Journal Of The American Medical Association Score Research Articles

Evaluation of the content and quality of schizophrenia on TikTok: a cross-sectional study

Schizophrenia is a common and serious heterogeneous mental disorder that has a significant health and economic impact on families and society. As the prevalence of schizophrenia increases each year, public awareness of the disorder is growing. However, it remains unclear whether the quality of information presented in these videos is satisfactory. Therefore, a comprehensive assessment of the quality and content of schizophrenia-related videos on video-sharing platforms is necessary. We screened 123 schizophrenia-related videos from the video-sharing platform TikTok that met the criteria, and evaluated and analyzed them. First, the basic information provided in the videos was recorded and analyzed. The source and content type of each video was then determined. The educational content and quality of all videos were then evaluated using three rating instruments, Modified DISCERN, Global Quality Scale, and Journal of the American Medical Association (JAMA). Videos from different sources were also compared to see if they were statistically different in terms of educational content and quality. We identified 4 categories of content for the videos. The science introduction category had the largest number of 50, and the least number of videos was etiology and causation at 15. Six categories of sources of videos were also identified: the for-profit organizations category has the lowest number of 10, the health professionals category has the highest number of 45. There was a significant correlation between video source and duration (P = 0.014). The JAMA score was significantly positively correlated with the number of video likes (r = 0.721, P < 0.001). This study evaluated the content and information quality of 123 videos related to schizophrenia on the video-sharing platform TikTok. The findings indicate that while these videos offer some valuable insights into schizophrenia, the overall quality falls short of satisfactory levels, with inadequate reliability and accuracy.

Evaluating the quality and reliability of youtube videos on achilles tendinopathy: a comprehensive analysis

Aims: This study evaluates the quality, reliability, and educational value of YouTube videos on Achilles tendinopathy. Methods: A YouTube search using the keyword “Achilles tendinopathy” was conducted on June 20, 2024, using an incognito browser tab. The first 50 English-language videos were analyzed for upload date, duration, views, likes, dislikes, comments, and categorized by source and content. The DISCERN score, Global Quality Score (GQS), and Journal of the American Medical Association (JAMA) score were used to assess video quality and reliability. Statistical analyses included the Shapiro-Wilk test, Kruskal-Wallis test, Mann-Whitney U test, and Spearman test for correlations. Results: Among 50 videos, the average DISCERN score was 42.5, GQS was 3.2, and JAMA score was 2.6, indicating moderate overall quality. Academic physician videos had higher scores. Exercise training videos scored significantly higher in quality assessments. The highest Video Power Index (VPI) was also found in videos by academic physicians. Conclusion: YouTube videos on Achilles tendinopathy provide moderately sufficient information, with higher quality in videos produced by academic physicians and those focusing on exercise training. The study suggests a need for standardized, high-quality educational content on online platforms.

Quality of Internet-Based Information on COVID-19 and Dentistry

Aim: Dentists and their patients were at high risk for COVID-19 infection. As websites serve as a primary information source for many, this cross-sectional study aimed to assess the validity and reliability of information provided by websites regarding COVID-19 and dentistry. Materials and Methods: An online search was conducted on Google.com using the keywords ‘SARS CoV-2 and dentistry’, ‘COVID-19 and dentistry’ and ‘Coronavirus and dentistry’. The first 50 websites for each keyword were screened in incognito mode. After excluding duplicates, inaccessible and irrelevant websites, 88 websites remained for analysis. These websites were evaluated using the Health on the Net Foundation Code of Conduct (HON code) and the Journal of the American Medical Association (JAMA) benchmarks, which assess authorship, attribution, disclosure and currency of information. Descriptive statistical analyses, chi-square tests and one-way ANOVA were performed. Results: A total of 88 websites were found suitable for quality assessment. Only three of the websites had HON code accreditation. The mean JAMA benchmark score was 3.75 ± 0.7. The majority of the websites (62.5%) were academic, with a JAMA score of 3.84 ± 0.5. News and non-profit sites had the highest JAMA scores (4.0). Significant differences in JAMA scores were observed across different types of websites ( p &lt; .05). Conclusions: The study found that the quality of websites providing information about COVID-19 and dentistry was generally high, especially among academic sites. This highlights the importance of high-quality online information to ensure that dentists and patients have access to accurate and reliable data during the pandemic.

Quality and reliability analysis of migraine Botox treatment information on YouTube.

