Microtia and social media: can patients find reliable information in TikTok?
摘要
Microtia is a congenital ear malformation that can significantly impact self-esteem and social interactions. With TikTok becoming a popular source for health information, concerns have emerged about the reliability of content related to microtia. The accuracy of information on TikTok regarding microtia remains unclear, raising questions about its influence on patient decision-making.
MethodsA comprehensive search of TikTok was conducted using the term "microtia," with the first 300 videos sorted by relevance being analyzed. After applying exclusion criteria, 224 videos were included in the study. We conducted a detailed analysis of the video content, examining the specific information provided. The quality of these videos was assessed using four established tools: DISCERN, PEMAT-A/V, JAMA Benchmark Criteria, and Global Quality Score (GQS). The DISCERN instrument evaluated the reliability, quality of treatment choices of the videos, while the PEMAT-A/V assessed the understandability, actionability of patient education content. The Global Quality Score (GQS) and the Journal of the American Medical Association (JAMA) benchmarks were used as comparators to further evaluate video quality.
Results79.02% were created by plastic surgeons, with additional content from otolaryngologists and hospitals. Engagement metrics were moderate overall, with topics such as "Microtia Surgery Consultation" and "Postoperative Follow-up" receiving the most attention. The average DISCERN score was 48.60, reflecting moderate quality. While understandability was high (100%) according to PEMAT-A/V, actionability varied (median 66.67%). GQS scores indicated moderate information quality, and JAMA scores were generally low. Notably, four videos contained misleading information.
ConclusionsTikTok provides easily accessible information on microtia, but the overall quality and reliability of content are inconsistent. The information is good in terms of understandability and actionability, but the quality of the content still needs improvement. Enhanced regulation and verification of health information are crucial to ensure patients have access to accurate, actionable data. Healthcare professionals should actively engage on these platforms to provide high-quality, reliable content.
Level of Evidence: Not gradable