Health Expect. 2025 Oct;28(5):e70408. doi: 10.1111/hex.70408.
ABSTRACT
BACKGROUND: User-generated content (UGC) on YouTube has reshaped news dissemination, fostered engagement, raised concerns about credibility, algorithmic influence and the spread of misinformation. This study addresses the gap in understanding how UGC engagement, trust and algorithmic awareness influence digital news consumption.
METHODS: A convergent parallel mixed-methods design was employed, integrating survey data (n = 100), qualitative interviews and content analysis of 200 YouTube news videos. Data were collected over 6 weeks. Quantitative analyses included ANOVA, multivariate regression and structural equation modelling (SEM), while qualitative data were thematically analysed to contextualise statistical findings.
RESULTS: UGC news consumption (M = 3.21, SD = 1.14) exceeded traditional news (M = 2.95, SD = 1.20), with trust in UGC (M = 3.48, SD = 1.05) surpassing traditional sources (M = 3.12, SD = 1.17). SEM analysis confirmed that UGC engagement significantly increased trust (β = 0.42, p < 0.001), while algorithmic influence negatively affected trust (β = -0.33, p = 0.015). Sensationalist content attracted higher engagement (30.0%) but had lower credibility, with misinformation prevalent in 38.0% of analysed videos.
CONCLUSION: Findings highlight the need for platform transparency, stronger content verification and policy interventions to balance engagement-driven algorithms and news credibility. Media literacy initiatives are crucial for equipping users with the critical evaluation skills they need.
PMID:40888149 | DOI:10.1111/hex.70408