YouTube (YT) is one of the world's most well recognized video-sharing platforms that appeals to large audiences and is used by individuals to educate themselves on disease diagnosis and treatment alternatives and to distribute health-related information. Videos were searched by typing the terms "migraine botox" and "botox treatment for migraine" on the YT search bar in English. A total of 50 videos were evaluated for each term. Two independent researchers viewed the videos and documented pertinent descriptive attributes of each video, such as the upload date, number of comments, number of dislikes, number of likes, and views. The videos were analyzed and the DISCERN Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) quality, and reliability scores were recorded. A total of 100 videos were assessed. The mean DISCERN score was 3.09, the mean JAMA score was 2.11, and the mean GQS score was 3.25. According to the source, 32% of the videos were uploaded by university/nonprofit physicians or professional organizations. In addition, when the DISCERN, GQS, and JAMA scores of the videos uploaded by health professionals were examined, a statistically significant difference was observed (P = .002, P = .015, and P = .002, respectively). However, no statistically significant relationship was found for the Video Popularity Index score. The reliability and quality scores of the evaluated videos uploaded by healthcare professionals for migraine Botox treatment were high, but the frequency of viewership was low. In our analysis of migraine Botox treatment videos on YT, we observed that the information on migraine Botox treatment had a wide spectrum, high-quality content, and that there were videos that may mislead viewers. In conclusion, we believe that the platform is not sufficient in its entirety, and that it should be supported with renewed, fact-checked, easy-to-understand language, and video-duration optimized videos.

Assessment of the Quality, Reliability, and Popularity of Information About Retinoblastoma on YouTube.

To evaluate the quality, reliability, and popularity of YouTube videos addressing retinoblastoma. This was a retrospective, cross-sectional, register-based study. A YouTube search was performed using the keyword retinoblastoma and the first 100 videos that came out were included in the study. Duplicate videos, videos that were not in English, and videos that were less than 1 minute were excluded. The number of views, likes, dislikes, comments, video type (uploaded by physicians, uploaded by public or private institution, uploaded by health channel or uploaded by patients), and country of origin were evaluated for all videos. The popularity of the videos was evaluated with the Video Power Index. The quality of the videos was measured using the DISCERN score (DISCERN), Journal of the American Medical Association (JAMA) benchmark criteria, and Global Quality Score (GQS). Of the 100 videos, 70 videos met the criteria and were included in the study. The mean DISCERN, JAMA, and GQS scores were 42.54 ± 18.77, 2.14 ± 1.03, 2.87 ± 1.42 and 2.99 ± 1.44, respectively. On examining the upload source 18 (25.7%) videos were uploaded by private institutions, 15 (21.4%) videos by physicians, 14 (20.0%) videos by public institutions, 14 (20.0%) videos by health channels, and 9 (12.9%) videos by patients. There was a significant level of agreement between the two commentators evaluating the videos with a power of 91.6% (kappa score: 0.916). Videos uploaded by physicians and public or private institutions had significantly higher DISCERN, JAMA, and GQS scores. The content of YouTube videos regarding retinoblastoma is generally of moderate quality for patients. Increasing the number of videos uploaded by physicians and public or private institutions will increase the quality, reliability, and informative value of the videos. [J Pediatr Ophthalmol Strabismus. 20XX;X(X):XXX-XXX.].

The Quality of Short Videos as a Source of Coronary Heart Disease Information on TikTok: Cross-Sectional Study.

