Evidence map›Paper›PMID 41824425›Full record

ArticlePloS one2026

Evaluating the quality of social media content on metabolic dysfunction associated steatotic liver disease: An experience from a lower middle-income country.

Madunil Anuk Niriella, Indeewari Prathibha Wijesingha, Krishanni Prabagar, Dhanushi Abeynayake, Hiruni Jayasena, Piyal Rangana Herath, Anuratha Kajendran, Vithiya Rishikesavan, Karthiha Balendran, Tiloka de Silva and 2 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Madunil Anuk NiriellaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.ORCID https://orcid.org/0000-0002-7213-5858
Indeewari Prathibha WijesinghaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Krishanni PrabagarFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Dhanushi AbeynayakeAmbilipitiya District General Hospital, Ambilipitiya, Sri Lanka.
Hiruni JayasenaFaculty of Medicine, Sir John Kothalawala Defence University, Dehiwala- Mount Lavinia, Sri Lanka.
Piyal Rangana HerathPolonnaruwa Teaching Hospital, Polonnaruwa, Sri Lanka.
Anuratha KajendranJaffna National Hospital, Jaffna, Sri Lanka.
Vithiya RishikesavanKaluthara Teaching Hospital, Kaluthara, Sri Lanka.
Karthiha BalendranFaculty of Medicine, University of Jaffna, Jaffna, Sri Lanka.
Tiloka de SilvaFaculty of Business, University of Moratuwa, Katubedda, Sri Lanka.
Arjuna Priyadarshin De SilvaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Hithanadura Janaka de SilvaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetabolic dysfunction associated with steatotic liver disease (MASLD)/non-alcoholic fatty liver disease (NAFLD) represents a significant public health concern. Social media (SoMe) increasingly influences health perceptions in lower-middle-income countries, with one-third of Sri Lanka's population using SoMe for health information. Assessing MASLD content quality on SoMe is therefore important. AIMS &

methodsThis cross-sectional study assessed accuracy, completeness, and quality of MASLD content across Facebook, YouTube, TikTok, Instagram, and X in Sinhala, English, and Tamil from Sri Lanka (January 2005-December 2024). Board-certified gastroenterologists independently reviewed posts using standardised scales for accuracy (0-3), completeness (0-5), and global quality score (GQS) (0-5). Posts were categorised by source profile and content type, with user interactions analysed.

resultsAnalysis included 289 posts: 158 (54.7%) YouTube, 101 (34.9%) Facebook, 14 (4.8%) TikTok, 11 (3.8%) X, 5 (1.7%) Instagram. Languages: 214 (74.0%) Sinhala, 54 (18.7%) Tamil, 21 (7.3%) English. Content sources: undisclosed identity (36.0%), non-healthcare persons (26.0%), healthcare professionals (22.1%), alternative healthcare professionals (14.2%), healthcare institutions (1.7%). Health promotion (61.9%) was the predominant content type. Mean accuracy was 1.78/3 (59.3%), with healthcare professionals scoring highest (2.35/3, 78.5%) versus others (51.0-55.1%; p < 0.001). Completeness averaged 2.1/5 (42%), with English content scoring higher than Sinhala and Tamil. GQS averaged 2.4/5 (48.4%). 82% of posts were classified as "Rotten" (<60% score for each metric). Facebook and YouTube showed significantly higher completeness and GQS (p < 0.05). User engagement metrics showed no correlation with content quality.

conclusionMost SoMe content originated from non-healthcare sources. Healthcare professionals delivered the most accurate content. Facebook and YouTube showed relatively higher content quality scores, though comparisons are limited by the small number of posts from other platforms. Overall quality remained suboptimal across platforms, with 82% failing adequate standards. User engagement didn't correlate with quality. These findings highlight the need for improved quality control and health literacy initiatives for MASLD information on SoMe platforms.

Indexed as

Non-alcoholic Fatty Liver DiseaseSocial MediaCross-Sectional StudiesDigital MediaHumansSri Lanka

Identifiers

PMID41824425
PMCPMC12987461

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.