{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:10:13Z","timestamp":1770271813948,"version":"3.49.0"},"reference-count":50,"publisher":"Cambridge University Press (CUP)","issue":"10","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S136898002300160X_as1\"><jats:title>Objective:<\/jats:title><jats:p>To assess the alignment of YouTube\u00ae videos providing dietary recommendations for gout with evidence-based guidelines targeted at the United Kingdom (UK) population and to establish their quality.<\/jats:p><\/jats:sec><jats:sec id=\"S136898002300160X_as2\"><jats:title>Design:<\/jats:title><jats:p>A content analysis of YouTube\u00ae videos providing dietary recommendations for gout was undertaken. Videos were categorised by video source. Each video\u2019s dietary recommendations for gout were compared with three evidence-based guidelines for gout, producing a compliance score. Presence of non-guideline advice was assessed. Understandability and actionability were evaluated using the Patient Education Material Assessment Tool for Audio-Visual Materials. Reliability was assessed using an adapted-DISCERN tool and educational quality using the Global Quality Score Five-Point Scale. Differences between video source and continuous variables were assessed using one-way Kruskal\u2013Wallis H tests. For categorical variables, associations were investigated using Fisher\u2013Freeman\u2013Halton tests.<\/jats:p><\/jats:sec><jats:sec id=\"S136898002300160X_as3\"><jats:title>Setting:<\/jats:title><jats:p>Online, May\u2013June 2020.<\/jats:p><\/jats:sec><jats:sec id=\"S136898002300160X_as4\"><jats:title>Participants:<\/jats:title><jats:p>One-hundred thirty-one videos.<\/jats:p><\/jats:sec><jats:sec id=\"S136898002300160X_as5\"><jats:title>Results:<\/jats:title><jats:p>Alignment of videos with evidence-based guidelines was poor (median compliance score 27 % (interquartile range 17\u201337 %)). Additionally, 57 % of videos contained non-guideline advice. The health professional source group had the fewest videos containing non-guideline advice, but this was only significantly lower than the naturopath group (31 % <jats:italic>v<\/jats:italic>. 81 %, <jats:italic>P<\/jats:italic> = 0\u00b7009). Almost 70 % of videos were considered poorly actionable and 50 % poorly understandable. Most videos were rated poor for reliability (79 %) and poor to generally poor for educational quality (49 %).<\/jats:p><\/jats:sec><jats:sec id=\"S136898002300160X_as6\"><jats:title>Conclusions:<\/jats:title><jats:p>YouTube<jats:sup>\u00ae<\/jats:sup> videos providing dietary recommendations for gout frequently fail to conform to evidence-based guidelines, and their educational quality, reliability, understandability and actionability are often poor. More high-quality, comprehensive, evidence-based YouTube<jats:sup>\u00ae<\/jats:sup> videos are required for UK gout patients.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s136898002300160x","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T09:46:40Z","timestamp":1692006400000},"page":"2014-2025","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":6,"title":["A content analysis of online videos containing dietary recommendations for gout and their alignment with evidence-based dietary guidelines"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5339-6801","authenticated-orcid":false,"given":"Kirstie Louise","family":"Lamb","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margo 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Office for National Statistics (2020) Internet Access\u2013Households and Individuals. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/householdcharacteristics\/homeinternetandsocialmediausage\/datasets\/internetaccesshouseholdsandindividualsreferencetables (accessed February 2023)."},{"key":"S136898002300160X_ref26","unstructured":"26. YouTube (2020) YouTube for Press: YouTube by the Numbers. https:\/\/blog.youtube\/press\/ (accessed November 2020)."},{"key":"S136898002300160X_ref33","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2012.07.011"},{"key":"S136898002300160X_ref12","unstructured":"12. 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Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}