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Daith Piercing, a Social Media Hype on Youtube for the Treatment of Migraine? A Systematic Video Analysis
Saroj K Pradhan1, Michael Furian1, Giada Todeschini1,2
1Research Department Swiss University of Traditional Chinese Medicine Bad Zurzach Switzerland.
Background And Aims:
Nowadays, the social media video-sharing website YouTube is globally accessible and used for sharing news and information. It also serves as a tool for migraine sufferers seeking guidance about Daith piercing (DP) as a potential migraine treatment; however, shared and disseminated video content is rarely regulated and does not follow evidence-based medicine. This study aims to investigate the content, quality, and reliability of YouTube videos on DP for the treatment of migraine.
Methods:
YouTube videos were systematically searched from the video portal inception until 17th January 2024. "Daith piercing" AND "migraine" were the applied search terms. The primary outcome of interest was assessing the Global Quality Scale (GQS) and DISCERN to evaluate each video blog's quality, flow, and reliability. Secondary outcomes included the relapse time of migraine after DP, and further outcomes related to DP.
Results:
In the final analysis, 246 videos were included (N = 69 categorized as Personal Experience; N = 176 as Others, defined as videos from bloggers, piercers, or other persons; and N = 1 as Healthcare Professionals). The GQS rating in the category Personal Experience revealed that the quality of 50.7% of videos was very poor; 29.0% poor; 11.6% moderate, and 8.7% good. In the category Others, GQS rating showed that the quality of 60.8% of videos was very poor; 25.6% poor; 11.9% moderate, and 1.7% good. The one video in the category Healthcare Professionals was rated "poor quality". Ratings applying the DISCERN tool were comparable. Overall, 111 (45.1%) videos recommended and 14 (5.7%) discouraged DP for migraine relief.
Conclusion:
Based on the GQS and DISCERN scores, the information, usefulness, and accuracy of most YouTube content on DP for migraine treatment are generally of poor quality and reliability. The lack of high-quality and reliable videos might expose users to potentially misleading information and dissemination of unproven medical interventions.
