Quality of internet videos related to exercise therapy of ankylosing spondylitis from mainland China
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Rheumatologie Originalien Z Rheumatol https://doi.org/10.1007/s00393-020-00934-9 Accepted: 4 November 2020
Yan Sang1,2 · Jialing Chen3,4 · Huiling Dai4 · Tiantian Chen5 · Bing Chen4 · Xia Li4 · Xiaohua Shen1 · Hailin Jiang2 1
Department of Nursing, Affiliated Hospital of Nantong University, Nantong, China Department of Computer Technology, Affiliated Hospital of Nantong University, Nantong, China 3 Department of Nursing, Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China 4 Medical College, Nantong University, JiangSu, China 5 Department of Nursing, Northern Jiangsu People’s Hospital, Yangzhou, China 2
© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2020 Redaktion U. Müller-Ladner, Bad Nauheim U. Lange, Bad Nauheim
Quality of internet videos related to exercise therapy of ankylosing spondylitis from mainland China Content analysis Introduction Ankylosing spondylitis (AS) is a chronic rheumatic disease that primarily affects the axial skeleton and is characterized by pain and functional impairments [1]. As the disease progresses, it causes functional disability, body image disturbance, and poor quality of life [2]. The total prevalence of AS in mainland China was reported to be 0.29% over the past 15 years [3]. For decades, exercise and non-steroidal anti-inflammatory drugs (NSAIDs) have been the main methods to control symptoms [4]. Regarding nonpharmacological treatments for AS, exercise is a key component [5, 6]. In fact, several studies have revealed that exercise improves AS patients’ quality of life, disease activity, and daily functioning [7–9]. However, people with AS were reported to have a predominately poor adherence to prescribed exercise [7]. Similar findings were reported in a previous study from our group, which revealed that only 20.5% of AS patients in China adhered to the standard exercise program and were knowledgeable about the exercises [9]. Hence, managing AS has long been a challenge for both clinicians and patients.
Y. Sang, J. Chen, and H. Dai contributed equally to this work and share first authorship.
As health consciousness increases in society, AS patients, who are informed about the importance of exercise by their doctors, might seek out health-related knowledge to learn how to actually perform the suitable exercise. In addition, given the rapid development of the internet and the popularization of smartphones, there are wider opportunities for treatment providers or others to use social media to deliver health information. In general, people enjoy using the internet to search for health information [10–12]. Therefore, the internet provides a unique opportunity for people to learn about health-related behavior [11]. Furthermore, AS is more common in young men, who are at the same time the most frequent users of the internet [13]. Given these findings, it is reasonable to assume that online video websites can play a key role in teaching AS patient how to exercise. In mainland China there are many kinds of video websites. According to the
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