Division of Orthodontics and Dentofacial Orthopedics, Department of Dentistry, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.
Department of Orthodontics, All India Institute of Medical Sciences, Jammu, Jammu & Kashmir, India.
Spec Care Dentist. 2024 Sep;44(5):1307-1316. doi: 10.1111/scd.12995. Epub 2024 Mar 22.
YouTube's popularity as a health information source raises concerns about credibility due to the absence of peer review. Therefore, this study assessed the content quality and reliability of YouTube videos related to oral appliance therapy for obstructive sleep apnea (OSA).
Videos were systematically searched on August 20, 2023, using terms determined through Google Trends. Videos were included based on predefined criteria and independently assessed by two researchers. Video demographics were extracted. Video quality was evaluated using audio-visual (AV) quality, video information and quality index (VIQI), global quality score (GQS), and reliability using a modified DISCERN tool (mDISCERN). High and low-content videos were defined based on the customized 10-point scoring system. Inter- and intra-examiner reliability of scoring system were calculated.
Most videos were educational (46.3%), presented by dental sleep medicine specialists (42.6%), and aimed at laypersons (63%), with the majority originating from the United States (79.6%). The final 54 videos were categorized as high-content (n = 29, 54%) and low-content (n = 25, 46%). High-content videos had more views, comments, and longer video durations (7.07 ± 6.04 min). Significant differences (p < .05) were observed among high and low-content videos in total VIQI, mDISCERN, GQS, and TCS. Moderate correlations were found between GQS and TCS (r = 0.721), mDISCERN and VIQI (r = 0.649), GQS and VIQI (r = 0.601), and AV quality and VIQI (r = 0.531).
The study highlights variable content quality and reliability of YouTube videos on oral appliance therapy for OSA, emphasizing the need for guidelines to enhance their educational value and deliver reliable, evidence-based information to patients.
YouTube 作为健康信息来源的普及性引起了人们对其可信度的担忧，因为它缺乏同行评审。因此，本研究评估了与口腔器械治疗阻塞性睡眠呼吸暂停（OSA）相关的 YouTube 视频的内容质量和可靠性。
2023 年 8 月 20 日，使用通过 Google Trends 确定的术语对视频进行了系统搜索。根据预先确定的标准，纳入视频并由两名研究人员独立评估。提取视频人口统计学信息。使用音频-视觉（AV）质量、视频信息和质量指数（VIQI）、总体质量评分（GQS）以及使用改良的 DISCERN 工具（mDISCERN）评估视频质量。根据定制的 10 分评分系统定义高内容和低内容视频。计算评分系统的组内和组间可靠性。
大多数视频是教育性的（46.3%），由牙科睡眠医学专家呈现（42.6%），针对的是外行（63%），其中大部分来自美国（79.6%）。最终的 54 个视频分为高内容（n=29，54%）和低内容（n=25，46%）。高内容视频的浏览量、评论量和视频时长更长（7.07±6.04 分钟）。高内容和低内容视频在总 VIQI、mDISCERN、GQS 和 TCS 方面存在显著差异（p<.05）。GQS 和 TCS（r=0.721）、mDISCERN 和 VIQI（r=0.649）、GQS 和 VIQI（r=0.601）以及 AV 质量和 VIQI（r=0.531）之间存在中度相关性。
本研究强调了 YouTube 上关于口腔器械治疗 OSA 的视频内容质量和可靠性存在差异，这表明需要制定指南，以提高其教育价值，并向患者提供可靠的、基于证据的信息。
