{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:51:09Z","timestamp":1791579069801,"version":"4.3.4"},"reference-count":86,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Med Inform"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Shared decision-making (SDM) is critical for managing clinically ambiguous conditions such as benign breast disease (BBD), requiring reliable health information. In China, WeChat public accounts (WPAs) run by hospitals serve as a major health information channel, yet their quality remains unevaluated.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to evaluate the quality of BBD-related articles on hospital WPAs in China.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Using a multistage stratified random sampling approach, we conducted a nationwide survey examining the quality of articles published from January 2020 to November 2024. The articles were evaluated for accessibility (readability, image quality, and user-friendliness) and SDM readiness (credibility, balance, and decision relevance) using validated instruments and content analysis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Among 276,617 articles from 158 sampled hospitals, 464 were related to BBD. Accessibility was generally good: 72.4% (336\/464) were written at a junior high school reading level. Visual presentation was acceptable, although only 10.2% (42\/410) had complete image labeling. The Patient Education Materials Assessment Tool for Printable Materials (PEMAT-P) scores showed moderate understandability (mean 73.6%, SD 17.3%) but limited actionability (mean 50%, SD 23.2%). For SDM readiness, the mean Quality Evaluation Scoring Tool (QUEST) score was 14.9 (SD 4.7) out of 28, with treatment-related articles scoring lower than prevention-related articles (\n P<\/jats:italic>\n <.001). In the balance evaluation, using Brief DISCERN, 84.3% (182\/216) of articles were below the high-quality threshold, often lacking information on treatment risks and quality-of-life impacts. Decision relevance revealed variability in surgical recommendations, especially regarding excision criteria and pregnancy-related guidance.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n WPA articles on BBD showed good accessibility but substantial gaps in SDM support, particularly in information balance and decision relevance. Standardized guidelines and quality improvements are needed to enhance patient-centered online health services.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/95994","type":"journal-article","created":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:22:45Z","timestamp":1791577365000},"page":"e95994-e95994","source":"Crossref","is-referenced-by-count":0,"title":["Accessibility and Decision-Supportive Quality of Benign Breast Disease Articles on Chinese Hospital WeChat Public Accounts: Nationwide Cross-Sectional 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