Zhang Yi-Xiang, Yin Hao-Tian, Liu Ya-Xing, Fu Xin, Liu Jun
Department of Joints, Tianjin Hospital of Tianjin University (Tianjin Hospital), Tianjin, China.
Clinical College of Orthopedics, Tianjin Medical University, Tianjin, China.
Front Digit Health. 2025 Sep 5;7:1622503. doi: 10.3389/fdgth.2025.1622503. eCollection 2025.
Osteoarthritis (OA) is a debilitating condition characterized by pain, stiffness, and impaired mobility, significantly affecting patients' quality of life. Health education is crucial in helping individuals understand OA and its management. In China, where OA is highly prevalent, platforms such as TikTok, WeChat, and XiaoHongshu have become prominent sources of health information. However, there is a lack of research regarding the reliability and educational quality of OA-related content on these platforms.
This study analyzed the top 100 OA-related videos across three major platforms: TikTok, WeChat, and XiaoHongshu. We systematically evaluated the content quality, reliability, and educational value using established tools, such as the DISCERN scale, JAMA benchmark criteria, and the Global Quality Score (GQS) system. The study also compared differences in video content across platforms, offering insights into their relevance for addressing professional needs.
Video quality varied significantly between platforms. TikTok outperformed WeChat and XiaoHongshu in all scoring criteria, with mean DISCERN scores of 32.42 (SD 0.37), 24.57 (SD 0.34), and 30.21 (SD 0.10), respectively ( < 0.001). TikTok also scored higher on the JAMA (1.36, SD 0.07) and GQS (2.46, SD 0.08) scales ( < 0.001). Videos created by healthcare professionals scored higher than those created by non-professionals ( < 0.001). Disease education and symptom self-examination content were more engaging, whereas rehabilitation videos received less attention.
Short-video platforms have great potential for chronic disease health education, with the caveat that the quality of the videos currently varies, and the authenticity of the video content is yet to be verified. While professional doctors play a crucial role in ensuring the quality and authenticity of video content, viewers should approach it with a critical mindset. Even without medical expertise, viewers should be encouraged to question the information and consult multiple sources.
骨关节炎（OA）是一种使人衰弱的疾病，其特征为疼痛、僵硬和行动能力受损，严重影响患者的生活质量。健康教育对于帮助个人了解骨关节炎及其管理至关重要。在中国，骨关节炎非常普遍，抖音、微信和小红书等平台已成为重要的健康信息来源。然而，关于这些平台上与骨关节炎相关内容的可靠性和教育质量，缺乏相关研究。
本研究分析了抖音、微信和小红书这三个主要平台上排名前100的与骨关节炎相关的视频。我们使用既定工具，如DISCERN量表、《美国医学会杂志》基准标准和全球质量评分（GQS）系统，系统地评估了内容质量、可靠性和教育价值。该研究还比较了不同平台视频内容的差异，以深入了解它们在满足专业需求方面的相关性。
不同平台之间的视频质量差异显著。抖音在所有评分标准上均优于微信和小红书，其DISCERN平均得分分别为32.42（标准差0.37）、24.57（标准差0.34）和30.21（标准差0.10）（<0.001）。抖音在《美国医学会杂志》（1.36，标准差0.07）和GQS（2.46，标准差0.08）量表上的得分也更高（<0.001）。由医疗保健专业人员创建的视频得分高于非专业人员创建的视频（<0.001）。疾病教育和症状自我检查内容更具吸引力，而康复视频受到的关注较少。
短视频平台在慢性病健康教育方面具有巨大潜力，但目前视频质量参差不齐，视频内容的真实性还有待核实。虽然专业医生在确保视频内容的质量和真实性方面发挥着关键作用，但观众应以批判性思维看待。即使没有医学专业知识，也应鼓励观众对信息提出质疑并多方咨询。
