DIGITAL HEALTH最新文献

{"title":"The impact of data breach on IT investment at neighboring hospitals: Evidence from California Hospitals.","authors":"Taewon Hwang, Sung J Choi, Jinhyung Lee","doi":"10.1177/20552076251375930","DOIUrl":"10.1177/20552076251375930","url":null,"abstract":"<p><strong>Objective: </strong>This study investigates the effect of data breach incidents on IT investment at neighboring hospitals.</p><p><strong>Methods: </strong>Hospital data are collected from the California Department of Health Care Access and Information and matched with the breach archive provided by the U.S. Department of Health and Human Services Office for Civil Rights to construct a set of breached hospitals. Using a community detection algorithm, neighborhoods of hospitals are constructed to serve as the treatment group of breached hospitals against unaffected hospitals. To control for potential differences between affected and unaffected communities, hospitals are matched using propensity score matching. Subsequently, the effect of data breach incidents on IT investment at neighboring hospitals is estimated using a difference-in-differences model.</p><p><strong>Results: </strong>Analysis of hospital financial data from 2011 to 2017 revealed that neighboring hospitals responded to hacking/IT data breaches with a statistically significant 51% increase (<i>p</i> < 0.05) in IT capital investment in the year following exposure to the breach event. This association was substantially magnified in hospitals with above-median net income, demonstrating a 163% (<i>p</i> < 0.01) increase in IT capital expenditure. However, hospitals with lower net income showed no significant change in IT capital investment. Notably, we observed no statistically significant changes in overall IT expenditure or IT labor costs across any hospital category. Geographically, hacking/IT incidents predominantly occurred in major urban areas where market concentration was lower (HHI of 1243 in treatment groups vs. 1961 in control groups).</p><p><strong>Conclusion: </strong>Data breaches involving hacking/IT incidents at a neighboring hospital could nudge a hospital toward increased IT capital investment. This may result from neighboring hospitals acknowledging the need to take preventive measures. Hospitals should be strategically encouraged to reinforce cybersecurity capacity to minimize loss from future attacks.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251375930"},"PeriodicalIF":3.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Utilizing machine learning algorithms for personalized workout recommendations and monitoring: A systematic review on smartwatch-assisted exercise prescription.","authors":"Hassan Jubair, Mithela Mehenaz","doi":"10.1177/20552076251355365","DOIUrl":"10.1177/20552076251355365","url":null,"abstract":"<p><strong>Background: </strong>Smartwatches, equipped with advanced sensors, have become increasingly prominent in health and fitness domains. Their integration with machine learning (ML) algorithms presents novel opportunities for personalized exercise prescription and physiological monitoring.</p><p><strong>Objective: </strong>This systematic review aimed to evaluate the effectiveness, limitations, and practical applications of smartwatch-ML systems in delivering tailored fitness interventions and health tracking.</p><p><strong>Methods: </strong>Following PRISMA guidelines, five databases (PubMed, Scopus, IEEE Xplore, Web of Science, and SPORTDiscus) were searched for studies published from January 2000 to December 2023. Inclusion criteria required empirical studies involving human participants, the use of smartwatches for exercise monitoring or prescription, and the application of ML algorithms. Forty-nine studies met the eligibility criteria and were synthesized narratively using thematic clustering.</p><p><strong>Results: </strong>The majority of included studies demonstrated high algorithmic performance in activity recognition (>98% accuracy) and vital sign tracking. However, external validity was often limited due to lab-based testing, narrow demographic representation, and lack of standardized evaluation frameworks. Few studies incorporated explainable artificial intelligence, behavioral adaptation, or longitudinal validation. Ethical and regulatory considerations were rarely addressed.</p><p><strong>Conclusion: </strong>Smartwatch-ML integration holds substantial promise for individualized, real-time health support, especially in fitness and rehabilitation. To ensure broader impact and clinical adoption, future research must address generalizability, ethical data governance, interpretability, and interdisciplinary system design.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251355365"},"PeriodicalIF":3.