Assessing Laryngectomy Patient Education on YouTube: Investigating Quality and Reliability

被引:2
作者
Lin, Matthew E. [1 ]
Ayo-Ajibola, Oluwatobiloba [1 ]
Castellanos, Carlos X. [1 ]
West, Jonathan [2 ]
Luu, Neil [2 ]
Kim, Ian [3 ,4 ]
Kokot, Niels C. [2 ,5 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Los Angeles, CA USA
[2] Univ Southern Calif, Keck Sch Med, Caruso Dept Otolaryngol Head & Neck Surg, Los Angeles, CA USA
[3] Stanford Univ, Dept Pediat & Med, Stanford, CA USA
[4] Penn State Univ, Dept Kinesiol, University Pk, PA USA
[5] USC, USC Dept Otolaryngol Head & Neck Surg, Keck Sch Med, 1537 Norfolk St,Suite 5800, Los Angeles, CA 90033 USA
关键词
head and neck cancer; laryngeal cancer; laryngectomy; quality; reliability; social media; YouTube; HEAD;
D O I
10.1002/oto2.113
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective. This study aimed to characterize the quality of laryngectomy-related patient education on YouTube and understand factors impacting video content quality. Study Design. Cross-sectional cohort analysis. Setting. Laryngectomy-related videos on YouTube. Methods. YouTube was anonymously queried for various laryngectomy procedure search terms. Video quality was evaluated using the validated DISCERN instrument which assesses treatment-related information quality. Descriptive statistics were used to characterize our cohort. Univariate and multivariable linear regression were used to assess factors associated with increased DISCERN score. Significance was set at P < .05. Results. Our 78-video cohort exhibited moderate levels of engagement, averaging 13,028.40 views (SD = 24,246.93), 69.79 likes (SD = 163.75), and 5.27 comments (SD = 18.81). Videos were most frequently uploaded to accounts belonging to physicians (43.59%) or health care groups (41.03%) and showcased operations (52.56%) or physician-led education (20.51%). Otolaryngologists were featured in most videos (85.90%), and most videos originated outside the United States (67.95%). Laryngectomy videos demonstrated poor reliability (mean = 2.35, SD = 0.77), quality of treatment information (mean = 1.92, SD = 0.86), and overall video quality (mean = 1.97, SD = 1.12). In multivariable linear regression, operative videos were associated with lower video quality relative to nonoperative videos (beta = -1.63, 95% confidence interval [CI] = [-2.03 to -1.24], P < .001); the opposite was true for videos from accounts with higher subscriber counts (beta = 0.02, 95% CI = [0.01-0.03], P = .005). Conclusion. The quality and quantity of YouTube's laryngectomy educational content is limited. There is an acute need to increase the quantity and quality of online laryngectomy-related content to better support patients and caregivers as they cope with their diagnosis, prepare for, and recover from surgery.
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页数:8
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