Table 1.
Nominal group themes, quotes and group rank order based on summative priority score
| In your opinion, what is most challenging about your gout treatment? | Priority score | Group Rank order |
|---|---|---|
| Nominal group 1 (68WM, 68AAF, 78AAM, 66AAM, 65WF, 60AAF, 61AAF, 60AAM; n=8) | ||
| Recognizing attack had started and start taking medicine | 31 | 1 |
| Side effects of Colcrys (colchicine) | 24 | 2 |
| Balance between gout and other conditions (pseudogout, high blood pressure) | 17 | 3 |
| We need cure, treatments are not enough | 11 | |
| Discipline taking medications all the time | 9 | |
| Interaction of gout medications with my other medications | 9 | |
| Pain is severe (even after medications) | 7 | |
| Being on a diet | 7 | |
| Doing what you doctor asks you (is not easy) | 5 | |
| Nominal group 2 [72AAM, 38AAF, 77AAF, 53WM; n=4) | ||
| Eating right food and taking enough fluids | 14 | 1 |
| Most medications that I take have side-effects on vital organs | 14 | 2 |
| Medication I can’t take due to kidney problem | 10 | 3 |
| Finding something to help swelling | 8 | |
| Problem putting Ice/Heat-Packs on the foot | 7 | |
| Trouble with sleep | 4 | |
| Wearing the right type of shoe | 2 | |
| Managing/taking medication every day | 1 | |
| Nominal group 3 [75AAF, 60AAF, 64WM, 75WF, 60AAM; n=5) | ||
| Knowing when and what to take if I am having a gout attack | 12 | 1 |
| Concern about interaction of other medication with gout medications | 11 | 2 |
| Allergic Reaction/side effect to gout medication | 9 | 3 |
| What to eat? | 9 | 3 |
| Trusting my doctor during flare-ups | 9 | 3 |
| No specific meal time or bedtime, so forget taking medication sometimes | 9 | 3 |
| Some days get tired of “taking pills everyday” | 6 | |
| Quality of life is affected (by treatments) | 5 | |
| Medication fill and adherence are challenging | 5 | |
AA, African-American; C, Caucasian; M, male; F, female; top three ranked concerns in bold; In group 3, four concerns tied for the third place