{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:40:46Z","timestamp":1791812446161,"version":"4.3.4"},"reference-count":24,"publisher":"The Journal of Rheumatology","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Rheumatol"],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:sec><jats:title>Objective.<\/jats:title><jats:p>The aim of this study was to evaluate which concepts about gout and its treatment are reflected in images in online educational resources about gout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods.<\/jats:title><jats:p>A Google search was performed to identify English-language patient resources from medical and health organizations and health education websites in 7 countries: Australia, Canada, Ireland, New Zealand, South Africa, UK, and USA. Two raters independently coded the images in the resources into 5 main categories: clinical presentations of gout, urate\/monosodium urate (MSU) crystals, medicines, food\/healthy lifestyle, and other advice for people with gout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results.<\/jats:title><jats:p>In total, 103 resources were identified; 28 resources without images were excluded. Seventy-one educational resources with a total of 310 images were included in the study sample. Of the 310 images, clinical presentations of gout were depicted in 92 images (30%), food\/healthy lifestyle in 73 images (24%), urate\/MSU crystals in 50 (16%), medicines in 14 (5%). Urate-lowering medication was shown only in 1 image (0.3%) and just 6 images (2%) depicted a serum urate target. Ninety-one images (29%) did not convey specific information about gout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion.<\/jats:title><jats:p>Key concepts about gout and treatment are underrepresented in the images used in educational resources for patients. A large proportion of the images do not convey useful information about gout or its management.<\/jats:p><\/jats:sec>","DOI":"10.3899\/jrheum.191245","type":"journal-article","created":{"date-parts":[[2020,3,15]],"date-time":"2020-03-15T16:20:26Z","timestamp":1584289226000},"page":"1815-1821","source":"Crossref","is-referenced-by-count":10,"title":["Not Every Picture Tells a Story: A Content Analysis of Visual Images in Patient Educational Resources About Gout"],"prefix":"10.3899","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4289-233X","authenticated-orcid":false,"given":"Alina","family":"Krasnoryadtseva","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4663-1882","authenticated-orcid":false,"given":"Christina","family":"Derksen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4632-4476","authenticated-orcid":false,"given":"Nicola","family":"Dalbeth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6337-2480","authenticated-orcid":false,"given":"Keith J.","family":"Petrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2262","published-online":{"date-parts":[[2020,3,15]]},"reference":[{"key":"2022062017050896000_47.12.1815.1","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1002\/art.40807","article-title":"Contemporary Prevalence of Gout and Hyperuricemia in the United States and Decadal Trends: The National Health and Nutrition Examination Survey, 2007\u20132016","volume":"71","author":"Chen-Xu","year":"2019","journal-title":"Arthritis Rheumatol"},{"key":"2022062017050896000_47.12.1815.2","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1093\/rheumatology\/kex156","article-title":"The British Society For Rheumatology guideline for the management of gout","volume":"56","author":"Hui","year":"2017","journal-title":"Rheumatology"},{"key":"2022062017050896000_47.12.1815.3","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21772"},{"key":"2022062017050896000_47.12.1815.4","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2013-203325"},{"key":"2022062017050896000_47.12.1815.5","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2011-200801"},{"key":"2022062017050896000_47.12.1815.6","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2016-209707"},{"key":"2022062017050896000_47.12.1815.7","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201676"},{"key":"2022062017050896000_47.12.1815.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32158-5"},{"key":"2022062017050896000_47.12.1815.9","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1002\/acr.22981","article-title":"Adequacy of Online Patient Information Resources on Gout and Potentially Curative Urate-Lowering Treatment","volume":"69","author":"Jimenez-Li\u00f1an","year":"2017","journal-title":"Arthritis Care Res"},{"key":"2022062017050896000_47.12.1815.10","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-013-2168-8"},{"key":"2022062017050896000_47.12.1815.11","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.141442"},{"key":"2022062017050896000_47.12.1815.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.05.004"},{"key":"2022062017050896000_47.12.1815.13","doi-asserted-by":"crossref","first-page":"1598","DOI":"10.1016\/j.ijnurstu.2012.07.005","article-title":"Can theory be embedded in visual interventions to promote self-management? 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