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Misdiagnosed on Demand

Unpacking the Unreliable Landscape of Lumbar Pain Information on Spanish YouTube

Unreliable Back Pain Videos on YouTube: A Growing Health Concern

What is it?

This article explains the results of a recent study on Spanish-language YouTube videos about lower back pain. The research, published in the Journal of Consumer Health on the Internet, found that only 2.9% of videos met acceptable reliability standards.

Why is it important?

According to the research by Tomas Fontaines-Ruiz and colleagues, YouTube plays an increasing role in doctor-patient interactions. However, most of the analyzed videos lacked valid medical references, showed informational bias, and did not mention alternative treatment options.

How is it applied?

The researchers reviewed 70 Spanish YouTube videos using the DISCERN scale. This involved assessing clarity, source validity, informational balance, and whether uncertainties were addressed. Despite high clarity (82.9%), 98.6% of videos failed to cite academic sources, and 97.1% omitted additional references, undermining their educational value.

Key Findings

  • Only 2.9% of analyzed videos had acceptable reliability.
  • Popularity does not equate to trustworthiness: videos with more likes and views were not necessarily more reliable.
  • Doctors and physiatrists received higher engagement but did not consistently offer better-quality information.

According to the research

YouTube serves as an “apomediary” platform, bypassing traditional healthcare gatekeepers. This poses risks as patients often accept popular content as accurate, leading to self-care decisions based on misinformation.

What are the risks?

Users may follow unsafe exercise routines or develop misconceptions about their condition, potentially worsening symptoms or delaying effective treatment. The lack of content regulation and peer review intensifies this concern.

Recommendations

This article explains the authors’ call for improved digital health literacy and stronger content evaluation mechanisms on platforms like YouTube. Educating both users and content creators could help reduce the spread of unreliable health information.

FAQs

Q: Are YouTube videos a reliable source for medical advice? A: According to the study, the vast majority are not. Only 2.9% of Spanish-language videos on back pain met acceptable standards.

Q: What makes a video unreliable? A: Lack of academic citations, biased information, and absence of alternative views or references.

Q: Can popular videos be trusted more? A: Not necessarily. The study found no strong correlation between video popularity and reliability.

Q: How can I identify reliable back pain content? A: Look for videos citing reputable sources, referencing clinical guidelines, and presenting balanced views.

Fontaines-Ruiz, T., Romero-Rodríguez, L. M., Sanchez-Bracho, A., & Reyes-Pérez, L. (2025). Misdiagnosed on Demand: Unpacking the Unreliable Landscape of Lumbar Pain Information on Spanish YouTube. Journal of Consumer Health on the Internet, 1–15. https://doi.org/10.1080/15398285.2025.2510810

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