This study aims to evaluate the quality and reliability of YouTube videos related to "anesthesia awareness." Using the search terms "anesthesia awareness" and "waking up during surgery," the first 100 videos from each search query will be identified and their URLs recorded. After applying predefined inclusion and exclusion criteria, an eligible video list will be created for independent reviewers. Each video will be assessed using five validated scoring instruments: the modified DISCERN score, the Global Quality Scale (GQS), the JAMA benchmark criteria, the Patient Education Materials Assessment Tool for Audiovisual Content (PEMAT-A/V), and a usefulness score. The study seeks to characterize the educational value and accuracy of publicly available online content on anesthesia awareness.
Study Type
OBSERVATIONAL
Enrollment
200
Overall quality score of YouTube videos on anesthesia awareness
The reliability and accuracy of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool (modified DISCERN). In this instrument, each item is scored as 1 = Yes (criterion met) or 0 = No (criterion not met), with a total score ranging from 0 to 5. Higher scores indicate more reliable content.
Time frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
The quality of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Global Quality Scale (GQS). In this scale, overall quality is rated on a 5-point scale ranging from 1 (very poor quality) to 5 (excellent quality).
Time frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
The reliability, transparency, and currency of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Journal of the American Medical Association (JAMA) benchmark criteria. In this tool, four criteria are evaluated, with total scores ranging from 0 to 4, where 4 indicates the highest level of reliability and 0 indicates low reliability.
Time frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
The understandability and actionability of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V). In this tool, each item is scored as 1 = Agree, 0 = Disagree, or Not Applicable (N/A). In this instrument, score calculation is performed as follows: The understandability score (%) is calculated as (the total number of items scored as "1" divided by the total number of applicable items) × 100. The actionability score (%) is calculated as (the total number of items scored as "1" divided by the total number of applicable items) × 100.
Time frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
The educational and informational usefulness of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Usefulness Score. In this scale, videos are rated on a 5-point scale ranging from 1 (very low usefulness) to 5 (very high usefulness).
Time frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Video View Count
Total number of views for each included video, will be recorded at the time of the cross-sectional YouTube search.
Time frame: Baseline
Video Duration
Length of each video in minutes and seconds.
Time frame: Baseline
Upload Date
The original upload date of each included video; used to calculate video age in days/months/years.
Time frame: Baseline
Engagement Metrics: Likes and Dislikes
Total number of likes and dislikes (if available) recorded for each video.
Time frame: Baseline
Comment Count
Number of comments posted under each included video.
Time frame: Baseline
Video Type Classification
Categorization of videos based on format: single-narrator informational video, patient experience video, animation, or slide-based presentation.
Time frame: Baseline
Source Classification
Classification of video uploaders into predefined categories: physician/hospital, non-physician healthcare personnel, medical/educational channel, or other.
Time frame: Baseline
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