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Knowledge, illness perceptions and stated clinical practice behaviour in management of gout: a mixed methods study in general practice
Citation
Spaetgens, B and Pustjens, T and Scheepers, LEJM and Janssens, HJEM and van der Linden, S and Boonen, A, Knowledge, illness perceptions and stated clinical practice behaviour in management of gout: a mixed methods study in general practice, Clinical Rheumatology, 35, (8) pp. 2053-2061. ISSN 0770-3198 (2016) [Refereed Article]
Copyright Statement
Copyright 2016 Springer
DOI: doi:10.1007/s10067-016-3212-2
Abstract
The objective of the present study is to explore
knowledge, illness perceptions and stated practice behaviour
in relation to gout in primary care. This is a mixed methods
study among 32 general practitioners (GPs). The quantitative
assessment included the Gout Knowledge Questionnaire
(GKQ; range 010; better) and Brief Illness Perceptions
Questionnaire (BIPQ; nine items, range 010; stronger).
Structured individual interviews obtained further qualitative
insight into knowledge and perceptions, in the context of daily
practice. Among 32 GPs, 18 (56.3 %) were male, mean age
44.4 years (SD 9.6) and mean working experience 17.1 years
(SD 9.7). Median score [interquartile ranges (IQR)] on the
GKQ was 7.8 [6.78.9] and 9.0 [8.010.0], when presented
as open or multiple-choice questions, respectively. The BIPQ
(median; [IQR]) revealed that gout was seen as a chronic
disease (8.0; [7.09.0]), affecting life and emotions moderately (6.5; [5.07.0]), having many severe symptoms (8.0; [7.0
9.0]) and in which treatment could be very helpful (8.0; [7.0
9.0]). Further interviews revealed large variation in specific
aspects of knowledge and about gaps concerning indications
for uric acid-lowering therapy (UALT), duration of UALT,
target serum uric acid (sUA) level or duration of prophylactic
treatment. Finally, patients adherence was not checked systematically. Specific knowledge gaps and discrepancies between perceptions and stated practice behaviour were identified, which might hamper effective management of this welltreatable disease. Improving evidence on the rationale and
effectiveness of treatment targets and adherence interventions,
tailoring guidelines to general practice and intensification of
implementation of guidelines in primary health care seem to
be needed.
Item Details
Item Type: | Refereed Article |
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Keywords: | gout, primary care, general practitioner, attitudes, illness perception, health beliefs |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Clinical sciences |
Research Field: | Rheumatology and arthritis |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Treatment of human diseases and conditions |
UTAS Author: | Scheepers, LEJM (Dr Lieke Scheepers) |
ID Code: | 142398 |
Year Published: | 2016 |
Web of Science® Times Cited: | 12 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2021-01-14 |
Last Modified: | 2021-02-11 |
Downloads: | 0 |
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