Goethals Luc, Prokofieva Nelson Victoria, Fenouillet Fabien, Chevreul Karine, Bergerat Manon, Lebreton Christine, Refes Yacine, Blangis Flora, Chalumeau Martin, Le Roux Enora
Obstetrical, Perinatal and Pediatric Epidemiology Research team (EPOPé), Centre of Research in Epidemiology and Statistics (CRESS), Université Paris Cité, Inserm, Paris, France.
Epidémiologie clinique-évaluation économique appliqué aux populations vulnérables (ECEVE), Université Paris Cité, Inserm, Paris, France.
J Med Internet Res. 2024 Dec 10;26:e60530. doi: 10.2196/60530.
Numerous strategies for preventing abusive head trauma (AHT) have been proposed, but controlled studies failed to demonstrate their effectiveness. Digital tools may improve the effectiveness of AHT prevention strategies by reaching a large proportion of the adult population.
This study aimed to describe the characteristics of videos of AHT prevention published on the internet, including their quality content, and to study their association with popularity.
From a systematic appraisal performed in June 2023, we identified videos addressing the primary prevention of AHT in children younger than 2 years that were published in English or French on the internet by public organizations or mainstream associations. We analyzed the characteristics of the videos; their quality with the Global Quality Scale (GQS); and their association with an index of popularity, the Video Power Index, using multivariable quasi-Poisson modeling.
We included 53 (6.6%) of the 804 videos identified. Videos were mainly published by public organizations (43/53, 81%). The median time spent on the web was 6 (IQR 3-9) years, the median length was 202 (IQR 94-333) seconds, and the median GQS score was 4 (IQR 3-4). Infants were often depicted (42/53, 79%), including while crying (35/53, 66%) and being shaken (21/53, 40%). The characterization of shaking as an abuse and its legal consequences were cited in 47% (25/53) and 4% (2/53) of videos, respectively. The main prevention strategies in the videos were to raise awareness of the noxious outcome of shaking (49/53, 93%) and convince viewers of the effectiveness of coping strategies for infants' cries (45/53, 85%). The Video Power Index was positively correlated with the GQS (r=0.38; P=.007) and was independently associated with depicting an infant being shaken (P=.03; β=1.74, 95% CI 1.06-2.85) and the use of text or headers (P=.04; β=2.15, 95% CI 1.08-4.26).
AHT prevention videos had high quality but did not frequently deal with parental risk factors. The characteristics identified as being associated with the popularity of AHT prevention videos could help improve the impact of future prevention programs by enhancing their popularity.
已经提出了许多预防虐待性头部创伤（AHT）的策略，但对照研究未能证明其有效性。数字工具可能通过覆盖很大一部分成年人群来提高AHT预防策略的有效性。
本研究旨在描述在互联网上发布的AHT预防视频的特征，包括其内容质量，并研究它们与受欢迎程度的关联。
从2023年6月进行的系统评估中，我们识别出由公共组织或主流协会在互联网上以英语或法语发布的、针对2岁以下儿童AHT一级预防的视频。我们分析了这些视频的特征；使用全球质量量表（GQS）评估它们的质量；并使用多变量拟泊松模型研究它们与受欢迎程度指数视频影响力指数的关联。
我们纳入了804个识别出的视频中的53个（6.6%）。视频主要由公共组织发布（43/53，81%）。在网络上的发布时间中位数为6（四分位间距3 - 9）年，时长中位数为202（四分位间距94 - 333）秒，GQS评分中位数为4（四分位间距3 - 4）。经常描绘婴儿（42/53，79%），包括哭泣时（35/53，66%）和被摇晃时（21/53，40%）。分别有47%（25/53）和4%（2/53）的视频提到将摇晃描述为虐待及其法律后果。视频中的主要预防策略是提高对摇晃有害后果的认识（49/53，93%）以及让观众相信应对婴儿哭泣策略 的有效性（45/53，85%）。视频影响力指数与GQS呈正相关（r = 0.38；P = 0.007），并且与描绘婴儿被摇晃（P = 0.03；β = 1.74，95%置信区间1.06 - 2.85）以及使用文字或标题（P = 0.04；β = 2.15，95%置信区间1.08 - 4.26）独立相关。
AHT预防视频质量较高，但不常涉及父母的风险因素。被确定与AHT预防视频受欢迎程度相关的特征可以通过提高其受欢迎程度来帮助改善未来预防项目的影响。
