{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T10:54:05Z","timestamp":1774695245781,"version":"3.50.1"},"reference-count":28,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":2421,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,10,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION<\/jats:title>\n                    <jats:p>Gout is a common form of arthritis that is typically managed in primary care. Gout management guidelines emphasise patient education for successful treatment outcomes, but there is limited literature about the educational experiences of people living with gout in New Zealand, particularly for M\u0101ori, who have higher gout prevalence and worse gout outcomes than P\u0101keh\u0101.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>AIM<\/jats:title>\n                    <jats:p>To explore gout patient education in primary care from the perspectives of M\u0101ori and P\u0101keh\u0101 people with gout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>In total, 69 people with gout were recruited through primary care providers in three locations across New Zealand. Nine semi-structured focus groups were run with M\u0101ori and P\u0101keh\u0101 participants in separate groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Thematic analysis yielded two themes in relation to gout education: (i) \u2018Multiple sources of gout education\u2019; and (ii) \u2018Gaps in gout knowledge\u2019. Participants received education from general practitioners, educational resources, family and friends, and their own experiences. M\u0101ori participants preferred information to be kanohi-ki-te-kanohi (face-to-face) and with significant others present where necessary. Participants disclosed gaps in gout\u2019s epidemiology and management. P\u0101keh\u0101 and M\u0101ori participants reported limited understanding of the genetic basis of gout or the biological underpinnings of the condition and its treatments, but learned treatment adherence through experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION<\/jats:title>\n                    <jats:p>Despite improved gout patient education, knowledge gaps remain and may contribute to poor medication adherence. Gout patient education interventions need to be tailored to culture and incorporate suitable methods of disseminating information about gout management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc18010","type":"journal-article","created":{"date-parts":[[2018,10,4]],"date-time":"2018-10-04T02:49:55Z","timestamp":1538621395000},"page":"194-200","source":"Crossref","is-referenced-by-count":13,"title":["Improving gout education from patients\u2019 perspectives: a focus group study of M\u0101ori and P\u0101keh\u0101 people with gout"],"prefix":"10.1071","volume":"10","author":[{"given":"Cassandra J.","family":"Rolston","sequence":"first","affiliation":[{"name":"ADepartment of Psychology, University of Otago, Dunedin, New Zealand"},{"name":"HThese two authors contributed equally to this paper"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamlin S.","family":"Conner","sequence":"additional","affiliation":[{"name":"ADepartment of Psychology, University of Otago, Dunedin, New Zealand"},{"name":"HThese two authors contributed equally to this paper"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa K.","family":"Stamp","sequence":"additional","affiliation":[{"name":"BDepartment of Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tia","family":"Neha","sequence":"additional","affiliation":[{"name":"CSchool of Psychology, Victoria University, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Pitama","sequence":"additional","affiliation":[{"name":"DM\u0101ori\/Indigenous Health Institute, University of Otago, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niamh","family":"Fanning","sequence":"additional","affiliation":[{"name":"BDepartment of Medicine, University of Otago, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ron","family":"Janes","sequence":"additional","affiliation":[{"name":"EWairoa Medical Centre, Wairoa, Hawkes Bay, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Judd","sequence":"additional","affiliation":[{"name":"FKaikoura Medical Centre, Kaikoura, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben","family":"Hudson","sequence":"additional","affiliation":[{"name":"GDepartment of General Practice, University of Otago, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roisin M.","family":"Hegarty","sequence":"additional","affiliation":[{"name":"ADepartment of Psychology, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gareth J.","family":"Treharne","sequence":"additional","affiliation":[{"name":"ADepartment of Psychology, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2018,10,4]]},"reference":[{"issue":"1","key":"2025111814511339800_R1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1093\/rheumatology\/ker361","article-title":"Gout.","volume":"165","author":"Neogi","year":"2016","journal-title":"Ann Intern Med."},{"issue":"5","key":"2025111814511339800_R2","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1093\/rheumatology\/ker361","article-title":"National prevalence of gout derived from administrative health data in Aotearoa New Zealand.","volume":"51","author":"Winnard","year":"2012","journal-title":"Rheumatology."},{"issue":"2","key":"2025111814511339800_R3","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1007\/s10067-012-2110-5","article-title":"The experience and impact of gout in M\u0101ori and Pacific people: a prospective observational study.","volume":"32","author":"Dalbeth","year":"2013","journal-title":"Clin Rheumatol."},{"issue":"1404","key":"2025111814511339800_R4","first-page":"37","article-title":"Variation in gout care in Aotearoa New Zealand: a national analysis of quality markers.","volume":"127","author":"Jackson","year":"2014","journal-title":"N Z Med J."},{"issue":"7","key":"2025111814511339800_R5","doi-asserted-by":"publisher","first-page":"963","DOI":"10.1007\/s00296-013-2935-5","article-title":"Allopurinol use in a New Zealand population: prevalence and adherence.","volume":"34","author":"Horsburgh","year":"2014","journal-title":"Rheumatol Int."},{"issue":"1","key":"2025111814511339800_R6","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/s12875-016-0515-y","article-title":"\u201cIt\u2019s complicated\u201d - 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