A qualitative analysis of methotrexate self-injection education videos on YouTube

The aim of this study is to identify and evaluate the quality of videos for patients available on YouTube for learning to self-administer subcutaneous methotrexate. Using the search term Methotrexate injection, two clinical reviewers analyzed the first 60 videos on YouTube. Source and search rank of video, audience interaction, video duration, and time since video was uploaded on YouTube were recorded. Videos were classified as useful, misleading, or a personal patient view. Videos were rated for reliability, comprehensiveness, and global quality scale (GQS). Reasons for misleading videos were documented, and patient videos were documented as being either positive or negative towards methotrexate (MTX) injection. Fifty-one English videos overlapped between the two geographic locations; 10 videos were classified as useful (19.6 %), 14 misleading (27.5 %), and 27 personal patient view (52.9 %). Total views of videos were 161,028: 19.2 % useful, 72.8 % patient, and 8.0 % misleading. Mean GQS: 4.2 (+/- 1.0) useful, 1.6 (+/- 1.1) misleading, and 2.0 (+/- 0.9) for patient videos (p < 0.0001). Mean reliability: 3.3 (+/- 0.6) useful, 0.9 (+/- 1.2) misleading, and 1.0 (+/- 0.7) for patient videos (p < 0.0001). Comprehensiveness: 2.2 (+/- 1.9) useful, 0.1 (+/- 0.3) misleading, and 1.5 (+/- 1.5) for patient view videos (p = 0.0027). This study demonstrates a minority of videos are useful for teaching MTX injection. Further, video quality does not correlate with video views. While web video may be an additional educational tool available, clinicians need to be familiar with specific resources to help guide and educate their patients to ensure best outcomes.