Coronary heart disease (CHD) is a leading cause of death worldwide and imposes a significant economic burden. TikTok has risen as a favored platform within the social media sphere for disseminating CHD-related information and stands as a pivotal resource for patients seeking knowledge about CHD. However, the quality of such content on TikTok remains largely unexplored. This study aims to assess the quality of information conveyed in TikTok CHD-related videos. A comprehensive cross-sectional study was undertaken on TikTok videos related to CHD. The sources of the videos were identified and analyzed. The comprehensiveness of content was assessed through 6 questions addressing the definition, signs and symptoms, risk factors, evaluation, management, and outcomes. The quality of the videos was assessed using 3 standardized evaluative instruments: DISCERN, the Journal of the American Medical Association (JAMA) benchmarks, and the Global Quality Scale (GQS). Furthermore, correlative analyses between video quality and characteristics of the uploaders and the videos themselves were conducted. The search yielded 145 CHD-related videos from TikTok, predominantly uploaded by health professionals (n=128, 88.3%), followed by news agencies (n=6, 4.1%), nonprofit organizations (n=10, 6.9%), and for-profit organizations (n=1, 0.7%). Content comprehensiveness achieved a median score of 3 (IQR 2-4). Median values for the DISCERN, JAMA, and GQS evaluations across all videos stood at 27 (IQR 24-32), 2 (IQR 2-2), and 2 (IQR 2-3), respectively. Videos from health professionals and nonprofit organizations attained significantly superior JAMA scores in comparison to those of news agencies (P<.001 and P=.02, respectively), whereas GQS scores for videos from health professionals were also notably higher than those from news agencies (P=.048). Within health professionals, cardiologists demonstrated discernibly enhanced performance over noncardiologists in both DISCERN and GQS assessments (P=.02). Correlative analyses unveiled positive correlations between video quality and uploader metrics, encompassing the positive correlations between the number of followers; total likes; average likes per video; and established quality indices such as DISCERN, JAMA, or GQS scores. Similar investigations relating to video attributes showed correlations between user engagement factors-likes, comments, collections, shares-and the aforementioned quality indicators. In contrast, a negative correlation emerged between the number of days since upload and quality indices, while a longer video duration corresponded positively with higher DISCERN and GQS scores. The quality of the videos was generally poor, with significant disparities based on source category. The content comprehensiveness coverage proved insufficient, casting doubts on the reliability and quality of the information relayed through these videos. Among health professionals, video contributions from cardiologists exhibited superior quality compared to noncardiologists. As TikTok's role in health information dissemination expands, ensuring accurate and reliable content is crucial to better meet patients' needs for CHD information that conventional health education fails to fulfill.

Limb amputation versus salvage: Evaluating how reliable YouTube is as a source for patient education

The objective of this study was to assess the educational quality and reliability of YouTube videos related to lower extremity amputation (LEA) versus limb salvage. Pertinent YouTube videos were identified using specific search terms and video educational quality was assessed via validated assessment tools. Fifty-nine videos met inclusion criteria and the mean Journal of the American Medical Association (JAMA) score was 2.3 ± 0.65 (range: 0–4), indicating poor reliability. The mean Global Quality Score (GQS) was 2.66 ± 0.99 (range: 1–5), reflecting suboptimal educational quality. The mean Limb Salvage versus Amputation (LSA) score was 5.59 ± 3.66 (range: 0–15), indicating limited content quality specifically related to LEA versus limb salvage. Longer video duration was positively correlated with higher JAMA, GQS, and LSA scores. Hospital/University-sponsored videos had higher JAMA and GQS scores and videos by Healthcare Professionals (Nonphysician: PhDs and medical educators) content creators had the highest LSA scores. The study highlights the need for improved patient educational resources on LEA versus limb salvage, as the overall reliability and educational quality of YouTube videos on this topic is poor.

Analysis of YouTube Videos on Circumcision: Evaluating Reliability and Quality for Patients and Parents

Objective: Circumcision is a significant issue for child health and parents, and the reliability and quality of information published on platforms like YouTube can affect patients' access to accurate information. This study aimed to evaluate the quality and reliability of Turkish YouTube videos as a source of information about circumcision. Methods: In this cross-sectional study, a search was conducted on YouTube using the keyword "circumcision" on June 1, 2024. After applying exclusion criteria, the 45 most viewed Turkish videos (more than 10,000 views) were included in the study. Videos that were irrelevant, contained advertisements, personal experiences, or were in languages other than Turkish were excluded. The duration, view count, likes, dislikes, number of comments, and upload date of the videos were recorded. The Video Power Index (VPI) was calculated to measure video popularity. Two pediatric surgeons independently assessed the quality and reliability of the videos using the Modified DISCERN (mDISCERN), Journal of the American Medical Association (JAMA), and Global Quality Scale (GQS) scores. Scale scores were compared between groups based on the purpose and publisher of the video using the Mann-Whitney U test. Correlations between video characteristics and scale scores were evaluated with the Spearman correlation coefficient, and inter-observer agreement was assessed with the intraclass correlation coefficient (ICC). Results: According to the inclusion and exclusion criteria, 39 (86.7%) of the 45 videos were informational, and 6 (13.3%) were surgical. The average length of the videos was 213.5 ± 206 (35 - 1164) seconds. The average duration since the videos were published until June 1, 2024, was 1653 ± 980 (350 - 3985) days. The average view count of the videos was 73,862 ± 114,210 (11,736 – 679,985). The average Video Power Index of the videos was 39.9 ± 40.85 (3.69 - 247.1). The average mDISCERN score was 2.87 ± 1.24, the JAMA score was 2.71 ± 0.7, and the GQS score was 3.38 ± 1.19. According to the GQS scale, 22.3% (n=10) of the 45 videos were of low quality, 33.3% (n=15) were of medium quality, and 44.4% (n=20) were of high quality. All scale scores of informational videos were statistically significantly greater compared to the surgical videos (P=0.008, P=0.041, P=0.024, respectively). Conclusion: YouTube is a significant source of information with the potential to influence the knowledge and behavior of a wide audience regarding circumcision. Patients and their relatives should consider videos uploaded by expert physicians. There is a need for more high-quality educational surgical circumcision videos and short, clear, unbiased, high-quality informational videos addressing controversial issues and containing necessary resources created by expert physicians. This will help increase the accurate knowledge of families about circumcision and consequently reduce unnecessary anxiety and expectations.

