SMART gout management improved self-care, serum uric acid control, and renal markers in suburban patients.
A randomized controlled trial found that an Intelligent Empowerment Education-based System improved self-management ability and clinical outcomes among patients with gout receiving care in a suburban community health setting.
The smart gout management system integrated empowerment education, refined disease management, and digital technology to address persistent challenges in long-term gout care, including poor adherence, limited self-management capacity, and suboptimal serum uric acid control. The model was designed for resource-limited suburban settings, where sustained follow-up and personalized education may be harder to deliver through routine outpatient care alone.
Digital Gout Management Model Tested
The study included 90 patients with gout admitted to a community health service center in the Shanghai suburbs between January and December 2023. Patients were randomly assigned to routine outpatient health education or to an observation group receiving an additional intervention based on empowerment education and refined management.
The intervention was supported by a smart system developed using a SpringBoot and Vue framework, with deep learning algorithms used to generate personalized recommendations. The platform achieved a response time of less than 200 ms and a prediction accuracy of 89.7%, supporting its potential use in real-time chronic disease management.
Serum Uric Acid Control Improved
Patients receiving the smart gout management intervention had significantly higher self-management ability scores than controls, with a mean score of 145.6 compared with the routine education group. Fasting serum uric acid levels, along with liver and kidney function indicators, were also significantly lower in the intervention group.
The findings suggest that technology-enabled empowerment education may help patients with gout translate knowledge into daily self-management behaviors, while giving clinicians a more structured way to support adherence and monitor risk.
The authors concluded that this “Internet+” chronic disease management model improved serum uric acid control, self-management ability, and renal function in suburban patients with gout. While larger and longer-term studies are needed to confirm scalability, the results point to a practical model for combining patient-centered education with smart chronic disease management.
Reference
Jiang T et al. Development and testing of a smart empowerment education system for gout patients in suburban areas. Front Public Health. 2026;14:1753575. doi: 10.3389/fpubh.2026.1753575.
Featured Image: fizkes with patient on Adobe Stock.
