Abstract
The internet is essential for obtaining information about lung cancer, which is the leading contributor to global cancer deaths. YouTube is a video-streaming platform that is popular among health consumers; however, the reliability of videos is variable, and few studies have evaluated their role in lung cancer education. This study uses a systematic approach to assess the characteristics, reliability and use of best practices of lung cancer YouTube videos for patient education. Using the search term “lung cancer,” the first 50 YouTube videos were identified after applying exclusion criteria and removing duplicates. Two reviewers used a video assessment tool to evaluate 10 videos with minimal discrepancies. The remaining 40 videos were evaluated by one reviewer following a design based research approach. Under half the videos were published within 3 years. Mean video length was 6 min and 12 s. Video publishers were commonly from the USA (70%); were affiliated with a health care facility/ organization (30%), non-profit (26%) or commercial organization (30%); had a physician presenter (46%); were targeted towards patients (68%); and had subtitles (96%). Seventy four percent of videos supported optimal learning by including effective audio and visual channels. Lung cancer epidemiology, risk factors, and definitions (nature of the disease and classification) were among the most common topics covered. Prognostic and diagnostic information was covered less than expected. The reliability of the videos (measured by Modified DISCERN score) varied by presenter type; however, these results should be interpreted cautiously due to the absence of gold standard tools. This study encourages those producing health education videos to continue following best practices for video learning and provides strategies for healthcare providers and patients to support patient education.
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References
Bade BC, Dela Cruz CS (2020) Lung cancer 2020: epidemiology, etiology, and prevention. Clin Chest Med 41:1–24. https://doi.org/10.1016/j.ccm.2019.10.001
(2013) The use of internet for health education. J Biosaf Health Educ 01. https://doi.org/10.4172/2332-0893.1000e102
Holmes MM (2019) Why people living with and beyond cancer use the internet. Integr Cancer Ther 18:1534735419829830. https://doi.org/10.1177/1534735419829830
Lim MSC, Molenaar A, Brennan L et al (2022) Young adults’ use of different social media platforms for health information: insights from web-based conversations. J Med Internet Res 24:e23656. https://doi.org/10.2196/23656
Papadimitriou A, Kakali L, Pazera P et al (2020) Social media and orthodontic treatment from the patient’s perspective: a systematic review. Eur J Orthod 42:231–241. https://doi.org/10.1093/ejo/cjz029
McLeod J, Yu I, Ingledew P-A (2017) Peering into the deep: characterizing the internet search patterns of patients with gynecologic cancers. J Cancer Educ 32:85–90. https://doi.org/10.1007/s13187-016-1002-9
Jiang S, Liu PL (2020) Digital divide and internet health information seeking among cancer survivors: a trend analysis from 2011 to 2017. Psychooncology 29:61–67. https://doi.org/10.1002/pon.5247
Chua GP, Tan HK, Gandhi M (2018) Information sources and online information seeking behaviours of cancer patients in Singapore. Ecancermedicalscience 12:880. https://doi.org/10.3332/ecancer.2018.880
Balatsoukas P, Kennedy CM, Buchan I et al (2015) The role of social network technologies in online health promotion: a narrative review of theoretical and empirical factors influencing intervention effectiveness. J Med Internet Res 17:e141. https://doi.org/10.2196/jmir.3662
Barrutia L, Vega-Gutiérrez J, Santamarina-Albertos A (2022) Benefits, drawbacks, and challenges of social media use in dermatology: a systematic review. J Dermatolog Treat 33:2738–2757. https://doi.org/10.1080/09546634.2022.2069661
Okagbue HI, Oguntunde PE, Bishop SA et al (2020) Review on the reliability of medical contents on YouTube. Int J Online Biomed Eng 16:83–99. https://doi.org/10.3991/ijoe.v16i01.11558
Madathil KC, Rivera-Rodriguez AJ, Greenstein JS, Gramopadhye AK (2015) Healthcare information on YouTube: a systematic review. Health Informatics J 21:173–194. https://doi.org/10.1177/1460458213512220
Osman W, Mohamed F, Elhassan M, Shoufan A (2022) Is YouTube a reliable source of health-related information? A systematic review. BMC Med Educ 22:382. https://doi.org/10.1186/s12909-022-03446-z
Curran V, Simmons K, Matthews L et al (2020) YouTube as an educational resource in medical education: a scoping review. Med Sci Educ 30:1775–1782. https://doi.org/10.1007/s40670-020-01016-w
Li JZH, Giuliani M, Ingledew P-A (2021) Characteristics assessment of online YouTube videos on radiotherapy for lung cancer. Cureus 13:e19150. https://doi.org/10.7759/cureus.19150
Tyldesley S, Boyd C, Schulze K et al (2001) Estimating the need for radiotherapy for lung cancer: an evidence-based, epidemiologic approach. Int J Radiat Oncol Biol Phys 49:973–985. https://doi.org/10.1016/s0360-3016(00)01401-2
Bader JL, Theofanos MF (2003) Searching for cancer information on the internet: analyzing natural language search queries. J Med Internet Res 5:e31. https://doi.org/10.2196/jmir.5.4.e31