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of digital therapeutics in the management of prostate cancer: A systematic scoping review.","authors":"Minna Chen, Xiaoru Wu, Lifen Chen, Ying Wang","doi":"10.1177/20552076251376261","DOIUrl":"10.1177/20552076251376261","url":null,"abstract":"<p><strong>Background: </strong>Digital therapeutics (DTx) has emerged as a transformative approach in healthcare, offering innovative solutions for disease management and treatment optimization. Prostate cancer (PCa), the second most common malignancy in men, has seen increasing incidence rates, driving the development of new digital technologies for PCa management.</p><p><strong>Purpose: </strong>This review aims to provide a comprehensive analysis of the current status and effectiveness of DTx in managing PCa.</p><p><strong>Methods: </strong>Based on the framework of Arksey and O'Malley's scoping review and the PRISMA-ScR guidelines, a systematic search was conducted in major domestic and international databases. The search aimed to retrieve studies on DTx for PCa from database inception to November 2024. The retrieved data were systematically summarized and analyzed using descriptive numerical summaries and thematic content analysis.</p><p><strong>Results: </strong>A total of 23 studies were included. The study types were primarily randomized controlled trials. The application forms of DTx included internet-based platforms, mobile health, and wearable devices. The primary focus of DTx applications in PCa patients included survivorship support, symptom management and side-effect monitoring, psychological support and emotional management, patient education and self-management, health management and rehabilitation, and treatment adherence management.</p><p><strong>Conclusion: </strong>DTx demonstrates diverse applications in the management of PCa and has shown potential in improving patients' quality of life. Future research should integrate DTx with diagnosis and therapeutic approaches, with a particular emphasis on developing DTx tools tailored explicitly for PCa patients. High-quality randomized controlled trials should be prioritized to validate these interventions further.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251376261"},"PeriodicalIF":3.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12411707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality and reliability of prostate cancer-Videos on TikTok and Bilibili: Cross-sectional content analysis study.","authors":"Mengmeng Liang, Fan Yang, Shasha Lu, Chen Zhu, Juan Wang, Weigang Yan","doi":"10.1177/20552076251376263","DOIUrl":"10.1177/20552076251376263","url":null,"abstract":"<p><strong>Objectives: </strong>Our research aims to assess the quality and reliability of videos related to prostate cancer on TikTok and Bilibili, and to compare content characteristics and information accuracy between the two platforms.</p><p><strong>Methods: </strong>On May 1, 2025, we searched for the top 100 videos using the terms \"prostate cancer\" on TikTok and \"\" on Bilibili, resulting in 200 videos. Two independent reviewers evaluated the content of each video using the Global Quality Scale (GQS) score and modified DISCERN (mDISCERN). Both reviewers independently assessed each video's scope, reliability, and overall quality.</p><p><strong>Results: </strong>Significant differences were observed in GQS and mDISCERN scores between TikTok and Bilibili videos (<i>P</i> < 0.0001 for both). Videos on Bilibili demonstrated superior quality and reliability compared to those on TikTok, as indicated by median GQS scores of 4.00 versus 2.00 and mDISCERN scores of 4.00 versus 2.00, respectively. Videos uploaded by urologists were significantly more reliable and of higher quality than those uploaded by patients (<i>P</i> < 0.001). Similarly, videos focused on disease knowledge and treatment were of higher quality and reliability than those sharing personal experiences (<i>P</i> < 0.01).</p><p><strong>Conclusion: </strong>Prostate cancer-related videos on Bilibili are generally of higher quality and reliability than those on TikTok. However, videos produced by urologists consistently demonstrated higher quality and reliability compared to those by patients across both platforms. Social media platforms should enhance the review and regulation of medical content to ensure its authenticity and accuracy, while content creators should aim to improve video quality to better meet the needs of a wider audience.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251376263"},"PeriodicalIF":3.3,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technophobia in digital health contexts: A systematic review and meta-analysis with a focus on older adults.","authors":"Xiaofang Song, Shasha Li, Liying Dong, Yue Li, Xinyu Yang, Jianyi Bao, Shufang Liao, Yingxue Xi, Guojing Guo","doi":"10.1177/20552076251374218","DOIUrl":"10.1177/20552076251374218","url":null,"abstract":"<p><strong>Objective: </strong>With the rapid integration of digital technologies into healthcare, technophobia has become a key barrier to digital health adoption, especially among older adults. This study aimed to evaluate technophobia levels and identify associated factors within a multidimensional ecological framework.