YouTube as a New Medium for Dementia Education Among Chinese Americans.

OBJECTIVE: As one of the most popular social media used around the world, YouTube may be able to serve as a new medium for mental health education. This study aims to analyze and compare the performance of YouTube in disseminating dementia education to Chinese Americans at different time points of the upload period. METHODS: Dementia educational videos were uploaded to YouTube. Data was collected over a 36-month period. Results from the first year was compared to those from the third year using descriptive statistics and chi square analysis. RESULTS: The dementia educational videos had a total of 9724 viewers, a total combined watch time of 61,720 min, and an overall average view duration of 6.32 min. Compared to the first year, the videos in their third year performed better in delivering content to the targeted viewers (≥ 45 years old). During the third year, the videos had a significant increase in the percentage of viewers who were 45 years or older. The average view duration of viewers who were older than 65 years old was 38.2% longer than viewers who were younger than 25 years old. CONCLUSION: Over the span of 3 years, YouTube was able to tailor the dementia educational videos to the older population (≥ 45 years old) who were at the highest risk of dementia. YouTube is a valuable tool that is able to deliver content to interested audience across different age groups.

An evaluation of YouTube in disseminating dementia knowledge to older Chinese in Britain.

Chinese immigrants may dismiss pathological decline of dementia as part of normal aging (Woo and Mehta, 2017). While the internet may be a source of health information for Chinese immigrants, the quality of online dementia information was lower in Chinese than in English (Tsiang and Woo, 2017). Recent studies have demonstrated feasibility of YouTube videos in disseminating health information to the Chinese-speaking general public (Lam et al., 2017; Zheng and Woo, 2017). Therefore, we evaluated the performance of YouTube in targeting Chinese-speaking individuals in Britain who are in the high risk age group (e.g. aged 55 years and above) of developing dementia.

Exploring the Role of YouTube in Disseminating Psychoeducation.

OBJECTIVE: Social media can bridge the gap between health care and ethnic minorities over cultural barriers. This study explores the role of YouTube in delivering schizophrenia education to individuals in the USA who are also fluent in Chinese. METHODS: Three psychoeducational YouTube videos related to schizophrenia were uploaded. Data were collected for a 12-month period, and results were analyzed using descriptive statistics. RESULTS: The videos recorded 4935 views with a total viewing time of 35,614 min. The first-episode psychosis video had the most number of views and shares, and the longest total watch time and average view duration. The targeted age group (< 34 years old) comprised about half of the total views and had a 14.4% longer average view duration compared to the overall average. CONCLUSION: YouTube is a useful tool that delivers schizophrenia education to Chinese-speaking individuals in the USA. It may also help alleviate the negative stigma regarding schizophrenia and other mental health issues.

Exploring the Impact of a Culturally Tailored Short Film in Modifying Dementia Stigma Among Chinese Americans: A Pilot Study.

OBJECTIVE: Chinese Americans, one of the fastest growing ethnic groups among the US elderly population, perceive high levels of dementia stigma. The authors examined the extent of the stigma and explored the impact of media through a culturally tailored short film to modify dementia stigma. METHODS: Chinese American participants were asked to answer a dementia questionnaire. A short film was then used to address the impact of media on dementia stigma. RESULTS: Among 90 randomly selected participants, 89% (n = 80) found the short film to be a useful way to modify their misconceptions about dementia. In the comparison between the group who felt less influenced by the short film and the group who recognized the short film to be extremely helpful, the latter group had a higher baseline of stigma toward dementia, as well as a shorter duration of residence in the USA. CONCLUSION: Chinese Americans still perceive severe dementia stigma. Nevertheless, a culturally tailored short film demonstrated promising impact in modifying stigma toward dementia.

Decision-Making Capacity in a Transgender Patient With Schizophrenia and Concerns for a Life-Threatening Skin Infection.

Assessing patient decision-making capacity while adhering to the requests of patients with mental illness remains a great ethical challenge. In patients with severe mental illness, the assessment of decision-making capacity can be difficult, particularly when a care team is also trying to navigate cultural, educational, and linguistic barriers. It becomes especially complex in situations where the patient is not only diagnosed with a severe mental illness but also suffers from a comorbid medical illness that the patient refuses to have treated appropriately. Balancing patient wishes while respecting patient autonomy creates further issues when assessing decision-making capacity. As such, the following case presents a transgender man who suffers from schizophrenia with a persistent skin infection on the patient's torso secondary to wearing a brassiere for an extended period. This case report addresses the intricacies surrounding patient decision-making capacity, specifically in the psychiatric population.