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Evaluating the quality and reliability of YouTube videos about phenylketonuria
Bahar Kulu1, Sibel Burçak Şahin Uyar2, Batuhan Kulu3
1Department of Inherited Metabolic Disorders, University of Health Sciences, Tepecik Education and Research Hospital, İzmir, Turkey.
Insights
Most YouTube videos about phenylketonuria (PKU) lack sufficient quality and reliability. Healthcare authorities should create and promote accurate PKU content for patients and families.
Area of Science:
- Biochemistry
- Genetics
- Public Health
Background:
- Phenylketonuria (PKU) is a genetic metabolic disorder affecting phenylalanine processing.
- Untreated PKU can lead to severe neurotoxicity and intellectual disability.
- Early diagnosis and dietary management are crucial for normal development.
Purpose of the Study:
- To evaluate the quality and reliability of YouTube videos discussing phenylketonuria.
- To assess the accuracy and trustworthiness of online health information for PKU patients.
Main Methods:
- A cross-sectional study analyzed 104 YouTube videos on PKU identified via keyword search.
- Validated tools including the JAMA Benchmark Criteria and modified DISCERN questionnaire were used.
- The Global Quality Score assessed video quality and accuracy.
Main Results:
- 56% of videos were medium quality; 58.3% had sufficient information (JAMA criteria).
- 46.6% of videos demonstrated poor reliability (modified DISCERN).
- Content quality varied, with professional and academic sources scoring highest.
Conclusions:
- The majority of PKU-related YouTube content is of low to moderate quality and reliability.
- There is a need for healthcare authorities to produce and promote high-quality digital health resources.
- Improving the quality of online health information is vital for patient decision-making.
Abstract:
Phenylketonuria (PKU) is a congenital metabolic disorder characterized by defective phenylalanine metabolism, leading to neurotoxicity when untreated. Early detection through newborn screening and timely dietary intervention can ensure normal intellectual development. YouTube is a widely used source for health-related content, but the quality of information remains variable. The objective of this study is to evaluate the quality and reliability of YouTube videos related to PKU using validated scoring tools. This cross-sectional study was conducted on December 30, 2024. A YouTube search using the keyword "phenylketonuria" yielded 150 videos, of which 104 met the inclusion criteria. Video parameters including number of views, likes, duration, and content type were collected. Reliability was assessed using the Journal of the American Medical Association Benchmark Criteria and the modified DISCERN questionnaire. Quality and accuracy were evaluated using the Global Quality Score. Statistical analyses were performed to determine the relationships between video characteristics and evaluation scores. Of the analyzed videos, 45% were animated and 68% were uploaded by healthcare professionals. The median number of views was 1064 (range: 12-806,000) and the median view ratio was 0.68 (range: 0-245.36). Significant associations were found between the year of upload and view ratio (P = .012), and between continent and both view ratio (P = .045) and daily views (P = .003). Likes-per-view differed significantly by country (P < .001). According to the Global Quality Score, 56% of videos were of medium quality, with the highest scores observed in videos from professional organizations and academic sources. Journal of the American Medical Association assessment showed that 58.3% of videos contained sufficient information. Modified DISCERN questionnaire revealed that 46.6% of videos had poor reliability. The majority of PKU-related YouTube videos analyzed were of low to moderate quality and reliability. Given the impact of such content on patient decision-making, healthcare authorities should take an active role in producing and promoting high-quality digital health content.
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