{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:24:42Z","timestamp":1787923482661,"version":"build-2784847793"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universidade Federal Do Cear\u00e1"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and Hypothesis<\/jats:title>\n                    <jats:p>Pelvic organ prolapse (POP) remains underdiagnosed and undertreated worldwide, and pessaries are an effective yet underutilized conservative option. Digital platforms may play a key role in disseminating evidence-based guidance. This study analyzed long-term global engagement with an educational video on vaginal pessaries to understand patterns of access, audience characteristics, and informational needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed-methods design was used. Quantitative data were extracted from YouTube Analytics over a 9-year period (2017\u20132026), including views, watch time, audience demographics, traffic sources, devices, and geographic distribution. Qualitative content analysis was conducted on 107 valid user comments (43.1% of all registered comments) to identify informational demands, emotional responses, and perceived gaps in clinical counseling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The video accumulated 69,802 views and 3652.7\u00a0h of watch time, with a mean audience retention of 32.54%. Viewers represented more than 40 countries, with notable engagement from East Asia. Adults aged 25\u201334, 45\u201354, and 55\u201364\u00a0years accounted for most views. Mobile devices accounted for over 80% of views; televisions showed the highest retention. Comments revealed unmet informational needs, prior suffering, and strong interest in practical pessary guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This long-term analysis shows that this educational video on pessary use expanded access to information and addressed expressed gaps in clinical counseling, supporting viewers\u2019 engagement with POP conservative treatment options. Validated digital content may represent a scalable, durable complement to urogynecologic education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00192-026-06845-8","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T12:41:53Z","timestamp":1787920913000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Global Engagement with an Educational Video on Vaginal Pessaries: A 9-Year Mixed-Methods Analysis of YouTube Analytics and User Comments"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4578-4657","authenticated-orcid":false,"given":"Camila Teixeira Moreira","family":"Vasconcelos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6784-5970","authenticated-orcid":false,"given":"Jos\u00e9 Ananias","family":"Vasconcelos Neto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1151-0549","authenticated-orcid":false,"given":"Larissa Maia Teixeira","family":"Melo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3433-5672","authenticated-orcid":false,"given":"Ta\u00eds Nunes Castelo Branco","family":"Barros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6691-7415","authenticated-orcid":false,"given":"Karine de Castro","family":"Bezerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1483-6656","authenticated-orcid":false,"given":"M\u00f4nica Oliveira Batista","family":"Ori\u00e1","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"issue":"1","key":"6845_CR1","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21(1):5\u201326.","journal-title":"Int Urogynecol J"},{"key":"6845_CR2","doi-asserted-by":"publisher","first-page":"1629","DOI":"10.1007\/s00192-018-3586-6","volume":"29","author":"JL Due\u00f1as","year":"2018","unstructured":"Due\u00f1as JL, Miceli A. Effectiveness of a continuous-use ring-shaped vaginal pessary without support for advanced pelvic organ prolapse in postmenopausal women. Int Urogynecol J. 2018;29:1629\u201336.","journal-title":"Int Urogynecol J"},{"key":"6845_CR3","doi-asserted-by":"crossref","unstructured":"American College of Obstetricians and Gynecologists. Practice Bulletin No. 185: pelvic organ prolapse. 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In accordance with Brazilian Resolution CNS 510\/2016, formal Ethics Committee review was not required. The study complied with Brazil\u2019s General Data Protection Law (Law n\u00ba 13.709\/2018) [\n                      \n                      ].","order":1,"name":"Ethics","label":"Ethics Approval","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable (documentary study using publicly available platform data).","order":2,"name":"Ethics","label":"Informed Consent","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The educational video analyzed in this study (\u201cVamos testar o pess\u00e1rio?\u201d) was produced by the corresponding author (CTMV), JAVN, MOBO, and KCB as part of clinical and academic activities at a Brazilian federal university. As authors of the analyzed material, these individuals have a potential conflict of interest, which is explicitly declared. Authors LMTM and TCB were not involved in the production of the video and declare no conflicts of interest.","order":3,"name":"Ethics","label":"Conflicts of Interest","group":{"name":"EthicsHeading","label":"Declarations"}}]}}