Top

Published in:

Open Access 01-12-2019

YouTube Videos as a Source of Information on Colorectal Cancer: What Do Our Patients Learn?

Authors: Alain Nathan Sahin, Anne Sarah Sahin, Frank Schwenter, Herawaty Sebajang

Published in: Journal of Cancer Education | Issue 6/2019

Abstract

YouTube is the second most visited website in the world. No studies to date have characterized and evaluated YouTube videos on colorectal cancer (CRC) although these videos could influence patient decision-making, notably regarding screening and prevention. This study aims to report the characteristics and quality of these videos as patient education resources for CRC. YouTube’s search engine was queried with different search phrases relating to CRC. The first two pages of each search result were analyzed. Two specialists devised a critical appraisal tool with a list of criteria to assess the videos. Quantitative YouTube parameter analyses and criteria assessment were performed. Inter-rater agreement was assessed between three raters. A total of 46 videos were eligible to be included in the study. The videos were on average 4:51 ± 3:27 min long. The videos had 10 times as many likes as dislikes. Less than half the videos discussed risk factors and protective factors. Only 41% of videos mentioned screening tests and only about a quarter discussed them. Palliative care was only mentioned in 2% of videos. A single video could obtain a perfect score on the critical appraisal tool. Length was the unique parameter associated with a high score on the criteria list. There is thus a need for more authoritative and comprehensive videos easily identifiable by the patients. Video popularity is not associated with comprehensiveness. Currently, YouTube might not be an education resource for CRC suited to every patient.

Fox S (2011) Health topics. http://www.pewinternet.org/2011/02/01/health-topics-2/. Accessed 5 Mar 2018

Wasserman M, Baxter NN, Rosen B, Burnstein M, Halverson AL (2014) Systematic review of internet patient information on colorectal cancer surgery. Dis Colon Rectum 57(1):64–69. https://doi.org/10.1097/DCR.0000000000000011 CrossRefPubMed

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. https://doi.org/10.1016/j.pec.2005.10.006 CrossRefPubMed

Consent: Supported Decision-Making - a good practice guide 2016. 2016. Royal College of Surgeons England

Marshall JH, Baker DM, Lee MJ, Jones GL, Lobo AJ, Brown SR (2018) The assessment of online heath videos for surgery in Crohn's disease. Color Dis 20:606–613. https://doi.org/10.1111/codi.14045 CrossRef

Ho M, Stothers L, Lazare D, Tsang B, Macnab A (2015) Evaluation of educational content of YouTube videos relating to neurogenic bladder and intermittent catheterization. Can Urol Assoc J 9(9–10):320–354. https://doi.org/10.5489/cuaj.2955 CrossRefPubMedPubMedCentral

Hansberry DR, Agarwal N, Gonzales SF, Baker SR (2014) Are we effectively informing patients? A quantitative analysis of on-line patient education resources from the American Society of Neuroradiology. AJNR Am J Neuroradiol 35(7):1270–1275. https://doi.org/10.3174/ajnr.A3854 CrossRefPubMedPubMedCentral

Fox S, Rainie L (2002) E-patients and the online health care revolution. Physician Exec 28(6):14–17PubMed

Hesse BW, Nelson DE, Kreps GL, Croyle RT, Arora NK, Rimer BK, Viswanath K (2005) Trust and sources of health information: the impact of the Internet and its implications for health care providers: findings from the first Health Information National Trends Survey. Arch Intern Med 165(22):2618–2624. https://doi.org/10.1001/archinte.165.22.2618 CrossRefPubMed

10.

Jo Delaney L (2018) Patient-centred care as an approach to improving health care in Australia. Collegian 25(1):119–123CrossRef

11.

Gabarron E, Fernandez-Luque L, Armayones M, Lau AY (2013) Identifying measures used for assessing quality of YouTube videos with patient health information: a review of current literature. Interact J Med Res 2(1):e6. https://doi.org/10.2196/ijmr.2465 CrossRefPubMedPubMedCentral

12.

Snyder CF, Wu AW, Miller RS, Jensen RE, Bantug ET, Wolff AC (2011) The role of informatics in promoting patient-centered care. Cancer J 17(4):211–218. https://doi.org/10.1097/PPO.0b013e318225ff89 CrossRefPubMedPubMedCentral

13.

Alexa (2018) The top 500 sites on the web. https://www.alexa.com/topsites. Accessed 1 Aug 2018

14.

Bae SS, Baxter S (2017) YouTube videos in the English language as a patient education resource for cataract surgery. Int Ophthalmol. https://doi.org/10.1007/s10792-017-0681-5 CrossRefPubMed

15.

Steinberg PL, Wason S, Stern JM, Deters L, Kowal B, Seigne J (2010) YouTube as source of prostate cancer information. Urology 75(3):619–622. https://doi.org/10.1016/j.urology.2008.07.059 CrossRefPubMed

16.

