Analysis of content, credibility, and reliability of information on chronic obstructive pulmonary disease treatment in YouTube™ videos: a cross-sectional observational study
DOI:
https://doi.org/10.1590/Keywords:
COPD, Videos, Treatment, Clinical GuidelinesAbstract
Chronic Obstructive Pulmonary Disease (COPD)
is characterized by airway abnormalities, resulting in persistent
airflow obstruction. Treatment involves pharmacological and
nonpharmacological interventions which are supported by several
COPD consensus and guidelines. YouTube can often be used to
share information about treatments for chronic diseases like COPD;
however, the credibility of such information may not be adequate.
This study evaluates the reliability and credibility of information
concerning COPD treatment disseminated on YouTube, the
most popular social media platform, and assess its alignment
with the GOLD guideline. A cross-sectional observational study
was conducted to select the first 200 English-language videos
on COPD treatment posted on YouTube. Video evaluation used
validated instruments, including the DISCERN tool (quality
assessment), the Health on the Net Foundation Code of Conduct
- HONcode (credibility assessment), and the GOLD guideline
(reference). Poor agreement with the GOLD guideline (97.4%)
was found. HONcode assessment showed that 75.7% of the
videos achieved a high credibility rating. Regarding information
quality, 75.7% of the videos received positive ratings based on
the DISCERN tool. Despite exhibiting adequate credibility, the
analyzed videos displayed fluctuating levels of quality, ranging
from medium to low. Moreover, there was limited consensus
between the videos and the GOLD guideline. Continuous analysis
of such content can be used to ensure dissemination of reliable
information on YouTube.
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References
Global Initiative for Chronic Obstructive Lung Disease
(GOLD). Global Strategy for Prevention, Diagnosis and
Management of COPD 2023 Report [Internet]. Fontana: GOLD;
[cited 2025 Jan 6]. Available from: https://goldcopd.
org/2023-gold-report-2/.
McKeough ZJ, Velloso M, Lima VP, Alison JA. Upper limb
exercise training for COPD. Cochrane Database Syst Rev.
;11(11):1-70. doi: 10.1002/14651858.CD011434.pub2.
McCarthy B, Casey D, Devane D, Murphy K, Murphy E, et al.
Pulmonary rehabilitation for chronic obstructive pulmonary
disease. Cochrane Database Syst Rev. 2015;(2):1-185.
doi: 10.1002/14651858.CD003793.pub3.
Amante DJ, Hogan TP, Pagoto SL, English TM, Lapane KL.
Access to Care and Use of the Internet to Search for Health
Information: Results from the US National Health Interview
Survey. J Med Internet Res. 2015;17(4):e106. doi: 10.2196/
jmir.4126.
McCabe C, McCann M, Brady AM. Computer and mobile
technology interventions for self-management in chronic
obstructive pulmonary disease. Cochrane Database Syst Rev.
;5(5):1-34. doi: 10.1002/14651858.CD011425.pub2.
Stellefson M, Chaney B, Ochipa K, Chaney D, Haider Z, et
al. YouTube as a source of chronic obstructive pulmonary
disease patient education. Chron Respir Dis. 2014;11(2):61-71.
doi: 10.1177/1479972314525058.
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. doi: 10.1007/
s10067-018-04413-0.
Madathil KC, Rivera-Rodriguez AJ, Greenstein JS,
Gramopadhye AK. Healthcare information on YouTube: a
systematic review. Health Informatics J. 2015;21(3):173-94.
doi: 10.1177/1460458213512220.
Singh AG, Singh S, Singh PP. YouTube for Information on
Rheumatoid Arthritis - A Wakeup Call? J Rheumatol.
;39(5):899-903. doi: 10.3899/jrheum.111114.
Furtado MAS, Sousa Junior RR, Soares LA, Soares BA,
Mendonça KT, et al. Analysis of Informative Content on
Cerebral Palsy Presented in Brazilian-Portuguese YouTube
Videos. Phys Occup Ther Pediatr. 2022;42(4):369-83.
doi: 10.1080/01942638.2022.2046677.
