{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:24:59Z","timestamp":1793831099835,"version":"4.6.1"},"reference-count":132,"publisher":"BMJ","issue":"6","license":[{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian National Health and Medical Research Council","award":["1194108"],"award-info":[{"award-number":["1194108"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ EBM"],"accepted":{"date-parts":[[2025,9,14]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Misleading information about medical products on social media may cause overuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Explore interventions targeting the problem of misleading medical information and marketing on social media, with a focus on preventing medical overuse including overdiagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria<\/jats:title>\n                    <jats:p>We included peer-reviewed studies with original data on an intervention targeting misleading medical information on social media and governmental\/institutional responses with and without evaluation. We excluded responses relating to COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Sources of evidence<\/jats:title>\n                    <jats:p>four electronic databases: MEDLINE\/PubMed, PsycINFO, Academic Search Complete and Web of Science, and searches of grey literature on Google and Google Scholar. Search date: 9 June 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data charting<\/jats:title>\n                    <jats:p>We used prespecified data forms populated in duplicate by two reviewers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 27 peer-reviewed articles and 25 organisational and governmental responses (grey literature). 20 (74%) of the peer-reviewed interventions targeted the consumer to enhance \u2018media literacy\u2019, support decision-making or warn about misinformation trends. Approaches included education, such as videos or information materials, to improve detection of misinformation, as well as correcting misinformation and rebutting claims. Only two (7.4%) of the peer-reviewed approaches were sensitive to the problem of medical overuse: a risk-of-deception tool and an informed decision-making service. The grey literature about government and organisational responses chiefly comprised general advertising regulations and other educational resources for consumers to identify and navigate misinformation. The advertising regulations ranged from self-regulatory codes of practice to mandatory regulations, requiring pre-approval of social media marketing material. Most regulations stated advertising should be truthful, presenting both benefits and harms and not be misleading. Most of the grey literature (64%) was sensitive to medical overuse, though none referred explicitly to the problem.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Current efforts to address misleading medical marketing on social media often overlook the critical issue of medical overuse and fail to provide sufficient consumer protections in this rapidly evolving digital landscape of social media, such as the speed of dissemination, reach and the role of third-party advertising. These gaps in research, regulation and practice present significant opportunities to strengthen evidence-based policies and public health responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration details<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/doi.org\/10.17605\/OSF.IO\/2NJSH\">https:\/\/doi.org\/10.17605\/OSF.IO\/2NJSH<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjebm-2025-113704","type":"journal-article","created":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T17:20:37Z","timestamp":1759684837000},"page":"420-433","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Addressing misleading medical information on social media: a scoping review of current interventions"],"prefix":"10.1136","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8519-8217","authenticated-orcid":false,"given":"Emma Grundtvig","family":"Gram","sequence":"first","affiliation":[{"name":"Centre and Research Unit for General Practice, University of Copenhagen Department of Public Health, Copenhagen, Denmark"},{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ray","family":"Moynihan","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"},{"name":"Bond University Faculty of Health Sciences and Medicine, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7801-5884","authenticated-orcid":false,"given":"Tessa","family":"Copp","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patti","family":"Shih","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Engagement, Evidence and