Pain neuroscience education on YouTube

Lauren C. Heathcote, Joshua W Pate, Anna L. Park, Hayley B. Leake, G. Lorimer Moseley, Corey A. Kronman, Molly Fischer, Inge Timmers, Laura E. Simons

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objectives. The Internet in general, and YouTube in particular, is now one of the most popular sources of health-related information. Pain neuroscience education has become a primary tool for managing persistent pain, based in part on the discovery that information about pain can change pain. Our objective was to examine the availability, characteristics, and content of YouTube videos that address the neuroscience of pain.

Methods. We conducted a systematic review of videos on YouTube using the search terms “pain education”, “what is pain”, and “pain brain” in January 2018. Videos were included if they were in English, were under 10 minutes long, and included information on the neuroscience of pain. Videos were coded for (i) descriptive characteristics (e.g., number of views, duration on YouTube), (ii) source and style, (iii) whether or not they addressed seven pre-determined target concepts of pain neuroscience education (e.g., ‘Pain is not an accurate marker of tissue state’), and (iv) how engaging they were.

Results. We found 106 unique videos that met the inclusion criteria. The videos ranged from having four views to over five million views (Mdn = 1,163 views), with the three most highly viewed videos accounting for 75% of the total views. Animated videos were much more highly viewed than non-animated videos. Only a small number of videos had been posted by a clearly-identifiable reputable source such as an academic or medical institution (10%), although a number of videos were posted by healthcare professionals and professional medical societies. For a small number of videos (7%), the source was unclear. We found 17 videos that addressed at least one target concept of pain neuroscience science education, only nine of which were considered to be at least somewhat engaging. The target concept ‘Pain is a brain output’ was considered to be well addressed by the most videos (N = 11), followed by ‘Pain is a protector’ (N = 10). We found only one video that adequately addressed all seven target concepts of pain neuroscience education.

Discussion. YouTube contains a variety of videos that practitioners, patients, and families may view to access pain neuroscience education information. A small portion of these videos addressed one or more target concepts of pain neuroscience education in an engaging manner. It is yet to be determined to what extent patients are able to learn information from these videos, to what extent the videos promote behavior change, and thus to what extent the videos may be useful for clinical practice.
LanguageEnglish
Article numbere6603
Pages1-22
Number of pages22
JournalPeerJ
Volume7
Issue number3
DOIs
Publication statusPublished - 22 Mar 2019

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neurophysiology
Neurosciences
pain
education
Education
Pain
Brain
health care workers
Health
Availability
Internet
Tissue
brain
science education
Medical Societies
systematic review
behavior change

Bibliographical note

Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • Pain Neuroscience Education
  • Psycho-education
  • Pain education
  • Chronic pain
  • Systematic review
  • YouTube
  • E-health
  • Internet
  • Persistent pain
  • Pain

Cite this

Heathcote, L. C., Pate, J. W., Park, A. L., Leake, H. B., Moseley, G. L., Kronman, C. A., ... Simons, L. E. (2019). Pain neuroscience education on YouTube. PeerJ, 7(3), 1-22. [e6603]. https://doi.org/10.7717/peerj.6603
Heathcote, Lauren C. ; Pate, Joshua W ; Park, Anna L. ; Leake, Hayley B. ; Moseley, G. Lorimer ; Kronman, Corey A. ; Fischer, Molly ; Timmers, Inge ; Simons, Laura E. / Pain neuroscience education on YouTube. In: PeerJ. 2019 ; Vol. 7, No. 3. pp. 1-22.
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title = "Pain neuroscience education on YouTube",
abstract = "Objectives. The Internet in general, and YouTube in particular, is now one of the most popular sources of health-related information. Pain neuroscience education has become a primary tool for managing persistent pain, based in part on the discovery that information about pain can change pain. Our objective was to examine the availability, characteristics, and content of YouTube videos that address the neuroscience of pain.Methods. We conducted a systematic review of videos on YouTube using the search terms “pain education”, “what is pain”, and “pain brain” in January 2018. Videos were included if they were in English, were under 10 minutes long, and included information on the neuroscience of pain. Videos were coded for (i) descriptive characteristics (e.g., number of views, duration on YouTube), (ii) source and style, (iii) whether or not they addressed seven pre-determined target concepts of pain neuroscience education (e.g., ‘Pain is not an accurate marker of tissue state’), and (iv) how engaging they were.Results. We found 106 unique videos that met the inclusion criteria. The videos ranged from having four views to over five million views (Mdn = 1,163 views), with the three most highly viewed videos accounting for 75{\%} of the total views. Animated videos were much more highly viewed than non-animated videos. Only a small number of videos had been posted by a clearly-identifiable reputable source such as an academic or medical institution (10{\%}), although a number of videos were posted by healthcare professionals and professional medical societies. For a small number of videos (7{\%}), the source was unclear. We found 17 videos that addressed at least one target concept of pain neuroscience science education, only nine of which were considered to be at least somewhat engaging. The target concept ‘Pain is a brain output’ was considered to be well addressed by the most videos (N = 11), followed by ‘Pain is a protector’ (N = 10). We found only one video that adequately addressed all seven target concepts of pain neuroscience education.Discussion. YouTube contains a variety of videos that practitioners, patients, and families may view to access pain neuroscience education information. A small portion of these videos addressed one or more target concepts of pain neuroscience education in an engaging manner. It is yet to be determined to what extent patients are able to learn information from these videos, to what extent the videos promote behavior change, and thus to what extent the videos may be useful for clinical practice.",
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Heathcote, LC, Pate, JW, Park, AL, Leake, HB, Moseley, GL, Kronman, CA, Fischer, M, Timmers, I & Simons, LE 2019, 'Pain neuroscience education on YouTube', PeerJ, vol. 7, no. 3, e6603, pp. 1-22. https://doi.org/10.7717/peerj.6603

Pain neuroscience education on YouTube. / Heathcote, Lauren C.; Pate, Joshua W; Park, Anna L.; Leake, Hayley B.; Moseley, G. Lorimer; Kronman, Corey A.; Fischer, Molly; Timmers, Inge; Simons, Laura E.