Evaluating the quality and reliability of YouTube videos on myopia: a video content analysis.

To evaluate the quality and reliability of YouTube videos as an educational resource about myopia. The videos were identified by searching YouTube with the keywords 'myopia' and 'nearsightedness', using the website's default search settings. The number of views, likes, dislikes, view ratio, source of the upload, country of origin, video type, and described treatment techniques were assessed. Each video was evaluated using the DISCERN, Journal of the American Medical Association (JAMA), Ensuring Quality Information for Patients (EQIP), Health On the Net Code of Conduct Certification (HONcode), and the Global Quality Score (GQS) scales. A total of 112 videos were included. The classification of videos by source indicated that the top three contributors were health channels (30 videos [26.8%]), physicians (24 videos [21.4%]), and academic centers (19 videos [16.9%]). Most of these videos originated from the United States (74 videos [66.1%]) and focused on the pathophysiology (n = 89, 79.4%) and the treatment (n = 77, 68.7%) of myopia. Statistical comparisons among the groups of video sources showed no significant difference in the mean DISCERN score (p = 0.102). However, significant differences were noted in the JAMA (p = 0.011), GQS (p = 0.009), HONcode (p = 0.011), and EQIP (p = 0.002) scores. This study underscored the variability in the quality and reliability of YouTube videos related to myopia, with most content ranging from 'weak to moderate' quality based on the DISCERN and GQS scales, yet appearing to be 'excellent' according to the HONcode and EQIP scales. Videos uploaded by physicians generally exhibited higher standards, highlighting the importance of expert involvement in online health information dissemination. Given the potential risks of accessing incorrect medical data that can affect the decision-making processes of patients, caution should be exercised when using online content as a source of information.

Content Analysis of Arabic Websites As Patient Resources for Osteoporosis.

Osteoporosis is a prevalent metabolic bone disease in the Middle East. Middle Easterners rely on the Internet as a source of information about osteoporosis and its treatment. Adequate awareness can help to prevent osteoporosis and its complications. Websites covering osteoporosis in Arabic must be of good quality and readability to be beneficial for people in the Middle East. Two Arabic terms for osteoporosis were searched on Google.com (Google Inc., Mountainview, CA), and the first 100 results for each term were examined for eligibility. Two independent raters evaluated the websites using DISCERNand the Journal of the American Medical Association (JAMA) criteria for quality and reliability. The Flesch Kincaid grade level (FKGL), Simple Measure of Gobbledygook (SMOG), and Flesch Reading Ease (FRE) scale were used to evaluate the readability of each website's content. Twenty-five websites were included and evaluated in our study. The average DISCERNscore was 28.36±12.18 out of 80 possible scores. The average JAMA score was 1.05±1.15 out of four total scores. The readability scores of all websites were, on average, 50.71±21.96 on the FRE scale, 9.25±4.89 on the FKGL, and 9.74±2.94 on the SMOG. There was a significant difference (p = 0.026 and 0.044) in the DISCERNand JAMA scores, respectively, between the websites on the first Google page and the websites seen on later pages. The study found Arabic websites covering osteoporosis to be of low quality and difficult readability. Because these websites are a major source for patient education, improving their quality and readability is a must. The use of simpler language is needed, as is covering more aspects of the diseases, such as prevention.

