Anesthesia Awareness on YouTube: Content and Quality Analysis

January 10, 2026 updated by: Pelin Dilsiz Eker, Mentese State Hospital

Youtube as Sources of Information on One of the Biggest Causes of Preoperative Anxiety "Anesthesia Awareness": Assessment and Analysis of the Content and Quality.

This study aims to evaluate the quality and reliability of YouTube videos related to "anesthesia awareness." Using the search terms "anesthesia awareness" and "waking up during surgery," the first 100 videos from each search query will be identified and their URLs recorded. After applying predefined inclusion and exclusion criteria, an eligible video list will be created for independent reviewers. Each video will be assessed using five validated scoring instruments: the modified DISCERN score, the Global Quality Scale (GQS), the JAMA benchmark criteria, the Patient Education Materials Assessment Tool for Audiovisual Content (PEMAT-A/V), and a usefulness score. The study seeks to characterize the educational value and accuracy of publicly available online content on anesthesia awareness.

Study Overview

Status

Not yet recruiting

Conditions

Study Type

Observational

Enrollment (Estimated)

200

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Publicly available YouTube videos on the selected keywords.

Description

Inclusion Criteria:

  • Videos in English language.
  • Videos addressing "anesthesia awareness" or "waking up during surgery."
  • Publicly available on YouTube at the time of the search.
  • Within the first 100 results for each keyword search.
  • Containing audio and/or visual content suitable for evaluation using the predefined scoring tools.

Exclusion Criteria:

  • Non-English language videos.
  • Duplicate videos.
  • Videos not relevant to the topic.
  • Videos shorter than 60 seconds or longer than 60 minutes.
  • Videos with audio or visual issues preventing content evaluation.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Overall quality score of YouTube videos on anesthesia awareness
Time Frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
The reliability and accuracy of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool (modified DISCERN). In this instrument, each item is scored as 1 = Yes (criterion met) or 0 = No (criterion not met), with a total score ranging from 0 to 5. Higher scores indicate more reliable content.
A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
Time Frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
The quality of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Global Quality Scale (GQS). In this scale, overall quality is rated on a 5-point scale ranging from 1 (very poor quality) to 5 (excellent quality).
A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
Time Frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
The reliability, transparency, and currency of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Journal of the American Medical Association (JAMA) benchmark criteria. In this tool, four criteria are evaluated, with total scores ranging from 0 to 4, where 4 indicates the highest level of reliability and 0 indicates low reliability.
A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
Time Frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.

The understandability and actionability of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V). In this tool, each item is scored as 1 = Agree, 0 = Disagree, or Not Applicable (N/A).

In this instrument, score calculation is performed as follows:

The understandability score (%) is calculated as (the total number of items scored as "1" divided by the total number of applicable items) × 100.

The actionability score (%) is calculated as (the total number of items scored as "1" divided by the total number of applicable items) × 100.
A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
Overall quality score of YouTube videos on anesthesia awareness
Time Frame: A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.
The educational and informational usefulness of YouTube videos on "anesthesia awareness" and "waking up during surgery" will be assessed using a validated scoring tool, the Usefulness Score. In this scale, videos are rated on a 5-point scale ranging from 1 (very low usefulness) to 5 (very high usefulness).
A cross-sectional YouTube search will be conducted at study initiation, and the identified videos will be evaluated over approximately two weeks.

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Video View Count
Time Frame: Baseline
Total number of views for each included video, will be recorded at the time of the cross-sectional YouTube search.
Baseline
Video Duration
Time Frame: Baseline
Length of each video in minutes and seconds.
Baseline
Upload Date
Time Frame: Baseline
The original upload date of each included video; used to calculate video age in days/months/years.
Baseline
Engagement Metrics: Likes and Dislikes
Time Frame: Baseline
Total number of likes and dislikes (if available) recorded for each video.
Baseline
Comment Count
Time Frame: Baseline
Number of comments posted under each included video.
Baseline
Video Type Classification
Time Frame: Baseline
Categorization of videos based on format: single-narrator informational video, patient experience video, animation, or slide-based presentation.
Baseline
Source Classification
Time Frame: Baseline
Classification of video uploaders into predefined categories: physician/hospital, non-physician healthcare personnel, medical/educational channel, or other.
Baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mentese State Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

January 15, 2026

Primary Completion (Estimated)

February 15, 2026

Study Completion (Estimated)

March 15, 2026

Study Registration Dates

First Submitted

November 19, 2025

First Submitted That Met QC Criteria

December 22, 2025

First Posted (Estimated)

January 7, 2026

Study Record Updates

Last Update Posted (Actual)

January 13, 2026

Last Update Submitted That Met QC Criteria

January 10, 2026

Last Verified

January 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2025-discern

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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