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Public-Facing Short Videos on Paediatric General Anaesthesia and Child Neurodevelopment: Quality, Misinformation and
Chong Xu1, Yuchang Fang1, Lei Yao1
1Department of Anesthesiology, Nantong First People's Hospital, Southeast University, Nantong, Jiangsu, China.
Insights
Short videos on pediatric anesthesia are accessible but vary in quality and reliability. Popularity does not guarantee accuracy, and misinformation is common, especially false safety assurances.
Area of Science:
- Medical Education
- Patient Communication
- Digital Health Literacy
Background:
- Caregivers frequently access short videos on pediatric general anesthesia and neurodevelopment pre-consultation.
- Assessing the quality, reliability, and misinformation patterns in these videos is crucial for effective parent-centered risk communication.
Purpose of the Study:
- To evaluate the quality, reliability, and usability of short videos on pediatric general anesthesia.
- To identify misinformation patterns and their implications for parent-centered risk communication.
Main Methods:
- Retrieved 100 videos from Douyin and Bilibili using Chinese search terms on August 15, 2025.
- Two anesthesiologists assessed videos using GQS, MQ-VET, JAMA benchmarks, mDISCERN, and PEMAT-A/V.
- Consulted 10 family contributors to inform study framing and parent-facing interpretation.
Main Results:
- 95 videos were included; Douyin videos had higher engagement but similar quality to Bilibili.
- Misinformation was present in 53.7% of videos, with false safety assurances being most common (45.3%).
- Video duration correlated positively with quality scores (mDISCERN, GQS, MQ-VET); engagement was not a quality indicator.
Conclusions:
- Short videos on pediatric anesthesia are accessible but have variable reliability and transparency.
- Popularity does not equate to quality; misinformation, particularly false reassurance, is prevalent.
- Preoperative communication should address online information, correct inaccuracies, and guide families to credible resources.
Background:
Caregivers may encounter short videos about paediatric general anaesthesia and neurodevelopment before consultation. We assessed their quality, reliability, usability and misinformation patterns, and considered the implications for parent-centred risk communication.
Methods:
On 15 August 2025, we used newly created accounts to retrieve the first 100 results from Douyin and Bilibili for two Chinese search terms. Two anaesthesiologists independently assessed eligible videos using GQS, MQ-VET, JAMA benchmarks, mDISCERN and PEMAT-A/V. A pre-search PPIE consultation, conducted through brief one-to-one discussions with 10 family contributors, informed study framing and parent-facing interpretation.
Results:
Of 200 retrieved videos, 95 were included (Douyin, n = 74; Bilibili, n = 21). Douyin videos attracted more engagement, but quality did not differ by platform. Videos uploaded by anaesthesiologists, hospitals and news agencies tended to score higher than those uploaded by non-anaesthesiologists in several domains, although these subgroup comparisons were exploratory. Misinformation occurred in 51 videos (53.7%); false safety assurances were most common (43/95, 45.3%). After false-discovery-rate correction, stratified analyses showed no significant differences by platform or uploader. Engagement was not a reliable indicator of quality, whereas video duration was positively correlated with mDISCERN, GQS and MQ-VET.
Conclusions:
Short videos were readily accessible but uneven in reliability and transparency. Popularity did not indicate quality. Preoperative communication should address online information, correct binary claims, explain exposure-related modifiers and direct families to trustworthy clinician-produced resources. Caregiver exposure and decision outcomes were not measured.
Patient Or Public Contribution:
Ten family contributors took part in brief one-to-one PPIE consultations during pre-anaesthesia assessment. Their advice supported the use of lay search language and the parent-facing interpretation of omissions and false reassurance. Contributors did not review or score videos, and their views were not treated as individual-level research data.
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