IQR = 1-2). YouTube™ is a fast and open-access source for mass information. The overall quality of the PDE5-is contents provided is sadly unsatisfactory. Nowadays, YouTube™ cannot be recommended as a reliable source of information on PDE5-is.
已有几项关于 YouTube 医学主题信息的研究,本研究旨在评估 YouTube 视频中磷酸二酯酶 5 抑制剂(PDE5-i)相关信息的质量。通过 30 个关键词组合,在 YouTube 上进行了系统搜索。对于每个关键词组合,记录了前 50 个视频。使用视听内容患者教育材料评估工具(PEMAT A/V)、DISCERN 评分和专门创建的错误信息工具评估 YouTube 视频的质量。根据选择标准,有 229 个 YouTube 视频适合分析。根据五个主要确定的主题对视频进行分层:西地那非 [n=98;42.79%]、他达拉非 [n=50;21.83%]、伐地那非 [n=44;19.21%]、阿伐那非 [n=17;7.42%] 和一般 PDE5-i [n=20;8.73%]。总体而言,PEMAT A/V 可理解性评分和可操作性评分的中位数分别为 55%(四分位距 [IQR]:42-75)和 0%(IQR=0-67)。具体而言,根据我们的分层,阿伐那非的 YouTube 视频在可理解性和可操作性方面达到了更高的分数(分别为 72.7%和 66.7),而其他类别的分数则较低。根据 DISCERN 工具,总评分中位数为 29.5(IQR=18-41)。根据错误信息量表,项目 1(“性刺激”)的总体中位数评分为 2(IQR=1-2);项目 2(“副作用”)的总体中位数评分为 2(IQR=1-3);项目 3(“治疗选择”)的总体中位数评分为 1(IQR=1-2);项目 4(“禁忌症”)的总体中位数评分为 2(IQR=1-2)。YouTube 是一个快速且开放的大众信息来源。提供的 PDE5-i 相关内容的整体质量令人不满意。如今,YouTube 不能被推荐为 PDE5-i 的可靠信息来源。