Quality and Reliability Analysis of YouTube as a Source of Patient Information on de Quervain's Tenosynovitis

Abstract

Purpose This study seeks to evaluate the quality and reliability of information regarding de Quervain's tenosynovitis on YouTube.

Materials and Methods A search on the YouTube was performed using the keywords de Quervain's tenosynovitis, and the first 50 videos were evaluated. Video characteristics including views, content type, and video upload source were recorded. Video reliability was assessed using the Journal of the American Medical Association (JAMA) benchmark criteria. Video quality was assessed using the Global Quality Score (GQS) and a novel de Quervain's Tenosynovitis-Specific Score (DQT-SS).

Results The total number of views for all videos evaluated was 5,508,498 (mean, 110,169.96 ± 155,667.07). Video reliability and quality metrics were low, with a mean JAMA score of 2.17 ± 0.82 out of 4, a mean GQS of 2.49 ± 1.28 out of 5, and a mean DQT-SS of 4.53 ± 2.35 out of 11. Significant between-group effects were found for the video source and DQT-SS (p = 0.027), as well as between content type and JAMA score (p = 0.027), GQS (p = 0.003), and DQT-SS (p = 0.003). Positive independent predictors of DQT-SS included video duration in seconds (β = 0.391) and disease-specific information content type (β = 0.648).

Conclusion Videos on YouTube regarding de Quervain's tenosynovitis were frequently viewed; however, the information present was of low quality and reliability. Physician-uploaded videos had the highest mean JAMA scores, GQS, and DQT-SS, but had the second-lowest mean number of views of video sources. Patients should receive proper in-office education and be directed toward reputable resources for their orthopaedic conditions.

