Ofanoa Samuela, Ofanoa Malakai, Tu'akoi Siobhan, Lutui Hinamaha, Heather Maryann, Goodyear-Smith Felicity
Pacific Health Section, University of Auckland, 507, 28 Park Avenue, Grafton, Auckland, 1023, New Zealand.
Southpoint Family Doctors, Auckland, New Zealand.
Int J Equity Health. 2025 Apr 2;24(1):91. doi: 10.1186/s12939-025-02465-8.
This study aims to explore the views of Pacific people on how to improve the management of urate-lowering therapy among Pacific gout patients in South Auckland.
The study used the Fa'afaletui model to explore the views on gout management across different perspectives of Pacific community members and health professionals working in health providers with high Pacific patient populations. Three workshops were delivered with the community and health professionals. All data were collected by note-takers and analysed using a general inductive approach. Participants were given the opportunity to review the results of the previous workshop before starting the next one.
The key findings from this study clustered into three key themes: [1] Gout interventions guided by Pacific frameworks and research; [2] a multifaceted approach including education, improved access to treatment and screening for gout, and strategies to help Pacific gout patients remain engaged and adherent; and [3] Pacific gout champions.
This study presents the views of community members of how to improve the uptake of urate-lowering therapy among Pacific gout patients. The community highlighted the need for a multifaceted intervention governed by a Pacific model, addressing access barriers and education for Pacific gout patients.
本研究旨在探讨太平洋岛民对于如何改善南奥克兰太平洋痛风患者降尿酸治疗管理的看法。
本研究采用法阿法莱图伊模型，从太平洋社区成员以及在太平洋患者数量众多的医疗机构工作的卫生专业人员的不同视角，探讨痛风管理的相关看法。与社区成员和卫生专业人员举办了三场研讨会。所有数据由记录员收集，并采用一般归纳法进行分析。在下一场研讨会开始前，参与者有机会查看上一场研讨会的结果。
本研究的主要发现归纳为三个关键主题：[1] 以太平洋框架和研究为指导的痛风干预措施；[2] 多方面的方法，包括教育、改善痛风治疗和筛查的可及性，以及帮助太平洋痛风患者持续参与并坚持治疗的策略；[3] 太平洋痛风倡导者。
本研究呈现了社区成员对于如何提高太平洋痛风患者降尿酸治疗接受度的看法。社区强调需要以太平洋模式为指导进行多方面干预，解决太平洋痛风患者的就医障碍和教育问题。
