Chai Brandon S, Chae Taewoong, Huang Adrian L
Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
St. Paul's Hospital Department of Orthopaedic Surgery, University of British Columbia, Vancouver, BC, Canada.
J Hand Surg Glob Online. 2024 Mar 25;6(3):377-382. doi: 10.1016/j.jhsg.2024.02.009. eCollection 2024 May.
Distal radius fractures (DRFs) are one of the most common fractures in adults. Adequate patient education is crucial for adherence to treatment. YouTube is a popular, accessible resource that has become a valuable tool for obtaining health information. The current study evaluated the top 50 YouTube videos on DRF treatment for patient education.
A systematic search was conducted on YouTube using three searches to obtain 150 videos. Duplicate, nonrelevant, paid, and non-English videos were removed, and the top 50 rank-ordered videos were reviewed and characterized in terms of general (views, likes, video length, and publication date), source (publisher affiliation, presenter type, and target audience), and content (media type, topic coverage, advertisements, and bias) parameters.
Only 56% of videos were directed toward patients versus 40% for health care providers, highlighting a gap in patient-oriented educational content on YouTube. Most (86%) videos included effective visual aids, aligning with best practices for educational videos. Surgical management was overrepresented in 64% of the videos as opposed to nonsurgical management in 34% of videos. Only 31% of patient-oriented videos discussed surgical complications. Home exercises were emphasized in 75% of the videos discussing recovery topics.
Although YouTube has the potential to be an effective resource for disseminating health information to patients, it has several limitations for education in DRF treatment including the lack of patient-oriented educational videos, overrepresentation of surgical treatment, and lack of information on surgical complications. Nonetheless, YouTube may have an important role as a supplementary resource, especially in certain topics such as guiding postoperative recovery with home exercises.
This study allows health care providers and content creators to proactively address information gaps identified in educational YouTube videos on DRF treatment. It helps characterize the role of YouTube in supporting the treatment and recovery of patients experiencing DRFs.
桡骨远端骨折（DRF）是成人中最常见的骨折之一。对患者进行充分的教育对于坚持治疗至关重要。YouTube是一个广受欢迎且易于获取的资源，已成为获取健康信息的宝贵工具。本研究评估了YouTube上关于DRF治疗的前50个视频对患者教育的作用。
在YouTube上进行了系统搜索，使用三种搜索方式获取了150个视频。去除重复、不相关、付费和非英语视频，对排名前50的视频按照一般（观看次数、点赞数、视频时长和发布日期）、来源（发布者所属机构、主讲人类型和目标受众）以及内容（媒体类型、主题覆盖范围、广告和偏差）参数进行审查和特征描述。
仅有56%的视频是针对患者的，而针对医疗保健提供者的占40%，这凸显了YouTube上以患者为导向的教育内容存在差距。大多数（86%）视频包含有效的视觉辅助工具，符合教育视频的最佳实践。64%的视频中手术治疗的内容过多，而34%的视频涉及非手术治疗。仅31%以患者为导向讨论手术并发症。在75%讨论康复主题的视频中强调了家庭锻炼。
尽管YouTube有潜力成为向患者传播健康信息的有效资源，但在DRF治疗教育方面存在若干局限性，包括缺乏以患者为导向的教育视频、手术治疗内容过多以及缺乏手术并发症信息。尽管如此，YouTube作为补充资源可能具有重要作用，特别是在某些主题上，如通过家庭锻炼指导术后康复。
本研究使医疗保健提供者和内容创作者能够主动解决YouTube上关于DRF治疗的教育视频中发现的信息差距。它有助于明确YouTube在支持DRF患者治疗和康复中的作用。
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