Keywords

de Quervain's tenosynovitis - internet - YouTube - education - quality

Publication History

Received: 07 September 2023

Accepted: 17 October 2023

Article published online:
29 November 2023

• References

• 1 Pew Research Center. 61% of American adults look online for health information. Pew Research Center: Internet, Science & Tech; . Accessed August 10, 2023 at: https://www.pewresearch.org/internet/2009/06/11/61-of-american-adults-look-online-for-health-information/
• 2 Yang S, Brossard D, Scheufele DA, Xenos MA. The science of YouTube: what factors influence user engagement with online science videos?. PLoS One 2022; 17 (05) e0267697
• 3 McMahon KM, Schwartz J, Nilles-Melchert T, Ray K, Eaton V, Chakkalakal D. YouTube and the Achilles tendon: an analysis of internet information reliability and content quality. Cureus 2022; 14 (04) e23984
• 4 Kunze KN. Editorial commentary: YouTube videos provide poor-quality medical information: don't believe what you watch!. Arthroscopy 2020; 36 (12) 3048-3049
• 5 Ozduran E, Büyükçoban S. A content analysis of the reliability and quality of YouTube videos as a source of information on health-related post-COVID pain. PeerJ 2022; 10: e14089
• 6 Kunze KN, Cohn MR, Wakefield C. et al. YouTube as a source of information about the posterior cruciate ligament: a content-quality and reliability analysis. Arthrosc Sports Med Rehabil 2019; 1 (02) e109-e114
• 7 Koller U, Waldstein W, Schatz KD, Windhager R. YouTube provides irrelevant information for the diagnosis and treatment of hip arthritis. Int Orthop 2016; 40 (10) 1995-2002
• 8 Wang D, Jayakar RG, Leong NL, Leathers MP, Williams RJ, Jones KJ. Evaluation of the quality, accuracy, and readability of online patient resources for the management of articular cartilage defects. Cartilage 2017; 8 (02) 112-118
• 9 Ilyas AM, Ast M, Schaffer AA, Thoder J. De Quervain tenosynovitis of the wrist. J Am Acad Orthop Surg 2007; 15 (12) 757-764
• 10 Satteson E, Tannan SC. De Quervain tenosynovitis. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023
• 11 Osman W, Mohamed F, Elhassan M, Shoufan A. Is YouTube a reliable source of health-related information? A systematic review. BMC Med Educ 2022; 22 (01) 382
• 12 How Chrome Incognito keeps your browsing private - Google Chrome Help. Accessed July 24, 2023 at: https://support.google.com/chrome/answer/9845881?hl=en
• 13 Kunze KN, Krivicich LM, Verma NN, Chahla J. Quality of online video resources concerning patient education for the meniscus: a YouTube-based quality-control study. Arthroscopy 2020; 36 (01) 233-238
• 14 Erdem MN, Karaca S. Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube. Spine 2018; 43 (22) E1334-E1339
• 15 Return YouTube Dislike. Accessed July 24, 2023 at: https://returnyoutubedislike.com/
• 16 Singh AG, Singh S, Singh PP. YouTube for information on rheumatoid arthritis–a wakeup call?. J Rheumatol 2012; 39 (05) 899-903
• 17 Lama CJ, Hartnett DA, Donnelly JC. et al. YouTube as a source of patient information for cubital tunnel syndrome: an analysis of video reliability, quality, and content. Hand (N Y) 2023 ;x:15589447231151428
• 18 Kwak D, Park JW, Won Y, Kwon Y, Lee JI. Quality and reliability evaluation of online videos on carpal tunnel syndrome: a YouTube video-based study. BMJ Open 2022; 12 (04) e059239
• 19 Dupuytren's Disease - Dupuytren's Contracture - OrthoInfo - AAOS. Accessed July 24, 2023 at: https://www.orthoinfo.org/en/diseases–conditions/dupuytrens-disease/
• 20 Wong M, Desai B, Bautista M, Kwon O, Kolodychuk N, Chimento G. YouTube is a poor source of patient information for knee arthroplasty and knee osteoarthritis. Arthroplast Today 2018; 5 (01) 78-82
• 21 Abed V, Ray M, Smathers J, Stone AV. Assessment of video quality and reliability of YouTube videos regarding meniscus tear rehabilitation. Cureus 2023; 15 (03) e36299
• 22 Cassidy JT, Fitzgerald E, Cassidy ES. et al. YouTube provides poor information regarding anterior cruciate ligament injury and reconstruction. Knee Surg Sports Traumatol Arthrosc 2018; 26 (03) 840-845
• 23 McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb) 2012; 22 (03) 276-282
• 24 Diaz JA, Griffith RA, Ng JJ, Reinert SE, Friedmann PD, Moulton AW. Patients' use of the Internet for medical information. J Gen Intern Med 2002; 17 (03) 180-185
• 25 Fox S, Rainie L. E-patients and the online health care revolution. Physician Exec 2002; 28 (06) 14-17
• 26 Ullrich Jr PF, Vaccaro AR. Patient education on the internet: opportunities and pitfalls. Spine 2002; 27 (07) E185-E188
• 27 Kwakernaak J, Eekhof JAH, De Waal MWM, Barenbrug EAM, Chavannes NH. Patients' use of the internet to find reliable medical information about minor ailments: vignette-based experimental study. J Med Internet Res 2019; 21 (11) e12278
• 28 Global top websites by monthly visits 2022. Statista. Accessed July 20, 2023 at: https://www.statista.com/statistics/1201880/most-visited-websites-worldwide/
• 29 Mert A, Bozgeyik B. Quality and content analysis of carpal tunnel videos on YouTube. Indian J Orthop 2021; 56 (01) 73-78
• 30 Crutchfield CR, Frank JS, Anderson MJ, Trofa DP, Lynch TS. A systematic assessment of YouTube content on femoroacetabular impingement: an updated review. Orthop J Sports Med 2021 ;9(6):23259671211016340
• 31 Huisstede BMA, Coert JH, Fridén J, Hoogvliet P. European HANDGUIDE Group. Consensus on a multidisciplinary treatment guideline for de Quervain disease: results from the European HANDGUIDE study. Phys Ther 2014; 94 (08) 1095-1110
• 32 Park KE, Allam O, Kim S, Prsic A. Accuracy of online pictorial resources for common hand surgery procedures. Hand (N Y) 2022; 17 (02) 361-365
• 33 Langford A, Loeb S. Perceived patient-provider communication quality and sociodemographic factors associated with watching health-related videos on YouTube: a cross-sectional analysis. J Med Internet Res 2019; 21 (05) e13512