The inverse relationship between popularity and quality in developmental dysplasia of the hip videos: A cross-sectional analysis of TikTok and Bilibili

发育性髋关节发育不良视频的受欢迎程度与质量呈反比关系:基于TikTok和Bilibili的横断面分析

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Abstract

OBJECTIVE: This study evaluated the quality and reliability of unassessed DDH health information for parents on prominent short video platforms like Bilibili and TikTok, where accurate data is crucial for early intervention. METHODS: We conducted a cross-sectional study, analyzing 125 eligible DDH-related short videos from Bilibili and TikTok. Video characteristics, author types, and interaction metrics were extracted. Content quality was assessed by medical professionals using the modified DISCERN (mDISCERN) and Global Quality Score (GQS) tools. Ordinal logistic regression identified factors influencing quality. RESULTS: Significant inter-platform differences were found in video characteristics and engagement. While both platforms showed generally high quality, Bilibili slightly outperformed TikTok. Author professionalism (GQS OR=4.025; mDISCERN OR=5.585) and video duration (GQS OR=1.010; mDISCERN OR=1.010) were significant positive predictors of quality. Critically, a negative correlation existed between higher interaction metrics (likes, comments, shares, views) and perceived video quality. CONCLUSION: While short video platforms significantly impact DDH health information, quality varies, with author professionalism and video duration predicting higher standards, yet popular videos often lack scientific rigor, highlighting an urgent need for enhanced quality control and expert-driven content.

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