Evaluating the reliability and quality of YouTube videos regarding medial collateral ligament knee injury as a patient education resource

ObjectivesThe purpose of this study was to assess the educational reliability and quality of videos shared on YouTube regarding medial collateral ligament (MCL) injuries of the knee. MethodsUsing the search keywords “medial collateral ligament” on YouTube, the first 50 videos were evaluated by two independent reviewers. Video characteristics were extracted, and each video was categorized by upload source and content type. Three scoring systems were used to evaluate the videos: the Journal of the American Medical Association (JAMA) Benchmark Score to assess a video's reliability; the Global Quality Score (GQS) to assess educational quality; the novel MCL Specific Score (MCL-SS) to assess MCL-specific content quality. Linear regression analyses were conducted to explore relationships between video characteristics and scores. ResultsCollectively, the videos were viewed 5,759,427 times with a mean number of views per video of 115,189 ​± ​177,861. The mean JAMA score was 1.8, GQS was 2.1, and MCL-SS was 5.6, indicating both poor reliability and quality. Only videos uploaded by physicians showed a statistically significantly higher mean MCL-SS (P ​= ​0.032) but were still of low quality with a mean MCL-SS of 9.2 ​± ​5.9. Multivariate linear regression revealed that videos uploaded by physicians were statistically significant predictors of greater MCL-SS (β ​= ​4.108; P ​= ​0.029). Longer video durations were statistically significant predictors of greater GQS (β ​= ​0.001; P ​= ​0.002) and MCL-SS (β ​= ​0.007; P ​< ​0.001). ConclusionsYouTube videos regarding MCL injuries, despite their popularity, were found to be on average having poor overall reliability and quality as measured by JAMA, GQS and MCL-SS. Level of evidenceIII. Study designCross-sectional Study.

Analysis of Google Searches in Laryngology: Where Do People Look and Are the Answers They Find Credible?

ObjectivesPatients recently diagnosed with a new medical condition frequently search the internet to learn about their diagnosis. We aimed to identify specific questions people ask regarding common laryngological diagnoses by evaluating “People Also Ask” (PAA) questions generated by Google, search volume of these diagnoses, and to determine if the sources accessed were credible. Study DesignDescriptive study. MethodsThe terms “subglottic stenosis” (SS), “Zenker’s diverticulum” (ZD), “vocal fold paralysis” (VFP), and related terms were entered into Google. PAA questions and associated websites were then extracted using Ahrefs software. Questions were categorized into specific topics. Websites were categorized by type and then assessed using Journal of the American Medical Association (JAMA) benchmark criteria. A search engine optimization tool (SEO) was used to determine search volume for individual topics. Results144 PAA questions (SS n=52, ZD n=49, and VFP n=43) and their associated websites were extracted. Inquiries were most related to disease etiology (34%), management (27.1%), and signs/symptoms (16.7%). Sources most commonly linked to PAA questions were academic (37.6%), government (25.6%), and commercial (16.2%) websites, while medical practice (7.69%), single surgeon (3.42%), and social media (9.40%) websites were less frequently referenced. JAMA scores were highest for government websites (mean 3.35, SD = 0.54) and lowest for academic websites (mean 0.77, SD = 0.14). ConclusionsThe most asked questions regarding SS, ZD, and VFP are related to etiology and management. Academic medical institution websites are most frequently viewed to answer these questions. Therefore, academic laryngological professionals should ensure the information on their websites is current and accurate.

Patients With Posterior Cruciate Ligament Injuries Obtain Information Regarding Diagnosis, Management, and Recovery from Low-Quality Online Resources

