Lookup NU author(s): Dr Jennifer Liddle
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
BackgroundAlthough international guidelines encourage urate lowering therapy (ULT) for people who have more than two attacks of gout, only 30 % of patients are prescribed it and only 40 % of those adhere to the treatment. The aim was to explore reasons for this through an exploration of patient experience and understanding of ULT treatment for gout.MethodsA qualitative study was conducted throughout the United Kingdom. Narrative and semi-structured video-recorded interviews and thematic analysis were used.ResultsParticipants talked about their views and experiences of treatment, and the factors that affected their use of ULT. The analysis revealed five main themes: 1) knowledge and understanding of gout and its treatment; 2) resistance to taking medication; 3) uncertainty about when to start ULT; 4) experiences of using ULT; and 5) desire for information and monitoring.ConclusionPatients’ understanding and experiences of gout and ULT are complex and it is important for clinicians to be aware of these when working with patients. It is also important for clinicians to know that patients’ perceptions and behaviour are not fixed, but can change over time, with changes to their condition, with dialogue and increased understanding. Patients want this interaction with their clinicians, through “a joint effort over a period of time”.
Author(s): Richardson JC, Liddle J, Mallen CD, Roddy E, Hider S, Prinjha S, Ziebland S
Publication type: Article
Publication status: Published
Journal: BMC Musculoskeletal Disorders
Online publication date: 06/06/2016
Acceptance date: 02/06/2016
Publisher: BioMed Central Ltd.
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