ORIJINAL ARAŞTIRMA
Orofaringeal Disfaji Egzersizleri Hakkında Bilgi Kaynağı Olarak YouTube: Bir Kalite ve Güvenilirlik Analizi
YouTube as a Source of Information on Oropharyngeal Dysphagia Exercises: A Quality and Reliability Analysis
Received Date : 19 Oct 2023
Accepted Date : 02 Jul 2024
Available Online : 10 Jul 2024
Bülent ALYANAKa, Serkan KABLANOĞLUb, Fatih BAĞCIERc
aGölcük Necati Çelik State Hospital, Clinic of Physical Medicine and Rehabilitation, Kocaeli, Türkiye
bKocaeli University, Institute of Health Sciences, Kocaeli, Türkiye
cBaşakşehir Çam and Sakura City Hospital, Clinic of Physical Medicine and Rehabilitation, İstanbul, Türkiye
Doi: 10.31609/jpmrs.2023-99955 - Makale Dili: EN
Turkiye Klinikleri Journal of Physical Medicine and Rehabilitation Sciences. 2024;27(3):156-62.
ÖZET
Amaç: Orofaringeal disfajinin rehabilitasyonunda disfaji egzersizleri
temel taşlardan biri olup, çok önemli bir yere sahiptir. Bu çalışma
ile YouTube’daki disfaji egzersizleri videolarının güvenirliğini
ve kalitesini araştırmayı amaçladık. Gereç ve Yöntemler: Bu kesitsel
çalışmada, YouTube platformunda “dysphagia exercises”, “dysphagia
rehabilitation”, “dysphagia physical therapy” and “dysphagia physiotherapy”
anahtar kelimeleri ile arama yapılarak videolar alaka düzeyine
göre sıralandı ve 200 video içinden 50 video değerlendirildi. Video parametreleri
kaydedildi. Güvenirlik ve kalite değerlendirmeleri için Journal
of the American Medical Association (JAMA) kriterleri,
Modifiye Tüketici Sağlığı Bilgileri İçin Kalite Kriterleri [Modified
Quality Criteria for Consumer Health Information (mDISCERN)] ölçeği
ve Global Kalite Skalası (GKS) kullanıldı. GKS skoruna göre
düşük, orta ve yüksek kalite grupları oluşturuldu. Bulgular: Videoların
%28’inin (n=14) düşük, %22’sinin (n=11) orta ve %50’sinin (n=25)
yüksek kaliteli olduğu saptandı. Hekimler tarafından yüklenen videoların
%100’ü (n=5) yüksek kaliteliydi. Video parametreleri açısından
kalite grupları arasında ve kaynaklar arasında anlamlı farklılık saptanmadı.
Yüksek kaliteli videolar düşük kaliteli videolardan anlamlı olarak
daha yüksek JAMA ve mDISCERN skoruna sahipti (p<0,001).
Hekimler için mDISCERN skoru, web sitesi grubundan anlamlı olarak
yüksekti (p<0,001). Sonuç: YouTube, disfaji egzersizleri için yüksek
kaliteli bir video kaynağıdır. Hekimlerin paylaştığı tüm videolar yüksek
kalitelidir ve yüksek kaliteli videolar daha güvenilirdir. Sağlık çalışanları,
YouTube’u kullanan hastalarını video kaynaklarının önemi
konusunda bilgilendirmeli ve güvenilir kaynağa yönlendirmelidir.
Anahtar Kelimeler: Orofaringeal disfaji; egzersiz; sosyal medya; YouTube
ABSTRACT
Objective: Dysphagia exercises are a cornerstone and
have a very important place in oropharyngeal dysphagia rehabilitation.
In this study, we investigated the reliability and quality of dysphagia exercise
videos on YouTube. Material and Methods: In this cross-sectional
study, videos were sorted by relevance by searching the YouTube
platform with the keywords “dysphagia exercises,” “dysphagia rehabilitation,”
“dysphagia physical therapy,” and “dysphagia physiotherapy,”
and 50 videos out of 200 were evaluated. Video parameters have
been recorded. The Journal of the American Medical Association
(JAMA) criteria, the Modified Quality Criteria for Consumer Health
Information (mDISCERN) scale, and the Global Quality Scale (GQS)
were used to assess reliability and quality. Low, medium, and highquality
groups were created according to the GQS score. Results: Of
the videos, 28% (n=14) were of low quality, 22% (n=11) were of
medium quality, and 50% (n=25) were of high quality. Of the physician-
uploaded videos, 100% (n=5) were of high quality. No significant
differences in video parameters were found between the quality groups
or between the sources. High-quality videos had significantly higher
JAMA and mDISCERN scores than low-quality videos (p<0.001). The
mDISCERN score for physicians was significantly higher than that for
the website group (p<0.001). Conclusion: YouTube is a high-quality
video source for dysphagia exercises. All videos shared by clinicians
are of high quality, and high-quality videos are more reliable. Healthcare
professionals should educate patients using YouTube about the
importance of video sources and direct them to a reliable source.
Keywords: Oropharyngeal dysphagia; exercise; social media; YouTube
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