Zucker School of Medicine at Northwell/Hofstra, Uniondale, NY, USA.
Division of Pediatric Nephrology, Cohen Children's Medical Center, 269-01 76th Avenue, New Hyde Park, NY, 11040, USA.
Pediatr Nephrol. 2024 Dec;39(12):3505-3511. doi: 10.1007/s00467-024-06462-x. Epub 2024 Jul 30.
Social media platforms such as TikTok™ are key sources of health information for young patients and caregivers. Misinformation is prevalent on TikTok™ across healthcare fields, which can perpetuate false beliefs about medical care. Limited data exists on the reliability of pediatric nephrology TikTok™ content. This study aimed to describe the quality of medical content of TikTok™ Videos (TTVs), related to pediatric kidney disease and transplant.
TTVs were selected using specific search terms and categorized into pediatric kidney disease and kidney transplant, excluding duplicate and adult-related content. The top 100 TTVs in each category, based on views, were analyzed. TTV characteristics were stratified by account type (physician, non-physician healthcare professional (HCP), non-HCP) and video aim (personal story, education, entertainment). DISCERN scoring, a validated questionnaire evaluating health information reliability, was conducted by 4 independent raters. Inter-rater reliability was assessed using a 2-way random effects model, and differences between content creator types were evaluated using one-way ANOVA and post-Hoc Tukey test.
TTVs had a total of 12.5 million likes and 113.1 million views. Over 70% of videos were created by non-HCPs (n = 147/200). DISCERN scoring revealed low reliability of medical information across content creator types. TTVs created by physicians and non-physician HCPs about kidney disease had significantly higher mean DISCERN scores compared to those created by non-HCPs (2.85, p < 0.001 and 2.48, p = 0.005, respectively).
Educators within the pediatric nephrology community must keep in mind the lack of reliability of medical information available on TikTok™ and coordinate collective efforts to consider utilizing TikTok™ for patient education.
TikTok™等社交媒体平台是年轻患者和护理人员获取健康信息的主要来源。在整个医疗保健领域,TikTok™上普遍存在错误信息,这可能会导致人们对医疗保健产生错误的信念。关于儿科肾脏病学 TikTok™内容的可靠性,数据有限。本研究旨在描述与儿科肾脏疾病和移植相关的 TikTok™视频(TTV)的医疗内容质量。
使用特定的搜索词选择 TTV,并将其分为儿科肾脏病和肾脏移植两类,排除重复和成人相关内容。根据浏览量,对每个类别中的前 100 个 TTV 进行分析。根据账户类型(医生、非医生医疗保健专业人员(HCP)、非 HCP)和视频目的(个人故事、教育、娱乐)对 TTV 特征进行分层。由 4 名独立评估者进行 DISCERN 评分,这是一种评估健康信息可靠性的有效问卷。使用双向随机效应模型评估组内一致性,使用单向方差分析和事后 Tukey 检验评估内容创建者类型之间的差异。
TTV 总共有 1250 万点赞和 1.131 亿次浏览。超过 70%的视频是由非 HCP 制作的(n=147/200)。DISCERN 评分显示,不同内容创建者类型的医疗信息可靠性均较低。关于肾脏病的 TTV 由医生和非医生 HCP 制作的平均 DISCERN 评分明显高于非 HCP 制作的 TTV(分别为 2.85,p<0.001 和 2.48,p=0.005)。
儿科肾脏病学教育者必须牢记 TikTok™上提供的医疗信息缺乏可靠性,并协调集体努力,考虑将 TikTok™用于患者教育。