Peer Review History

Original SubmissionAugust 3, 2022
Decision Letter - Saurav Basu, Editor

PONE-D-22-21772The COVID-19 and chloroquine infodemic: cross-sectional observational study of content analysis on YouTubePLOS ONE

Dear Dr. Poncelet,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

Please submit your revised manuscript by Nov 05 2022 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.

If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Saurav Basu, M.D.

Academic Editor

PLOS ONE

Journal Requirements:

When submitting your revision, we need you to address these additional requirements.

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2 .In your Methods section, please include additional information about your dataset and ensure that you have included a statement specifying whether the collection and analysis method complied with the terms and conditions for the source of the data.

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"No, The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript."

At this time, please address the following queries:

a) Please clarify the sources of funding (financial or material support) for your study. List the grants or organizations that supported your study, including funding received from your institution. 

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We will update your Data Availability statement to reflect the information you provide in your cover letter.

Additional Editor Comments:

Comments before peer review:

The methodology of the study needs more rigor. You need to explain clearly how you applied the criteria for establishing the quality of the videos using the DISCERN and modified JAMA scores. Explain for every point in the respective scale (for instance, how did you establish the reliability of the message in the videos). There is a strong possibility of your results being biased by the later findings from the Solidarity trial published in 2021. So how did you control for your own social desirability considering HCQ as a repurposed drug lacks credibility after publication of later research, that was not available to the video developers in June 2020.

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Reviewers' comments:

[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Revision 1

Dear Reviewers and Academic Editor,

Thank you for your interest in our work. We are pleased to present our revised manuscript.

Response to Saurav Basu, M.D. Academic Editor:

1) You asked us to ensure that our manuscript meets PLOS ONE’s style requirements.

We ensure that our manuscript meets PLOS ONE’s style requirements, we reworked particularly the tables and figures formatting (we upload our figures files to the PACE) and we renamed our files.

2) You asked us to include additional information about our datas and ensure that we have included a statement specifying whether the collection and analysis method complied with the terms and conditions for the source of the data.

In our Methods section, we included additional information about our dataset. We specified that the collection and analysis method complied with the conditions of YouTube videos that are publicly available.

3) You asked us to clarify the sources of funding and state what role the funders took in the study.

We clarified the source of funding in the cover letter: our study did not require funding for its design, conduct and manuscript preparation, and the authors received no specific funding for this work. Our institution solely covers the cost of publication.

4) You asked us to specify where the minimal dataset can be found.

We made the list of analyzed videos (S1_File) and our database available (S1_Table) in the additional files.

Response to Additional Editor comments:

5) You asked us to be more rigorous on the methodology, to explain clearly how we applied the criteria for establishing the quality of the videos using the DISCERN and the modified JAMA scores, and to explain whether there may be biases in the judgement of effectiveness of chloroquine.

We reinforced our methodology in the manuscript and with several additional files:

- We explained how we applied the criteria of each score in a respective file (S2_File and S3_File) with several concrete examples for each item. The content of these files can be included in the manuscript directly, but this may be a bit overwhelming for the reader.

- We specified in our Methods section that the aim of this work is to evaluate the quality of the information available in YouTube videos and to determine the factors that make a video an appropriate source of information about treatment choices. We did not judge if chloroquine was suitable for the treatment of COVID-19, and the video study was done in June 2020, before the Solidarity study was published.

We hope that we have been able to respond to the points raised during the review process, and we remain at your disposal for any further information.

Sincerely yours,

Dr Cynthia Poncelet and Dr Yên-Lan Nguyen

Attachments
Attachment
Submitted filename: Response to Reviewers.docx
Decision Letter - Lucinda Shen, Editor

PONE-D-22-21772R1The COVID-19 and chloroquine infodemic: cross-sectional observational study of content analysis on YouTubePLOS ONE

Dear Dr. Poncelet,

Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process.

The manuscript has undergone a review process by two reviewers who have provided their comments, which are available below. The reviewers commend the authors for their efforts in revising the manuscript in response to their previous feedback and have offered some minor suggestions to further enhance the quality of reporting.

Could you please carefully revise the manuscript to address all comments raised?

Please submit your revised manuscript by Apr 07 2023 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org. When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file.

Please include the following items when submitting your revised manuscript:

  • A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'.
  • A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'.
  • An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'.
If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter.

If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols.

We look forward to receiving your revised manuscript.

Kind regards,

Lucinda Shen, MSc

Staff Editor

PLOS ONE

Journal Requirements:

Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice.

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: (No Response)

Reviewer #2: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

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4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: The article presents the results of a correct investigation, developed with an adequate methodology and in a rigorous manner. Also, it is well structured and well written. Although it is more a report of research results than a scientific article, because there is little dialogue with the literature on the influence of social networks on social attitudes and behaviors, the manuscript is publishable with few modifications.

The sample is correct but the analysis is a bit limited: by focusing on a quantitative content analysis, the results are somewhat poor. Perhaps a more qualitative analysis that addressed the type of arguments for and against chloraquine in the videos and in the comments to the videos would have been more interesting.

