YouTube作为锁骨骨折教育的来源：质量、可理解性和可靠性评估
YouTube as a source for clavicle fracture education: a quality, comprehensibility, and reliability assessment.
摘要(中文译文)
锁骨骨折是常见损伤，患者经常在网上寻求补充信息。YouTube被广泛用于健康相关内容，但与之相关的锁骨骨折信息质量和完整性尚未得到充分界定。本研究评估了YouTube上锁骨骨折视频的可靠性、可理解性和教育完整性。使用4个锁骨骨折相关术语对YouTube进行了系统检索。经资格筛选后，分析了观看次数最多的50个英语视频。视频按来源和内容类型进行分类。可靠性采用JAMA基准标准评估；可理解性采用4分制评分；教育完整性采用18分制锁骨骨折评分（CFR）评估。由两名独立评审者对全部视频进行评分。采用非参数分析，包括Kruskal-Wallis检验和经Holm校正的Wilcoxon秩和检验。CFR评分中位数为3（Q1=1，Q3=6）。JAMA评分均值为1.4，可理解性评分均值为3.46。医生制作的视频JAMA评分显著高于患者制作的视频（P<0.01），而患者制作的视频可理解性显著更高（P<0.01）。YouTube“短视频”的CFR评分（均值0.8）显著低于标准时长视频（均值4.3；P<0.01）。在所有类别中，锁骨骨折评估和管理的核心要素均较少涉及。YouTube上有关锁骨骨折的视频可靠性低、教育完整性有限，尽管可理解性总体较好。这些发现提示，常被浏览的在线资源为患者教育提供的信息不足。
Abstract
Clavicle fractures are common injuries, and patients frequently seek supplemental information online. YouTube is widely used for health-related content, but the quality and completeness of information related to clavicle fractures are not well defined. This study evaluated the reliability, comprehensibility, and educational completeness of clavicle fracture videos on YouTube. A systematic search of YouTube was performed using 4 clavicle fracture-related terms. After screening for eligibility, the 50 most-viewed English-language videos were analyzed. Videos were categorized by source and content type. Reliability was assessed using the (JAMA) Benchmark Criteria; comprehensibility was rated on a 4-point scale; and educational completeness was evaluated using an 18-point Clavicle Fracture Rating (CFR). Two independent reviewers scored all videos. Nonparametric analyses, including Kruskal-Wallis tests and Wilcoxon rank-sum tests with Holm correction, were applied. The median CFR score was 3 (Q1 = 1, Q3 = 6). The mean JAMA score was 1.4 and the mean comprehensibility score was 3.46. Physician-generated videos demonstrated significantly higher JAMA scores than patient-generated videos ( < .01), whereas patient-generated videos showed significantly higher comprehensibility ( < .01). YouTube "shorts" had significantly lower CFR scores (mean 0.8) than standard-length videos (mean 4.3; < .01). Across all categories, essential elements of clavicle fracture evaluation and management were infrequently addressed. YouTube videos related to clavicle fractures demonstrated low reliability and limited educational completeness, despite generally favorable comprehensibility. These findings suggest that commonly viewed online resources provide insufficient information for patient education.
如何引用
AMA
Kirk Terada-Herzer, Ryan Nishi, Tyler Shimabukuro, Kyle Obana, Julian Rimm, Kyle Ishikawa, et al. YouTube as a source for clavicle fracture education: a quality, comprehensibility, and reliability assessment.. JSES reviews, reports, and techniques. 2026; doi:10.1016/j.xrrt.2026.100800.
APA
Kirk Terada-Herzer, Ryan Nishi, Tyler Shimabukuro, Kyle Obana, Julian Rimm, Kyle Ishikawa, et al (2026). YouTube as a source for clavicle fracture education: a quality, comprehensibility, and reliability assessment.. JSES reviews, reports, and techniques. https://doi.org/10.1016/j.xrrt.2026.100800
GB/T 7714
Kirk Terada-Herzer, Ryan Nishi, Tyler Shimabukuro, Kyle Obana, Julian Rimm, Kyle Ishikawa, et al. YouTube as a source for clavicle fracture education: a quality, comprehensibility, and reliability assessment.[J]. JSES reviews, reports, and techniques, 2026 doi:10.1016/j.xrrt.2026.100800.
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