'Ofanoa Samuela, 'Ofanoa Malakai, Tu'akoi Siobhan, Tohi Melenaite, Heather Maryann, Lutui Hinamaha, Lamont Rose, Goodyear-Smith Felicity
Pacific Health Department, School of Population Health, University of Auckland, Auckland 1023, New Zealand.
Southpoint Family Doctors, Auckland 2104, New Zealand.
Healthcare (Basel). 2025 Aug 22;13(17):2089. doi: 10.3390/healthcare13172089.
BACKGROUND/OBJECTIVES: Pacific peoples in Aotearoa, New Zealand experience the highest burden of gout globally, yet there is still a lack of awareness and understanding of the disease. A Pacific community group and Pacific health professional network co-designed Pacific gout resources to improve understanding. The aim of this study is to identify and discuss the current state and perceptions of Pacific gout education, and explore health professionals' views on Pacific co-designed resources and their usefulness in clinical settings.
The Fa'afaletui model was utilised to conduct semi-structured Talanga interviews with 14 health professionals in Auckland, New Zealand who work in primary care clinics. The interview explored their views on providing gout education and on the feasibility of the Pacific co-designed gout resources. Talanga interviews were audio recorded and thematically analysed.
Overall, health professionals responded positively to the co-designed resources, identifying the benefits of supporting primary care consultations and improving Pacific patients' understanding of gout. The key findings were summarised in five main themes: (1) health system barriers to gout education, (2) misleading information, (3) health professionals' experiences of providing health education, (4) general impressions of Pacific co-designed resources, and (5) the feasibility of Pacific co-designed educational resources in a clinical setting.
This study presents the views of health professionals in providing health education related to gout and on the feasibility of Pacific co-designed educational resources. It reinforces the significance of involving communities in the design and implementation of interventions to ensure they are culturally safe, relevant, and have long-term impacts on gout management.
背景/目标：在新西兰奥塔哥的太平洋岛民是全球痛风负担最重的人群，但对该疾病仍缺乏认识和了解。一个太平洋社区团体和太平洋卫生专业人员网络共同设计了太平洋痛风资源，以增进了解。本研究的目的是识别和讨论太平洋痛风教育的现状及看法，并探讨卫生专业人员对太平洋共同设计的资源及其在临床环境中的实用性的看法。
采用法阿法莱图伊模型，对新西兰奥克兰14名在初级保健诊所工作的卫生专业人员进行半结构化塔拉纳访谈。访谈探讨了他们对提供痛风教育以及太平洋共同设计的痛风资源可行性的看法。塔拉纳访谈进行了录音并进行了主题分析。
总体而言，卫生专业人员对共同设计的资源给予了积极回应，指出了支持初级保健咨询和提高太平洋患者对痛风理解的益处。主要发现总结为五个主要主题：（1）痛风教育的卫生系统障碍，（2）误导性信息，（3）卫生专业人员提供健康教育的经验，（4）对太平洋共同设计资源的总体印象，以及（5）太平洋共同设计的教育资源在临床环境中的可行性。
本研究呈现了卫生专业人员在提供与痛风相关的健康教育以及太平洋共同设计的教育资源可行性方面的观点。它强化了让社区参与干预措施的设计和实施的重要性，以确保这些措施在文化上是安全的、相关的，并且对痛风管理有长期影响。
