{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T21:28:32Z","timestamp":1782250112747,"version":"3.54.5"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T00:00:00Z","timestamp":1757030400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Digit. Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Osteoarthritis (OA) is a debilitating condition characterized by pain, stiffness, and impaired mobility, significantly affecting patients' quality of life. Health education is crucial in helping individuals understand OA and its management. In China, where OA is highly prevalent, platforms such as TikTok, WeChat, and XiaoHongshu have become prominent sources of health information. However, there is a lack of research regarding the reliability and educational quality of OA-related content on these platforms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study analyzed the top 100 OA-related videos across three major platforms: TikTok, WeChat, and XiaoHongshu. We systematically evaluated the content quality, reliability, and educational value using established tools, such as the DISCERN scale, JAMA benchmark criteria, and the Global Quality Score (GQS) system. The study also compared differences in video content across platforms, offering insights into their relevance for addressing professional needs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Video quality varied significantly between platforms. TikTok outperformed WeChat and XiaoHongshu in all scoring criteria, with mean DISCERN scores of 32.42 (SD 0.37), 24.57 (SD 0.34), and 30.21 (SD 0.10), respectively (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). TikTok also scored higher on the JAMA (1.36, SD 0.07) and GQS (2.46, SD 0.08) scales (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). Videos created by healthcare professionals scored higher than those created by non-professionals (<jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.001). Disease education and symptom self-examination content were more engaging, whereas rehabilitation videos received less attention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Short-video platforms have great potential for chronic disease health education, with the caveat that the quality of the videos currently varies, and the authenticity of the video content is yet to be verified. While professional doctors play a crucial role in ensuring the quality and authenticity of video content, viewers should approach it with a critical mindset. Even without medical expertise, viewers should be encouraged to question the information and consult multiple sources.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fdgth.2025.1622503","type":"journal-article","created":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T05:24:19Z","timestamp":1757049859000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Videos in short-video sharing platforms as sources of information on osteoarthritis: cross-sectional content analysis study"],"prefix":"10.3389","volume":"7","author":[{"given":"Yi-xiang","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-tian","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya-xing","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin","family":"Fu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,5]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"376","DOI":"10.1016\/S0140-6736(14)60802-3","article-title":"Osteoarthritis","volume":"386","author":"Glyn-Jones","year":"2015","journal-title":"Lancet"},{"key":"B2","doi-asserted-by":"publisher","first-page":"S243","DOI":"10.1093\/geront\/gnw002","article-title":"Musculoskeletal health conditions represent a global threat to healthy aging: a report for the 2015 World Health Organization world report on ageing and health","volume":"56","author":"Briggs","year":"2016","journal-title":"Gerontologist"},{"key":"B3","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1016\/j.jpain.2008.05.005","article-title":"Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders","volume":"9","author":"Tsang","year":"2008","journal-title":"J Pain"},{"key":"B4","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1097\/BOR.0000000000000479","article-title":"Epidemiology of osteoarthritis: literature update","volume":"30","author":"Vina","year":"2018","journal-title":"Curr Opin Rheumatol"},{"key":"B5","doi-asserted-by":"publisher","first-page":"117314","DOI":"10.1016\/j.biopha.2024.117314","article-title":"Advances in targeted therapies for age-related osteoarthritis: a comprehensive review of current research","volume":"179","author":"Zhang","year":"2024","journal-title":"Biomed