Rosenblum S, Yom-Tov E (2017) Seeking web-based information about attention deficit hyperactivity disorder: where, what, and when. J Med Internet Res 19:e126. https://doi.org/10.2196/jmir.6579
Meteran H, Høj S, Sigsgaard T et al (2023) The usefulness of YouTube videos on lung cancer. J Public Health (Oxf) 45(2):e339–e345. https://doi.org/10.1093/pubmed/fdac092
Covington P, Adams J, Sargin E (2016) Deep Neural Networks for YouTube Recommendations. In: Proceedings of the 10th ACM Conference on Recommender Systems. ACM, Boston Massachusetts USA, pp 191–198
Petrescu, P., Ghita, M., Loiz, D. (2014). Google organic CTR study. Available at: https://www.advancedwebranking.com/ebooks/Google-Organic-CTR-Study-2014.pdf. Accessed February 7, 2023
Li ZHJ, Kim I, Giuliani M, Ingledew P-A (2023) Navigating radiation therapy during COVID-19 using YouTube as a source of information. J Cancer Educ 38(2):412–418. https://doi.org/10.1007/s13187-022-02133-3
Chai BS, Ingledew P-A (2023) Characteristics assessment of online YouTube videos on radiotherapy for breast cancer. Clin Breast Cancer 23(4):e230–e238. https://doi.org/10.1016/j.clbc.2023.02.011
Charnock D, University of Oxford, British Library (1998) The DISCERN handbook: quality criteria for consumer health information on treatment choices. Radcliffe Medical Press, Abingdon, Oxon
Kaicker J, Dang W (2016) Assessing the quality and reliability of health information on ERCP using the DISCERN instrument. Health Care Curr Rev 4. https://doi.org/10.4172/hccr.1000104
Cakmak G (2021) Evaluation of scientific quality of YouTube Video content related to umbilical hernia. Cureus 13:e14675. https://doi.org/10.7759/cureus.14675
Bahar-Ozdemir Y, Ozsoy-Unubol T, Akyuz G (2022) Is YouTube a high-quality source of information on cancer rehabilitation? J Cancer Surviv 16(5):1016–1022. https://doi.org/10.1007/s11764-021-01093-9
Ingledew PA (2015) Navigating the internet in patient physician collaboration. University of Illinois at Chicago. Thesis. https://hdl.handle.net/10027/19489. Accessed 20 May 2023
Guo PJ, Kim J, Rubin R (2014) How video production affects student engagement: an empirical study of MOOC videos. In: Proceedings of the first ACM conference on learning @ scale conference. Association for Computing Machinery, Atlanta Georgia, pp 41–50. https://doi.org/10.1145/2556325.2566239
Krumm IR, Miles MC, Clay A et al (2022) Making effective educational videos for clinical teaching. Chest 161:764–772. https://doi.org/10.1016/j.chest.2021.09.015
Morris KK, Frechette C, Dukes L et al (2016) Closed captioning matters: examining the value of closed captions for “all” students. J Postsecond Educ Disabil 29:231–238
Ozdemir Zeydanli E, Alkan AA (2021) Era of “Dr. YouTube”: evaluation of YouTube videos as a valid source for patient education on keratoconus. Eye Contact Lens 47:526–532. https://doi.org/10.1097/ICL.0000000000000817
Aydin MA, Akyol H (2020) Quality of information available on YouTube videos pertaining to thyroid cancer. J Cancer Educ 35:599–605. https://doi.org/10.1007/s13187-019-01502-9
Sahin AN, Sahin AS, Schwenter F, Sebajang H (2019) YouTube videos as a source of information on colorectal cancer: what do our patients learn? J Cancer Educ 34:1160–1166. https://doi.org/10.1007/s13187-018-1422-9
Kobes K, Harris IB, Regehr G et al (2018) Malignant websites? Analyzing the quality of prostate cancer education web resources. Can Urol Assoc J 12:344–350. https://doi.org/10.5489/cuaj.5084
Jia X, Pang Y, Liu LS (2021) Online health information seeking behavior: a systematic review. Healthcare 9:1740. https://doi.org/10.3390/healthcare9121740
Keogh A, Finn S, Radonic T (2022) Emerging biomarkers and the changing landscape of small cell lung cancer. Cancers 14:3772. https://doi.org/10.3390/cancers14153772
Mousavi SL, Saki M, Mohammadipour F et al (2022) Experiences of cancer patients about seeking health information: a qualitative study. Support Care Cancer 30:7697–7704. https://doi.org/10.1007/s00520-022-07210-3
Maddock C, Lewis I, Ahmad K, Sullivan R (2011) Online information needs of cancer patients and their organizations. Ecancermedicalscience 5:235. https://doi.org/10.3332/ecancer.2011.235
Nguyen SKA, Ingledew P-A (2013) Tangled in the breast cancer web: an evaluation of the usage of web-based information resources by breast cancer patients. J Cancer Educ 28:662–668. https://doi.org/10.1007/s13187-013-0509-6
Azer SA (2020) Are DISCERN and JAMA suitable instruments for assessing YouTube videos on thyroid cancer? Methodological Concerns. J Cancer Educ 35:1267–1277. https://doi.org/10.1007/s13187-020-01763-9
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The study used publicly available data from the video-sharing platform YouTube at https://www.youtube.com/.
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This work was supported by the Faculty of Medicine Summer Student Research Program at the University of British Columbia.
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Chai, B.S., Ingledew, PA. Assessment of Lung Cancer YouTube Videos for Patient Education. J Canc Educ 38, 1760–1766 (2023). https://doi.org/10.1007/s13187-023-02332-6
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DOI: https://doi.org/10.1007/s13187-023-02332-6