Quality and Compliance of Video-based Information with Knee Osteoarthritis Treatment Guidelines

Abstract

Background and Purpose: This study aimed to evaluate the current knee osteoarthritis (OA) information available on YouTube and to evaluate if these videos report information about core treatment methods in the current guidelines. Methods: We searched for the keyword as “knee osteoarthritis” on YouTube. A total of 61 videos were evaluated and their quality, reliability and knee OA specific content were analyzed. Popularity of the videos and the number and kind of treatment recommendations were recorded. The videos were dichotomized into two groups according to their content if they were including core non-drug treatment methods or not. Results: The majority of the content was uploaded by health-care professionals (37.8 %) and exercise was the most recommended treatment method. Reliability and quality of the videos uploaded by health-care professionals, academic and health-care organizations were higher than other sources (p<0.05). The academic and health-care organizations had the highest knee OA content score and health-care professionals had the highest popularity (p<0.05). Videos uploaded by physicians and physical therapists mostly included evidence-based non-drug treatment recommendations. Conclusion: Exercise and patient education were the main topics in knee OA-related videos. Patients can be referred to the videos uploaded by academic and healthcare organizations to obtain comprehensive information about knee OA.

Keywords

• video analysis
• knee osteoarthritis
• exercise
• guideline

Quality and Compliance of Video-based Information with Knee Osteoarthritis Treatment Guidelines

Abstract

References

1. Vina ER, Kwoh CK. Epidemiology of osteoarthritis: literature update. Curr Opin Rheumatol. 2018;30(2):160-7.
2. Wang Y, Nguyen USD, Lane NE, Lu N, Wei J, Lei G, et al. Knee Osteoarthritis, Potential Mediators, and Risk of All‐Cause Mortality: Data From the Osteoarthritis Initiative. Arthritis Care Res (Hoboken). 2021;73(4):566-73.
3. Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73(7):1323-30.
4. Bannuru RR, Osani M, Vaysbrot E, Arden N, Bennell K, Bierma-Zeinstra S, et al. OARSI guidelines for the non-surgical management of knee, hip, and polyarticular osteoarthritis. Osteoarthritis Cartilage. 2019.
5. Kolasinski SL, Neogi T, Hochberg MC, Oatis C, Guyatt G, Block J, et al. 2019 American College of Rheumatology/Arthritis Foundation guideline for the management of osteoarthritis of the hand, hip, and knee. Arthritis & Rheumatology. 2020;72(2):220-33.
6. Davis A, Davis K, Skou S, Roos E. Why Is Exercise Effective in Reducing Pain in People with Osteoarthritis? Current Treatment Options in Rheumatology. 2020:1-14.
7. Hinman R, Nicolson P, Dobson F, Bennell K. Use of nondrug, nonoperative interventions by community‐dwelling people with hip and knee osteoarthritis. Wiley Online Library; 2015.
8. Silva GV. Effectiveness of telerehabilitation in physical therapy: A rapid overview. 2021. doi: 10.1093/ptj/pzab053

