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Effectiveness of an electronic patient-centred self-management tool for gout sufferers: a cluster randomised controlled trial protocol.


ABSTRACT:

Introduction

Gout is increasing despite effective therapies to lower serum urate concentrations to 0.36 mmol/L or less, which, if sustained, significantly reduces acute attacks of gout. Adherence to urate-lowering therapy (ULT) is poor, with rates of less than 50% 1 year after initiation of ULT. Attempts to increase adherence in gout patients have been disappointing. We aim to evaluate the effectiveness of use of a personal, self-management, 'smartphone' application (app) to achieve target serum urate concentrations in people with gout. We hypothesise that personalised feedback of serum urate concentrations will improve adherence to ULT.

Methods and analysis

Setting and designPrimary care. A prospective, cluster randomised (by general practitioner (GP) practices), controlled

SUBMITTER: Day RO 

PROVIDER: S-EPMC5652564 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature