P102 Barriers and facilitators to lifestyle change in people living with gout: a scoping review of qualitative studies

Watson, Lorraine; Cornwall, Nicola; Jinks, Clare; Bradbury, Katherine; Goff, Louise; Little, Paul; Mallen, Christian D; Roddy, Edward

Abstract

Background/Aims
Lifestyle, especially diet and alcohol, has been implicated in the causation of gout for centuries and the dietary factors which may trigger flares remain of great interest to people living with gout and their families. However, there is a lack of robust clinical trial evidence about the effectiveness of lifestyle change in people living with gout. The aim of this review was to establish the thoughts, feelings and experiences of people with gout, partners and healthcare professionals about gout, to identify barriers and facilitators to behaviours relating to lifestyle change (diet, alcohol, and physical activity) in people living with gout.

Methods
A scoping review was undertaken following the stages recommended in Arksey & O’Malley’s scoping studies methodological framework. Databases Embase, MEDLINE, CINAHL, PsycINFO and AMED were searched from January 2000 to October 2021 to identify qualitative studies in gout. Themes were identified within the results of included qualitative studies using thematic synthesis (coding text in the results and then developing themes) and were discussed with both a stakeholder community of practice (COP) group and a patient and public involvement and engagement (PPIE) group.

Results
1871 title/abstracts and 158 full papers were screened and 38 qualitative studies in gout were identified. Themes identified in the scoping review are presented in Table 1 and were corroborated with COP and PPIE group members. Examples of potential barriers to lifestyle change in people with gout include poor knowledge, confusing or inadequate information, uncertainty about effectiveness of diet in gout management, stigma, and a reluctance to see healthcare professionals. Potential facilitators for lifestyle change include the desire to prevent flares and pain, the provision of information, and that people with gout already search for information and avoid or consume certain foods.

Conclusion
This is the first scoping review to identify potential barriers and facilitators to behaviours relating to lifestyle change in people living with gout. Potential barriers include poor knowledge, problems with current information and stigma. The findings will be used to inform the development of the new lifestyle intervention for people living with gout in primary care.

Citation

Watson, L., Cornwall, N., Jinks, C., Bradbury, K., Goff, L., Little, P., …Roddy, E. (2023, April). P102 Barriers and facilitators to lifestyle change in people living with gout: a scoping review of qualitative studies. Poster presented at British Society for Rheumatology Annual Conference 2023, Manchester Central Convention Complex, Manchester, UK

• Presentation Conference Type: Poster
• Conference Name: British Society for Rheumatology Annual Conference 2023
• Conference Location: Manchester Central Convention Complex, Manchester, UK
• Start Date: Apr 24, 2023
• End Date: Apr 26, 2023
• Deposit Date: Jan 4, 2024
• Publisher: Oxford University Press
• DOI: https://doi.org/10.1093/rheumatology/kead104.143
• Publisher URL: https://academic.oup.com/rheumatology/article/doi/10.1093/rheumatology/kead104.143/7136389
• Related Public URLs: https://academic.oup.com/rheumatology/issue/62/Supplement_2