Values, School of Social Sciences, University of Wollongong, Wollongong, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4114-9106","authenticated-orcid":false,"given":"Loai","family":"Albarqouni","sequence":"additional","affiliation":[{"name":"Bond University Faculty of Health Sciences and Medicine, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3444-8618","authenticated-orcid":false,"given":"Elie","family":"Akl","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, American University of Beirut, Beirut, Beirut Governorate, Lebanon"},{"name":"Department of Health Research Methods, Evidence, and Impact (HEI), McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney","family":"Smith","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Hardiman","sequence":"additional","affiliation":[{"name":"Consumer Representative, NSW, Sydney, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8100-4278","authenticated-orcid":false,"given":"Brooke","family":"Nickel","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,10,5]]},"reference":[{"key":"2025120117301996000_30.6.420.1","doi-asserted-by":"publisher","DOI":"10.1177\/1460458213476969"},{"key":"2025120117301996000_30.6.420.2","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1080\/10810730.2021.1903627","article-title":"Using Social Media for Health: National Data from HINTS 2019","volume":"26","author":"Chou","year":"2021","journal-title":"J Health Commun"},{"key":"2025120117301996000_30.6.420.3","unstructured":"Allen J . 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Combating Rumor Spread on Social Media: The Effectiveness of Refutation and Warning. 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How to spot a dodgy health product ad, 2024. Available: https:\/\/www.tga.gov.au\/news\/news\/how-spot-dodgy-health-product-ad [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.59","unstructured":"Health Canada . Illegal marketing of drugs and devices, 2020. Available: https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/marketing-drugs-devices\/illegal-marketing.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.60","unstructured":"Australian Health Practitioner Regulation Agency (Ahpra) . Guidelines for advertising a regulated health service, Available: https:\/\/www.ahpra.gov.au\/Resources\/Advertising-hub\/Advertising-guidelines-and-other-guidance\/Advertising-guidelines.aspx [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.61","unstructured":"U.S. Food and Drug Administration . Guidance for industry internet\/social media platforms: correcting independent third-party misinformation about prescription drugs and medical devices. Available: https:\/\/www.fda.gov\/media\/88545\/download [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.62","unstructured":"U.S. Food and Drug Administration . Center for drug evaluation, research. about fda guidances. 2024. Available: http:\/\/www.fda.gov\/Drugs\/GuidanceComplianceRegulatoryInformation\/Guidances\/default.htm [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.63","unstructured":"Paul Tsai China Center . Measures on the Administration of Internet Advertising, 2023. Available: https:\/\/www.chinalawtranslate.com\/en\/internet-advertising\/ [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.64","unstructured":"WIPO . Advertising Law of the People\u2019s Republic of China. In: People\u2019s Republic of China, Available: https:\/\/wipolex-res.wipo.int\/edocs\/lexdocs\/laws\/en\/cn\/cn393en.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.65","unstructured":"Health Canada . Stop illegal marketing of drugs and devices, 2020. Available: https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/marketing-drugs-devices\/illegal-marketing\/stop.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.66","unstructured":"Australian Communications and Media Authority . Second report on digital platforms\u2019 efforts under the australian code of practice on disinformation and misinformation, Available: https:\/\/www.acma.gov.au\/second-report-digital-platforms-efforts-under-australian-code-practice-disinformation-and-misinformation [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.67","unstructured":"THE PARLIAMENT OF THE COMMONWEALTH OF AUSTRALIA . 