PDF(Pubmed)
Abstract：
BACKGROUND: With the global increase of cesarean deliveries, breech presentation is the third indication for elective cesarean delivery. Implementation of external cephalic version (ECV), in which the position of the baby is manipulated externally to prevent breech presentation at term, remains suboptimal. Increasing knowledge for caretakers and patients is beneficial in the uptake of ECV implementation. In recent decades, the internet has become the most important source of information for both patients and health care professionals. However, the use and availability of the internet also bring about concerns since the information is often not regulated or reviewed. Information needs to be understandable, correct, and easily obtainable for the patient. Owing to its global reach, YouTube has great potential to both hinder and support spreading medical information and can therefore be used as a tool for shared decision-making.
OBJECTIVE: The objective of this study was to investigate the available information on YouTube about ECV and assess the quality and usefulness of the information in the videos.
METHODS: A YouTube search was performed with five search terms and the first 35 results were selected for analysis. A quality assessment scale was developed to quantify the accuracy of medical information of each video. The main outcome measure was the usefulness score, dividing the videos into useful, slightly useful, and not useful categories. The source of upload was divided into five subcategories and two broad categories of medical or nonmedical. Secondary outcomes included audience engagement, misinformation, and encouraging or discouraging ECV.
RESULTS: Among the 70 videos, only 14% (n=10) were defined as useful. Every useful video was uploaded by educational channels or health care professionals and 80% (8/10) were derived from a medical source. Over half of the not useful videos were uploaded by birth attendants and vloggers. Videos uploaded by birth attendants scored the highest on audience engagement. The presence of misinformation was low across all groups. Two-thirds of the vloggers encouraged ECV to their viewers.
CONCLUSIONS: A minor percentage of videos about ECV on YouTube are considered useful. Vloggers often encourage their audience to opt for ECV. Videos with higher audience engagement had a lower usefulness score compared to videos with lower audience engagement. Sources from medically accurate videos should cooperate with sources with high audience engagement to contribute to the uptake of ECV by creating more awareness and a positive attitude of the procedure, thereby lowering the chance for a cesarean delivery due to breech presentation at term.
OBJECTIVE: The objective of this study was to investigate the available information on YouTube about ECV and assess the quality and usefulness of the information in the videos.
METHODS: A YouTube search was performed with five search terms and the first 35 results were selected for analysis. A quality assessment scale was developed to quantify the accuracy of medical information of each video. The main outcome measure was the usefulness score, dividing the videos into useful, slightly useful, and not useful categories. The source of upload was divided into five subcategories and two broad categories of medical or nonmedical. Secondary outcomes included audience engagement, misinformation, and encouraging or discouraging ECV.
RESULTS: Among the 70 videos, only 14% (n=10) were defined as useful. Every useful video was uploaded by educational channels or health care professionals and 80% (8/10) were derived from a medical source. Over half of the not useful videos were uploaded by birth attendants and vloggers. Videos uploaded by birth attendants scored the highest on audience engagement. The presence of misinformation was low across all groups. Two-thirds of the vloggers encouraged ECV to their viewers.
CONCLUSIONS: A minor percentage of videos about ECV on YouTube are considered useful. Vloggers often encourage their audience to opt for ECV. Videos with higher audience engagement had a lower usefulness score compared to videos with lower audience engagement. Sources from medically accurate videos should cooperate with sources with high audience engagement to contribute to the uptake of ECV by creating more awareness and a positive attitude of the procedure, thereby lowering the chance for a cesarean delivery due to breech presentation at term.
摘要：
背景：随着全球剖宫产的增加，臀位是选择性剖宫产的第三个指征.实施外部头部版本(ECV)，其中婴儿的位置是在外部操纵的，以防止足月臀位出现，仍然是次优的。增加看护者和患者的知识有利于实施ECV。近几十年来,互联网已成为患者和医疗保健专业人员最重要的信息来源。然而,互联网的使用和可用性也引起了人们的关注，因为信息通常不受监管或审查。信息需要被理解,正确,和容易获得的病人。由于其全球影响力，YouTube在阻碍和支持医疗信息传播方面具有巨大潜力，因此可以用作共享决策的工具。
目的：本研究的目的是调查YouTube上有关ECV的可用信息，并评估视频中信息的质量和有用性。
方法：使用5个搜索项进行YouTube搜索，选择前35个结果进行分析。开发了质量评估量表，以量化每个视频的医疗信息的准确性。主要结果测量是有用性得分，将视频分成有用的，有点有用,而不是有用的类别。上传的来源分为五个子类别和两大类医学或非医学。次要结果包括受众参与度，错误信息,鼓励或阻止ECV。
结果：在70个视频中，只有14%(n=10)被定义为有用。每个有用的视频都是由教育渠道或医疗保健专业人员上传的，80％（8/10）来自医疗来源。超过一半的无用视频是由助产士和视频记录器上传的。助产士上传的视频在观众参与度上得分最高。在所有组中，错误信息的存在都很低。三分之二的视频记录器鼓励他们的观众ECV。
结论：YouTube上一小部分关于ECV的视频被认为是有用的。Vlogger经常鼓励他们的观众选择ECV。与观众参与度较低的视频相比，观众参与度较高的视频的有用性得分较低。来自医学上准确的视频的来源应与观众参与度高的来源合作，通过提高对手术的认识和积极态度来促进ECV的吸收。从而降低了由于足月臀位的剖宫产的机会。
目的：本研究的目的是调查YouTube上有关ECV的可用信息，并评估视频中信息的质量和有用性。
方法：使用5个搜索项进行YouTube搜索，选择前35个结果进行分析。开发了质量评估量表，以量化每个视频的医疗信息的准确性。主要结果测量是有用性得分，将视频分成有用的，有点有用,而不是有用的类别。上传的来源分为五个子类别和两大类医学或非医学。次要结果包括受众参与度，错误信息,鼓励或阻止ECV。
结果：在70个视频中，只有14%(n=10)被定义为有用。每个有用的视频都是由教育渠道或医疗保健专业人员上传的，80％（8/10）来自医疗来源。超过一半的无用视频是由助产士和视频记录器上传的。助产士上传的视频在观众参与度上得分最高。在所有组中，错误信息的存在都很低。三分之二的视频记录器鼓励他们的观众ECV。
结论：YouTube上一小部分关于ECV的视频被认为是有用的。Vlogger经常鼓励他们的观众选择ECV。与观众参与度较低的视频相比，观众参与度较高的视频的有用性得分较低。来自医学上准确的视频的来源应与观众参与度高的来源合作，通过提高对手术的认识和积极态度来促进ECV的吸收。从而降低了由于足月臀位的剖宫产的机会。