Maia LB, Silva JP, Souza MB, Henschke N, Oliveira VC. Popular
videos related to low back pain on YouTubeTM do not reflect
current clinical guidelines: a cross-sectional study. Braz J Phys
Ther. 2021;25(6):803-10. doi: 10.1016/j.bjpt.2021.06.009.
iProspect. iProspect Blended Search Results Study 2008
[Internet]. London: iProspect; 2008 [cited 2025 Jan 6]. Available
from: https://www.researchgate.net/profile/Alieda-Blandford/
publication/276454791_Google_Public_Libraries_and_the_
Deep_Web/links/574f2ff108aebb9880441df5/Google-Public-
Libraries-and-the-Deep-Web.pdf.
Souza CFL, Ferreira JM, Pereira AC, Silva MAD. Understanding
the use of videos as a complementary teaching tool. J Health
Inform. 2019;11(1):3-7.
Abedin T, Ahmed S, Al Mamun M, Ahmed SW, Newaz S, et al.
YouTube as a source of useful information on diabetes foot
care. Diabetes Res Clin Pract. 2015;110(1):e1-e4. doi: 10.1016/j.
diabres.2015.08.003.
HON. Health On the Net Foundation 2022. https://www.hon.ch.
Charnock D, Shepperd S, Needham G, Gann R. DISCERN: an
instrument for judging the quality of written consumer health
information on treatment choices. J Epidemiol Comm Health.
;53(2):105-11. doi: 10.1136/jech.53.2.105.
Tang W, Olscamp K, Choi SK, Friedman DB. Alzheimer’s Disease
in Social Media: Content Analysis of YouTube Videos. Interact
J Med Res. 2017;6(2):e19. doi: 10.2196/ijmr.8612.
Delgado CK, Gazzotti MR, Santoro IL, Carvalho AK, et al. Internet
Use for health-care information by subjects with COPD. Respir
Care. 2015:60(9):1276-81. doi: 10.4187/respcare.03716.
Lenferink A, BrusseKeizer M, van der Valk PD, Frith PA, Zwerink
M, et al. “Self-management interventions including action plans
for exacerbations versus usual care in patients with chronic
obstructive pulmonary disease.” Cochrane Database Syst Rev.
;8(8):CD11682. doi: 10.1002/14651858.CD011682.pub2.
Sigurgeirsdottir J, Halldorsdotirr S, Arnardottir RH,
Gudmundsson G, Bjornsson EH. COPD patients’ experiences,
self-reported needs, and needs-driven strategies to cope
with self-management. Int J Chron Obstruct Pulmon Dis.
;14:1033-43. doi: 10.2147/COPD.S201068.
Spruit MA, Pitta F, MacAuley E, ZuWallack RL, Nici L. Pulmonary
rehabilitation and physical activity in patients with Chronic
Obstructive Pulmonary Disease. Am J Respir Crit Care Med.
;192(8):924-33. doi: 10.1164/rccm.201505-0929CI.
Janssens W, Verleden. “Nonpharmacological interventions
in COPD”. Eur Respir Rev. 2023;32(167):230028.
doi: 10.1183/16000617.0028-2023.
Garvey C, Bayles MP, Hamm LF, Hill K, Holland A, et al.
Pulmonary rehabilitation exercise prescription in Chronic
Obstructive Pulmonary Disease: review of selected guidelines.
J Cardiopulmon Rehabil Prev. 2016;36(2):75-83. doi: 10.1097/
HCR.0000000000000171.
McCarthy B, Casey D, Devane D, Murphy K, Murphy E, et al.
Pulmonary rehabilitation for chronic obstructive pulmonary
disease. Cochrane Database Syst Rev. 2015;2015(2):CD003793.
doi: 10.1002/14651858.CD003793.pub3.
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Copyright (c) 2025 Ana Luíza da Silva Nunes Teixeira Rodrigues, Vanessa Kelly da Silva Lage, Redha Taiar, Joyce Noelly Vitor Santos, Laisa Braga Maia, Jousielle Márcia dos Santos, Vinícius Cunha Oliveira, Ana Cristina Rodrigues Lacerda, Vanessa Amaral Mendonça

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