Quality and reliability of YouTube videos as a source of information on pulmonary rehabilitation

Objectives: We aimed to evaluate the quality and reliability of the most watched YouTube videos in pulmonary rehabilitation (PR) and to determine the criteria that may be important in the selection of high quality and reliable videos by patients and their relatives. Methods: We searched for the keywords “pulmonary exercise,” “pulmonary rehabilitation,” and “pulmonary physiotherapy” on December 12th, 2021. Modified DISCERN (mDISCERN) and Global Quality Score (GQS) were used to assess the quality and reliability of the videos. Results: Of the 150 videos screened and 76 (50.7%) videos were identified for inclusion. The median mDISCERN score was 2, indicating that most of the videos were of low quality. A statistically significant relationship was found between video reliability classification in terms of video duration, time since upload, number of subscribers, and number of likes (p < 0.05). In addition, in terms of video upload source, it was determined that most of the high reliability videos were uploaded by healthcare professionals and most of the low reliability videos were uploaded by independent users (p < 0.05). When the videos were compared according to the quality groups subcategory, significant differences were detected in video duration, number of subscribers, average number of views per day, upload sources and mDISCERN scores (p < 0.05). Conclusions: According to the current study results, most of the PR-related videos on YouTube were found to be of poor quality and low reliability. Sharing more videos on social platforms by healthcare professionals in the future may be effective in increasing video quality and reliability.

Keywords:

Social networks, social media patient education, pulmonary rehabilitation,

PDF

___

1. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med 2006;173:1390-413.
2. Spruit MA. Pulmonary rehabilitation. Eur Respir Rev 2014;23:55-63.
3. Kerti M, Balogh Z, Kelemen K, Varga JT. The relationship between exercise capacity and different functional markers in pulmonary rehabilitation for COPD. Int J Chron Obstruct Pulmon Dis 2018;13:717-24.
4. Holland AE, Wadell K, Spruit MA. How to adapt the pulmonary rehabilitation programme to patients with chronic respiratory disease other than COPD. Eur Respir Rev 2013;22:577-86.
5. Drozd B, Couvillon E, Suarez A. Medical YouTube videos and methods of evaluation: literature review. JMIR Med Educ 2018;4:e3.
6. Stellefson M, Chaney B, Ochipa K, Chaney D, Haider Z, Hanik B, Chavarria E, et al. YouTube as a source of chronic obstructive pulmonary disease patient education: a social media content analysis. Chron Respir Dis 2014;11:61-71.
7. Lee JS, Seo HS, Hong TH. YouTube as a source of patient information on gallstone disease. World J Gastroenterol 2014;20:4066-70.
8. Smith PE, McGuire J, Falci M, Poudel DR, Kaufman R, Patterson MA, et al. Analysis of YouTube as a Source of Information for Diabetic Foot Care. J Am Podiatr Med Assoc 2019;109:122-6.
9. Jain N, Abboudi H, Kalic A, Gill F, Al-Hasani H. YouTube as a source of patient information for transrectal ultrasound-guided biopsy of the prostate. Clin Radiol 2019;74:79.e11-4.
10. Castillo J, Wassef C, Wassef A, Stormes K, Berry AE. YouTube as a source of patient information for prenatal repair of myelomeningocele. Am J Perinatol 2021;38:140-4.
11. Chang MC, Park D. YouTube as a source of information on epidural steroid injection. J Pain Res 2021;14:1353-7.
12. Sharma R, Lucas M, Ford P, Meurk C, Gartner CE. YouTube as a source of quit smoking information for people living with mental illness. Tob Control 2016;25:634-7.
13. Bahar-Ozdemir Y, Ozsoy-Unubol T, Akyuz G. Is YouTube a high-quality source of information on cancer rehabilitation?. J Cancer Surviv 2022;16:1016-22.
14. Onder ME, Zengin O. YouTube as a source of information on gout: a quality analysis. Rheumatol Int 2021;41:1321-8.
15. Leong AY, Sanghera R, Jhajj J, Desai N, Jammu BS, Makowsky MJ. Is YouTube useful as a source of health information for adults with type 2 diabetes? A South Asian perspective. Can J Diabetes 2018;42:395-403.e4.
16. Charnock D, Shepperd S, Needham G, Gann R. DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 1999;53:105-11.
17. Langford B, Hooten WM, D'Souza S, Moeschler S, D'Souza RS. YouTube as a source of medical information about spinal cord stimulation. Neuromodulation 2021;24:156-61.
18. Gabarron E, Fernandez-Luque L, Armayones M, Lau AY. Identifying measures used for assessing quality of YouTube videos with patient health information: a review of current literature. Interact J Med Res 2013;2:e6.
19. Fortuna G, Schiavo JH, Aria M, Mignogna MD, Klasser GD. The usefulness of YouTube™ videos as a source of information on burning mouth syndrome. J Oral Rehabil 2019;46:657-65.
20. Szmuda T, Özdemir C, Fedorow K, Ali S, Słoniewski P. YouTube as a source of information for narcolepsy: a content-quality and optimization analysis. J Sleep Res 2021;30:e13053.
21. Ferhatoglu SY, Kudsioglu T. Evaluation of the reliability, utility, and quality of the information in cardiopulmonary resuscitation videos shared on Open access video sharing platform YouTube. Australas Emerg Care 2020;23:211-6.
22. D'Souza RS, D'Souza S, Sharpe EE. YouTube as a source of medical information about epidural analgesia for labor pain. Int J Obstet Anesth 2021;45:133-7.
23. Kim J, Kim R, Jun J-S, Ahn S-H, Jung S, Minn Y-K, et al. Content analysis of Korean videos regarding restless legs syndrome on YouTube. J Mov Disord 2021;14:144-7.
24. Kocyigit BF, Akaltun MS, Sahin AR. YouTube as a source of information on COVID-19 and rheumatic disease link. Clin Rheumatol 2020;39:2049-54.