Assessment of Quality and Reliability of Electroconvulsive Therapy Videos Available on YouTube

Bahadır Demir, Ş. Şahin, I. Kilic, A. Altındağ
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Abstract

Objective: ECT is still an important treatment modality in contemporary psychiatry. Despite the evidence regarding its efficacy and safety, patients are hesitant about ECT, which is sometimes stigmatized due to disinformation. Today, YouTube, an online media platform, is mostly used as a medical information source. This study investigated the quality and reliability of electroconvulsive therapy videos available on YouTube. Methods: A video search on YouTube (http://www.youtube.com) was conducted on 20 October 2020, using the keywords electroconvulsive therapy schizophrenia, electroconvulsive therapy depression, and electroconvulsive therapy psychiatric disorders in this descriptive study. After applying the exclusion criteria, a total of 79 videos were included in this study. The Global Quality Scale (GQS) was used to assess educational quality and the modified DISCERN tool was used to assess reliability. Video parameters (the numbers of views, likes, dislikes, and comments for per day) were compared among the low/medium/high quality groups. Results: 45.2% (n: 42) of the videos were of low quality, 25.8% (n: 24) were of medium quality and 14% (n: 13) were of high quality. High-quality videos were 38.5% from psychiatrists, 23.1% from academic resources, 23.1% from health-related websites. Modified DISCERN scores were higher in the high quality video group (p
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YouTube上可用的电痉挛治疗视频的质量和可靠性评估
目的:电痉挛治疗仍是当代精神病学的重要治疗方式。尽管有证据表明其有效性和安全性,但患者对ECT仍持犹豫态度,有时由于虚假信息而被污名化。如今,在线媒体平台YouTube主要被用作医疗信息源。本研究调查了YouTube上可用的电痉挛治疗视频的质量和可靠性。方法:本描述性研究于2020年10月20日在YouTube (http://www.youtube.com)上搜索视频,关键词为电惊厥治疗精神分裂症、电惊厥治疗抑郁症和电惊厥治疗精神障碍。应用排除标准后,本研究共纳入79个视频。采用全球质量量表(GQS)评估教育质量,采用改进的DISCERN工具评估信度。视频参数(每天观看、喜欢、不喜欢和评论的数量)在低/中/高质量组之间进行比较。结果:45.2% (n: 42)为低质量视频,25.8% (n: 24)为中等质量视频,14% (n: 13)为高质量视频。高质量视频38.5%来自精神科医生,23.1%来自学术资源,23.1%来自健康相关网站。高质量视频组的修正辨别分数更高(p
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