{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T02:41:48Z","timestamp":1781664108374,"version":"3.54.5"},"reference-count":53,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stuttering, a neurodevelopmental disorder, remains widely misunderstood in China. While Chinese social media platforms like Douyin are increasingly used for health information, no studies have evaluated the quality of stuttering\u2010related content online, particularly for this stigmatized condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aims to review and analyse the quality of stuttering\u2010related Douyin videos in China.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Procedures<\/jats:title>\n                    <jats:p>A sample of 100 top\u2010liked stuttering\u2010related videos was collected between 12 and 15 May 2024. The videos were classified into three categories as follows: Useful (U), Personal experience (P) and Misleading (M), and four features were extracted for analysis. The Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT\u2010A\/V) was employed to evaluate the comprehensibility and actionability percentiles of these videos.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results and Outcomes<\/jats:title>\n                    <jats:p>Through review and analysis, we found that 4% of the videos was classified as useful, 22% was classified as personal experience, and 74% was classified as misleading. Misleading videos are more likely to be liked by viewers. The evaluation results from the PEMAT\u2010A\/V indicated an average understandability score of 53.0% and an average actionability score of 24.3%, which are considered to have low understandability and low actionability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Implications<\/jats:title>\n                    <jats:p>Based on our analysis of Douyin's video content, audience behaviour and previous research, this study reveals that the prevalent misinformation may mislead the Chinese public and people who stutter about stuttering on the platform. These findings highlight the need to raise public awareness about unreliable stuttering\u2010related content on social media and inform evidence\u2010based education initiatives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>WHAT THIS PAPER ADDS<\/jats:title>\n                    <jats:p>\n                      <jats:italic>What is already known on this subject<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Most studies on stuttering attitudes in China indicate that the Chinese public has a positive attitude toward accessing information about stuttering, such as through the Internet or video. However, this seems to contradict the overall negative attitudes toward stuttering commonly observed among the Chinese population (Chen et al. 2024; Chen et al. 2025; Ma et\u00a0al. 2024; Ip et\u00a0al. 2012; \u00dcst\u00fcn\u2010Yavuz et\u00a0al. 2021). Ma et al. (2023) highlighted that many self\u2010proclaimed \u2018stuttering correctionists\u2019, lacking professional training in relevant fields, are actively spreading misinformation about stuttering in China.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What this paper adds to existing knowledge<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>On Douyin, misleading videos about stuttering likely far outnumber useful ones and tend to have low understandability and actionability.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                      <jats:italic>What are the potential or actual clinical implications of this work?<\/jats:italic>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>This study aids readers in understanding the prevalence of misinformation about stuttering on Chinese new media platforms and how professionals can improve this environment. Furthermore, professionals can utilize the findings of this study to inform stutterers or those seeking to learn about stuttering, thereby enhancing their awareness of online information.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1460-6984.70155","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T09:33:56Z","timestamp":1762335236000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Analysis of the Quality of Stuttering Content on Douyin in China"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6932-932X","authenticated-orcid":false,"given":"Yu\u2010An","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Oral &amp; Cranio\u2010Maxillofacial Surgery, Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine; College of Stomatology, Shanghai Jiao Tong University; National Center for Stomatology; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology; Shanghai Research Institute of Stomatology Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiu Lam","family":"Leung","sequence":"additional","affiliation":[{"name":"EasySpeech Speech Therapy Limited  Hong Kong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoko","family":"Miyamoto","sequence":"additional","affiliation":[{"name":"Faculty of Human Sciences University of Tsukuba  Tsukuba Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1044\/2020_PERSP\u201020\u201000003"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.25251\/skin.8.1.3"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1179\/2050572814Y.0000000039"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_6_1","unstructured":"American Speech\u2010Language\u2010Hearing Association.2024. \u201cASHA Practice Portal.\u201d July.https:\/\/www.asha.org\/practice\u2010portal\/."},{"key":"e_1_2_11_7_1","unstructured":"American Speech Language Hearing Association. n.d. \u201cFluency Disorders.\u201d ASHA Practice Portal.https:\/\/www.asha.org\/practice\u2010portal\/clinical\u2010topics\/fluency\u2010disorders\/."},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0245673"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/27715"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2196\/66845"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.etdah.2024.100150"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.901976"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfludis.2024.106077"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000543442"},{"key":"e_1_2_11_15_1","unstructured":"China Internet Network Information Center (CNNIC).2025. \u201cThe 55th Statistical Report on China's Internet Development.\u201d January.https:\/\/www.cnnic.com.cn\/IDR\/ReportDownloads\/202505\/P020250514564119130448.pdf."},{"key":"e_1_2_11_16_1","unstructured":"Chu K. 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