Anesth Pain Med.  2022 Oct;17(4):429-433. 10.17085/apm.22134.

Educational value of spinal injection therapy videos in Korean YouTube for back pain patients

• Kim SB
• Cho SB
• Choi H
• Lim S

• KMID: 2535342
• DOI: http://doi.org/10.17085/apm.22134

Abstract

Background
YouTube, the largest online video platform, has become increasingly popular as a source of health information to patients. The aim of the study was to assess whether Korean patients were well informed about spinal injection from YouTube.
Methods
Search for the keyword “cheog-chu ju-sa” in Korean language was done, and the quality of the 51 videos with the highest number of views was evaluated independently by two pain management doctors.
Results
The averages of global quality scores evaluated by the two doctors were 3.0 and 3.5 and modified DISCERN (mDISCERN) scores were 2.8 and 3.0, respectively. The Kappa statistic between the two doctors’ scores was 0.285 and 0.417.
Conclusions
The percentage of low-quality videos with a global quality score of 2 or less is 18–36%, which indicated that these videos might provide inaccurate or misleading medical information to the patient. Pain clinic doctors should be wary of medically misleading information available on online platforms, such as YouTube, and strive to create and distribute professional quality educational materials.

Keyword

Health education; Online; Patient education; Spinal injection; YouTube

Figure

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  Fig. 1. Clinical trial flow chart. Selection and exclusion of YouTube videos for statistical analysis.

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  Fig. 2. Intension of videos. The subject of the video was summarized: explanation 76% (n = 38), procedure 6% (n = 3), topic unrelated to pain clinic treatment 16% (n = 8), advertising purpose 2% (n = 1).

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  Fig. 3. Producers of videos. It is a summary of the major creators of the video, with pain doctors 50% (n = 25), allied health professionals such as folk therapists or physical therapists 6% (n = 3), public broadcasting service or medical YouTube channels 38% (n = 19), and nonphysicians 6% (n = 3).

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