Amber L Kennedy, Beverley J Vollenhoven, Richard J Hiscock, Catharyn J Stern, Susan P Walker, Jeanie L Y Cheong, Jon L Quach, Roxanne Hastie, David Wilkinson, John McBain, Lyle C Gurrin, Vivien MacLachlan, Franca Agresta, Susan P Baohm, Stephen Tong, Anthea C Lindquist
School-age outcomes among IVF-conceived children: A population-wide cohort study
PLoS medicine
patients gout suboptimal management refers lack disease knowledge low treatment compliance inadequate control serum uric acid sua levels several studies shown continuous care recommended disease management patients gout however china continuous care model commonly used patients gout requires significant labor time costs efficiency coverage remain low mobile health mhealth may able address issues study aimed explore impact mhealthbased continuous care improving gout knowledge treatment compliance reducing sua levels study singlecenter singleblind parallelgroup randomized controlled trial participants recruited west china hospital sichuan university chengdu china february 2021 july 2021 randomly assigned intervention control groups intervention group received continuous care via mhealth app includes modules health records 24 weeks goutrelated health education materials interactive support control group received routine continuous care including facetoface health education paperbased health education materials consistent content intervention group telephone consultations initiated patient followup conducted 6 months participants gout knowledge levels treatment compliance measured baseline 12th 24th weeks participants sua levels measured baseline 24th week intentiontotreat principle generalized estimating equation model used test effect intervention overall 258 potential participants underwent eligibility assessments 120 recruited randomized intervention n60 50 control n60 50 groups 120 participants 93 775 completed 24week study 2 groups significant differences sociodemographic clinical characteristics baseline measurements comparable p05 compared control group intervention group exhibited significant improvement gout knowledge levels time 0617 95 ci 01041129 p02 1300 95 ci 06691931 p001 12th 24th weeks respectively significant difference treatment adherence 2 groups 12th week 1667 95 ci 3283 6617 p51 statistical difference observed 24th week 6287 95 ci 135711216 p01 24th week sua levels intervention control groups baseline significant difference sua changes 2 groups p43 continuous care based mhealth app improved knowledge levels treatment compliance among patients gout suggest incorporating intervention modality standard continuous care patients gout