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Analysis of YouTubeTM Content Regarding Labor Epidurals and Pain Relief During Labor
Abstract Number: F3I-476
Abstract Type: Research Non Living Matter
Of the approximately 4.1 mil annual live deliveries, 60% of patients with vaginal deliveries elect neuraxial anesthetic for labor pain. Yet, the method in which patients learn about labor and analgesic options varies widely, ranging from health care providers, word of mouth from friends and family, and social media.
A wealth of information is available on the internet for understanding weekly changes in pregnancy and preparing for labor. YouTubeTM is one social media platform with a large audience: greater than 1.9 bil registered viewers with approximately 5 billion videos viewed daily. Other studies have examined the quality of health-related topics on social media, specifically YouTubeTM . However, no study has been performed to evaluate the quality and accuracy of information related to labor epidurals and pain relief options. In this presentation, we reveal our preliminary evaluation of YouTubeTM videos on labor epidurals.
We reviewed 150 YouTubeTM videos, viewing the first 50 video results for the following search phrases: “obstetric epidural anesthesia,” “labor epidural,” and “labor pain.” We used 2 tools for evaluating the content quality and understandability. The DISCERN instrument is a 15-question questionnaire that can be used to judge the reliability and quality of information discussing possible treatment choices offered in media. The scoring for each question can be rated on a scale of 1 (lowest) to 5 (highest) and averaged after the evaluation. The AHRQ Patient Education Material Assessment Tool (PEMAT) was used to assess the understandability and actionability of the content through a 26-question survey with rating choices of agree, disagree, and not applicable. Content was on a scale of 0-100%.
General characteristics of the YouTubeTM videos are as follows: The average length of videos was approximately 11 minutes. Number of views ranged from teens to over 4 million. The subject of videos ranged from patient education materials, procedural videos, formal lectures, to personal vlogs (46% of “labor epidurals” captured personal YouTubeTM channels). With preliminary evaluation of videos, the average rating of videos via the DISCERN instrument was low at 1.71, indicating that the majority of videos lack sufficient discussion of risks and benefits for patients to make an informed decision. Average PEMAT values were 57%, suggesting that most available resources are not appropriate for the general audience. We plan to present the full descriptive results at the SOAP meeting.
Overall, top results on YouTubeTM contain very few videos with informative, accurate, and understandable materials for pregnant women seeking to learn about labor analgesia. This initial evaluation unsurprisingly reveals an opportunity for improved patient education through one of the most used social media platforms. Further studies will be needed to determine how best to capture viewing audiences and how SOAP could contribute meaningful patient educat