Pharmacother"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2524091","DOI":"10.1080\/07853890.2025.2524091","article-title":"Comparative efficacy of platelet-rich plasma injection vs ultrasound-guided hyaluronic acid injection in the rehabilitation of hip osteoarthritis: an observational study","volume":"57","author":"Bian","year":"2025","journal-title":"Ann Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"619","DOI":"10.1186\/s12891-025-08811-9","article-title":"Efficacy of hydrolyzed collagen injections compared to platelet-rich plasma and hyaluronic acid in the treatment of patients with symptomatic knee osteoarthritis: a retrospective clinical study","volume":"26","author":"Heredia Sulbaran","year":"2025","journal-title":"BMC Musculoskelet Disord"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e005133","DOI":"10.1136\/rmdopen-2024-005133","article-title":"Impact of an intervention for osteoarthritis based on exercise and education on metabolic health: a register-based study using the soad cohort","volume":"11","author":"Battista","year":"2025","journal-title":"RMD Open"},{"key":"B9","doi-asserted-by":"publisher","first-page":"2546","DOI":"10.1097\/JS9.0000000000002223","article-title":"Chatgpt\u2019s role in alleviating anxiety in total knee arthroplasty consent process: a randomized controlled trial pilot study","volume":"111","author":"Gan","year":"2025","journal-title":"Int J Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1080\/07359683.2021.2017389","article-title":"Use of social media in healthcare","volume":"39","author":"Elhajjar","year":"2022","journal-title":"Health Mark Q"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e21404","DOI":"10.7759\/cureus.21404","article-title":"Analysis of acute non-specific back pain content on TikTok: an exploratory study","volume":"14","author":"Zheluk","year":"2022","journal-title":"Cureus"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e17215","DOI":"10.7717\/peerj.17215","article-title":"Assessing the quality and reliability of YouTube videos as a source of information on inflammatory back pain","volume":"12","author":"Kara","year":"2024","journal-title":"PeerJ"},{"key":"B13","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1056\/NEJMp2410601","article-title":"Listening to TikTok\u2014patient voices, bias, and the medical record","volume":"392","author":"Toler","year":"2025","journal-title":"N Engl J Med."},{"key":"B14","doi-asserted-by":"publisher","first-page":"e0267997","DOI":"10.1371\/journal.pone.0267997","article-title":"Weight-normative messaging predominates on TikTok-a qualitative content analysis","volume":"17","author":"Minadeo","year":"2022","journal-title":"PLoS One"},{"key":"B15","doi-asserted-by":"publisher","first-page":"e43961","DOI":"10.2196\/43961","article-title":"Exploring social media preferences for healthy weight management interventions among adolescents of color: mixed methods study","volume":"6","author":"Alatorre","year":"2023","journal-title":"JMIR Pediatr Parent"},{"key":"B16","doi-asserted-by":"publisher","first-page":"205630512210862","DOI":"10.1177\/20563051221086241","article-title":"Why\u2019s everyone on TikTok now? The algorithmized self and the future of self-making on social media","volume":"8","author":"Bhandari","year":"2022","journal-title":"SMS."},{"key":"B17","doi-asserted-by":"publisher","DOI":"10.1002\/aet2.10532","article-title":"Is TikTok the next social media frontier for medicine?","volume":"5","author":"Comp","year":"2021","journal-title":"AEM Educ Train"},{"key":"B18","doi-asserted-by":"publisher","first-page":"e61","DOI":"10.1016\/j.jsurg.2018.07.024","article-title":"Video-based patient education improves patient attitudes toward resident participation in outpatient surgical care","volume":"75","author":"Kempenich","year":"2018","journal-title":"J Surg Educ"},{"key":"B19","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1136\/jech.53.2.105","article-title":"Discern: an instrument for judging the quality of written consumer health information on treatment choices","volume":"53","author":"Charnock","year":"1999","journal-title":"J Epidemiol Community Health"},{"key":"B20","doi-asserted-by":"publisher","first-page":"E1334","DOI":"10.1097\/BRS.0000000000002691","article-title":"Evaluating the accuracy and quality of the information in kyphosis videos shared on YouTube","volume":"43","author":"Erdem","year":"2018","journal-title":"Spine"},{"key":"B21","doi-asserted-by":"publisher","first-page":"1244","DOI":"10.1001\/jama.1997.03540390074039","article-title":"Assessing, controlling, and