Coleman Julianna K, Haas-Kogan Maetal E, Pelletier Andrea, Stoddard Rachel E, Johnson Natasha R, Beatini Julia R, Sun Nora Y, Keuroghlian Alex S, Bartz Deborah
Harvard Medical School, Boston, MA, USA.
Department of Obstetrics and Gynecology, Brigham and Women's Hospital, 75 Francis St, Boston, MA, 02115, USA.
Contracept Reprod Med. 2024 Nov 26;9(1):60. doi: 10.1186/s40834-024-00324-5.
Contraception knowledge and attitudes are largely formed from conversations within one's social network. More recently, this network has expanded to include social media. As the fastest growing social media platform, we aimed to assess popular contraception videos on TikTok for content understandability, actionability and accuracy.
This is a secondary analysis of the most viewed, contraception-specific TikTok videos that were previously coded as containing educational messaging in a content-analysis study. We assessed videos for understandability (ability to explain a key message) and actionability (identify what they can do to act on that message) using the Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-A/V) instrument and for Currency, Relevance, Authority, Accuracy, and Purpose (CRAAP) using a modified instrument within the health information education literature.
The 174 videos with educational content scored as understandable but not actionable in PEMAT-A/V assessment, with videos created by healthcare providers (HCPs) performing better than those by non-HCPs in six of eleven domains of understandability. Videos overall scored well in relevance and purpose within the CRAAP assessment. Videos created by HCP's (n = 99) scored higher than those by non-HCPs (n = 75) in relevance (score = 3.9 versus 3.3), authority (score = 4.8 versus 1.7), accuracy (score = 6.0 versus 3.5), and purpose (score = 7.1 versus 5.7) [all p < 0.001]. Regarding video engagement, the median number of views among the videos in the cohort was 604,450. Of all video views, 79.2% were of HCP-created videos and 20.8% were of non-HCP videos.
Much of the contraceptive educational messaging on TikTok is understandable, relevant, and accurate. HCP-created videos overall scored better as compared to other creators, though even HCP-created videos score fail to provide actionable recommendations. The videos created by HCP also had greater metrics of engagement. Given this, we encourage HCPs to use social media to better inform its users.
避孕知识和态度很大程度上源于个人社交网络中的交流。最近，这个网络已扩展到包括社交媒体。作为发展最快的社交媒体平台，我们旨在评估TikTok上热门的避孕视频在内容可理解性、可操作性和准确性方面的情况。
这是对之前在一项内容分析研究中被编码为包含教育信息的观看次数最多的特定避孕TikTok视频的二次分析。我们使用视听材料患者教育材料评估工具（PEMAT-A/V）评估视频的可理解性（解释关键信息的能力）和可操作性（确定他们可以针对该信息采取的行动），并使用健康信息教育文献中的一种修改后的工具评估时效性、相关性、权威性、准确性和目的（CRAAP）。
在PEMAT-A/V评估中，174个具有教育内容的视频得分是可理解但不可操作的，在可理解性的11个领域中的6个领域，医疗保健提供者（HCP）创建的视频比非HCP创建的视频表现更好。在CRAAP评估中，视频在相关性和目的方面总体得分良好。HCP创建的视频（n = 99）在相关性（得分= 3.9对3.3）、权威性（得分= 4.8对1.7）、准确性（得分= 6.0对3.5）和目的（得分= 7.1对5.7）方面的得分高于非HCP创建的视频（n = 75）[所有p < 0.001]。关于视频参与度，该队列中视频的观看次数中位数为604,450次。在所有视频观看次数中，79.2%是HCP创建的视频，20.8%是非HCP视频。
TikTok上的许多避孕教育信息是可理解的、相关的和准确的。与其他创作者相比，HCP创建的视频总体得分更高，尽管即使是HCP创建的视频得分也未能提供可操作的建议。HCP创建的视频也有更高的参与度指标。鉴于此，我们鼓励HCP使用社交媒体更好地为用户提供信息。
