A New Trend in Social Media and Medicine: The Poor Quality of Videos Related to Ankle Sprain Exercises on TikTok

Anastasio, Albert T.; Tabarestani, Troy Q.; Bagheri, Kian; Bethell, Mikhail; Prado, Isabel P; Taylor, Joshua R; Adams, Samuel B.

doi:10.1177/24730114231171117

Cited by 7 publications

(9 citation statements)

References 39 publications

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“…In this study, the proportion of certi ed orthopedic physicians (36.0%) and senior professional titles (29.6%) on rst 25 results were pretty unsatisfactory. One study showed that the low-quality content could be easily accessible on TikTok [31]. In this study, compared with the other two platforms, TikTok has a signi cantly higher proportion of certi ed orthopedic physicians (77.6%) and senior professional titles (69.2%), which may be attributed to the audit mechanism of TikTok, only allowing certi ed doctors to upload professional medical videos [32].…”

Section: Major Ndingmentioning

confidence: 77%

“…The total DISCERN score was calculated by summing up scores over questions 1-15. All videos were divided into ve categories based on their total DISCERN score: very poor (< 27), poor (27)(28)(29)(30)(31)(32)(33)(34)(35)(36), fair (39-50), good (51-62), and excellent (63-75). JAMA benchmark criteria were used to evaluate online health information reliability, including four criteria (authorship, attribution, disclosure, and currency).…”

Section: Methodsmentioning

confidence: 99%

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The Current State of Internet Videos Related to Spinal diseases in Mainland China: A Cross-Sectional Study

Chen

et al. 2023

Preprint

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Background: Information about spinal diseases on the internet has not been extensively assessed. Our purpose was to collect and evaluate the online information of spinal diseases on common video-sharing platforms in mainland China. Method: Three video-sharing platforms (Toutiao, Bilibili and TikTok) was independently queried for 10 common spinal diseases from April to May 2023 by three independent researchers using the Microsoft Edge web browser. Information about the videos and creators was recorded, and descriptive analyses of the overall and first 25 results were conducted. Results: Totally 10,143 search results were retrieved by searching 10 spinal-related terms (6154 from Bilibili, 1884 from Toutiao, 2105 from TikTok). In the first 25 search results of 10 searched terms, a total of 270 videos (36.0%) were uploaded by certified orthopedic surgeons, with 222 videos (29.6%) uploaded by senior professional titles. 88% of the videos contained content of popular introduction (n = 660), while professional knowledge accounts for 47.9% (n = 359). Among them, diagnosis was the most content (23.9%, n = 179), and surgical technique was the least (2.9%, n = 22). Videos from TikTok contained higher proportion of certified orthopedic surgeons (77.6%), senior professional titles (69.2%) and professional knowledge (90.4%) than the other two video-sharing platforms. Conclusion: Videos about spinal diseases on current video-sharing platforms are extensive but not comprehensive and professional, while the videos on TikTok may have relatively higher quality and accuracy. The proportion of certified orthopedic surgeons and professional knowledge is still low. The management and censorship need to be further improved to solve the problem of low-quality and attract more orthopedic surgeons to participate in online video creation.

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Section: Major Ndingmentioning

confidence: 77%

Section: Methodsmentioning

confidence: 99%

The Current State of Internet Videos Related to Spinal diseases in Mainland China: A Cross-Sectional Study

Chen

et al. 2023

Preprint

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“…assessed the quality and educational benefits of ankle sprain-related TikTok videos and confirmed that the educational value of the videos related to ankle sprain injury exercises was poor. With only 2% of videos receiving a grade of “fair” and no videos reaching a score of “good” or “excellent,” health care professionals should be aware of the low-quality content easily accessible on TikTok [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

TikTok content as a source of health education regarding epicondylitis: a content analysis

