Journal article
A joint effort over a period of time: factors affecting use of urate-lowering therapy for long-term treatment of gout
- Abstract:
- Although 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.A qualitative study was conducted throughout the United Kingdom. Narrative and semi-structured video-recorded interviews and thematic analysis were used.Participants 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.Patients' 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".
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 816.4KB, Terms of use)
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- Publisher copy:
- 10.1186/s12891-016-1117-5
Authors
- Publisher:
- BioMed Central
- Journal:
- BMC Musculoskeletal Disorders More from this journal
- Volume:
- 17
- Issue:
- 249
- Pages:
- 1-8
- Publication date:
- 2016-06-06
- Acceptance date:
- 2016-06-02
- DOI:
- ISSN:
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1471-2474
- Pmid:
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27267878
- Language:
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English
- Keywords:
-
- Pubs id:
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pubs:628363
- UUID:
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uuid:f298e340-d861-4894-8ac1-0a22ec44b2f9
- Local pid:
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pubs:628363
- Source identifiers:
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628363
- Deposit date:
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2018-01-12
- ARK identifier:
Terms of use
- Copyright holder:
- © Richardson, et al 2016
- Copyright date:
- 2016
- Notes:
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Licence:
- CC Attribution (CC BY)
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