</p><p><strong>Methods: </strong>A systematic search was conducted across 10 electronic databases for studies published until April 30, 2025. Meta-analysis was conducted to estimate pooled effect sizes. Technophobia levels were assessed using mean differences (MDs) or standardized mean differences (SMDs), each accompanied by a 95% confidence interval (CI). Summary correlation coefficients (<i>r</i>), with 95% CI, were used to evaluate associated factors based on the health ecological model.</p><p><strong>Results: </strong>Nineteen studies were included. The findings indicate that older adults demonstrated significantly elevated technophobia levels (MD = 39.90, 95% CI: 35.87-43.94) compared to non-older adults, with privacy and security concerns scoring the highest among the three dimensions (MD = 3.29, 95% CI: 2.94-3.64). Additionally, several factors showed significant correlations with technophobia (<i>r</i> = -0.537 to 0.235, <i>P</i> < 0.05), spanning four ecological domains: individual traits (e.g. digital health literacy), behavioral traits (e.g. self-efficacy), interpersonal networks (e.g. social networks), and living environment (e.g. income level).</p><p><strong>Conclusions: </strong>Technophobia is notably high among older adults in digital health contexts, especially regarding privacy and security concerns. Its roots span individual, social, and systemic dimensions. These findings highlight the need for targeted, multilevel interventions to reduce technophobia and ensure equitable access to digital health technologies.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251374218"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and validating a social media and dietary habits questionnaire using the integrated behavioural model for young adults.","authors":"Nahla Mohammed Bawazeer","doi":"10.1177/20552076251374136","DOIUrl":"10.1177/20552076251374136","url":null,"abstract":"<p><strong>Aim: </strong>To develop a structured questionnaire based on the integrated behavioural model (IBM) framework to assess social media use and dietary habits and to evaluate its validity and reliability among university students.</p><p><strong>Materials and methods: </strong>The study targeted undergraduate students, aged 18-25 years, from universities in Riyadh, Saudi Arabia, who actively used at least one major social media platform. The questionnaire was designed using IBM constructs, focusing on five dietary habit domains potentially influenced by social media. The questionnaire was validated through expert assessment, pilot testing, and iterative revisions to enhance clarity. The final version consists of 38 items. Internal consistency was assessed using Cronbach's alpha, and construct validity was evaluated via factor analysis, including principal component extraction and Varimax rotation. The Kaiser-Meyer-Olkin measure and Bartlett's test of sphericity were used to confirm data suitability for factor analysis.</p><p><strong>Results: </strong>The study included 401 participants (mean age: 20.75 years). Social media usage was prevalent, with 51.9% of participants reporting more than 4 hours of daily use. The 38-item scale demonstrated excellent internal consistency, with Cronbach's α values between 0.953 and 0.956. Factor analysis confirmed construct validity, identifying eight factors related to dietary behaviours, including dietary habits, attitudes, and knowledge. Each domain exhibited strong factor loadings, supporting the integrity of the construct.</p><p><strong>Conclusion: </strong>Our theory-based questionnaire may serve as a reliable and valid tool to examine the association between social media usage and dietary behaviours in young adults. Future research should validate the instrument in more diverse populations to enhance its applicability.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251374136"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing clinical laboratory efficiency through digital shadow and lean six sigma integration: A real-time monitoring approach to reduce intra-laboratory turnaround time.","authors":"Xinjian Cai, Yiteng Lin, Lili Zhan, Qiuxia Lu, Zhenzhen Wu, Xinyu Lin","doi":"10.1177/20552076251375939","DOIUrl":"10.1177/20552076251375939","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the impact of integrating digital shadow technology with Lean Six Sigma methodology on intra-laboratory turnaround time (TAT) in a high-volume clinical laboratory, and to demonstrate how digital shadow architectures can enhance process visibility and drive sustainable operational improvements.