YouTube and Eosinophilic Esophagitis: An Assessment of the Educational Quality of Information
Monday, March 5, 2018
South Hall A2 (Convention Center)
Apurva Bansal, MD, Keerthi Reddy, MD, Rufaat Mando, MD, Santiago Alvarez-Arango, MD, Joseph Gabriel, MD, Sumana Reddy, MD, Lyda Cuervo-Pardo, MD, Anjali Malkani, MD, Chakradhar Reddy, MD, Claudia A. Kozinetz, PhD, MPH, Alexei Gonzalez-Estrada, MD

RATIONALE: Eosinophilic Esophagitis (EoE) is a rare allergic inflammatory disease affecting 1-4 in every 10,000 individuals in the US. With the increasing use of the Internet as a source of health care information, we sought to determine the educational quality of EoE videos on Youtube.

METHODS: We performed a YouTube search using the keyword “eosinophilic esophagitis”. Videos were analyzed for characteristics, source, and content. Source was further classified as health care provider, patient, company, media, or professional society. A scoring system was created to evaluate the quality (-10 to +30 points). Negative points were assigned for misleading information. Six blinded reviewers scored each video independently.

RESULTS: Two hundred and nine videos were analyzed, with a median of 507 views, 1 like, and 0 dislikes. More video presenters were male (50.9%). The most common type of video source was professional society (39.2%), and the least represented video source was company and media (8.5%). Among the four video sources, the mean scores showed a statistically significant difference from each other (p<0.0001). There was a higher mean score for videos by health care providers (5.7) when compared to other video sources (mean score between 3.3 and 4.6). Intraclass correlation showed a high degree of agreement among reviewers (ICC = 0.820; p < 0.001).

CONCLUSIONS: Youtube videos on EoE were a poor source of valid health care information. Videos by health care providers were a better source of information, reiterating the need for higher quality educational videos on EoE by the medical community.