How Can We Improve Disease Education in People with Gout?

Curr Rheumatol Rep. 2018 Mar 8;20(3):12. doi: 10.1007/s11926-018-0720-x.

Abstract

Purpose of review: Gout management is currently suboptimal despite excellent available therapy. Gout patient education has been shown to enhance medication adherence and self-management, but needs improvement. We explored the literature on gout patient education including gaps in gout patient knowledge; use of written materials; in-person individual and group sessions; education via nurses, pharmacists, or multi-disciplinary groups; and use of phone, web-based, mobile health app, and text messaging educational efforts.

Recent findings: Nurse-led interventions have shown significant improvement in reaching urate goals. Pharmacist-led programs have likewise succeeded, but to a lesser degree. A multi-disciplinary approach has shown feasibility. Needs-assessments, patient questionnaires, and psychosocial evaluations can enhance targeted education. An interactive and patient-centered approach can enhance gout educational interventions. Optimal programs will assess for and address educational needs related to knowledge gaps, health literacy, race, gender, socio-economic status, and level of social support.

Keywords: Adherence; Crystal arthritis; Gout; Multi-disciplinary care; Patient education; Self-management.

Publication types

  • Review

MeSH terms

  • Gout / drug therapy*
  • Gout / psychology
  • Gout Suppressants / therapeutic use*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Medication Adherence
  • Needs Assessment
  • Patient Education as Topic / methods
  • Patient Education as Topic / standards*

Substances

  • Gout Suppressants