9. Rogante M, Grigioni M, Cordella D, Giacomozzi C. Ten years of telerehabilitation: A literature overview of technologies and clinical applications. NeuroRehabilitation. 2010;27(4):287-304.
10. Winters JM. Telerehabilitation research: emerging opportunities. Annu Rev Biomed Eng . 2002;4(1):287-320.
11. Suso-Martí L, La Touche R, Herranz-Gómez A, Angulo-Díaz-Parreño S, Paris-Alemany A, Cuenca-Martínez F. Effectiveness of telerehabilitation in physical therapist practice: An umbrella and mapping review with meta–meta-analysis. Phys Ther. 2021;101(5):pzab075.
12. Devine KA, Viola AS, Coups EJ, Wu YP. Digital health interventions for adolescent and young adult cancer survivors. JCO Clin Cancer Inform. 2018;2:1-15.
13. Gurler D, Buyukceran I, editors. Assessment of the Medical Reliability of Videos on Social Media: Detailed Analysis of the Quality and Usability of Four Social Media Platforms (Facebook, Instagram, Twitter, and YouTube). Healthcare; 2022: 2022; 22;10(10):1836.
14. Manasco MH, Barone N, Brown A. A role for YouTube in telerehabilitation. Int J Telerehabil. 2010;2(2):15. doi: 10.5195/ijt.2010.6050.
15. Egerton T, McLachlan L, Graham B, Bolton J, Setchell J, Short CE, et al. How do people with knee pain from osteoarthritis respond to a brief video delivering empowering education about the condition and its management? Patient Educ Couns. 2021.
16. Egerton T, Bolton J, Short CE, Bennell KL. Exploring changes, and factors associated with changes, in behavioural determinants from a low-cost, scalable education intervention about knee osteoarthritis: An observational cohort study. BMC Musculoskelet Disord. 2021;22(1):1-13.
17. Bunzli S, BHealthSci POB, Ayton D, Dowsey M, Gunn J, Choong P, et al. Misconceptions and the acceptance of evidence-based nonsurgical interventions for knee osteoarthritis. A qualitative study. Clin Orthop Relat Res. 2019;477(9):1975.
18. Kocyigit BF, Nacitarhan V, Koca TT, Berk E. YouTube as a source of patient information for ankylosing spondylitis exercises. Clin Rheumatol. 2019;38(6):1747-51.
19. Madathil KC, Rivera-Rodriguez AJ, Greenstein JS, Gramopadhye AK. Healthcare information on YouTube: a systematic review. Health informatics journal. 2015;21(3):173-94.
20. Wong M, Desai B, Bautista M, Kwon O, Kolodychuk N, Chimento G. YouTube is a poor source of patient information for knee arthroplasty and knee osteoarthritis. Arthroplasty today. 2019;5(1):78-82.
21. Maia LB, Silva JP, Souza MB, Henschke N, Oliveira VC. Popular videos related to low back pain on YouTube™ do not reflect current clinical guidelines: a cross-sectional study. Brazilian Journal of Physical Therapy. 2021. doi: 10.1016/j.bjpt.2021.06.009.
22. Culha Y, Ak ES, Merder E, Ariman A, Culha MG. Analysis of the YouTube videos on pelvic floor muscle exercise training in terms of their reliability and quality. Int Urol Nephrol. 2021;53(1):1-6.
23. Akyol A, Karahan İ. Is YouTube a quality source of information on sarcopenia? Eur Geriatr Med. 2020;11(4):693-7.
24. Erdem MN, Karaca S. Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube. Spine (Phila Pa 1976). 2018;43(22):E1334-E9.
25. Bağcıer F, Yorulmaz E, Temel MH. YouTube as a source of patient information for knee osteoarthritis exercises. 2021.
26. Von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. International journal of surgery. 2014;12(12):1495-9. Epub 2014/07/22.
27. Bernard A, Langille M, Hughes S, Rose C, Leddin D, Van Zanten SV. A systematic review of patient inflammatory bowel disease information resources on the World Wide Web. Official journal of the American College of Gastroenterology| ACG. 2007;102(9):2070-7.
28. Singh AG, Singh S, Singh PP. YouTube for information on rheumatoid arthritis—a wakeup call? The Journal of rheumatology. 2012;39(5):899-903.
29. Ayoub G, Chalhoub E, Sleilaty G, Kourie HR. YouTube as a source of information on breast cancer in the Arab world. Support Care Cancer. 2021:1-9. doi: 10.1007/s00520-021-06403-6.
30. Roos EM, Arden NK. Strategies for the prevention of knee osteoarthritis. Nature Reviews Rheumatology. 2016;12(2):92. doi: 10.1038/nrrheum.2015.135.
31. Bruyère O, Honvo G, Veronese N, Arden NK, Branco J, Curtis EM, et al., editors. An updated algorithm recommendation for the management of knee osteoarthritis from the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Semin Arthritis Rheum; 2019: Elsevier.
32. Bichsel D, Liechti FD, Schlapbach JM, Wertli MM. Cross-sectional analysis of recommendations for the treatment of hip and knee osteoarthritis in clinical guidelines. Arch Phys Med Rehabil. 2021.
33. Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013;72(7):1125-35. doi: 10.1136/annrheumdis-2012-202745.
34. Wang X, Shi J, Kong H. Online health information seeking: A review and meta-analysis. Health Communication. 2021;36(10):1163-75.
35. Ng MK, Emara AK, Molloy RM, Krebs VE, Mont M, Piuzzi NS. YouTube as a source of patient information for total knee/hip arthroplasty: quantitative analysis of video reliability, quality, and content. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2021:10.5435.
36. Yildiz S, Toros SZ. The Quality, Reliability, and Popularity of YouTube Education Videos for Vestibular Rehabilitation: A Cross-sectional Study. Otol Neurotol. 2021;42(8):e1077-e83. .
37. Delli K, Livas C, Vissink A, Spijkervet FK. Is YouTube useful as a source of information for Sjögren's syndrome? Oral Dis. 2016;22(3):196-201.
38. Ozsoy‐Unubol T, Alanbay‐Yagci E. YouTube as a source of information on fibromyalgia. Int J Rheum Dis. 2021;24(2):197-202.
39. Morahan-Martin JM. How internet users find, evaluate, and use online health information: a cross-cultural review. CyberPsychology & Behavior. 2004;7(5):497-510.