assuring the quality of medical information on the internet: caveant lector et viewor\u2014let the reader and viewer beware","volume":"277","author":"Silberg","year":"1997","journal-title":"JAMA"},{"key":"B22","doi-asserted-by":"publisher","first-page":"e179","DOI":"10.1016\/j.wneu.2021.06.072","article-title":"Quality of YouTube videos on meningioma treatment using the discern instrument","volume":"153","author":"\u015aledzi\u0144ska","year":"2021","journal-title":"World Neurosurg"},{"key":"B23","doi-asserted-by":"publisher","first-page":"105065","DOI":"10.1016\/j.jstrokecerebrovasdis.2020.105065","article-title":"YouTube as a source of patient information for stroke: a content-quality and an audience engagement analysis","volume":"29","author":"Szmuda","year":"2020","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"B24","doi-asserted-by":"publisher","first-page":"2750148","DOI":"10.1155\/2020\/2750148","article-title":"Analysis of the most viewed first 50 videos on YouTube about breast cancer","volume":"2020","author":"Yurdaisik","year":"2020","journal-title":"BioMed Res Int"},{"key":"B25","doi-asserted-by":"publisher","first-page":"196","DOI":"10.21037\/atm.2020.01.78","article-title":"Concerns of quality, utility, and reliability of laparoscopic gastrectomy for gastric cancer in public video sharing platform","volume":"8","author":"Zhang","year":"2020","journal-title":"Ann Transl Med."},{"key":"B26","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s10195-024-00757-3","article-title":"Tiktok content as a source of health education regarding epicondylitis: a content analysis","volume":"25","author":"D\u2019Ambrosi","year":"2024","journal-title":"J Orthop Traumatol"},{"key":"B27","doi-asserted-by":"publisher","first-page":"e39162","DOI":"10.2196\/39162","article-title":"Quality of information in gallstone disease videos on TikTok: cross-sectional study","volume":"25","author":"Sun","year":"2023","journal-title":"J Med Internet Res"},{"key":"B28","doi-asserted-by":"publisher","first-page":"942","DOI":"10.1186\/s12889-024-18403-2","article-title":"Contents analysis of thyroid cancer-related information uploaded to YouTube by physicians in Korea: endorsing thyroid cancer screening, potentially leading to overdiagnosis","volume":"24","author":"Kang","year":"2024","journal-title":"BMC Public Health"},{"key":"B29","doi-asserted-by":"publisher","first-page":"1315393","DOI":"10.3389\/fpubh.2023.1315393","article-title":"Tiktok video as a health education source of information on heart failure in China: a content analysis","volume":"11","author":"Gong","year":"2023","journal-title":"Front Public Health"},{"key":"B30","doi-asserted-by":"publisher","first-page":"2218","DOI":"10.1016\/j.mayocp.2021.02.010","article-title":"A proposed approach for conducting studies that use data from social media platforms","volume":"96","author":"D\u2019Souza","year":"2021","journal-title":"Mayo Clin Proc"},{"key":"B31","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1089\/cpb.2004.7.497","article-title":"How internet users find, evaluate, and use online health information: a cross-cultural review","volume":"7","author":"Morahan-Martin","year":"2004","journal-title":"Cyberpsychol Behav"},{"key":"B32","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.pec.2014.05.027","article-title":"Development of the patient education materials assessment tool (pemat): a new measure of understandability and actionability for print and audiovisual patient information","volume":"96","author":"Shoemaker","year":"2014","journal-title":"Patient Educ Couns"},{"key":"B33","doi-asserted-by":"publisher","DOI":"10.3390\/nu17050781","article-title":"#Whatieatinaday: the quality, accuracy, and engagement of nutrition content on TikTok","volume":"17","author":"Zeng","year":"2025","journal-title":"Nutrients"},{"key":"B34","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.1016\/j.jaad.2024.10.131","article-title":"Is TikTok the new Google? Content and source analysis of Google and TikTok as search engines for dermatologic content in 2024","volume":"93","author":"Quartey","year":"2025","journal-title":"J Am Acad Dermatol"},{"key":"B35","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1056\/NEJMp2410601","article-title":"Listening to TikTok\u2014patient voices, bias, and the medical Record","volume":"392","author":"Toler","year":"2025","journal-title":"N Engl J Med"},{"key":"B36","doi-asserted-by":"publisher","first-page":"e12971","DOI":"10.1111\/hel.12971","article-title":"YouTube as a source of information on helicobacter Pylori: content and quality