Image of Electroconvulsive Therapy in YouTube Videos

Genç, Esra; Wu, Hanjing Emily; Pinjari, Omar F.; Fernandez, Luis A.; Henchcliffe, Blake E.; Husain, Mustafa M.; Selek, Salih

doi:10.1097/yct.0000000000000658

Cited by 8 publications

(9 citation statements)

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“…Second, we are aware that showing a video clip of an outdated practice could have reinforced prejudiced views, given the depiction in Milos Forman's film, which includes the lack of informed consent or general anesthesia and shows the use of forceful physical restraint (Nicholson et al, 1975(Nicholson et al, /2002. Similar effects in reifying stigmatized views have been noted in a range of commonly available film depictions (Sienaert, 2016;Walter et al, 2002), including those widely available on YouTube (Genc et al, 2020). Our reliance on such material highlights the paucity of widely available and equipoised depictions of modern ECT well suited for health professional training.…”

Section: Discussionmentioning

confidence: 57%

Addressing Electroconvulsive Therapy Knowledge Gaps and Stigmatized Views Among Nursing Students Through a Psychiatrist–APRN Didactic Partnership

Kitay

Walde

Robertson

et al. 2020

J Am Psychiatr Nurses Assoc

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BACKGROUND: Knowledge gaps and stigmatized perceptions regarding electroconvulsive therapy (ECT) among patients and health providers contribute to the underutilization of an important therapeutic modality. The proactive education of future advanced practice registered nurses (APRNs) provides an opportunity to optimize the use of this evidence-based clinical practice. AIMS: As part of a general course in psychiatry during the first year of nursing school, we dedicated 1 hour to treatment-refractory depression, including ECT, and a second hour to a summary discussion of mood disorders. We evaluated the efficacy of this didactic offering, which was co-taught by a psychiatrist and a psychiatric APRN. METHOD: At baseline, consenting students ( n = 94) provided three words they associated with ECT and then completed three validated instruments: (a) Questionnaire on Attitudes and Knowledge of ECT, (b) Opening Minds Stigma Scale for Health Care Providers, and (c) Self-Stigma of Seeking Help. Among the 67 students who repeated the assessment at endpoint, 39 attended the ECT didactic (Intervention group, 58%) and 28 did not (Control, 42%). RESULTS: After completion of the 3-month course, students showed improvement across all measures ( p < .001). The only outcomes that improved differentially between the Intervention and Control groups were the Questionnaire on Attitudes and Knowledge of ECT Attitudes and Knowledge scales ( p = .01). Word choice valence associated with ECT shifted favorably by endpoint ( p < .001). CONCLUSIONS: An educational intervention co-led by a psychiatric-mental health APRN had a significant impact on nursing students’ knowledge and perceptions of ECT. This approach can be readily implemented at other institutions. Future refinements will include the videotaped depiction of a simulated patient undergoing the consent, treatment, and recovery phases of ECT.

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Section: Discussionmentioning

confidence: 57%

Addressing Electroconvulsive Therapy Knowledge Gaps and Stigmatized Views Among Nursing Students Through a Psychiatrist–APRN Didactic Partnership

Kitay

Walde

Robertson

et al. 2020

J Am Psychiatr Nurses Assoc

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show abstract

“…As helpful as video-based depictions of ECT can be for educational purposes, many of the more readily available sources in television [ 10 ], film [ 9 , 10 ], or YouTube [ 18 ] can serve to further entrench already stigmatized views of the procedure without appropriate context and opportunity for discussion. Educators’ common reliance on such material highlights the paucity of widely available and equipoised depictions of modern ECT well suited for the training of health professionals.…”

mentioning

confidence: 99%

Electroconvulsive Therapy: a Video-Based Educational Resource Using Standardized Patients

et al. 2020

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Objective Video-based depictions of electroconvulsive therapy (ECT) can be useful for educational purposes, but many of the readily available resources may worsen already stigmatized views of the procedure. Educators’ common reliance on such material highlights the paucity of equipoised depictions of modern ECT well suited for the training of health professionals. The authors developed and tested a new educational module enhanced by videotaped depictions of a simulated patient undergoing the consent, treatment, recovery, and follow-up phases of ECT. Methods The didactic intervention interspersed 7 short video clips (totaling 14 min) into a 55-min lecture on treatment-resistant depression. The session, part of an intensive course of preclinical psychiatry, was delivered online through synchronous videoconferencing with Zoom. The primary outcome measure was change in the Questionnaire on Attitudes and Knowledge of ECT (QuAKE). Results Fifty-three out of 63 (87%) eligible second-year medical students completed assessments at baseline and after exposure to the didactic intervention. QuAKE scores improved between baseline and endpoint: the Attitudes composite increased from 49.4 ± 6.1 to 59.1 ± 5.7 (paired t 10.65, p < 0.001, Cohen’s d 0.69), and the Knowledge composite from 13.3 ± 1.2 to 13.9 ± 0.8 (paired t 3.97, p < 0.001, Cohen’s d 0.23). Conclusions These video-based educational materials proved easy to implement in the virtual classroom, were amenable to adaptation by end-use instructors, were well received by learners, and led to measurable changes in students’ knowledge of and attitudes toward ECT.

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“…In view of such widespread disinformation, cooperation between the mental health sector and the media is necessary to shape appropriate attitudes [33]. It is disturbing that negative perceptions of electroconvulsive therapy can also be found on platforms such as YouTube, which have a significant impact on shaping the attitudes of young people [34]. Additionally, in this study, many respondents learned from the courses and lectures, which can be explained by the high percentage of medical students among them.…”

Section: Discussionmentioning

confidence: 77%

Knowledge, attitudes and beliefs about electroconvulsive therapy among Polish students

Gędek

Materna

Święcicki

2021

Current Problems of Psychiatry

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Introduction: Electroconvulsive therapy (ECT) is an effective and safe treatment for many mental disorders. Nevertheless, the attitudes towards ECT are negative and the use of this method in Poland is decreasing. Aim: The aim of the study was to investigate the general knowledge and attitudes towards electroconvulsive therapy among Polish university students, including students of medicine, psychology and other faculties. Material and methods: An original online questionnaire containing 39 questions was used, distributed through student groups on social networking sites. A total of 418 questionnaires were completed. The collected data were statistically analyzed. Results: Significant knowledge gaps and negative beliefs about electroconvulsive therapy were observed among Polish students. Medical and psychology students had more extensive knowledge and more positive beliefs about this method of treatment than students of other faculties. Greater knowledge of the therapy was associated with a more positive attitude towards it. The main source of knowledge about ECT for students of medicine and psychology were lectures and courses, and for students of other faculties – movies. Students, who considered psychiatry as their future specialization, had less knowledge and a more negative attitude towards ECT, relative to the rest of the respondents. Conclusions: There is a need for educational interventions that will change the way how ECT is perceived both in the public opinion and in the medical community. An effective solution to low levels of knowledge for medical students may be the observation of the procedure included in the study programme.

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Image of Electroconvulsive Therapy in YouTube Videos

Cited by 8 publications

References 9 publications

Addressing Electroconvulsive Therapy Knowledge Gaps and Stigmatized Views Among Nursing Students Through a Psychiatrist–APRN Didactic Partnership

Addressing Electroconvulsive Therapy Knowledge Gaps and Stigmatized Views Among Nursing Students Through a Psychiatrist–APRN Didactic Partnership

Electroconvulsive Therapy: a Video-Based Educational Resource Using Standardized Patients

Knowledge, attitudes and beliefs about electroconvulsive therapy among Polish students

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