Skip to Content

Journalism and Media

Journalism and Media is an international, peer-reviewed, open access journal on journalism and the media, published quarterly online by MDPI.

Quartile Ranking JCR - Q2 (Communication)

Get Alerted

Add your email address to receive forthcoming issues of this journal.

All Articles (585)

Credibility, Authenticity and Communication Strategies of Multiple Sclerosis E-Patients on Social Media

  • Raquel Martínez-Sanz,
  • Patricia Durántez-Stolle and
  • Valeriano Piñeiro-Naval

Social media has become a key space for health communication, fostering the emergence of the e-patient influencer, a figure capable of generating a support community around themselves. In the case of multiple sclerosis (MS), a complex disease with an uncertain prognosis, these profiles can influence the perception and management of the disease. Therefore, credibility and authenticity are identified as key constructs for truly understanding the effectiveness of their communication. Through content analysis, the main active profiles on Instagram and TikTok are examined to recognise narrative patterns, communication strategies and different levels of credibility and authenticity, as well as potential differences between those platforms involved. The results show, on both networks, a predominance of empathetic content focused on the daily management of this disease. Furthermore, a positive, albeit moderate, relationship between credibility and authenticity is found, confirming the importance of these two concepts in social media. Instagram shows slightly higher degrees of credibility, while authenticity is more predominant on TikTok, fostered by the spontaneity and transparency of its creators.

23 March 2026

Priority orientation of posts sorted by social network. Source: Own elaboration.

In the social media era, “trial by media” has evolved into widespread public participation in “trial by public opinion,” posing complex challenges to procedural justice. Existing research often focuses on macro-theory or linear effects, lacking exploration into the meso-level mechanisms of how multiple conditions combine. To address this gap, this study employs fuzzy-set Qualitative Comparative Analysis (fsQCA) to systematically examine how nine antecedent conditions—including case attributes, dissemination features, and socio-emotional structures—combine to trigger trial by public opinion, based on 22 high-profile Chinese judicial cases from 2014 to 2025. The findings reveal no single necessary condition but five sufficient causal paths, which converge into three core configurations: the “Collective Moral Outrage” configuration (triggered by heinous crimes), the “Reactive Confrontation” configuration (arising from public power disputes), and the “Collective Speculation” configuration (catalyzed by factual ambiguity). Moving beyond the binary debate of “whether influence occurs,” this study constructs a configurational theoretical framework that elucidates the heterogeneous pathways and underlying socio-psychological dynamics behind the formation of public opinion trials. The conclusions provide empirical and theoretical insights for developing precise judicial communication, public guidance, and governance strategies tailored to different risk types in the digital age.

23 March 2026

  • Correction
  • Open Access

There was an error in the original publication (Arango Pastrana et al [...]

20 March 2026

  • Correction
  • Open Access

This correction refers to the original article (Kucukalic Ibrahimovic, 2026) [...]

20 March 2026

News & Conferences

Volumes

Latest Issues

Open for Submission

Editor's Choice

XFacebookLinkedIn
Journal. Media - ISSN 2673-5172