{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T18:26:18Z","timestamp":1780424778340,"version":"3.54.1"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Despite being a prevalent peripheral vestibular disorder in China, Meniere's disease (MD) suffers from low awareness, frequent misdiagnosis, and unsatisfactory treatment rates. As TikTok has become a prominent source of health information, no study has systematically evaluated the quality of its MD-related content. We therefore assessed the accuracy and reliability of MD videos on Chinese TikTok.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Top 100 videos for \u201cMeniere's disease\/syndrome\u201d (TikTok, 1 May 2025) were analyzed. Quality was assessed using Video Information and Quality Index (VIQI), Global Quality Score (GQS), modified DISCERN (mDISCERN), and Patient Education Materials Assessment Tool for Audio-Visual Content (PEMAT-A\/V). Descriptive statistics, correlation analyses, and predictive modeling were applied to 83 valid videos.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 83 videos, 91.6% (n\u2009=\u200976) were physician-uploaded (primarily otolaryngologists\/neurologists). Monologue, Q&amp;A, and medical scenario formats showed superior quality. Symptoms dominated content (47%). Neurologists generated significantly higher normalized engagement per second than otolaryngologists (all adj. p\u2009&lt;\u20090.05, r\u2009\uff1e\u20090.35). Physicians outperformed news agencies in GQS scores (adj. p\u2009&lt;\u20090.05, r\u2009=\u20090.291). Otolaryngologists scored higher than both neurologists and Traditional Chinese Medicine practitioners in PEMAT-A\/V Understandability (all adj. p\u2009&lt;\u20090.05, r\u2009&gt;\u20090.37). Attending physicians exceeded chief physicians on all quality metrics (all adj. p\u2009&lt;\u20090.05, r\u2009\uff1e\u20090.35), an advantage potentially linked to their younger age, greater digital literacy, and more frequent social media use. Engagement metrics (likes, comments, favorites, shares) correlated strongly (r\u2009&gt;\u20090.8). Predictive models for PEMAT-U\/A were significant (p\u2009&lt;\u20090.001), lacking multicollinearity\/autocorrelation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Physician-created MD content ensures credibility but requires quality improvement. PEMAT-U\/A models guide enhancements, though broader application needs validation. Key health informatics priorities include certified creator engagement, algorithm optimization, and innovative content design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261418919","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T17:41:48Z","timestamp":1770140508000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Physician-dominated yet suboptimal: Evaluating the quality of Meniere's disease information on TikTok in China"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1619-5814","authenticated-orcid":false,"given":"Xin","family":"Wang","sequence":"first","affiliation":[{"name":"Institute of Otorhinolaryngology-Head and Neck Surgery, Guangzhou Red Cross Hospital of Jinan University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6052-3970","authenticated-orcid":false,"given":"Dongling","family":"Lian","sequence":"additional","affiliation":[{"name":"Institute of Otorhinolaryngology-Head and Neck Surgery, Guangzhou Red Cross Hospital of Jinan University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9397-1006","authenticated-orcid":false,"given":"Zeyang","family":"Liu","sequence":"additional","affiliation":[{"name":"Institute of Otorhinolaryngology-Head and Neck Surgery, Guangzhou Red Cross Hospital of Jinan University, Guangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Clinical practice guideline: Meniere\u2019s disease","volume":"162","author":"Basura GJ","year":"2020","unstructured":"Basura GJ, Adams ME, Monfared A, et al. 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