Quality Assessment of YouTube Videos on Complementary and Alternative Medicine (CAM) for Cancer Using a Newly Developed Tool.

IF 2.9 3区医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Integrative Cancer Therapies Pub Date : 2024-01-01 DOI:10.1177/15347354241293417

Sophia Huchel, Alina Grumt, Christian Keinki, Judith Buentzel, Lukas Käsmann, Jutta Huebner

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Abstract

Background: The global burden of cancer continues to rise and complementary and alternative medicine (CAM) is attracting a lot of interest. However, quality of online information on CAM, particularly on platforms like YouTube, remains questionable. This study aimed to create a comprehensive assessment tool to assess the quality of CAM-related YouTube videos, crucial for informed decision-making in oncology.

Methods: The assessment tool was developed by adapting existing criteria for website content analysis to video rating. A YouTube search was conducted using German-language terms related to CAM ("complementary medicine (CM) for cancer" and "alternative medicine (AM) for cancer"). In total 25 videos were assessed based on the defined criteria and assigned to five different types of providers (journalism, healthcare organization, hospital or health insurance, independent person, non-medical organization). Statistical analysis was conducted using IBM SPSS Statistics 27.

Results: Interrater reliability analysis showed an Intraclass Correlation Coefficient (ICC) of .91, indicating good to excellent agreement. The average video result was of poor quality, with none of the videos meeting all criteria. The videos achieved a mean rating of 38.2 points (SD: 6.5 points; possible range: 20-60 points). Journalism-based videos showed the most views per days, particularly surpassing those from hospitals or health insurance providers (Kruskal-Wallis-Test: z = 3.14, P = .02). However, there was no statistically significant correlation between video quality and the type of provider or interaction indices. Videos retrieved under the search term "CM" generally scored higher in quality than those under "AM" (Mann-Whitney U test: U = 39.5, P = .04). Nonetheless, "CM" videos were less frequently viewed (Mann-Whitney U test: U = 31.0, P = .01).

Conclusion: This study, the first of its kind focusing on CAM in cancer care emphasized the challenges in identifying credible sources on social media platforms such as YouTube. The developed assessment tool offers a more detailed evaluation method for health-related videos but requires further refinement and testing. Collaboration between healthcare and media entities is suggested to improve the dissemination of reliable information on platforms like YouTube.

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使用新开发的工具对 YouTube 上有关癌症补充和替代医学 (CAM) 的视频进行质量评估。

背景：全球癌症发病率持续上升，补充和替代医学（CAM）备受关注。然而，有关 CAM 的在线信息，尤其是 YouTube 等平台上的信息，其质量仍然值得怀疑。本研究旨在创建一个综合评估工具，用于评估与 CAM 相关的 YouTube 视频的质量，这对肿瘤学的知情决策至关重要：评估工具是通过将现有的网站内容分析标准应用于视频评级而开发的。使用与 CAM 相关的德语术语（"癌症补充医学 (CM)" 和 "癌症替代医学 (AM)"）在 YouTube 上进行搜索。根据所定义的标准共对 25 个视频进行了评估，并将其归入五种不同类型的提供者（新闻、医疗机构、医院或医疗保险、独立人士、非医疗机构）。统计分析使用 IBM SPSS Statistics 27 进行：相互间可靠性分析表明，类内相关系数（ICC）为 0.91，表明一致性良好至极佳。平均视频质量较差，没有一个视频符合所有标准。视频的平均评分为 38.2 分（标准差：6.5 分；可能范围：20-60 分）。新闻类视频的日浏览量最高，尤其超过了医院或医疗保险提供商的视频（Kruskal-Wallis 检验：z = 3.14，P = .02）。然而，视频质量与提供商类型或交互指数之间并无统计学意义上的显著相关性。以 "CM "为搜索关键词检索到的视频质量普遍高于以 "AM "为搜索关键词检索到的视频（曼-惠特尼 U 检验：U = 39.5，P = .04）。然而，"CM "视频的观看次数较少（曼-惠特尼 U 检验：U = 31.0，P = .01）：这项研究是首个关注癌症护理中的 CAM 的研究，强调了在 YouTube 等社交媒体平台上识别可信来源的挑战。开发的评估工具为健康相关视频提供了更详细的评估方法，但还需要进一步完善和测试。建议医疗保健机构和媒体实体开展合作，以改善 YouTube 等平台上可靠信息的传播。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Integrative Cancer Therapies 医学-全科医学与补充医学

CiteScore

4.80

自引率

3.40%

发文量

审稿时长

>12 weeks

期刊介绍： ICT is the first journal to spearhead and focus on a new and growing movement in cancer treatment. The journal emphasizes scientific understanding of alternative medicine and traditional medicine therapies, and their responsible integration with conventional health care. Integrative care includes therapeutic interventions in diet, lifestyle, exercise, stress care, and nutritional supplements, as well as experimental vaccines, chrono-chemotherapy, and other advanced treatments. Contributors are leading oncologists, researchers, nurses, and health-care professionals.