In the "A lot of police and men" section, the information is provided that the majority of politicians' interventions are were mostly pro-chloroquine, but this information is not provided regarding the opinions of men and women. It would be interesting to know if there are differences in the opinions of men and women regarding the use of chloraquine.

Reviewer #2: The paper is well written and deals with a current and relevant theme that became more evident during the pandemic, which is the infodemic. I suggest that the work be published, but I suggest some minor adjustments in the text, as follows.

1 - In the methodology it is stated that the data collection was reality on June 4, 2020, however in the results the authors report the collection period and also make a temporal analysis, I suggest that this period be clarified in the methodology.

2 - In lines 230- 232 there is the following sentence: “To our knowledge, we report here the first study reviewing the quality of YouTube video regarding the use of chloroquine for the treatment of COVID-19.” I suggest only complementing for the English and French languages. For example, in the Portuguese language there are at least two articles with the same theme, and perhaps they exist in other languages as well.

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: Yes: Jorge Ruiz Ruiz. IESA, CSIC

Reviewer #2: No

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[NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.]

While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/. PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org. Please note that Supporting Information files do not need this step.

Revision 2

Dear Reviewers and Academic Editor,

Thank you for your interest in our work. We are pleased to present our revised manuscript.

Response to Journal Requirements:

1) You asked us to review our reference list to ensure that it is complete and correct.

We checked all the scientific papers in our references, and none have been retracted.

We checked all the non-scientific articles and web links: indeed, the link in reference 25 was no longer functional and we updated it.

Response to Reviewer 1:

2) You suggested that we complement our study with a more qualitative analysis, including the type of arguments for and against chloroquine in the videos and in the comments.

We fully agree with you on the important value of a qualitative study on the type of arguments for and against chloroquine.

We wanted to be able to provide a first study reviewing the quality of YouTube video regarding the use of chloroquine for the treatment of COVID-19, based on reproducible quantitative scores already used in the literature.

With these scores, we tried to judge objectively the form of the information provided and if the video is a useful and appropriate source of information about treatment choices; we did not judge the substance, and in our specific case whether or not chloroquine was suitable for the treatment of COVID-19.

3) You suggested that it would be interesting to know if there are differences in the opinions of men and women regarding the use of chloroquine.

We carried out this analysis and here is the result (added in the manuscript lines 203-205):

Videos submitted by men were more supportive of chloroquine than videos submitted by women, respectively 64/139 videos (47%) and 5/29 (17%), p = 0,0038 (we removed from this analysis the 2 videos presented by both sexes).

Response to Reviewer 2:

4) You asked us to clarify the temporal analysis.

We conducted a YouTube search of the 100 most viewed videos on the subject on 4 June. The impact criteria of each video were collected on this single day in order to ensure the transversality of the study (the number of views, likes, dislikes, comments changes very quickly over time). In the video data collected, we looked at the publication dates of the videos. The videos were posted between 4 March and 6 May. The analysis of the evolution of the scores over time was based on the publication dates of the videos.

In the Search Protocol section, we stated that “The impact criteria of each video (number of views, likes, dislikes and comments) were collected on the single day of June 4, 2020, in order to ensure the transversality of the study.” Lines 90, 91.

In the Data Collection section, we stated that “The intrinsic video features collected were the date of publication of the video”, line 97.

In the Statistical Analyses section, we stated that “the evolution of DISCERN and JAMA scores over time, based on the publication date, were analyzed using a Bayesian proportional odds model, considering scores as ordinal outcomes,” lines 135-137.

In the Results section, we stated that “Videos were released between February 5th, 2020 and May 27th, 2020.” Line 144.

5) You suggested to clarify the sentence “To our knowledge, we report here the first study reviewing the quality of YouTube video regarding the use of chloroquine for the treatment of COVID-19.” Lines 235-237

We completed the sentence by specifying “for the English and French languages”.

We hope that we have been able to respond to the points raised during the review process, and we remain at your disposal for any further information.

Sincerely yours,

Dr Cynthia Poncelet and Dr Yên-Lan Nguyen

Attachments
Attachment
Submitted filename: Response to Reviewers.docx
Decision Letter - Nafis Faizi, Editor

The COVID-19 and chloroquine infodemic: cross-sectional observational study of content analysis on YouTube

PONE-D-22-21772R2

Dear Dr. Poncelet,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

An invoice for payment will follow shortly after the formal acceptance. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. If you have any billing related questions, please contact our Author Billing department directly at authorbilling@plos.org.

If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org.

Kind regards,

Nafis Faizi, MD, MPH

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

**********

2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

**********

3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

**********

5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

**********

6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: (No Response)

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

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Formally Accepted
Acceptance Letter - Nafis Faizi, Editor

PONE-D-22-21772R2

The COVID-19 and chloroquine infodemic: Cross-sectional observational study of content analysis on YouTube

Dear Dr. Poncelet:

I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now with our production department.

If your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information please contact onepress@plos.org.

If we can help with anything else, please email us at plosone@plos.org.

Thank you for submitting your work to PLOS ONE and supporting open access.

Kind regards,

PLOS ONE Editorial Office Staff

on behalf of

Dr. Nafis Faizi

Academic Editor

PLOS ONE

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