</p><p><strong>Methods: </strong>A retrospective, two-phase study was conducted in a tertiary cancer hospital from January to December 2024. Digital shadow technology was implemented by leveraging real-time, time-stamped data from the laboratory information system (LIS) to map specimen workflow milestones. The Lean Six Sigma Define, Measure, Analyze, Improve, Control framework guided process analysis and improvement, supported by value stream mapping (VSM), Pareto Analysis, and root cause analysis (RCA). Targeted interventions were developed and deployed based on identified bottlenecks. Specimen intra-laboratory TAT data from 2023 and 2024 were compared using the Mann-Whitney U test, with results visualized through LIS dashboards.</p><p><strong>Results: </strong>Integration of digital shadow technology enabled continuous, real-time monitoring of specimen, facilitating the identification of instrument- and department-specific delays. Following targeted interventions, the median intra-laboratory TAT decreased from 77.2 min to 69.0 min (a 10.6% reduction, p = 0.0182). Improvements were sustained through updated standard operating procedures, accountability measures, and ongoing staff training. The digital shadow approach required no additional analyzers or capital investment and delivered substantial performance gains.</p><p><strong>Conclusion: </strong>This study demonstrates that digital shadow integration with Lean Six Sigma can significantly optimize laboratory efficiency by providing actionable, real-time process data. The approach offers a scalable, resource-efficient model for continuous quality improvement, supporting healthcare digital transformation.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251375939"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapists' delivery of a mobile health physical activity intervention for people post-stroke and transient ischemic attack: Insights from a feasibility study.","authors":"Lucian Bezuidenhout, Sophia Humphries, Coralie English, Carl Johan Sundberg, Michael Nilsson, David Moulaee Conradsson","doi":"10.1177/20552076251374247","DOIUrl":"10.1177/20552076251374247","url":null,"abstract":"<p><strong>Background and purpose: </strong>Mobile health (mHealth) offers a promising platform for promoting physical activity (PA) in individuals post-stroke or transient ischemic attack (TIA). However, the extent to which key intervention components of PA promotion can be adapted to a digital format remains unclear. This study examines the fidelity of delivering supervised physical exercise and support for individualized PA goals in a 6-month mHealth intervention.</p><p><strong>Methods: </strong>This feasibility randomized controlled trial included individuals post-stroke or TIA who participated in the mHealth version of the i-REBOUND program. Descriptive statistics were used to assess format (individual/group), and progression of supervised exercise, as well as the characteristics of PA goals (type and use of action planning) throughout the intervention.</p><p><strong>Results: </strong>Of the 57 participants enrolled in the i-REBOUND program (mean age: 71 years; 70% with stroke), 51 (89%) completed the intervention. Of the 1391 total exercise sessions delivered, the majority (62%) were performed at moderate or higher intensity (Borg rating ≥11). Additionally, 39 participants (71%) demonstrated exercise progression, and 49 participants (89%) participated in group sessions. A total of 293 PA goals were established, predominantly with a focus on performing a desired behavior. Defining frequency (88%), context (61%) and duration (53%) of PA goals was common, while defining intensity (25%) was less so.</p><p><strong>Discussion and conclusions: </strong>This study support the implementation of a mHealth-delivered supervised exercise program for people post-stroke or TIA, achieving target intensity, integrating group sessions, and progression. Refining goal-setting strategies to address diverse action planning components may enhance future mHealth interventions.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251374247"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of step-count monitoring interventions in increasing physical activity among children and adolescents: A systematic review and meta-analysis.","authors":"Wentao Wang, Cong Huang, Yi Shen, Jing Cheng, Ling Wang","doi":"10.1177/20552076251374249","DOIUrl":"10.1177/20552076251374249","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the effect of step-count monitoring interventions on objectively measured physical activity-related outcomes in children and adolescents.</p><p><strong>Methods: </strong>This review was designed and conducted based on the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. The following five electronic databases were searched to identify relevant studies: PubMed, Web of Science, SCOPUS, SPORTDiscus, and Cochrane Library. The search was performed from the date of database inception to December 7, 2024. Meta-analyses were conducted to evaluate the pooled effects of the interventions on daily steps, accelerometer-measured moderate-to-vigorous physical activity (MVPA), light physical activity (LPA), and sedentary behavior (SB).