Li Wan-Shun, Li Jiayu, Wang Lixiang, Guo Minxuan, Lu Yi, Zhang De-Yu, Yang Zheng-Hui, Huang Hao-Jie, Jin Zhen-Dong
Department of Gastroenterology, Changhai Hospital, Shanghai, China.
College of Basic Medical Science, Naval Medical University, Shanghai, China.
Medicine (Baltimore). 2025 May 16;104(20):e42523. doi: 10.1097/MD.0000000000042523.
Diet therapy can help alleviate chronic pancreatitis symptoms. The quality of diet therapy content in Internet videos varies markedly. Evaluating and assessing these videos is crucial for providing reliable patient education. This study aims to analyze 102 Internet videos regarding dietary therapy for chronic pancreatitis on media platforms in China (Bilibili, Weibo, and Tiktok) and rate their content, reliability, and quality. Videos were categorized into 3 sources: hospital or university officials, medical doctors, and independent users. An 8-point scale was used to score content (smoking, drinking, eating frequency, overeating, and nutrient intake [high-quality protein, low fat, nutrition, and dietary fiber]). An adapted DISCERN tool was used to assess reliability, with the Global Quality Scale employed to measure quality. Among the 102 videos analyzed, 34 (4, 9, and 21 from hospital or university officials, medical doctors, and independent users, respectively) were rated as low quality, 37 (8, 12, and 17 from hospital or university officials, medical doctors, and independent users, respectively) were rated as moderate quality, and 31 (7, 19, and 6 from hospital or university officials, medical doctors, and independent users, respectively) were rated as high quality. Thus, among 102 videos from TikTok, Weibo, and Bilibili, only 31 (30.4%) were considered high quality based on reliability and quality assessments, and some were misleading. Our findings suggest nearly 70% of health videos fail to meet high-quality standards, highlighting critical needs for improved content moderation across media platforms. Medical professionals and institutions should be encouraged to produce more high-quality Internet videos with comprehensive content to better guide and support patients with pancreatitis in adopting effective dietary therapy.
饮食疗法有助于缓解慢性胰腺炎的症状。互联网视频中饮食疗法内容的质量差异显著。评估这些视频对于提供可靠的患者教育至关重要。本研究旨在分析中国媒体平台（哔哩哔哩、微博和抖音）上102条关于慢性胰腺炎饮食疗法的互联网视频，并对其内容、可靠性和质量进行评分。视频分为3个来源：医院或大学官方、医生和独立用户。采用8分制对内容（吸烟、饮酒、进食频率、暴饮暴食和营养摄入[优质蛋白质、低脂、营养和膳食纤维]）进行评分。使用改编后的DISCERN工具评估可靠性，采用全球质量量表测量质量。在分析的102条视频中，34条（分别来自医院或大学官方、医生和独立用户的4条、9条和21条）被评为低质量，37条（分别来自医院或大学官方、医生和独立用户的8条、12条和17条）被评为中等质量，31条（分别来自医院或大学官方、医生和独立用户的7条、19条和6条）被评为高质量。因此，在来自抖音、微博和哔哩哔哩的102条视频中，根据可靠性和质量评估，只有31条（30.4%）被认为是高质量的，有些还具有误导性。我们的研究结果表明，近70%的健康视频未达到高质量标准，凸显了跨媒体平台改进内容审核的迫切需求。应鼓励医学专业人员和机构制作更多内容全面的高质量互联网视频，以更好地指导和支持胰腺炎患者采用有效的饮食疗法。
