{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:50:44Z","timestamp":1786978244614,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T00:00:00Z","timestamp":1717372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["T35DK104689"],"award-info":[{"award-number":["T35DK104689"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Social media platforms are increasingly utilized to distribute medical information. Our study emphasizes the need for accuracy in pelvic health education on social media and the involvement of female pelvic floor (FPF) specialists\u00a0in content creation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>In this cross\u2010sectional study, we assessed the FPF\u00a0TikTok videos with the highest engagement for quality of information and misinformation and investigated the relationship between misinformation and user engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We collected all TikTok videos on the US\u00a0app with hashtags related to FPF\u00a0conditions, including 76 on pelvic organ prolapse, 323 on urinary tract infection, 84 on overactive bladder, and 972 on incontinence. The top 20 videos for each FPF condition were selected based on highest engagement, and 74 videos total met inclusion criteria. TikTok videos were scored with the validated DISCERN instrument for quality of consumer health information and a 5\u2010point Likert scale for misinformation. The correlation between misinformation and user engagement was assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Our analysis revealed positive correlations among higher average misinformation scores and shares (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.37,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), likes (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.23,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004), and overall engagement (\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.25,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) in FPF TikTok videos as a group, likely driven by the #UTI category. Most TikTok videos (96%) had poor quality of information (DISCERN score\u2009&lt;\u20093), and 18% of TikTok videos contained misinformation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The poor quality and prevalence of misinformation in\u00a0FPF\u2010related\u00a0TikTok videos with the highest engagement raise concerns about the propagation of nonevidence\u2010based health information.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.25519","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T06:34:21Z","timestamp":1717396461000},"page":"1956-1961","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["TikTok misinformation and user engagement in female pelvic floor conditions"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3430-0944","authenticated-orcid":false,"given":"Alicia P.","family":"Stephan","sequence":"first","affiliation":[{"name":"Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sacha C.","family":"Hauc","sequence":"additional","affiliation":[{"name":"Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria A.","family":"Marks","sequence":"additional","affiliation":[{"name":"Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Bercik","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics, Gynecology, and Reproductive Sciences and Urology Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1306-8982","authenticated-orcid":false,"given":"Leslie","family":"Rickey","sequence":"additional","affiliation":[{"name":"Departments of Urology and of Obstetrics, Gynecology, and Reproductive Sciences Yale School of Medicine New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"WilliamsonD. US social media usage. Insider intelligence. June 1 2021. Accessed October 19 2023.\u00a0https:\/\/www.insiderintelligence.com\/content\/us-social-media-usage-2021"},{"key":"e_1_2_10_3_1","unstructured":"Global TikTok user age and gender distribution 2022. Statista. February 6 2023. Accessed October 19 2023.\u00a0https:\/\/www.statista.com\/statistics\/1299771\/tiktok-global-user-age-distribution\/"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/26781"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2020.06.056"},{"key":"e_1_2_10_6_1","unstructured":"The shifting role of influence and authority in the Rx Drug & Health Supplement Market. CharityRx. September 21 2022.https:\/\/www.charityrx.com\/blog\/the-shifting-role-of-influence-and-authority-in-the-rx-drug-health-supplement-market\/"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.300.11.1311"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-023-05607-0"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2022.06.030"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/UPJ.0000000000000423"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24673"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.53.2.105"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15403"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2018.10.056"},{"key":"e_1_2_10_15_1","unstructured":"KoduruB KankipatiG. EP03: link up sync up: calculation of concordance and discordance rates between independent review facility (IRF) and investigator site data using SAS\u00ae. Pharmaceutical Software Users Group Annual Meeting April 29\u2010May 2 2018; Seattle Washington.https:\/\/www.pharmasug.org\/proceedings\/2018\/EP\/PharmaSUG-2018-EP03.pdf"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14787"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/sexmed\/qfac020"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005027"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.01189"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25519","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T04:38:26Z","timestamp":1757911106000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25519"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,3]]},"references-count":18,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/nau.25519"],"URL":"https:\/\/doi.org\/10.1002\/nau.25519","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,3]]},"assertion":[{"value":"2023-11-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-22","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}