ABSTRACT Objectives This study investigates the most common online patient questions pertaining to posterior cruciate ligament (PCL) injuries and the quality of the websites providing information. Methods Four PCL search queries were entered into the Google Web Search. Questions under the ‘People also ask’ tab were expanded in order and 100 results for each query were included (400 total). Questions were categorized based on Rothwell’s Classification of Questions (Fact, Policy, Value). Websites were categorized by source (Academic, Commercial, Government, Medical Practice, Single Surgeon Personal, Social Media). Website quality was evaluated based on the Journal of the American Medical Association (JAMA) Benchmark Criteria. Pearson’s chi-squared was used to assess categorical data. Cohen’s kappa was used to assess inter-rater reliability. Results Most questions fell into the Rothwell Fact category (54.3%). The most common question topics were Diagnosis/Evaluation (18.0%), Indications/Management (15.5%), and Timeline of Recovery (15.3%). The least common question topics were Technical Details of Procedure (1.5%), Cost (0.5%), and Longevity (0.5%). The most common websites were Medical Practice (31.8%) and Commercial (24.3%), while the least common were Government (8.5%) and Social Media (1.5%). The average JAMA score for websites was 1.49 ± 1.36. Government websites had the highest JAMA score (3.00 ± 1.26) and constituted 42.5% of all websites with a score of 4/4. Comparatively, Single Surgeon Personal websites had the lowest JAMA score (0.76 ± 0.87, range [0–2]). PubMed articles constituted 70.6% (24/34) of Government websites, 70.8% (17/24) had a JAMA score of 4 and 20.8% (5/24) had a score of 3. Conclusion Patients search the internet for information regarding diagnosis, treatment, and recovery of PCL injuries and are less interested in the details of the procedure, cost, and longevity of treatment. The low JAMA score reflects the heterogenous quality and transparency of online information. Physicians can use this information to help guide patient expectations pre- and post-operatively.

Dacryocystorhinostomy videos on YouTube as a source of patient education

BackgroundTo determine the quality and reliability of DCR YouTube videos as patient education resources and identify any associated factors predictive of video quality.MethodsA YouTube search was conducted using the terms “Dacryocystorhinostomy, DCR, surgery” on 12th of January 2022, with the first 50 relevant videos selected for inclusion. For each video, the following was collected: video hyperlink, title, total views, months since the video was posted, video length, total likes/dislikes, authorship (i.e. surgeon, patient experience or media companies) and number of comments. The videos were graded independently by a resident, a registrar and an oculoplastic surgeon using three validated scoring systems: the Journal of the American Medical Association (JAMA), DISCERN, and Health on the Net (HON).ResultsThe average number of video views was 22,992, with the mean length being 488.12 s and an average of 18 comments per video. The consensus JAMA, DISCERN and HON scores were 2.1 ± 0.6, 29.1 ± 8.8 and 2.7 ± 1.0, respectively. This indicated that the included videos were of a low quality, however, only DISCERN scores had good interobserver similarity. Videos posted by surgeons were superior to non-surgeons when considering mean JAMA and HON scores. No other factors were associated with the quality of educational content.ConclusionThe quality and reliability of DCR related content for patient education is relatively low. Based on this study’s findings, patients should be encouraged to view videos created by surgeons or specialists in preference to other sources on YouTube.

Assessing the quality and reliability of YouTube videos as a source of information on inflammatory back pain.

Inflammatory back pain is a chronic condition with localized pain, particularly in the axial spine and sacroiliac joints, that is associated with morning stiffness and improves with exercise. YouTube is the second most frequently used social media platform for accessing health information. This study sought to investigate the quality and reliability of YouTube videos on inflammatory back pain (IBP). The study design was planned as cross-sectional. A search was conducted using the term "inflammatory back pain," and the first 100 videos that met the inclusion criteria were selected on October 19, 2023. The data of the videos selected according to the inclusion and exclusion criteria in the study settings were examined. Videos with English language, with audiovisual content , had a duration >30 s, non-duplicated and primary content related to IBP were included in the study. A number of video parameters such as the number of likes, number of views, duration, and content categories were assessed. The videos were assessed for reliability using the Journal of the American Medical Association (JAMA) Benchmark criteria and the DISCERN tool. Quality was assessed using the Global Quality Score (GQS). Continuous variables were checked for normality of distribution using Shapiro-Wilk test and Kolmogorov-Smirnov test. Kruskal-Wallis test and Mann-Whitney U test were used to analyze the continuous data depending on the number of groups. Categorical data were analyzed using Pearson's chi-square test. Reliability assessment based on JAMA scores showed 21% of the videos to have high reliability. Quality assessment based on GQS results showed 19% of the videos to have high quality. JAMA, DISCERN, and GQS scores differed significantly by source of video (p<0.001, < 0.001, and = 0.002, respectively). Video duration had a moderate positive correlation with scores from the GQS (r=0.418, p<0.001), JAMA (r=0.484, p<0.001), and modified DISCERN (r=0.418, p<0.001). The results of the present study showed that YouTube offers videos of low reliability and low quality on inflammatory back pain. Health authorities have a responsibility to protect public health and should take proactive steps regarding health information shared on social media platforms.

Evaluation of the reliability and accuracy of YouTube™ and TikTok™ contents about storage media for avulsed teeth: A cross-sectional study.