In: PeerJ, Vol. 7, No. 3, e6603, 22.03.2019, p. 1-22.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Pain neuroscience education on YouTube

AU - Heathcote, Lauren C.

AU - Pate, Joshua W

AU - Park, Anna L.

AU - Leake, Hayley B.

AU - Moseley, G. Lorimer

AU - Kronman, Corey A.

AU - Fischer, Molly

AU - Timmers, Inge

AU - Simons, Laura E.

N1 - Copyright the Author(s) 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2019/3/22

Y1 - 2019/3/22

N2 - Objectives. The Internet in general, and YouTube in particular, is now one of the most popular sources of health-related information. Pain neuroscience education has become a primary tool for managing persistent pain, based in part on the discovery that information about pain can change pain. Our objective was to examine the availability, characteristics, and content of YouTube videos that address the neuroscience of pain.Methods. We conducted a systematic review of videos on YouTube using the search terms “pain education”, “what is pain”, and “pain brain” in January 2018. Videos were included if they were in English, were under 10 minutes long, and included information on the neuroscience of pain. Videos were coded for (i) descriptive characteristics (e.g., number of views, duration on YouTube), (ii) source and style, (iii) whether or not they addressed seven pre-determined target concepts of pain neuroscience education (e.g., ‘Pain is not an accurate marker of tissue state’), and (iv) how engaging they were.Results. We found 106 unique videos that met the inclusion criteria. The videos ranged from having four views to over five million views (Mdn = 1,163 views), with the three most highly viewed videos accounting for 75% of the total views. Animated videos were much more highly viewed than non-animated videos. Only a small number of videos had been posted by a clearly-identifiable reputable source such as an academic or medical institution (10%), although a number of videos were posted by healthcare professionals and professional medical societies. For a small number of videos (7%), the source was unclear. We found 17 videos that addressed at least one target concept of pain neuroscience science education, only nine of which were considered to be at least somewhat engaging. The target concept ‘Pain is a brain output’ was considered to be well addressed by the most videos (N = 11), followed by ‘Pain is a protector’ (N = 10). We found only one video that adequately addressed all seven target concepts of pain neuroscience education.Discussion. YouTube contains a variety of videos that practitioners, patients, and families may view to access pain neuroscience education information. A small portion of these videos addressed one or more target concepts of pain neuroscience education in an engaging manner. It is yet to be determined to what extent patients are able to learn information from these videos, to what extent the videos promote behavior change, and thus to what extent the videos may be useful for clinical practice.

AB - Objectives. The Internet in general, and YouTube in particular, is now one of the most popular sources of health-related information. Pain neuroscience education has become a primary tool for managing persistent pain, based in part on the discovery that information about pain can change pain. Our objective was to examine the availability, characteristics, and content of YouTube videos that address the neuroscience of pain.Methods. We conducted a systematic review of videos on YouTube using the search terms “pain education”, “what is pain”, and “pain brain” in January 2018. Videos were included if they were in English, were under 10 minutes long, and included information on the neuroscience of pain. Videos were coded for (i) descriptive characteristics (e.g., number of views, duration on YouTube), (ii) source and style, (iii) whether or not they addressed seven pre-determined target concepts of pain neuroscience education (e.g., ‘Pain is not an accurate marker of tissue state’), and (iv) how engaging they were.Results. We found 106 unique videos that met the inclusion criteria. The videos ranged from having four views to over five million views (Mdn = 1,163 views), with the three most highly viewed videos accounting for 75% of the total views. Animated videos were much more highly viewed than non-animated videos. Only a small number of videos had been posted by a clearly-identifiable reputable source such as an academic or medical institution (10%), although a number of videos were posted by healthcare professionals and professional medical societies. For a small number of videos (7%), the source was unclear. We found 17 videos that addressed at least one target concept of pain neuroscience science education, only nine of which were considered to be at least somewhat engaging. The target concept ‘Pain is a brain output’ was considered to be well addressed by the most videos (N = 11), followed by ‘Pain is a protector’ (N = 10). We found only one video that adequately addressed all seven target concepts of pain neuroscience education.Discussion. YouTube contains a variety of videos that practitioners, patients, and families may view to access pain neuroscience education information. A small portion of these videos addressed one or more target concepts of pain neuroscience education in an engaging manner. It is yet to be determined to what extent patients are able to learn information from these videos, to what extent the videos promote behavior change, and thus to what extent the videos may be useful for clinical practice.

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KW - Psycho-education

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KW - Chronic pain

KW - Systematic review

KW - YouTube

KW - E-health

KW - Internet

KW - Persistent pain

KW - Pain

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Heathcote LC, Pate JW, Park AL, Leake HB, Moseley GL, Kronman CA et al. Pain neuroscience education on YouTube. PeerJ. 2019 Mar 22;7(3):1-22. e6603. https://doi.org/10.7717/peerj.6603