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False premises, false promises: celebrity endorsement of non-evidence-based anticancer interventions on social media. Health Promot Int 2025. doi:10.1093\/heapro\/daaf116","DOI":"10.1093\/heapro\/daaf116"},{"key":"2025120117301996000_30.6.420.83","doi-asserted-by":"crossref","first-page":"116387","DOI":"10.1016\/j.socscimed.2023.116387","article-title":"Social media influencers and adolescents\u2019 health: A scoping review of the research field","volume":"340","author":"Engel","year":"2024","journal-title":"Social Science & Medicine"},{"key":"2025120117301996000_30.6.420.84","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1177\/0098858817707988","article-title":"Celebrity Drug Endorsements: Are Consumers Protected?","volume":"43","author":"Smith-Mady","year":"2017","journal-title":"Am J Law Med"},{"key":"2025120117301996000_30.6.420.85","doi-asserted-by":"crossref","unstructured":"Heiss R , Rudolph L . Patients as health influencers: motivations and consequences of following cancer patients on Instagram. Behav Inf Technol 2022;1\u201310. doi:10.1080\/0144929x.2022.2045358","DOI":"10.1080\/0144929X.2022.2045358"},{"key":"2025120117301996000_30.6.420.86","unstructured":"Murphy-Reuter B . Social media is the new public health frontline. Let\u2019s treat it that way, Available: https:\/\/harvardpublichealth.org\/tech-innovation\/to-combat-misinformation-social-influencers-need-the-right-tools\/"},{"key":"2025120117301996000_30.6.420.87","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1001\/jamainternmed.2013.12745","article-title":"The harms of screening: a proposed taxonomy and application to lung cancer screening","volume":"174","author":"Harris","year":"2014","journal-title":"JAMA Intern Med"},{"key":"2025120117301996000_30.6.420.88","doi-asserted-by":"crossref","unstructured":"Gram EG , Haas R , Niklasson A , et al . Less is More for Patients, Practitioners, Public, and Planet - A Taxonomy for the Harms of Too Much Medicine. BMJ Evid Based Med 2025 (In press). doi:10.1136\/bmjebm-2025-113874","DOI":"10.1136\/bmjebm-2025-113874"},{"key":"2025120117301996000_30.6.420.89","doi-asserted-by":"crossref","DOI":"10.1136\/bmj-2022-072953","article-title":"Guidelines should consider clinicians\u2019 time needed to treat","volume":"380","author":"Johansson","year":"2023","journal-title":"BMJ"},{"key":"2025120117301996000_30.6.420.90","doi-asserted-by":"crossref","first-page":"e271","DOI":"10.1016\/S2542-5196(20)30121-2","article-title":"The environmental footprint of health care: a global assessment","volume":"4","author":"Lenzen","year":"2020","journal-title":"Lancet Planet Health"},{"key":"2025120117301996000_30.6.420.91","unstructured":"Forbrugerombudsmanden . Forbrugerombudsmanden griber ind over for influenter, Available: https:\/\/forbrugerombudsmanden.dk\/nyheder\/forbrugerombudsmanden\/pressemeddelelser\/2024\/20241009-forbrugerombudsmanden-griber-ind-over-for-influenter [Accessed 5 Dec 2025]."},{"key":"2025120117301996000_30.6.420.92","unstructured":"Davidson H . China bans celebrities with \u201clapsed morals\u201d from endorsing products. The Guardian 2022;Available. Available: https:\/\/www.theguardian.com\/world\/2022\/nov\/02\/china-bans-celebrities-lapsed-morals-endorsing-products"},{"key":"2025120117301996000_30.6.420.93","unstructured":"Australian Government, Department of Health, Disability & Aging . Cosmetic surgery reforms.January 17, 2025. Available: https:\/\/www.health.gov.au\/our-work\/cosmetic-surgery-reforms"},{"key":"2025120117301996000_30.6.420.94","doi-asserted-by":"crossref","unstructured":"The New Zealand Medical Journal . Time for new zealand to ban direct-to-consumer advertising of prescription medicines. 2023. Available: https:\/\/nzmj.org.nz\/journal\/vol-136-no-1575\/time-for-new-zealand-to-ban-direct-to-consumer-advertising-of-prescription-medicines","DOI":"10.26635\/6965.e1575"},{"key":"2025120117301996000_30.6.420.95","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.1038\/s41562-022-01388-6","article-title":"Combining interventions to reduce the spread of viral misinformation","volume":"6","author":"Bak-Coleman","year":"2022","journal-title":"Nat Hum Behav"},{"key":"2025120117301996000_30.6.420.96","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1146\/annurev-publhealth-071321-031118","article-title":"Health Misinformation Exposure and Health Disparities: Observations and Opportunities","volume":"44","author":"Southwell","year":"2023","journal-title":"Annu Rev Public Health"},{"key":"2025120117301996000_30.6.420.97","doi-asserted-by":"crossref","DOI":"10.7717\/peerj.19311","article-title":"Exploring the potential of online social listening for noncommunicable disease monitoring","volume":"13","author":"Braga","year":"2025","journal-title":"PeerJ"},{"key":"2025120117301996000_30.6.420.98","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1177\/1940161220919082","article-title":"Testing the Effectiveness of Correction Placement and Type on Instagram","volume":"25","author":"Vraga","year":"2020","journal-title":"Int J Press Polit"},{"key":"2025120117301996000_30.6.420.99","unstructured":"Therapeutic