D’Ambrosi,

Bellato,

Bullitta

et al. 2024

J Orthop Traumatol

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Purpose This study aimed to assess the validity and informational value of TikTok content about epicondylitis. The hypothesis tested herein was that TikTok video content would not provide adequate and valid information. Methods The term “epicondylitis” was used as a keyword to comprehensively search for TikTok videos, and the first 100 videos that were retrieved were subsequently included for analysis. The duration, number of likes, number of shares and number of views were recorded for each video. Furthermore, the videos were categorized on the basis of their source (medical doctor, physiotherapist, or private user), type of information (physical therapy, anatomy, clinical examination, etiopathogenesis, patient experience, treatment, or other), video content (rehabilitation, education, or patient experience/testimony), and the presence of music or voice. Assessments of video content quality and reliability were conducted using the DISCERN tool, the Journal of the American Medical Association (JAMA) benchmark criteria, and the Global Quality Score (GQS). Results A total of 100 videos were included in the analysis: 78 (78.0%) were published by physiotherapists, 18 were published by medical doctors (18.0%), and 4 were published by private users (4.0%). Most of the information pertained to physical therapy (75; 75.0%) and most of the content was about rehabilitation (75; 75.0%). The mean length of the videos was 42.51 ± 24.75 seconds; the mean number of views was 193,207.78 ± 1,300,853.86; and the mean number of comments, likes, and shares were 22.43 ± 62.54, 1578.52 ± 8333.11, and 149.87 ± 577.73, respectively. The mean DISCERN score, JAMA score, and GQS were 18.12 ± 5.73, 0.80 ± 0.53, and 1.30 ± 0.52, respectively. Videos posted by medical doctors/private users had higher scores (p < 0.05) than videos posted by physiotherapists. Videos that focused on education or patient experience had higher scores (p < 0.05) than videos based on rehabilitation. Conclusions TikTok can be an unreliable source of information regarding epicondylitis treatment. It is common to find nonphysicians who share medical advice on the platform, with medical treatments demonstrating the weakest level of supporting evidence. Elbow surgeons should advise their patients that treatment recommendations from TikTok may not align with established guidelines. Level of Evidence: Level IV—Cross-sectional study.

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“…Not all videos contained treatment information; however, according to the DISCERN tool manual, content related to personal care measures for myopia prevention, such as increasing outdoor activities and reducing near work time, should be considered therapeutic intervention and be included in the treatment choice domain. Total DISCERN quality was classified as very poor (< 26), poor (27–38), fair (39–50), good (51–62), and excellent (63–80) [ 17 , 22 , 24 ].…”

Section: Quality Assessmentmentioning

confidence: 99%

Myopia information on TikTok: analysis factors that impact video quality and audience engagement

Ming,

Han,

Yao

et al. 2024

BMC Public Health

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Background TikTok is emerging as a vital platform for health information dissemination. Despite myopia being a global public health issue, the high-quality myopia information shared by health educators often fails to go viral. It is imperative to analyze the factors influencing video quality and popularity, especially from diverse perspectives of researchers, health educators, and audiences. Methods TikTok myopia-related videos were retrieved using TikTok’s default comprehensive search (DCS) and most liked search (MLS) strategies. Venn diagrams were employed to illustrate the relationships and commonalities between the two strategies across four sample sizes (top 200, 150, 100, and 50). Video metadata, including details such as creator information, production properties, upload time, video duration, and viewer engagement, were collected. Video quality was assessed using the DISCERN tool. Video content covering six aspects of myopia were evaluated. The impact of search strategies, video sample sizes, production properties, and myopia content on video quality and audience engagement was analyzed through single-factor or multi-factor analysis. Results DCS and MLS retrieval strategies, as well as varying sample sizes, resulted in differences in audience engagement for myopia videos (P < 0.039), while The DISCERN quality scores remained comparable (P > 0.221). Videos published by healthcare professionals (HCPs) and non-profit organizations (NPOs) were associated with high-quality (P ≤ 0.014) but comparatively lower popularity (P < 0.033). Videos that reported contents of risk factors, management, and outcomes showed high popularity (P < 0.018), while longer video duration (> 60s) exhibited the opposite trend (P < 0.032). Content on myopia evaluation (P ≤ 0.001) and management (P ≤ 0.022) and video duration were positively correlated with higher DISCERN quality. Conclusion Videos created by HCPs and NPOs deserve greater attention. Rather than pursuing entertaining effects, professional educators should emphasize producing concise, and high-quality myopia content that readily resonates with the audience and has the potential to go viral on the platform.

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A New Trend in Social Media and Medicine: The Poor Quality of Videos Related to Ankle Sprain Exercises on TikTok

Cited by 7 publications

References 39 publications

The Current State of Internet Videos Related to Spinal diseases in Mainland China: A Cross-Sectional Study

The Current State of Internet Videos Related to Spinal diseases in Mainland China: A Cross-Sectional Study

TikTok content as a source of health education regarding epicondylitis: a content analysis

Myopia information on TikTok: analysis factors that impact video quality and audience engagement

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