Evaluating quality, understandability, and actionability of YouTube content for gender affirming surgery: Metoidioplasty.

Autor:	Hunter AE; Department of Surgery, Division of Urology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States., Otto-Moudry RA; Department of Surgery, Division of Urology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States., Yusuf CT; Department of Surgery, Division of Urology, University of Maryland School of Medicine, Baltimore MD, United States., Malik RD; Department of Surgery, Division of Urology, University of Maryland School of Medicine, Baltimore MD, United States., Moses RA; Department of Surgery, Division of Urology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Jazyk:	angličtina
Zdroj:	Canadian Urological Association journal = Journal de l'Association des urologues du Canada [Can Urol Assoc J] 2024 Aug 30. Date of Electronic Publication: 2024 Aug 30.
DOI:	10.5489/cuaj.8872
Abstrakt:	Introduction: The purpose of this study is to evaluate YouTube content about metoidioplasty on completeness of perioperative information, actionability, understandability, degree of misinformation, quality, and presence of commercial bias. Methods: A YouTube search for "Metoidioplasty" was conducted and the first 100 video results were watched by five independent reviewers. Videos in English <30 minutes in length were included and videos primarily showing surgical footage were excluded. Videos were evaluated between January 2022 and June 2022. Each video was evaluated for presenter demographics, channel/video statistics, and whether it covered topics including anatomy, treatment options, outcomes, procedure risks, and misinformation, and whether it had a clickbait title. Calculated scores for validated DISCERN and Patient Education Materials Assessment Tool (PEMAT) metrics were the primary outcome variables used to quantify quality, actionability, and understandability. For PEMAT, a cutoff of 75% was used to differentiate between "poor" versus "good/sufficient." Multivariate and univariate logistic regressions were performed to assess correlations among primary outcome variables and other variables. Results: Of the 79 videos analyzed, 24% (n=19) were of high quality; 99% (n=78) had poor understandability and 100% (n=79%) had poor actionability. Patients/consumers were the most common publisher type (n=71, 90%). Conclusions: This study demonstrates metoidioplasty content available on YouTube is not comprehensive and is of poor quality, and poor actionability and understandability, demonstrating a clear need for more relevant, accessible, comprehensible, and accurate content.
Databáze:	MEDLINE
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