Mao Tianyang, Zhao Xin, Jiang Kangyi, Yang Jie, Xie Qingyun, Fu Jinqiang, Du Bo, Lei Zehua, Gao Fengwei
Department of Hepatopancreatobiliary Surgery, The People's Hospital of Leshan, No.238, Baita Street, Leshan, 614000, China.
Diagnosis and Treatment Center for Liver, Gallbladder, Pancreas and Spleen System Diseases of Leshan, Leshan, China.
BMC Public Health. 2024 May 2;24(1):1216. doi: 10.1186/s12889-024-18708-2.
Acute pancreatitis (AP) is a common acute digestive system disorder, with patients often turning to TikTok for AP-related information. However, the platform's video quality on AP has not been thoroughly investigated.
The main purpose of this study is to evaluate the quality of videos about AP on TikTok, and the secondary purpose is to study the related factors of video quality.
This study involved retrieving AP-related videos from TikTok, determining, and analyzing them based on predefined inclusion and exclusion criteria. Relevant data were extracted and compiled for evaluation. Video quality was scored using the DISCERN instrument and the Health on the Net (HONcode) score, complemented by introducing the Acute Pancreatitis Content Score (APCS). Pearson correlation analysis was used to assess the correlation between video quality scores and user engagement metrics such as likes, comments, favorites, retweets, and video duration.
A total of 111 TikTok videos were included for analysis, and video publishers were composed of physicians (89.18%), news media organizations (13.51%), individual users (5.41%), and medical institutions (0.9%). The majority of videos focused on AP-related educational content (64.87%), followed by physicians' diagnostic and treatment records (15.32%), and personal experiences (19.81%). The mean scores for DISCERN, HONcode, and APCS were 33.05 ± 7.87, 3.09 ± 0.93, and 1.86 ± 1.30, respectively. The highest video scores were those posted by physicians (35.17 ± 7.02 for DISCERN, 3.31 ± 0.56 for HONcode, and 1.94 ± 1.34 for APCS, respectively). According to the APCS, the main contents focused on etiology (n = 55, 49.5%) and clinical presentations (n = 36, 32.4%), followed by treatment (n = 24, 21.6%), severity (n = 20, 18.0%), prevention (n = 19, 17.1%), pathophysiology (n = 17, 15.3%), definitions (n = 13, 11.7%), examinations (n = 10, 9%), and other related content. There was no correlation between the scores of the three evaluation tools and the number of followers, likes, comments, favorites, and retweets of the video. However, DISCERN (r = 0.309) and APCS (r = 0.407) showed a significant positive correlation with video duration, while HONcode showed no correlation with the duration of the video.
The general quality of TikTok videos related to AP is poor; however, the content posted by medical professionals shows relatively higher quality, predominantly focusing on clinical presentations and etiologies. There is a discernible correlation between video duration and quality ratings, indicating that a combined approach incorporating the guideline can comprehensively evaluate AP-related content on TikTok.
急性胰腺炎（AP）是一种常见的急性消化系统疾病，患者经常在TikTok上搜索与AP相关的信息。然而，该平台上关于AP的视频质量尚未得到全面调查。
本研究的主要目的是评估TikTok上关于AP的视频质量，次要目的是研究视频质量的相关影响因素。
本研究通过从TikTok检索与AP相关的视频，并根据预先设定的纳入和排除标准进行筛选和分析。提取并整理相关数据进行评估。使用DISCERN工具和健康网络（HONcode）评分对视频质量进行评分，并引入急性胰腺炎内容评分（APCS）作为补充。采用Pearson相关分析评估视频质量评分与点赞、评论、收藏、转发和视频时长等用户参与度指标之间的相关性。
共纳入111条TikTok视频进行分析，视频发布者包括医生（89.18%）、新闻媒体机构（13.51%）、个人用户（5.41%）和医疗机构（0.9%）。大多数视频聚焦于AP相关的教育内容（64.87%），其次是医生的诊疗记录（15.32%）和个人经历（19.81%）。DISCERN、HONcode和APCS的平均得分分别为33.05±7.87、3.09±0.93和1.86±1.30。医生发布的视频得分最高（DISCERN分别为35.17±7.02、HONcode为3.31±0.56、APCS为1.94±1.34）。根据APCS，主要内容集中在病因（n = 55，49.5%）和临床表现（n = 36，32.4%），其次是治疗（n = 24，21.6%）、严重程度（n = 20，18.0%）、预防（n = 19，17.1%）、病理生理学（n = 17，15.3%）、定义（n = 13，11.7%）、检查（n = 10，9%）及其他相关内容。三种评估工具的得分与视频的关注者数量、点赞数、评论数、收藏数和转发数均无相关性。然而，DISCERN（r = 0.309）和APCS（r = 0.407）与视频时长呈显著正相关，而HONcode与视频时长无相关性。
TikTok上与AP相关的视频总体质量较差；然而，医学专业人员发布的内容质量相对较高，主要集中在临床表现和病因方面。视频时长与质量评分之间存在明显的相关性，表明采用综合指南的方法可以全面评估TikTok上与AP相关的内容。
