Duke University School of Medicine, Durham, NC, USA.
Department of Orthopedic Surgery, Duke University Hospital, Durham, NC, USA.
Foot Ankle Surg. 2023 Jun;29(4):350-354. doi: 10.1016/j.fas.2023.03.007. Epub 2023 Apr 1.
Social media platforms, like TikTok, have become popular options for the consumption and distribution of healthcare information. Due to the lack of scientific oversight, the consistency of healthcare-related videos has become a focus of the current literature. However, orthopaedic surgery has lagged behind other specialties in acknowledging the widespread utilization of TikTok videos for medical information. This study aims to assess the quality and educational benefits of Achilles tendinopathy-related TikTok videos.
TikTok was queried using the hashtags "#achillestendonexercises", "achillestendonitisexercises", "achillestendinosisexercises", and "achillestendinopathyexercises". 100 videos (25 for each term) were included after applying the exclusion criteria. The number of views, likes, shares, comments, and favorites was recorded. The content was graded using DISCERN (a well-validated informational analysis tool) and ATEES (a self-designed tool for exercise evaluation).
The total number of views of the 100 videos was 1647,148, with a median of 7562.5 (IQR = 2,281- 19,575). The videos collectively received 73,765 likes, 1125 comments, 14,491 favorites and 6897 shares with a median of 283 (IQR= 73.8-957.8), 7 (IQR= 1.8-16.0), 61.5 (IQR= 8.8-184.3), and 18.5 (IQR= 2.0-49.8), respectively. General users uploaded slightly less (48%) when compared to healthcare professionals (52%). Healthcare professionals had more videos graded as "very poor" (43.4%) in comparison to the general users (36.2%). General users had more videos graded as "poor" (63.8%) in comparison to healthcare professionals (54.7%). However, there were no significant differences between the groups on either of the video grading scales.
Although TikTok is a powerful tool for information distribution, the educational value of the videos related to Achilles tendinopathy exercises was poor. With only 1% of videos receiving a grade of 'fair,' and no videos reaching a score of 'good' or 'excellent', healthcare professionals should be aware of the high viewership of low-quality content easily accessible on TikTok.
社交媒体平台，如 TikTok，已成为医疗保健信息消费和传播的热门选择。由于缺乏科学监督，与医疗相关的视频的一致性已成为当前文献的焦点。然而，矫形外科在承认 TikTok 视频在医疗信息中的广泛应用方面落后于其他专业。本研究旨在评估跟腱病相关 TikTok 视频的质量和教育益处。
使用“#achillestendonexercises”、“achillestendonitisexercises”、“achillestendinosisexercises”和“achillestendinopathyexercises”标签在 TikTok 上进行查询。应用排除标准后，纳入 100 个视频（每个术语 25 个）。记录观看次数、点赞数、分享数、评论数和收藏数。使用 DISCERN（一种经过充分验证的信息分析工具）和 ATEES（用于评估锻炼的自设计工具）对内容进行评分。
100 个视频的总观看次数为 1647148 次，中位数为 7562.5（IQR=2281-19575）。这些视频共获得 73765 个赞、1125 条评论、14491 个收藏和 6897 次分享，中位数分别为 283（IQR=73.8-957.8）、7（IQR=1.8-16.0）、61.5（IQR=8.8-184.3）和 18.5（IQR=2.0-49.8）。与医疗保健专业人员（52%）相比，普通用户的上传量略低（48%）。与普通用户（36.2%）相比，医疗保健专业人员的视频评分更差（43.4%）。与医疗保健专业人员（54.7%）相比，普通用户的视频评分更差（63.8%）。然而，两组在任何一个视频评分量表上都没有显著差异。
尽管 TikTok 是信息传播的强大工具，但与跟腱病锻炼相关的视频的教育价值很差。只有 1%的视频获得“公平”等级，没有视频达到“良好”或“优秀”等级，医疗保健专业人员应该意识到，在 TikTok 上很容易获得低质量内容的高点击率。
