Turkiye Klinikleri Journal of Dermatology

.: ORIGINAL RESEARCH
Psoriasis Treatment on Youtube: A Cross-Sectional Study
YouTube'da Sedef Hastalığı Tedavisi: Kesitsel Bir Araştırma
Hüsna GÜDERa, Semih GÜDERb
aDepartment of Dermatology, Maltepe University Faculty of Medicine, İstanbul, Türkiye
bDepartment of Dermatology, Bezmiâlem Vakıf University Faculty of Medicine, İstanbul, Türkiye
Turkiye Klinikleri J Dermatol. 2023;33(2):47-52
doi: 10.5336/dermato.2022-92806
Article Language: EN
Full Text
ABSTRACT
 Objective: As with every chronic disease, YouTube is increasingly heavily accessed to get information for psoriasis. It contains quality videos containing medical information; however, some content is of low quality, unscientific, misleading, and potentially harmful. We aimed to conduct this study to reveal this situation, understand the rate of non-physician practice, and develop solutions. Material and Methods: Between May 1-31, 2022, we searched the YouTube search engine by typing 'psoriasis treatment' in Turkish. The number of views of the video, the number of subscribers, time of publication, duration of the video, gender and occupation of the presenter, type of YouTube channel on which the video was posted, were recorded. In the analysis of analytical statistics, the Quade test was used to eliminate the severity of the difference in the number of views and the extreme difference of skewness. Levene's test was used for homogeneity analysis. Results: The majority of the videos consisted of education-information about psoriasis treatment methods (41.6%) and specific treatment recommendations (35%). 46.2% of the video narrators were physicians (21.7% dermatologist, 24.5% non-dermatologist) 25.8% were non-physicians, and herbalists (15.4%) were the leading ones. The rate of evidence-based treatment recommendations was 24.5%, while the rate of non-evidence-based treatments was 65.7%. Conclusion: We have identified videos created by herbalists who recommend supplements containing plant extracts, which are not based on substantial evidence. There should be more videos on YouTube about psoriasis and its treatment by dermatologists who are experts in the subject.

Keywords: Psoriasis treatment; YouTube; social media; non-physician practice
ÖZET
 Amaç: Her kronik hastalıkta olduğu gibi sedef hastalığı hakkında bilgi almak için YouTube'da giderek daha fazla bilgiye erişilmektedir. Bu platform, tıbbi bilgiler içeren kaliteli videolar içerir; ancak bazı içerikler düşük kaliteli, bilimsel olmayan, yanıltıcı ve potansiyel olarak zararlıdır. Bu durumu ortaya çıkarmak, doktor dışı uygulama oranını anlamak ve çözümler geliştirmek için bu çalışmayı yapmayı amaçladık. Gereç ve Yöntemler: 1-31 Mayıs 2022 tarihleri arasında YouTube'daki arama motoruna Türkçe dilinde ''sedef hastalığı tedavisi'' yazarak aratma yaptık. Video görüntüleme sayısı, abone sayısı, yayınlandığı zaman, videonun süresi, sunum yapan kişinin cinsiyeti ve mesleği, videonun yayınlandığı YouTube kanalı türü kaydedildi. Çözümsel istatistiklerin analizinde görüntüleme sayılarının farkının şiddeti ve çarpıklığın aşırı farkını elimine etme amacıyla Quade testinden yararlanıldı. Homojenite incelemesinde Levene testi kullanıldı ve enter metotlu doğrusal regresyon kullanılarak %95 güven düzeyinde bulgular değerlendirildi. Bulgular: İncelenen videoların büyük çoğunluğu psöriyazis tedavi yöntemleri ile ilgili eğitim-bilgilendirme (%41,6) ve spesifik tedavi önerilerinden (%35) oluşmaktaydı. Konuşmacıların %46,2'si hekimdi (%21,7 dermatolog, %24,5 dermatolog haricî hekim) %25,8'i ise hekim dışı kişilerden oluşmaktaydı ve bunların başında herbalistler gelmekteydi (%15,4). Kanıta dayalı tedavi önerilerinin oranı %24,5 iken, kanıta dayalı olmayan tedaviler %65,7 oranındaydı. Sonuç: Azımsanmayacak derecede kanıta dayalı olmayan ve internet üzerinden satın alınabilecek bitki ekstresi içeren gıda takviyelerini, tedavi olarak öneren bitkilerle tedavi uzmanı kişilerce oluşturulmuş videolar tespit ettik. Sedef hastalığı ve tedavisi ile ilgili konunun uzmanı olan dermatologlar tarafından YouTube'da daha fazla video olmalıdır.

Anahtar Kelimeler: Sedef hastalığı tedavisi; YouTube; sosyal medya; hekim dışı pratik
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