Krasnoryadtseva Alina, Derksen Christina, Dalbeth Nicola, Petrie Keith J
A. Krasnoryadtseva, MSc, K.J. Petrie, PhD, Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand;
C. Derksen, MSc, Department of Health Psychology and Behavioural Medicine, Faculty of Psychology and Methods, Jacobs University Bremen, Bremen, Germany.
J Rheumatol. 2020 Dec 1;47(12):1815-1821. doi: 10.3899/jrheum.191245. Epub 2020 Mar 15.
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.
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.
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.
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.
本研究旨在评估关于痛风及其治疗的哪些概念在痛风在线教育资源的图像中有所体现。
通过谷歌搜索，从澳大利亚、加拿大、爱尔兰、新西兰、南非、英国和美国7个国家的医疗健康组织及健康教育网站中识别英文患者资源。两名评估者将资源中的图像独立编码为5个主要类别：痛风的临床表现、尿酸盐/单钠尿酸盐（MSU）晶体、药物、食物/健康生活方式以及针对痛风患者的其他建议。
共识别出103份资源；排除28份无图像的资源。研究样本纳入了71份共有310张图像的教育资源。在这310张图像中，92张（30%）描绘了痛风的临床表现，73张（24%）为食物/健康生活方式，50张（16%）为尿酸盐/MSU晶体，14张（5%）为药物。降尿酸药物仅在1张图像（0.3%）中出现，仅6张图像（2%）描绘了血清尿酸目标。91张图像（29%）未传达关于痛风的具体信息。
患者教育资源中使用的图像对痛风及其治疗的关键概念呈现不足。很大一部分图像未传达关于痛风或其管理的有用信息。