Madathil KC, Rivera-Rodriguez AJ, Greenstein JS, Gramopadhye AK (2015) Healthcare information on YouTube: a systematic review. Health Informatics J 21(3):173–194. https://doi.org/10.1177/1460458213512220 CrossRefPubMed

17.

Keelan J, Pavri-Garcia V, Tomlinson G, Wilson K (2007) YouTube as a source of information on immunization: a content analysis. JAMA 298(21):2482–2484. https://doi.org/10.1001/jama.298.21.2482 CrossRefPubMed

18.

Pandey A, Patni N, Singh M, Sood A, Singh G (2010) YouTube as a source of information on the H1N1 influenza pandemic. Am J Prev Med 38(3):e1–e3. https://doi.org/10.1016/j.amepre.2009.11.007 CrossRefPubMed

19.

Citation counts. 2018. https://scholar.google.ca/. Accessed 1 Aug 2018

20.

Siegel R, Naishadham D, Jemal A (2012) Cancer statistics, 2012. CA Cancer J Clin 62(1):10–29. https://doi.org/10.3322/caac.20138 CrossRefPubMed

21.

Ajumobi AB, Malakouti M, Bullen A, Ahaneku H, Lunsford TN (2016) YouTube as a source of instructional videos on bowel preparation: a content analysis. J Cancer Educ 31(4):755–759. https://doi.org/10.1007/s13187-015-0888-y CrossRefPubMed

22.

Meester RG, Doubeni CA, Zauber AG, Goede SL, Levin TR, Corley DA, Jemal A, Lansdorp-Vogelaar I (2015) Public health impact of achieving 80% colorectal cancer screening rates in the United States by 2018. Cancer 121(13):2281–2285. https://doi.org/10.1002/cncr.29336. CrossRefPubMed

23.

Janz NK, Wren PA, Schottenfeld D, Guire KE (2003) Colorectal cancer screening attitudes and behavior: a population-based study. Prev Med 37(6 Pt 1):627–634CrossRefPubMed

24.

Teixeira C, Martins C, Trabulo D, Ribeiro S, Cardoso C, Mangualde J, Freire R, Gamito E, Alves AL, Cremers I, Oliveira AP (2018) Colorectal cancer screening: what is the population's opinion. GE Port J Gastroenterol 25:62–67CrossRefPubMed

25.

Institute of Medicine (US), National Research Council (US) and National Cancer Policy Board (US) (1999) Ensuring quality cancer care. M Hewitt, and JV Simone (eds) Washington (DC)

26.

Knight JR, Kanotra S, Siameh S, Jones J, Thompson B, Thomas-Cox S (2015) Understanding barriers to colorectal cancer screening in Kentucky. Prev Chronic Dis 12:E95. https://doi.org/10.5888/pcd12.140586 CrossRefPubMed

27.

Jones RM, Devers KJ, Kuzel AJ, Woolf SH (2010) Patient-reported barriers to colorectal cancer screening: a mixed-methods analysis. Am J Prev Med 38(5):508–516. https://doi.org/10.1016/j.amepre.2010.01.021 CrossRefPubMedPubMedCentral

28.

Lee JS, Seo HS, Hong TH (2014) YouTube as a source of patient information on gallstone disease. World J Gastroenterol 20(14):4066–4070. https://doi.org/10.3748/wjg.v20.i14.4066 CrossRefPubMedPubMedCentral

29.

Leong AY, Sanghera R, Jhajj J, Desai N, Jammu BS, Makowsky MJ (2017) Is YouTube useful as a source of health information for adults with type 2 diabetes? A South Asian perspective. Can J Diabetes 42:395–403.e4. https://doi.org/10.1016/j.jcjd.2017.10.056 CrossRefPubMed

30.

Lewandowski D (2008) Search engine user behaviour: how can users be guided to quality content? Inf Serv Use 28:261–268. https://doi.org/10.3233/ISU-2008-0583. CrossRef

31.

Guo P (2013) Optimal video length for student engagement

32.

Stellefson M, Chaney B, Ochipa K, Chaney D, Haider Z, Hanik B, Chavarria E, Bernhardt JM (2014) YouTube as a source of chronic obstructive pulmonary disease patient education: a social media content analysis. Chron Respir Dis 11(2):61–71. https://doi.org/10.1177/1479972314525058 CrossRefPubMed

33.

Yoo JH, Kim J (2012) Obesity in the new media: a content analysis of obesity videos on YouTube. Health Commun 27(1):86–97. https://doi.org/10.1080/10410236.2011.569003 CrossRefPubMed

34.

Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans. 2010. Ottawa: Canadian Institutes of Health Research, Natural Sciences and Engineering Research Council Canada and the Social Sciences and Humanities Research Council of Canada

35.

Lewandowsky S, Ecker UK, Seifert CM, Schwarz N, Cook J (2012) Misinformation and its correction: continued influence and successful debiasing. Psychol Sci Public Interest 13(3):106–131. https://doi.org/10.1177/1529100612451018 CrossRefPubMed

36.