The preservation of avulsed teeth is critical in dental trauma management, necessitating effective storage media to ensure viable tooth reimplantation. The urgent need for accurate information has led both professional and non-professional individuals to increasingly seek guidance from video-sharing platforms such as YouTube™ and TikTok™. These platforms have become key resources for advice on such dental emergencies, but the reliability and accuracy of this information have not yet been systematically evaluated. This study aimed to assess the quality, accuracy, and reliability YouTube™ and TikTok™ of videos regarding storage solutions for avulsion injuries. A search was conducted on YouTube™ and TikTok™ on February 4th, 2023, using terms related to traumatic dental injuries, and 53 videos were included. Video demographics such as platform, duration, type, upload date, likes, and comments were recorded. Video content quality, reliability, and accuracy were measured using the Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) benchmarks, and Video Information and Quality Index (VIQI). Research data were analyzed using SPSS IBM 24.0 at a 95% confidence interval. In total, 53 videos were examined. The average scores were JAMA: 1.70/4.00, modified DISCERN: 54.3/80.00, GQS: 3.88/5.00, and VIQI: 13.8/20.00. According to the modified DISCERN index, there were no "very poor" or "poor" quality videos, 49.05% were "moderate," 22.6% were "good," and 28.3% were "very good." No difference was found between YouTube™ and TikTok™ videos in terms of the modified DISCERN index, JAMA scores, GQS, and VIQI scoring (p > .05). Traumatic dental injuries are a common problem among children, and evaluating the reliability of available contents is becoming crucial for appropriate intervention. The study reveals that despite being sourced mainly from dental professionals, the overall quality of videos on avulsed tooth management was mediocre, underscoring the risks associated with misleading or incomplete information in such critical situations.

TikTok content as a source of health education regarding epicondylitis: a content analysis

PurposeThis study aimed to assess the validity and informational value of TikTok content about epicondylitis. The hypothesis tested herein was that TikTok video content would not provide adequate and valid information.MethodsThe term “epicondylitis” was used as a keyword to comprehensively search for TikTok videos, and the first 100 videos that were retrieved were subsequently included for analysis. The duration, number of likes, number of shares and number of views were recorded for each video. Furthermore, the videos were categorized on the basis of their source (medical doctor, physiotherapist, or private user), type of information (physical therapy, anatomy, clinical examination, etiopathogenesis, patient experience, treatment, or other), video content (rehabilitation, education, or patient experience/testimony), and the presence of music or voice. Assessments of video content quality and reliability were conducted using the DISCERN tool, the Journal of the American Medical Association (JAMA) benchmark criteria, and the Global Quality Score (GQS).ResultsA total of 100 videos were included in the analysis: 78 (78.0%) were published by physiotherapists, 18 were published by medical doctors (18.0%), and 4 were published by private users (4.0%). Most of the information pertained to physical therapy (75; 75.0%) and most of the content was about rehabilitation (75; 75.0%). The mean length of the videos was 42.51 ± 24.75 seconds; the mean number of views was 193,207.78 ± 1,300,853.86; and the mean number of comments, likes, and shares were 22.43 ± 62.54, 1578.52 ± 8333.11, and 149.87 ± 577.73, respectively. The mean DISCERN score, JAMA score, and GQS were 18.12 ± 5.73, 0.80 ± 0.53, and 1.30 ± 0.52, respectively. Videos posted by medical doctors/private users had higher scores (p < 0.05) than videos posted by physiotherapists. Videos that focused on education or patient experience had higher scores (p < 0.05) than videos based on rehabilitation.ConclusionsTikTok can be an unreliable source of information regarding epicondylitis treatment. It is common to find nonphysicians who share medical advice on the platform, with medical treatments demonstrating the weakest level of supporting evidence. Elbow surgeons should advise their patients that treatment recommendations from TikTok may not align with established guidelines.Level of Evidence: Level IV—Cross-sectional study.

