YouTube上有关耳鸣声音疗法视频的患者教育的质量和可靠性。

The quality and reliability of patient education regarding sound therapy videos for tinnitus on YouTube.

作者信息

Huang Chao, Lan Hongli, Jiang Fan, Huang Yu, Lai Dan

机构信息

Department of Otolaryngology Head and Neck Surgery, the Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.

出版信息

PeerJ. 2024 Feb 1;12:e16846. doi: 10.7717/peerj.16846. eCollection 2024.

DOI:10.7717/peerj.16846

PMID:38313037

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10838532/

Abstract

BACKGROUND

Numerous online videos are available on sound therapy as a treatment modality for tinnitus, but it is uncertain if these videos are adequate for patient education. This study aims to evaluate the quality and reliability of tinnitus sound therapy videos on YouTube for patient education.

METHODS

YouTube videos were searched using keywords related to "tinnitus sound therapy". The top 100 videos were analyzed after excluding those were repetitive, irrelevant, less than 3 min, or not in English. After categorising the videos based on their authorship and content, the video power index (VPI) was relied to determine their popularity. The DISCERN questionnaire (DISCERN), the Global Quality Score (GQS), the Journal of the American Medical Association benchmark criteria (JAMA), and the Patient Education Materials Assessment Tool (PEMAT) were utilized to evaluate the quality, transparency, and patient education.

RESULTS

Over half (56%) of the videos were published by professional organizations. A total of 93% of them contained sound only. Only 17% followed the recommendations of the Clinical Management of Tinnitus Guidelines, and 3% provided literature referenced by the video. A variety types of sound were used, among which music accounting for 35%. The videos were highly popular with an average views of 7,335,003.28 ± 24,174,764.02 and an average VPI of 4,610.33 ± 11,531.10. However, their quality was poor (the median scores: 38/80 for DISCERN, 2/5 for GQS, 1/4 for JAMA, and 50%/100% for PEMAT). There was a negative correlation between the popularity of the videos and their quality, indicated by PEMAT: -0.207, DISCERN: -0.307, GQS: -0.302, and JAMA: -0.233. Several dimensions of the videos require improvement, especially actionability, treatment options, and transparency with lacks of 100%, 63%, and 75% respectively.

CONCLUSION

The tinnitus sound therapy videos available on YouTube exhibit low quality. Nevertheless, they also hold potential for health education if refined and utilized suitably.

摘要

背景

有许多关于耳鸣声疗法作为一种治疗方式的在线视频，但这些视频是否适合患者教育尚不确定。本研究旨在评估YouTube上耳鸣声疗法视频用于患者教育的质量和可靠性。

方法

使用与“耳鸣声疗法”相关的关键词在YouTube上搜索视频。排除重复、不相关、时长少于3分钟或非英文的视频后，对排名前100的视频进行分析。根据视频的作者身份和内容进行分类后，依靠视频影响力指数（VPI）来确定其受欢迎程度。使用DISCERN问卷（DISCERN）、全球质量评分（GQS）、美国医学会基准标准（JAMA）和患者教育材料评估工具（PEMAT）来评估质量、透明度和患者教育情况。

结果

超过一半（56%）的视频由专业组织发布。其中93%的视频仅包含声音。只有17%的视频遵循耳鸣临床管理指南的建议，3%的视频提供了视频引用的文献。使用了多种类型的声音，其中音乐占35%。这些视频非常受欢迎，平均观看次数为7335003.28±24174764.02，平均VPI为4610.33±11531.10。然而，它们的质量较差（DISCERN中位数得分：38/80，GQS：2/5，JAMA：1/4，PEMAT：50%/100%）。视频的受欢迎程度与其质量之间存在负相关，PEMAT显示为-0.207，DISCERN为-0.307，GQS为-0.302，JAMA为-0.233。视频的几个维度需要改进，尤其是可操作性、治疗选择和透明度，分别缺乏100%、63%和75%。