{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:27:36Z","timestamp":1777890456106,"version":"3.51.4"},"reference-count":44,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100012253","name":"Guangxi University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100012253","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004607","name":"Guangxi Natural Science Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004607","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012547","name":"Natural Science Foundation of Guangxi Zhuang Autonomous Region","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012547","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012547","name":"Natural Science Foundation of Guangxi Zhuang Autonomous Region","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012547","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014969","name":"Guilin Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100014969","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to develop and evaluate an Intelligent Empowerment Education-based System (IEES), which integrates empowerment education, refined management protocols, and smart technologies, for application among gout patients in resource-limited suburban settings. The primary goal was to address key challenges including suboptimal self-management capacity, poor treatment adherence, and unfavorable long-term clinical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A smart gout management system was developed using a SpringBoot+Vue framework, incorporating deep learning algorithms for personalized recommendations. A total of 90 gout patients admitted to a community health service center from January 2023 to December 2023 were randomly divided into a control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f45) and an observation group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f45) according to a random number table. The control group received routine outpatient health education, while the observation group received an additional intervention based on empowerment education combined with refined management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The system was successfully developed with key performance indicators including response time &amp;lt;200\u202fms and prediction accuracy of 89.7%. The self-management ability score of the observation group was (145.6\u202f\u00b1\u202f4.5), significantly higher than that of the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). The fasting serum uric acid (SUA) value of the observation, and the liver and kidney function were significantly lower than those of the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The intelligent empowerment education disease management system significantly improved SUA control, self-management ability, and renal function in suburban gout patients. This \u201cInternet+\u201d chronic disease management model demonstrates promise for scalable application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1753575","type":"journal-article","created":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:37:51Z","timestamp":1777613871000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and testing of a smart empowerment education system for gout patients in suburban areas"],"prefix":"10.3389","volume":"14","author":[{"given":"Tao","family":"Jiang","sequence":"first","affiliation":[{"name":"School of Humanities and Management, Guilin Medical University","place":["Guilin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liyuan","family":"Ge","sequence":"additional","affiliation":[{"name":"School of Public Health, Guilin Medical University","place":["Guilin, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xinguo","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Public Health, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lifeng","family":"Zhou","sequence":"additional","affiliation":[{"name":"Huinan Community Health Service Center","place":["Shanghai, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"380","DOI":"10.1038\/s41584-020-0441-1","article-title":"Global epidemiology of gout: prevalence, incidence, treatment patterns and risk factors","volume":"16","author":"Dehlin","year":"2020","journal-title":"Nat Rev Rheumatol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s10389-017-0812-5","article-title":"The 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