Meniscus-Related Videos on TikTok Are Widely Viewed and Shared but the Educational Quality for Patients Is Poor

PurposeTo evaluate the quality of meniscus-related TikTok videos to better understand their value for patient education. MethodsThe term “meniscus” was used as the keyword for an extensive online search of video content on the TikTok on November 14, 2023. The first 100 videos were used for analysis. The duration of the videos, and the number of likes, shares and views were recorded for each video. Furthermore, videos were categorized based on the source (health workers, private user), the type of subject (patient experience, physcal therapy, anatomy, clinical examnation, surgical technique and injury mechanism), type of content (patient experience/testimony, education, rehabilitation) and the presence of music or voice. The quality and reliability assessments of video contents were conducted using the DISCERN instrument, the Journal of the American Medical Association (JAMA) benchmark criteria, and Global Quality Score (GQS). ResultsOf the 100 videos included in this study, 62 (62.0%) videos were published by health workers, 38 by private users (38.0%). Most of the information regarded patient experience (36–36.0%), followed by physical therapy (32–32.0%), anatomy (14–14.0%), clinical examination (8–8.0%), surgical technique (6–6.0%), and injury mechanism (4–4.0%). Video content reported patient experience in 39 (39.0%) videos, rehabilitation in 31 (31.0%) videos, and education in the remaining 30 (30.0%). The mean length of the videos was 39.12±49.56 seconds. The mean number of views was 1383001.65±5291822.28, while the mean numbers of comments, likes and shares were 408.53±1976.90, 54763.43±211823.44 and 873.70±2802.01, respectively. The mean DISCERN score, JAMA score and GQS were 17.93±5.07, 0.24±0.47 and 1.15±0.41, respectively. ConclusionsMeniscus-related videos on TikTok are widely viewed and shared, but the overall educational value to patients was poor.

Is it safe to learn about vital pulp capping from YouTube™ videos? A content and quality analysis

AimTo evaluate YouTube videos on vital pulp capping (VPC) for content, quality, source, usefulness, and reliability. Materials and MethodsThis study assessed 249 English-language videos on vital pulp therapy using the Total Content Score (TCS), Video Information and Quality Index (VIQI), Global Quality Scale (GQS), Journal of the American Medical Association (JAMA) score and modified DISCERN score. Videos were categorized based on communication quality, duration, likes and dislikes, views, source, and video type. Of the videos analyzed, 22.1% met the inclusion criteria. Data were analyzed using Shapiro-Wilk, Kruskal-Wallis, and post hoc Bonferroni tests. Sperman's correlation, Kendal tau tests for correlations, and Fisher's exact test were used to assess associations between categorical variables. ResultsThe study identified significant correlations between various parameters. A higher TCS was correlated with increased VIQI (p = 0.005) and GQS scores (r = 0.685, p < 0.05). A moderate positive correlation was found between GQS scores and TCSs (r = 0.577, p < 0.05). VIQI scores were significantly and positively correlated with TCS (r = 0.573, p < 0.05) and comment count (r = 0.306, p < 0.05). JAMA scores were positively correlated with upload time (r = 0.304, p < 0.05), comment count (r = 0.337, p < 0.05), and likes (r = 0.301, p = 0.05). ConclusionsYouTube videos provided low-to-average quality VPC information and tended to be inaccurate. Therefore, public videos may be incorrect, incomplete, and low-quality. Clinicians and patients should seek reliable information from specialists.

Health information in short videos about metabolic dysfunction-associated steatotic liver disease: Analysing quality and reliability.

Short videos, crucial for disseminating health information on metabolic dysfunction-associated steatotic liver disease (MASLD), lack a clear evaluation of quality and reliability. This study aimed to assess the quality and reliability of MASLD-related videos on Chinese platforms. Video samples were collected from three platforms (TikTok, Kwai and Bilibili) during the period from November 2019 to July 2023. Two independent reviewers evaluated the integrity of the information contained therein by scoring six key aspects of its content: definition, epidemiology, risk factors, outcomes, diagnosis and treatment. The quality and reliability of the videos were assessed using the Journal of the American Medical Association (JAMA) criteria, the Global Quality Score (GQS) and the modified DISCERN score. A total of 198 videos were included. The video content exhibited an overall unsatisfactory quality, with a primary emphasis on risk factors and treatment, while diagnosis and epidemiology were seldom addressed. Regarding the sources of the videos, the GQS and modified DISCERN scores varied significantly between the platforms (p = .003), although they had generally similar JAMA scores (p = .251). Videos created by medical professionals differed significantly in terms of JAMA scores (p = .046) compared to those created by nonmedical professionals, but there were no statistically significant differences in GQS (p = .923) or modified DISCERN scores (p = .317). The overall quality and reliability of the videos were poor and varied between platforms and uploaders. Platforms and healthcare professionals should strive to provide more reliable health-related information regarding MASLD.