Del Vicario M, Bessi A, Zollo F, Petroni F, Scala A, Caldarelli G, Stanley HE, Quattrociocchi W (2016) The spreading of misinformation online. Proc Natl Acad Sci U S A 113(3):554–559. https://doi.org/10.1073/pnas.1517441113 CrossRefPubMedPubMedCentral

37.

Hossler EW, Conroy MP (2008) YouTube as a source of information on tanning bed use. Arch Dermatol 144(10):1395–1396. https://doi.org/10.1001/archderm.144.10.1395 CrossRefPubMed

38.

Selden C (2000) Health literacy. Bethesda, Md. (8600 Rockville Pike, Bethesda 20894): U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Library of Medicine

39.

Berkman ND, Davis TC, McCormack L (2010) Health literacy: what is it? J Health Commun 15(Suppl 2):9–19. https://doi.org/10.1080/10810730.2010.499985 CrossRefPubMed

40.

Hoffmann S, Caro FG, Gottlieb AS, Kesternich I, Winter JK (2014) Contributions of second opinions, outcome forecasts, and testimonials to patient decisions about knee replacement surgery. Med Decis Mak 34(5):603–614. https://doi.org/10.1177/0272989X14527796 CrossRef

41.

Tingey P, Khanafer M, Singh K, Thompson A, Le Riche N, Barra L, Haig S et al (2014) Social persuasion in rheumatology: a randomized trial of testimonials on television in the rheumatology clinic waiting room to increase attendance for multidisciplinary education. Rheumatol Int 34(7):903–907. https://doi.org/10.1007/s00296-014-2961-y. CrossRefPubMed

42.

Ho A, McGrath C, Mattheos N (2017) Social media patient testimonials in implant dentistry: information or misinformation? Clin Oral Implants Res 28(7):791–800. https://doi.org/10.1111/clr.12883 CrossRefPubMed

43.

Fagerlin A, Wang C, Ubel PA (2005) Reducing the influence of anecdotal reasoning on people's health care decisions: is a picture worth a thousand statistics? Med Decis Mak 25(4):398–405. https://doi.org/10.1177/0272989X05278931 CrossRef

44.

Karazivan P, Dumez V, Flora L, Pomey MP, Del Grande C, Ghadiri DP, Fernandez N, Jouet E, Las Vergnas O, Lebel P (2015) The patient-as-partner approach in health care: a conceptual framework for a necessary transition. Acad Med 90(4):437–441. https://doi.org/10.1097/ACM.0000000000000603 CrossRefPubMed

45.

Pomey MP, Flora L, Karazivan P, Dumez V, Lebel P, Vanier MC, Debarges B, Clavel N, Jouet E (2015) The Montreal model: the challenges of a partnership relationship between patients and healthcare professionals. Sante Publique 27(1 Suppl):S41–S50CrossRefPubMed

46.

Kushalnagar P, Naturale J, Paludneviciene R, Smith SR, Werfel E, Doolittle R, Jacobs S, DeCaro J (2015) Health websites: accessibility and usability for American sign language users. Health Commun 30(8):830–837. https://doi.org/10.1080/10410236.2013.853226 CrossRefPubMed

47.

Stellefson M, Chaney B, Chaney D (2014) Heuristic evaluation of online COPD respiratory therapy and education video resource center. Telemed J E Health 20(10):972–976. https://doi.org/10.1089/tmj.2014.0009 CrossRefPubMedPubMedCentral

48.

Kapp JM, LeMaster JW, Lyon MB, Zhang B, Hosokawa MC (2009) Updating public health teaching methods in the era of social media. Public Health Rep 124(6):775–777. https://doi.org/10.1177/003335490912400603 CrossRefPubMedPubMedCentral

Title: YouTube Videos as a Source of Information on Colorectal Cancer: What Do Our Patients Learn?
Authors: Alain Nathan Sahin
Anne Sarah Sahin
Frank Schwenter
Herawaty Sebajang
Publication date: 01-12-2019
Publisher: Springer US
Published in: Journal of Cancer Education / Issue 6/2019
Print ISSN: 0885-8195
Electronic ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-018-1422-9

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 6/2019

Educational Opportunities for Down-Staging Breast Cancer in Low-Income Countries: an Example from Tanzania

Improving Research Literacy in Diverse Minority Populations with a Novel Communication Tool

Correction to: Educational Opportunities for Down-Staging Breast Cancer in Low-Income Countries: an Example from Tanzania

Identification of Factors Associated with Hematology-Oncology Fellow Academic Success and Career Choice

Difficult Conversations in Cancer Care: Lessons from a Student-Led Initiative

The Effects of the Training Program and Counseling Program Given to Women Who Underwent a Mastectomy and Spouses

Keynote webinar | Spotlight on antibody–drug conjugates in cancer