Vitale Salvatore Giovanni, Angioni Stefano, Saponara Stefania, Sicilia Gilda, Etrusco Andrea, D'Alterio Maurizio Nicola, Cobellis Luigi, De Franciscis Pasquale, Riemma Gaetano
Division of Gynecology and Obstetrics, Department of Surgical Sciences, University of Cagliari, Cagliari, Italy.
Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (PROMISE), University of Palermo, Palermo, Italy.
Int J Gynaecol Obstet. 2025 Jan;168(1):353-361. doi: 10.1002/ijgo.15846. Epub 2024 Aug 9.
To assess the quality, reliability, and level of misinformation in TikTok videos about hysteroscopy.
A cross-sectional analysis of TikTok videos retrieved using "hysteroscopy" as search term was performed. Patient education materials assessment tool for audio-visual content (PEMAT A/V), the modified DISCERN (mDISCERN), global quality scale (GQS), video information and quality index (VIQI) and misinformation assessment were used.
Of three hundred videos captured, 156 were excluded and 144 were included. Most videos were partially accurate or uninformative (43.8% and 34.7%, respectively). Non-healthcare providers produced more inaccurate or uninformative videos than healthcare workers (51.1% vs 4.0%; P < 0.001). Compared to content by professionals, content by patients showed increased distrust towards gynecologists (11.7% vs 0%; P = 0.012) and increased incidence of anxiety and concern towards hysteroscopy (25.5% vs 2%; P < 0.001). PEMAT A/V scores for understandability and actionability were low at 42.9% (interquartile range [IQR]: 11.1-70) and 0% (IQR: 0-0), respectively. Understandability (P < 0.001) and actionability (P = 0.001) were higher for professionals' created content relative to patients' videos. Similarly, median mDISCERN score was low (1 [IQR 0-2]), with significantly higher score for healthcare professionals compared to patients (P < 0.001). Overall video quality was also low, with median VIQI and GQS score of 7 (IQR 4-11) and 1 (IQR 1-3), respectively, and significantly higher scores for healthcare workers' captions compared to patients' for both (P < 0.001 and P = 0.001, respectively).
TikTok videos' quality on hysteroscopy seems unsatisfactory and misinformative, with low understandability and actionability scores. Videos recorded by healthcare workers show higher quality and less misinformation than those by patients. Raising the awareness regarding the low quality of medical information on social media is crucial to increase future reliability and trustworthiness.
评估TikTok上有关宫腔镜检查视频的质量、可靠性及错误信息水平。
对以“宫腔镜检查”为搜索词检索到的TikTok视频进行横断面分析。使用了视听内容患者教育材料评估工具（PEMAT A/V）、改良的辨别工具（mDISCERN）、全球质量量表（GQS）、视频信息与质量指数（VIQI）以及错误信息评估。
在捕获的300个视频中，156个被排除，144个被纳入。大多数视频部分准确或信息不足（分别为43.8%和34.7%）。非医疗保健提供者制作的不准确或信息不足的视频比医护人员更多（51.1%对4.0%；P<0.001）。与专业人员的内容相比，患者的内容显示出对妇科医生的不信任增加（11.7%对0%；P=0.012），以及对宫腔镜检查的焦虑和担忧发生率增加（25.5%对2%；P<0.001）。PEMAT A/V的可理解性和可操作性得分较低，分别为42.9%（四分位间距[IQR]：11.1 - 70）和0%（IQR：0 - 0）。专业人员制作的内容相对于患者视频的可理解性（P<0.001）和可操作性（P=0.001）更高。同样，mDISCERN中位数得分较低（1[IQR 0 - 2]），医护人员的得分显著高于患者（P<0.001）。总体视频质量也较低，VIQI和GQS中位数得分分别为7（IQR 4 - 11）和1（IQR 1 - 3），医护人员字幕的这两项得分均显著高于患者（分别为P<0.001和P=0.001）。
TikTok上有关宫腔镜检查的视频质量似乎不尽人意且存在错误信息，可理解性和可操作性得分较低。医护人员录制的视频比患者录制的视频质量更高且错误信息更少。提高对社交媒体上低质量医疗信息的认识对于增强未来的可靠性和可信度至关重要。
