Content accuracy and reliability of pulmonary nodule information on social media platforms: a cross-platform study of YouTube, Bilibili, and TikTok.

IF 3.1 3区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Frontiers in Medicine Pub Date : 2025-09-22 eCollection Date: 2025-01-01 DOI:10.3389/fmed.2025.1613526
Yunanji Zhou, Xiang Zeng, Ting Yuan, Qian Wang, Siqi Wu, Lei Du, Lihua Wang, Jun He
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引用次数: 0

Abstract

Background: Pulmonary nodules (PNs) are often overlooked, potentially leading to health risks. Social media platforms are increasingly used for health information dissemination. This study evaluates the quality and engagement of PN-related videos on YouTube, Bilibili, and TikTok.

Methods: On March 1, 2025, we searched each platform using "pulmonary nodule" or its Chinese equivalent. After screening, 271 videos were analyzed. Video characteristics were documented, and quality was assessed using PEMAT, VIQI, GQS, and mDISCERN tools. Inter-rater reliability was high (κ = 0.81).

Results: The final sample included 98 (YouTube), 74 (Bilibili), and 99 (TikTok) videos. TikTok videos were the shortest (median 114 s) yet had the highest engagement. Nonprofit organizations dominated YouTube uploads; physicians were most common on Bilibili and TikTok. Treatment was the most covered topic. YouTube scored highest in comprehensibility and actionability (PEMAT-T/A), while Bilibili and TikTok scored higher in production quality (VIQI, GQS). Video quality did not differ significantly between professional and non-professional uploaders. Most quality metrics showed weak correlation with audience engagement.

Conclusion: Long-form platforms (YouTube and Bilibili) offer higher-quality PN information but lower engagement, whereas short-form platforms (TikTok) show high interaction but lower informational depth. Social media can play a supportive role in public PN education. We provide recommendations for creators, platforms, and viewers to improve the quality and reliability of medical content.

社交媒体平台肺结节信息的内容准确性和可靠性:基于YouTube、Bilibili和TikTok的跨平台研究
背景:肺结节(PNs)经常被忽视,可能导致健康风险。社会媒体平台越来越多地用于卫生信息传播。本研究评估了YouTube、Bilibili和TikTok上与pn相关的视频的质量和参与度。方法:我们于2025年3月1日使用“肺结节”或其中文等同词搜索各平台。筛选后,对271个视频进行分析。记录视频特征,并使用PEMAT、VIQI、GQS和mDISCERN工具评估视频质量。量表间信度高(κ = 0.81)。结果:最终样本包括98 (YouTube), 74 (Bilibili)和99 (TikTok)视频。抖音视频是最短的(平均114 秒),但参与度最高。非营利组织主导了YouTube的上传;医生在哔哩哔哩和抖音上最常见。治疗是被提及最多的话题。YouTube在可理解性和可操作性(PEMAT-T/A)方面得分最高,而Bilibili和TikTok在制作质量(VIQI, GQS)方面得分更高。视频质量在专业和非专业上传者之间没有显著差异。大多数质量指标与用户粘性的相关性较弱。结论:长格式平台(YouTube和Bilibili)提供的PN信息质量更高,但参与度较低,短格式平台(TikTok)交互性高,但信息深度较低。社交媒体可以在公共PN教育中发挥支持作用。我们为创作者、平台和观众提供建议,以提高医疗内容的质量和可靠性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Medicine
Frontiers in Medicine Medicine-General Medicine
CiteScore
5.10
自引率
5.10%
发文量
3710
审稿时长
12 weeks
期刊介绍: Frontiers in Medicine publishes rigorously peer-reviewed research linking basic research to clinical practice and patient care, as well as translating scientific advances into new therapies and diagnostic tools. Led by an outstanding Editorial Board of international experts, this multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. In addition to papers that provide a link between basic research and clinical practice, a particular emphasis is given to studies that are directly relevant to patient care. In this spirit, the journal publishes the latest research results and medical knowledge that facilitate the translation of scientific advances into new therapies or diagnostic tools. The full listing of the Specialty Sections represented by Frontiers in Medicine is as listed below. As well as the established medical disciplines, Frontiers in Medicine is launching new sections that together will facilitate - the use of patient-reported outcomes under real world conditions - the exploitation of big data and the use of novel information and communication tools in the assessment of new medicines - the scientific bases for guidelines and decisions from regulatory authorities - access to medicinal products and medical devices worldwide - addressing the grand health challenges around the world
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