Greer Majesty, Kamma Sai, Tran Henry, Etumuse Bright, Shah Jay D, El-Abed Youshaa, Onyemachi Jane O, Hussain Nasir, Pittelkow Thomas P, D'Souza Ryan S
Howard University College of Medicine, Washington, DC, USA.
University of Texas Medical Branch School of Medicine, Galveston, TX, USA.
J Pain Res. 2024 Apr 16;17:1509-1518. doi: 10.2147/JPR.S459475. eCollection 2024.
INTRODUCTION: Acupuncture is commonly used to treat chronic pain. Patients often access public social media platforms for healthcare information when querying acupuncture. Our study aims to appraise the utility, accuracy, and quality of information available on YouTube, a popular social media platform, on acupuncture for chronic pain treatment. METHODS: Using search terms such as "acupuncture for chronic pain" and "acupuncture pain relief", the top 54 videos by view count were selected. Included videos were >1 minute duration, contained audio in English, had >7000 views, and was related to acupuncture. One primary outcome of interest was categorizing each video's usefulness as useful, misleading, or neither. Another primary outcome of interest was the quality and reliability of each video using validated instruments, including the modified DISCERN (mDISCERN) tool and the Global Quality Scale (GQS). The means were calculated for the video production characteristics, production sources, and mDISCERN and GQS scores. Continuous and categorical outcomes were compared using Student's -test and chi-square test, respectively. RESULTS: Of the 54 videos, 57.4% were categorized as useful, 14.8% were misleading, and 27.8% were neither. Useful videos had a mean GQS and mDISCERN score of 3.77±0.67 and 3.48±0.63, respectively, while misleading videos had mean GQS and mDISCERN score of 2.50±0.53 and 2.38±0.52, respectively. 41.8% of the useful videos were produced by a healthcare institution while none of the misleading videos were produced by a healthcare institution. However, 87.5% of the misleading videos were produced by health media compared to only 25.8% of useful videos from health media. DISCUSSION: As patients increasingly depend on platforms like YouTube for trustworthy information on complementary health practices such as acupuncture, our study emphasizes the critical need for more higher-quality videos from unbiased healthcare institutions and physicians to ensure patients are receiving reliable information regarding this topic.
引言：针灸常用于治疗慢性疼痛。患者在查询针灸相关信息时，经常会在公共社交媒体平台上获取医疗保健信息。我们的研究旨在评估热门社交媒体平台YouTube上有关针灸治疗慢性疼痛的信息的实用性、准确性和质量。 方法：使用“针灸治疗慢性疼痛”和“针灸缓解疼痛”等搜索词，按观看次数选择了前54个视频。纳入的视频时长超过1分钟，包含英语音频，观看次数超过7000次，且与针灸相关。一个主要的关注结果是将每个视频的有用性分类为有用、误导或两者都不是。另一个主要关注结果是使用经过验证的工具，包括改良的DISCERN（mDISCERN）工具和全球质量量表（GQS），来评估每个视频的质量和可靠性。计算视频制作特征、制作来源以及mDISCERN和GQS分数的平均值。分别使用学生t检验和卡方检验比较连续和分类结果。 结果：在54个视频中，57.4%被分类为有用，14.8%具有误导性，27.8%两者都不是。有用视频的GQS和mDISCERN平均分数分别为3.77±0.67和3.48±0.63，而具有误导性的视频的GQS和mDISCERN平均分数分别为2.50±0.53和2.38±0.52。41.8%的有用视频由医疗机构制作，而没有一个具有误导性的视频是由医疗机构制作的。然而，87.5%的具有误导性 的视频由健康媒体制作，相比之下，只有25.8%的有用视频来自健康媒体。 讨论：随着患者越来越依赖YouTube等平台获取有关针灸等补充健康疗法的可靠信息，我们的研究强调迫切需要来自无偏见的医疗机构和医生的更多高质量视频，以确保患者获得有关该主题的可靠信息。
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