{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T17:39:33Z","timestamp":1793468373340,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Administration of Traditional Chinese Medicine, project \u201cClinical Application and Mechanisms of Combined Zhang Zhongjing Classical Formulas\u201d","award":["GZY-KJS-2022-041"],"award-info":[{"award-number":["GZY-KJS-2022-041"]}]},{"name":"Henan Province Key R&D and Promotion Special Project, Science and Technology Tackling Program","award":["232102310280"],"award-info":[{"award-number":["232102310280"]}]},{"name":"Henan Province TCM Inheritance and Innovation Talent Program (Zhongjing Program), Leading Talents in TCM Disciplines","award":["Yu Wei TCM Letter [2021] No. 8"],"award-info":[{"award-number":["Yu Wei TCM Letter [2021] No. 8"]}]},{"name":"Henan Province Special Program for Scientific Research in Traditional Chinese Medicine","award":["2023ZY2071"],"award-info":[{"award-number":["2023ZY2071"]}]},{"name":"Henan Provincial Health Commission National TCM Clinical Research Base Project","award":["2021JDZX2003"],"award-info":[{"award-number":["2021JDZX2003"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["DIGITAL HEALTH"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate engagement metrics, content coverage, information quality, and reliability of rectal prolapse\u2013related short videos on TikTok and Bilibili, and to assess the influence of uploader type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional content analysis. Using visitor mode and the default comprehensive ranking algorithm of each platform, two researchers searched for \u201crectal prolapse\u201d from October 14 to 22, 2025. The first 150 videos per platform were screened, yielding 256 unique eligible videos. Extracted variables included platform, upload date, duration, and engagement metrics (likes, comments, favorites, shares). Video quality and reliability were independently assessed by two colorectal surgeons using the Global Quality Scale (GQS), modified DISCERN (mDISCERN), and the JAMA benchmark; discrepancies were adjudicated by a senior expert.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TikTok outperformed Bilibili across engagement metrics (all p&lt;0.001); video duration did not differ significantly (p=0.068). Median GQS and JAMA scores were higher on TikTok (both p\u22640.001); mDISCERN differences were smaller yet significant (p=0.008). Videos from specialists scored higher on GQS, mDISCERN, and JAMA (all p&lt;0.001). Content emphasized treatment and symptoms, whereas prevention and differential diagnosis were under-covered. Engagement metrics were highly inter-correlated but showed very weak correlations with quality scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Video volume is increasing, whereas overall quality remains moderate. TikTok showed higher engagement and quality than Bilibili. Specialists play a key role in improving content. Platforms should incorporate reliability-weighted ranking signals and promote an essential-elements checklist for patient education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20552076261462738","type":"journal-article","created":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T20:30:23Z","timestamp":1782160223000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Quality and reliability of rectal prolapse short-video content on tiktok and bilibili: A cross-sectional content analysis"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9639-8773","authenticated-orcid":false,"given":"Xiaowen","family":"Wang","sequence":"first","affiliation":[{"name":"The Second Clinical Medical College of Henan University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuowu","family":"Xi","sequence":"additional","affiliation":[{"name":"Anorectal Disease Diagnosis and Treatment Center, Henan Provincial Hospital of Traditional Chinese Medicine, (The Second Affiliated Hospital of Henan University of Chinese Medicine)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingliao","family":"Niu","sequence":"additional","affiliation":[{"name":"Anorectal Disease Diagnosis and Treatment Center, Henan Provincial Hospital of Traditional Chinese Medicine, (The Second Affiliated Hospital of Henan University of Chinese Medicine)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zongyue","family":"Gao","sequence":"additional","affiliation":[{"name":"Anorectal Disease Diagnosis and Treatment Center, Henan Provincial Hospital of Traditional Chinese Medicine, (The Second Affiliated Hospital of Henan University of Chinese Medicine)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,22]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000889"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0b013e3182310f75"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0045-1804512"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-006-0198-2"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/145749690509400306"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0045-1804524"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-018-1830-1"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.5832"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040119-094127"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/apt.18096"},{"key":"e_1_3_7_12_2","first-page":"e29995","article-title":"The Quality of Online Information for the Treatment of Knee Osteoarthritis: A Google Study","volume":"14","author":"Sullivan B","year":"2022","unstructured":"Sullivan B, Abed V, Joiner J, et al. The Quality of Online Information for the Treatment of Knee Osteoarthritis: A Google Study. Cureus 2022; 14: e29995. https:\/\/doi.org\/10.7759\/cureus.29995","journal-title":"Cureus"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1000338"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2025.02.004"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.2196\/39162"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01325.x"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.2196\/51655"},{"key":"e_1_3_7_18_2","first-page":"497","article-title":"How internet users find, evaluate, and use online health information: a cross-cultural review","volume":"7","author":"Morahan-Martin JM","year":"2004","unstructured":"Morahan-Martin JM. How internet users find, evaluate, and use online health information: a cross-cultural review. 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