analysis","volume":"28","author":"Ergen\u00e7","year":"2023","journal-title":"Helicobacter"},{"key":"B37","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1016\/j.jss.2022.06.037","article-title":"Assessment of esophagectomy videos on YouTube: is peer review necessary for quality?","volume":"279","author":"Uprak","year":"2022","journal-title":"J Surg Res"},{"key":"B38","doi-asserted-by":"publisher","first-page":"104987","DOI":"10.1016\/j.ijmedinf.2023.104987","article-title":"The quality and reliability analysis of YouTube videos about insulin resistance","volume":"171","author":"Shuab","year":"2023","journal-title":"Int J Med Inf"},{"key":"B39","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1111\/1756-185X.14043","article-title":"YouTube as a source of information on fibromyalgia","volume":"24","author":"Ozsoy-Unubol","year":"2021","journal-title":"Int J Rheum Dis"},{"key":"B40","doi-asserted-by":"publisher","first-page":"1776","DOI":"10.1016\/j.joms.2019.04.004","article-title":"Are YouTube videos useful for patients interested in botulinum toxin for bruxism?","volume":"77","author":"Ga\u015f","year":"2019","journal-title":"J Oral Maxillofac Surg"},{"key":"B41","doi-asserted-by":"publisher","first-page":"101002","DOI":"10.1016\/j.asmr.2024.101002","article-title":"YouTube videos provide low-quality educational content about the anterolateral ligament of the knee","volume":"7","author":"D\u2019Ambrosi","year":"2025","journal-title":"Arthrosc Sports Med Rehabil"},{"key":"B42","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-025-02585-3","article-title":"Understanding TikTok\u2019s role in young-onset colorectal cancer awareness and education","author":"Ayer","year":"2025","journal-title":"J Cancer Educ"},{"key":"B43","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1093\/ced\/llaf084","article-title":"Hyperpigmentation and social media: a cross-sectional study of content quality on TikTok","volume":"50","author":"Potluru","year":"2025","journal-title":"Clin Exp Dermatol"},{"key":"B44","doi-asserted-by":"publisher","first-page":"1135","DOI":"10.36849\/jdd.6801","article-title":"Social media platforms as a resource for vitiligo support","volume":"21","author":"Boothby-Shoemaker","year":"2022","journal-title":"J Drugs Dermatol"},{"key":"B45","doi-asserted-by":"publisher","first-page":"e167","DOI":"10.36849\/jdd.7956","article-title":"TikTok and dermatology: questioning the data","volume":"23","author":"Druskovich","year":"2024","journal-title":"J Drugs Dermatol"},{"key":"B46","doi-asserted-by":"publisher","first-page":"ooad013","DOI":"10.1093\/jamiaopen\/ooad013","article-title":"#Coronavirus on TikTok: user engagement with misinformation as a potential threat to public health behavior","volume":"6","author":"Baghdadi","year":"2023","journal-title":"JAMIA Open"},{"key":"B47","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.1126\/science.aap9559","article-title":"The spread of true and false news online","volume":"359","author":"Vosoughi","year":"2018","journal-title":"Science"},{"key":"B48","doi-asserted-by":"publisher","first-page":"112552","DOI":"10.1016\/j.socscimed.2019.112552","article-title":"Systematic literature review on the spread of health-related misinformation on social Media","volume":"240","author":"Wang","year":"2019","journal-title":"Soc Sci Med"},{"key":"B49","doi-asserted-by":"publisher","first-page":"2358","DOI":"10.1016\/j.arth.2018.02.067","article-title":"Artificial intelligence, machine learning, deep learning, and cognitive computing: what do these terms mean and how will they impact health care?","volume":"33","author":"Bini","year":"2018","journal-title":"J Arthroplasty"},{"key":"B50","doi-asserted-by":"publisher","first-page":"104866","DOI":"10.1016\/j.jbi.2025.104866","article-title":"A scoping review of natural language processing in addressing medically inaccurate information: errors, misinformation, and hallucination","volume":"169","author":"Sun","year":"2025","journal-title":"J Biomed Inform"}],"container-title":["Frontiers in Digital Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1622503\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T05:24:20Z","timestamp":1757049860000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fdgth.2025.1622503\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,5]]},"references-count":50,"alternative-id":["10.3389\/fdgth.2025.1622503"],"URL":"https:\/\/doi.org\/10.3389\/fdgth.2025.1622503","relation":{},"ISSN":["2673-253X"],"issn-type":[{"value":"2673-253X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,5]]},"article-number":"1622503"}}