Abstract
The aim of this study is to identify and evaluate the quality of videos for patients available on YouTube for learning to self-administer subcutaneous methotrexate. Using the search term “Methotrexate injection,” two clinical reviewers analyzed the first 60 videos on YouTube. Source and search rank of video, audience interaction, video duration, and time since video was uploaded on YouTube were recorded. Videos were classified as useful, misleading, or a personal patient view. Videos were rated for reliability, comprehensiveness, and global quality scale (GQS). Reasons for misleading videos were documented, and patient videos were documented as being either positive or negative towards methotrexate (MTX) injection. Fifty-one English videos overlapped between the two geographic locations; 10 videos were classified as useful (19.6 %), 14 misleading (27.5 %), and 27 personal patient view (52.9 %). Total views of videos were 161,028: 19.2 % useful, 72.8 % patient, and 8.0 % misleading. Mean GQS: 4.2 (±1.0) useful, 1.6 (±1.1) misleading, and 2.0 (±0.9) for patient videos (p < 0.0001). Mean reliability: 3.3 (±0.6) useful, 0.9 (±1.2) misleading, and 1.0 (±0.7) for patient videos (p < 0.0001). Comprehensiveness: 2.2 (±1.9) useful, 0.1 (±0.3) misleading, and 1.5 (±1.5) for patient view videos (p = 0.0027). This study demonstrates a minority of videos are useful for teaching MTX injection. Further, video quality does not correlate with video views. While web video may be an additional educational tool available, clinicians need to be familiar with specific resources to help guide and educate their patients to ensure best outcomes.
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References
Chan ESL, Cronstein BN (2010) Methotrexate—how does it really work? Nat Rev Rheumatol 6(3):175–178
Swierkot J, Szechiński J (2006) Methotrexate in rheumatoid arthritis. Pharmacol Rep 58(4):473–492
Freeman-Narrod M, Gerstley B, Engstrom P, Bornstein R (1975) Comparison of serum concentrations of methotrexate after various routes of administration. Cancer 36(5):1619–1624
Wegrzyn J, Adeleine P, Miossec P (2004) Better efficacy of methotrexate given by intramuscular injection than orally in patients with rheumatoid arthritis. Ann Rheum Dis 63(10):1232–1234
Braun J, Kästner P, Flaxenberg P et al (2008) Comparison of the clinical efficacy and safety of subcutaneous versus oral administration of methotrexate in patients with active rheumatoid arthritis: results of a 6-month, multicenter, randomized, double-blind, controlled, phase IV trial. Arthritis Rheum 58(1):73–81
Feitosa ACR, Sampaio LN, Batista AGL, Pinheiro CB (2013) Frequency of fear of needles and impact of a multidisciplinary educational approach towards pregnant women with diabetes. Rev Bras Ginecol Obstet 35(3):111–116
Yazici Y, Bata Y (2013) Parenteral methotrexate for the treatment of rheumatoid arthritis. Bull Hosp Jt Dis 71(Suppl 1):46–48
Fox S, Duggan M (2013) Health Online 2013:1–55
YouTube. Statistics. Available at: https://www.youtube.com/yt/press/statistics.html. Accessed July 13, 2014
Jansen BJ, Spink A (2003) An analysis of web documents retrieved and viewed. 4th Int. Conf. Internet Comput: 65–69
Singh AG, Singh S, Singh PP (2012) YouTube for information on rheumatoid arthritis—a wakeup call? J Rheumatol 39(5):899–903
Charnock D, Shepperd S, Needham G, Gann R (1999) DISCERN: an instrument for judging the quality of written consumer health information on treatment choices. J Epidemiol Community Health 53(2):105–111
Bernard A, Langille M, Hughes S, Rose C, Leddin D, Veldhuyzen van Zanten S (2007) A systematic review of patient inflammatory bowel disease information resources on the World Wide Web. Am J Gastroenterol 102(9):2070–2077
McMullan M (2006) Patients using the Internet to obtain health information: how this affects the patient-health professional relationship. Patient Educ Couns 63(1–2):24–28
Underhill C, Mckeown L (2008) Getting a second opinion: health information and the internet. Health Rep 19(1):65–69
Dubey D, Amritphale A, Sawhney A, Dubey D, Srivastav N (2014) Analysis of YouTube as a source of information for West Nile virus infection. Clin Med Res
Chen HM, Hu ZK, Zheng XL et al (2013) Effectiveness of YouTube as a source of medical information on heart transplantation. Interact J Med Res 2(2):1–15
Fox S (2006) Online Health Search 2006: most internet users start at a search engine when looking for health information online. Very few check the source and date of the findings. Paw Internet Am Life Proj 2006:1–22
Katz SJ, Leung S (2014) Teaching methotrexate self-injection with a web-based video maintains patient care while reducing healthcare resources: a pilot study. Rheumatol Int.
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Rittberg, R., Dissanayake, T. & Katz, S.J. A qualitative analysis of methotrexate self-injection education videos on YouTube. Clin Rheumatol 35, 1329–1333 (2016). https://doi.org/10.1007/s10067-015-2910-5
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DOI: https://doi.org/10.1007/s10067-015-2910-5