中国特应性皮炎相关视频中的健康信息评估：一项横断面研究。

Assessment of health information in Chinese atopic dermatitis-related videos: A cross-sectional study.

作者信息

Yang Gongrui, Li Xiaoting, Duan Xingwu

机构信息

Department of Dermatology, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.

Beijing University of Chinese Medicine, Beijing, China.

出版信息

Digit Health. 2025 Jun 2;11:20552076251346579. doi: 10.1177/20552076251346579. eCollection 2025 Jan-Dec.

DOI:10.1177/20552076251346579

PMID:40463986

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12130654/

Abstract

BACKGROUND

Atopic dermatitis (AD) is prevalent worldwide. People are increasingly obtaining health information through social videos. In China, the quality, reliability, understandability, and actionability of AD-related videos have yet to be fully studied.

OBJECTIVE

This study proposed to analyze AD-related videos on Chinese video-sharing platforms.

METHODS

Three keywords "" (atopic dermatitis) or "" (eczema) or "" (atopic eczema) were used on Bilibili and Douyin (Chinese version of TikTok) to retrieve videos from May 25 to November 25, 2024. Included videos' reliability was evaluated by the Journal of American Medical Association (JAMA) criteria and modified DISCERN (mDISCERN), quality was evaluated by Global Quality Scale (GQS), and understandability and actionability were evaluated by Patient Education Materials Assessment Tool (PEMAT). Spearman correlation was used to explore the correlation among different variables.

RESULTS

368 videos were included, and the activity on Douyin was higher than that on Bilibili ( < .001). Although Douyin's AD videos were rated higher than Bilibili's in reliability and understandability (all < .001), neither of them was satisfactory. Medical practitioners were the main source of videos ( = 326, 88.59%), mostly conveying treatment ( = 159, 43.21%). The videos they uploaded had higher ratings in the JAMA, mDISCERN and understandability, and were also more popular (all < .05). There were more videos on Bilibili that involved traditional Chinese medicine (TCM) ( = 81, 52.60%); however, the ratings of such videos were lower than those without TCM on any platform (all < .001). Videos about treatment and prevention were almost the best two categories in terms of actionability (all < .05). The number of likes, shares, comments, collections, fans, the JAMA score, and understandability were positively correlated (all < .05).

CONCLUSIONS

The assessment of AD-related videos flooding social media is suboptimal. Videos from professionals are more reliable and should be promoted. The public should exercise caution when searching for healthcare information on video platforms.

摘要

背景

特应性皮炎（AD）在全球范围内普遍存在。人们越来越多地通过社交视频获取健康信息。在中国，与AD相关视频的质量、可靠性、可理解性和可操作性尚未得到充分研究。

目的

本研究旨在分析中国视频分享平台上与AD相关的视频。

方法

在哔哩哔哩和抖音（TikTok中文版）上使用三个关键词“特应性皮炎”或“湿疹”或“特应性湿疹”检索2024年5月25日至11月25日的视频。纳入视频的可靠性通过美国医学会杂志（JAMA）标准和改良的DISCERN（mDISCERN）进行评估，质量通过全球质量量表（GQS）进行评估，可理解性和可操作性通过患者教育材料评估工具（PEMAT）进行评估。采用Spearman相关性分析探讨不同变量之间的相关性。

结果

共纳入368个视频，抖音上的活跃度高于哔哩哔哩（P<0.001）。虽然抖音上的AD相关视频在可靠性和可理解性方面的评分高于哔哩哔哩（均P<0.001），但两者都不尽人意。视频的主要来源是医学从业者（n = 326，88.59%），大多传达治疗方法（n = 159，43.21%）。他们上传的视频在JAMA、mDISCERN和可理解性方面评分更高，也更受欢迎（均P<0.05）。哔哩哔哩上涉及中医（TCM）的视频更多（n = 81，52.60%）；然而，此类视频在任何平台上的评分均低于不涉及中医的视频（均P<0.001）。关于治疗和预防的视频在可操作性方面几乎是最好的两类（均P<0.05）。点赞数、分享数、评论数、收藏数、粉丝数、JAMA评分和可理解性呈正相关（均P<0.05）。