{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T18:43:51Z","timestamp":1788979431142,"version":"build-2803163510"},"reference-count":43,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T00:00:00Z","timestamp":1684195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Gout is a chronic disease that can be effectively managed with long\u2010term urate\u2010lowering therapy. However, it is frequently portrayed on screen as an acute disease caused by a poor diet that should be managed with lifestyle changes. This study was undertaken to investigate the impact of a fictional television depiction of gout on perceptions of the disease and its management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a randomized controlled single\u2010blind study, 200 members of the public watched either a 19\u2010minute commercial television comedy episode that depicted gout as an acute disease caused by poor diet and managed with lifestyle changes, or a control episode from the same television series that did not mention gout or other diseases. Participants completed a survey regarding their perceptions of gout, its likely causes, and management strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants randomized to watch the gout\u2010related episode believed gout had greater consequences (mean score of 7.1 versus 6.2 on an 11\u2010point Likert scale; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and were more likely to rank the most important cause as poor eating habits compared to the control group (70% versus 38%; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). They were also less likely to believe it is caused by genetic factors or chance. Participants watching the gout\u2010related episode believed a change in diet would be a more effective management strategy (9.0 versus 8.4; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.004) and long\u2010term medication use would be less effective (6.9 versus 7.6; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.007) compared to participants in the control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Television depictions of gout can perpetuate inaccurate beliefs regarding causes of the disease and underemphasize effective medical strategies required in chronic disease management.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25130","type":"journal-article","created":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T04:36:30Z","timestamp":1681187790000},"page":"2151-2157","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Impact of Television Depictions of Gout on Perceptions of Illness: A Randomized Controlled Trial"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9842-0721","authenticated-orcid":false,"given":"Rachel","family":"Murdoch","sequence":"first","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Borislav","family":"Mihov","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne M.","family":"Horne","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6337-2480","authenticated-orcid":false,"given":"Keith J.","family":"Petrie","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory D.","family":"Gamble","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4632-4476","authenticated-orcid":false,"given":"Nicola","family":"Dalbeth","sequence":"additional","affiliation":[{"name":"University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,5,16]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-217050"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780150209"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41588-019-0504-x"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2007.05.013"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41247"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-215315"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2006.060368"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.10511"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32158-5"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23515"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.12661"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-204463"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0b013e318204a8f9"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2011-200801"},{"key":"e_1_2_8_16_1","first-page":"1","article-title":"Gout: framing and fantasizing disease","volume":"68","author":"Porter R.","year":"1994","journal-title":"Bull Hist Med"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000548"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22879"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s41927-020-00174-z"},{"key":"e_1_2_8_20_1","unstructured":"Centers for Disease Control and Prevention.TV drama\/comedy viewers and health information: 2005 Porter Novelli HealthStyles Survey.2005. 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