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Comparison of YouTube Videos and Artificial Intelligence Chatbot Responses Regarding Pediatric Pelvic Floor
Volkan Altinok1, Ecem I Altinok2
1Department of Pediatric Surgery, Ordu Üniversitesi, Ordu, TUR.
Insights
AI chatbots like Gemini and ChatGPT offer superior educational quality for pediatric pelvic floor dysfunction compared to YouTube videos. These AI tools provide reliable information to complement, not replace, professional medical advice for children.
Area of Science:
- Urology
- Pediatrics
- Health Informatics
Background:
- Pediatric pelvic floor dysfunction is a frequent cause of lower urinary tract and bowel issues in children.
- Accurate educational resources are crucial for patients and caregivers managing this condition.
- YouTube and AI chatbots are increasingly used for online health information seeking.
Purpose of the Study:
- To evaluate and compare the educational quality, reliability, and safety of YouTube videos and AI chatbots for pediatric pelvic floor dysfunction.
- Assess the suitability of these digital platforms as educational tools for patients and caregivers.
Main Methods:
- A cross-sectional infodemiology study analyzed 25 eligible YouTube videos and responses from three AI chatbots (ChatGPT, Gemini, Copilot).
- Standardized assessment tools, including DISCERN, GQS, and a novel Pediatric Pelvic Floor Education and Reliability Score (PPFERS), were used.
- AI chatbots were queried using 20 predefined questions related to pediatric pelvic floor dysfunction.
Main Results:
- AI chatbots, particularly Gemini and ChatGPT, achieved higher educational quality scores than YouTube videos.
- Gemini and ChatGPT demonstrated greater consistency and alignment with current pediatric urotherapy principles.
- YouTube videos, while generally useful, showed more variability in quality.
Conclusions:
- AI chatbots offer a valuable, high-quality educational resource for pediatric pelvic floor dysfunction.
- These AI tools can serve as effective adjuncts to traditional patient education.
- AI-generated information should supplement, not substitute, professional medical guidance and clinical evaluation.
Background:
Pediatric pelvic floor dysfunction is a common cause of lower urinary tract symptoms and bowel dysfunction in children, requiring accurate and reliable educational resources for patients and caregivers. With the increasing use of online health information, both YouTube (Google LLC, Mountain View, CA, USA) and artificial intelligence (AI) chatbots have become frequently used sources of medical guidance. This study aimed to evaluate and compare the educational quality, reliability, and safety of YouTube videos and AI-generated responses related to pediatric pelvic floor dysfunction.
Materials And Methods:
In this cross-sectional infodemiology study, YouTube was searched using five predefined pediatric pelvic floor-related search terms, and the first 50 videos for each term were screened. After duplicate removal and eligibility assessment, 25 videos were included for analysis. Three publicly available AI chatbots (ChatGPT (OpenAI, San Francisco, CA, USA), Gemini (Google LLC, Mountain View, CA, USA), and Copilot (Microsoft Corporation, Redmond, WA, USA)) were evaluated using a standardized set of 20 pediatric pelvic floor-related questions. Educational quality was independently assessed using the DISCERN instrument, the Global Quality Scale (GQS), and the Pediatric Pelvic Floor Education and Reliability Score (PPFERS), a pediatric-specific assessment tool developed for this study.
Results:
The 25 included YouTube videos accumulated 447,398 total views. Physiotherapists or pediatric physical therapists were the most common content creators (44.0%), followed by healthcare institutions (28.0%). The mean DISCERN, GQS, and PPFERS scores for YouTube videos were 66.24 ± 8.64, 4.28 ± 0.74, and 16.88 ± 1.96, respectively. Among AI chatbots, Gemini achieved the highest educational quality scores (76.00 ± 1.92, 4.95 ± 0.22, and 19.35 ± 0.59), followed by ChatGPT (74.20 ± 2.40, 4.85 ± 0.37, and 18.60 ± 0.82) and Copilot (67.85 ± 2.03, 4.35 ± 0.49, and 17.10 ± 0.72). Overall, AI-generated responses demonstrated higher mean educational quality scores than the YouTube video cohort.
Conclusions:
Both YouTube videos and AI-generated responses provided generally useful educational information regarding pediatric pelvic floor dysfunction. However, AI chatbots, particularly Gemini and ChatGPT, demonstrated greater educational consistency and closer alignment with contemporary pediatric urotherapy principles. AI-assisted educational tools may serve as valuable adjuncts to patient and caregiver education but should complement, rather than replace, professional medical evaluation and individualized clinical guidance.