Goods Administration (TGA) . Advertising personalised medical devices in Australia, 2024. Available: https:\/\/www.tga.gov.au\/resources\/resource\/guidance\/advertising-personalised-medical-devices [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.100","unstructured":"Therapeutic Goods Administration (TGA) . Advertising therapeutic goods on social media, 2024. Available: https:\/\/www.tga.gov.au\/resources\/resource\/guidance\/tga-social-media-advertising-guide [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.101","unstructured":"Therapeutic Goods Administration (TGA) . Advertising legal framework, 2024. Available: https:\/\/www.tga.gov.au\/how-we-regulate\/advertising\/legal-framework [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.102","unstructured":"Australia Communications and Media Authority (ACMA) . Online misinformation 1732, Available: https:\/\/www.acma.gov.au\/online-misinformation [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.103","unstructured":"Health Canada . Policies and Guidance Documents, 2002. Available: https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/regulatory-requirements-advertising\/policies-guidance-documents.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.104","unstructured":"Health Canada . Regulatory Requirements for Advertising, 2002. Available: https:\/\/www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/regulatory-requirements-advertising.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.105","unstructured":"The Danish Government . BEK nr 1155 af 22\/10\/2014, Indenrigs- og Sundhedsministeriet. In: Retsinformation, Available: https:\/\/www.retsinformation.dk\/eli\/lta\/2014\/1155 [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.106","doi-asserted-by":"crossref","unstructured":"The Danish Government . BEK nr 1153 af 22\/10\/2014, Indenrigs- og Sundhedsministeriet. In: Retsinformation, Available: https:\/\/www.retsinformation.dk\/eli\/lta\/2014\/1153 [Accessed 5 Dec 2024].","DOI":"10.53738\/REVMED.2014.10.431.1153"},{"key":"2025120117301996000_30.6.420.107","unstructured":"The Danish Government . VEJ nr 9319 af 26\/06\/2013, Indenrigs- og Sundhedsministeriet. In: Retsinformation, Available: https:\/\/www.retsinformation.dk\/eli\/retsinfo\/2013\/9319 [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.108","unstructured":"The European Parliament . How to reduce the impact of disinformation on europeans\u2019 health. Available: https:\/\/www.europarl.europa.eu\/thinktank\/en\/document\/IPOL_STU(2024)754205 [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.109","unstructured":"European Commission - European Commission . New data shows strong levels of consumer trust, but online threats persist, Available: https:\/\/ec.europa.eu\/commission\/presscorner\/detail\/en\/ip_25_762 [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.110","unstructured":"European Commission . Countering information manipulation. Available: https:\/\/commission.europa.eu\/topics\/countering-information-manipulation_en [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.111","unstructured":"European Database on Medical Devices . EUDAMED - European Database on Medical Devices, Available: https:\/\/ec.europa.eu\/tools\/eudamed\/#\/screen\/home [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.112","unstructured":"European Commission . Directive - 2006\/114 - EN - EUR-Lex, Available: https:\/\/eur-lex.europa.eu\/legal-content\/en\/TXT\/?uri=CELEX%3A32006L0114 [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.113","unstructured":"European Commission . Advertising of medicinal products for human use, Available: https:\/\/eur-lex.europa.eu\/legal-content\/EN\/TXT\/?uri=LEGISSUM%3Al21143 [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.114","unstructured":"European Commission . New Regulations - Medical Devices regulations, Available: https:\/\/health.ec.europa.eu\/medical-devices-sector\/new-regulations_en [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.115","unstructured":"Maharashtra Medical Council . Acts & Rules, Available: https:\/\/www.maharashtramedicalcouncil.in\/Index.aspx [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.116","unstructured":"Pathare V . MMC to start action against advertising and social media misuse by doctors. Hindustan Times; 2024. Available: https:\/\/www.hindustantimes.com\/cities\/pune-news\/mmc-to-start-action-against-advertising-and-social-media-misuse-by-doctors-101734028517791.html"},{"key":"2025120117301996000_30.6.420.117","unstructured":"Dubai Health Authorities, Government of Dubai . Standards for Medical Advertisement Content on Social Media, Available: https:\/\/www.dha.gov.ae\/uploads\/042022\/Standards%20for%20Medical%20Advertisement%20Content%20in%20Social%20Media2022433965.pdf [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.118","unstructured":"Medicines and Healthcare Products Regulatory Agency (MHRA) . The Blue Guide - Advertising and Promotion of Medicines in the UK, Available: https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/956846\/BG_2020_Brexit_Final_version.pdf [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.119","unstructured":"The U.S. Surgeon General\u2019s Advisory . Confronting health misinformation - the U.S. surgeon general\u2019s advisory on building a healthy information environment. US Department of Health and Human Services. Confronting Health Misinformation - The U.S. Surgeon General\u2019s Advisory on Building a Healthy Information Environment, Available: https:\/\/www.hhs.gov\/sites\/default\/files\/surgeon-general-misinformation-advisory.pdf [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.120","unstructured":"Office of the Surgeon General, Health Misinformation . US department of health and human services. HHS Gov; 2024. Available: https:\/\/www.hhs.gov\/surgeongeneral\/priorities\/health-misinformation\/index.html [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.121","first-page":"105","article-title":"The FDA\u2019s Social Media Guidelines Are Here \u2026 Were They Worth the Wait?","volume":"37","author":"Reisman","year":"2012","journal-title":"P T"},{"key":"2025120117301996000_30.6.420.122","unstructured":"National Academy of Medicine . Identifying credible sources of health information in social media: principles and attributes. Available: https:\/\/nam.edu\/identifying-credible-sources-of-health-information-in-social-media-principles-and-attributes\/ [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.123","unstructured":"U.S. Food and Drug Administration . Medication health fraud questions and answers. FDA. Available: https:\/\/www.fda.gov\/drugs\/medication-health-fraud\/medication-health-fraud-questions-and-answers [Accessed 5 Dec 2024]."},{"key":"2025120117301996000_30.6.420.124","unstructured":"U.S. Food and Drug Administration . Center for drug evaluation, research. the bad ad program. FDA. Available: https:\/\/www.fda.gov\/drugs\/office-prescription-drug-promotion\/bad-ad-program [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.125","unstructured":"Sen. Durbin, RJ . Protecting Patients from Deceptive Drug Ads Online Act, 12 September 2024. Available: https:\/\/www.congress.gov\/bill\/118th-congress\/senate-bill\/5040 [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.126","unstructured":"U.S. Food and Drug Administration . FDA updates guidance to further empower companies to address the spread of misinformation. 2024. Available: https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-updates-guidance-further-empower-companies-address-spread-misinformation [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.127","unstructured":"World Health Organisation (WHO) . Combatting misinformation online. 2024. Available: https:\/\/www.who.int\/teams\/digital-health-and-innovation\/digital-channels\/combatting-misinformation-online [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.128","unstructured":"World Health Organisation (WHO) . Global principles for identifying credible sources of health information on social media, Available: https:\/\/www.who.int\/teams\/digital-health-and-innovation\/digital-channels\/phase-ii--global-principles-for-identifying-credible-sources-of-health-information-on-social-media [Accessed 15 Jun 2025]."},{"key":"2025120117301996000_30.6.420.129","unstructured":"World Health Organisation (WHO) . How to report misinformation online, Available: https:\/\/www.who.int\/campaigns\/connecting-the-world-to-combat-coronavirus\/how-to-report-misinformation-online [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.130","unstructured":"World Health Organisation (WHO) . Disinformation and public health, 2025. Available: https:\/\/www.who.int\/news-room\/questions-and-answers\/item\/disinformation-and-public-health [Accessed 18 Jun 2025]."},{"key":"2025120117301996000_30.6.420.131","unstructured":"World Health Organisation (WHO) . Collaboration is key to countering online misinformation about noncommunicable diseases \u2013new WHO\/Europe toolkit shows how, Available: https:\/\/www.who.int\/europe\/news\/item\/20-10-2022-collaboration-is-key-to-countering-online-misinformation-about-noncommunicable-diseases--new-who-europe-toolkit-shows-how [Accessed 15 Jun 2025]."},{"key":"2025120117301996000_30.6.420.132","unstructured":"World Health Organisation (WHO) . 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