Assessment of non-small cell lung cancer online videos in China: A cross-sectional study on quality, content, understandability, actionability, and reliability.

Abstract

Objective: This study aims to conduct a multidimensional evaluation of non-small cell lung cancer (NSCLC)-related videos on social media platforms in China (TikTok, Bilibili, and Red).Methods: Validated tools were used to evaluate video quality (DISCERN instrument), reliability (Journal of the American Medical Association [JAMA] benchmarks), understandability, and actionability (Patient Education Materials Assessment Tool [PEMAT]).Results: This study included 96 videos, primarily created by medical professionals (n = 63). The median DISCERN score was 30.0 (IQR 28.5-34.4), indicating poor quality overall. Compared to videos rated as "good", the "poor" videos had significantly shorter durations (P = 0.040). The overall median understandability and actionability scores were 81.8% (IQR 75.0-90.9%) and 0% (IQR 0.0-66.7%), respectively, indicating good understandability but extremely poor actionability. Only one met all four JAMA benchmarks. TikTok videos with the shortest durations garnered the highest numbers of "likes", "comments", and "bookmarks", while Bilibili videos exhibited a relatively high overall quality.Conclusions: To guide the public in making informed medical decisions, Chinese NSCLC videos need improvement in various aspects.