</p><p><strong>Results: </strong>Thirty-four studies were selected for this meta-analysis. Step-count monitoring interventions could significantly increase daily steps (MD 1588.83 steps/day; 95% CI 1033.94 to 2143.72; <i>P</i> < 0.01) and tended to significantly reduce SB (MD -3.42 min/day; 95% CI -6.83 to -0.01; <i>P</i> = 0.05). However, they had no significant effects on MVPA (MD 0.59 min/day; 95% CI -3.46 to 4.64; <i>P</i> = 0.78) and LPA (MD 1.29 min/day; 95% CI -1.44 to 4.03; <i>P</i> = 0.35). Subgroup analyses indicated that step-count monitoring interventions offered greater benefits for increasing MVPA in children (MD 6.09 min/day; <i>P</i> < 0.01) than in adolescents (MD -3.79 min/day; <i>P</i> = 0.13). Pedometer-based interventions (MD 1757.58 steps/day; <i>P</i> < 0.01) were more effective at increasing daily steps than those involving other emerging step-count monitoring devices (MD 406.12 steps/day; <i>P</i> = 0.37).</p><p><strong>Conclusions: </strong>Step-count monitoring interventions may be appropriate and effective for increasing total physical activity and reducing SB in children and adolescents. Moreover, these interventions may serve as an optional approach for increasing MVPA in children. We recommend a \"less is more\" strategy with regard to step-count monitoring interventions for increasing physical activity in children and adolescents.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251374249"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409064/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality assessment of spinal cord injury-related health information on short-form video platforms: Cross-sectional content analysis of TikTok, Kwai, and BiliBili.","authors":"Yujie Zhang, Changming Huang, Ye Tong, Yilin Teng, Baicheng Wan, Jianhua Huang, Gaofeng Zeng, Shaohui Zong","doi":"10.1177/20552076251374226","DOIUrl":"10.1177/20552076251374226","url":null,"abstract":"<p><strong>Background: </strong>Spinal cord injury (SCI) severely affects patients' quality of life. With the rise of short video platforms, they have become important sources of health information, yet few studies have assessed the quality of SCI-related content on these platforms.</p><p><strong>Objective: </strong>This study aimed to analyze the content and quality of SCI-related videos on three major short video platforms.</p><p><strong>Material and methods: </strong>This study collected SCI-related short videos published between 28 March and 10 April 2025 on three platforms: BiliBili, Kwai, and TikTok. After strict screening (removing advertisements, duplicates, and irrelevant content), 251 valid samples were finally included. To minimize the influence of platform recommendation algorithms, the study used newly registered accounts to conduct standardized searches with \"spinal cord injury\" as the uniform search term. Video quality was assessed using four methods: Journal of the American Medical Association (JAMA), global quality scale (GQS), modified DISCERN, and patient education materials assessment tool. Two staff members (Z-SH and Z-GF) independently scored all videos. When their ratings differed by more than 15%, an expert (TY) made the final decision.</p><p><strong>Results: </strong>A total of 251 SCI-related videos were analyzed across BiliBili (<i>n</i> = 68), Kwai (<i>n</i> = 91), and TikTok (<i>n</i> = 92), revealing marked differences in content characteristics and quality. BiliBili featured the longest videos (median: 300 s) and the highest collection rate. It also achieved the highest JAMA (2.10 ± 0.85) and GQS (3.18 ± 0.91) scores. Kwai videos were the shortest (median: 15 s) but generated the most user interaction (likes, comments, and shares). However, it consistently scored lowest across all quality metrics (e.g. JAMA = 1.28 ± 0.42; GQS = 2.00 ± 0.83), with limited understandability (38 ± 24) and actionability (22 ± 24). TikTok content, primarily created by professionals, showed the highest modified DISCERN score (2.80 ± 0.78) and moderate practical value (understandability: 71 ± 21; actionability: 41 ± 29), though user engagement was relatively low. Quality indicators (JAMA, GQS, and DISCERN) were moderately correlated with follower count but weakly or negatively correlated with user engagement. Finally, understandability and actionability showed a moderate correlation (<i>r</i> = 0.49).</p><p><strong>Conclusion: </strong>This cross-platform comparative study reveals significant disparities in content quality among SCI-related videos on three leading short video platforms. Despite diverse video formats, the overall quality and reliability remain suboptimal.</p>","PeriodicalId":51333,"journal":{"name":"DIGITAL HEALTH","volume":"11 ","pages":"20552076251374226"},"PeriodicalIF":3.3,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12409039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}