GoutChoices WireFrame

8/2/2019 GoutChoices WireFrame

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Gout Choices

Gout

Gout symptoms and attack triggers

Advancing gout awareness

and treatment options

Gout

News feed pulling

medical articles that

mention gout

Administrator

ability to enter

Calendar events

Evaluate Treatments

Treatments Food/Diet Alcohol

Sponsor Banner

Opportunities

Sponsor Banner

OpportunitiesSponsor Banner

Opportunities

CONTACT DETAILS TO BE ADDED

Gout Choice Alliance.

Track Gout Symptoms

Attack/FlareResearch

Opportunities

WordPress Blog?

Gout Diary App

G


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Four Rotating Banners

Gout Awareness

Study

Link to Amazon Gout

Products (affiliate

program)

Find a Clinical Trial

Graphic Design needed


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About Gout

High level overview of gout and consequences

ending with a need for new treatments


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Treatments

Need to provide rationale for when sUA loweringtherapy should be initiated (e.g., generallygreater than 2 flares within a year and sUA>6).NEED a paragraph explaining that initiating sUA

may cause flares and the importance ofprophylactic treatment for flares

=>point out the goal of therapy is to lower sUAbelow 6 and once it is below 6 for a period of

time the chance of flare and other gout relatedimpairment is significantly reduced // ifsymptoms continue lower sUA further


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Treatments

Section on current treatments

Allopurinol

Febuxostat (Uloric/Other brand names)

ProbenecidBenzbromarone

Pegloticase (Krystexxa)

Section on treatments in development

Lesinurad

Y-700XOMA 052

Others

Need short descriptions of each treatment mechanism of action, common

dosing, and highlight limitations and safety problems. Also identify drug

company for branded products and link to patient assistance or productwebsite.

CONTACT US IF THERE IS ANOTHER PRODUCT THAT SHOULD BE ADDED OR TORECOMMEND CHANGES


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Food/Diet

Add a brief review of recommended food/diet

for patients with gout. Identify foods and

drinks that are common triggers to gout flares.


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Research Opportunities

List Clinical trials and link to external sites

Link to form where interested companies can contact

GoutChoices about providing information about theirclinical trial

Gout Evaluation Study Gout Awareness part IIll provide background and a link to

the study

Gout Comorbidity part IIIll provide background and a linkto the study

Gout Economic Burden part IIIIll provide background and alink to the study


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Alcohol

Comment about gout and alcohol (this is an

important issue for patients with gout key

search activity is alcohol and gout)

Take home message: If you want to drink, beer is probably

the most problematic and cider and red wine the least.

Once you sUA is below 6 for a period of time food or drink

choice are less likely to cause flares => bring sUA below 6

and drink what you want.


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Flares/Attacks

Add information on flares/attacks

Section on immediate flare treatment if you are

having a flare now..

Section on current flare treatments

Cochicine

NSAIDS

COX2s

Steriods

Opioids (once chronic pain sets in)Section on flare treatments in development

CANAKINUMAB

OTHERS

CONTACT US IF THERE IS ANOTHER PRODUCT THAT SHOULD BE ADDED OR TORECOMMEND CHANGES


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Track Symptoms or Evaluate

Treatments or IPhone App

Prompt to Log-in or Register

User Name: Password:

Register


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Registration

UserName

Password

Country (optional / United States should be first)

State (optional)

Zip Code (optional)

Agree to privacy policy (need to find/create

flexible privacy policy) Image Verification

Email confirmation


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Registration Pt II (after email confirmation)

Thank you for registering

Tell us about yourself Diagnosed with gout by a doctor?

Yes Date MMYYYY

No

Age Years (18 to 120)

Sex Male or Female

Number of flares in last month _____

Number of flares in last year ____

Last time serum uric acid (sUA) was measured MMYYYY or dont know. sUAlevel ________

Do you have any visible tophi? Yes

No

Dont Know

Do you wish to be contacted about potential research or educaitonalopportunities? Yes / No (if yes, enter best email address to use:_______)


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If Registered

Track Symptoms (link)

Evaluate Treatments (link)

IPhone Application(link)


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Track Symptoms

Track symptoms is a weekly assessment of you gout symptoms, attacks/flares, medication use and isdesigned to help you identify gout attack triggers. If you agree to participate youll be sent a weeklylink to assess you gout symptoms.

To participate enter you email address: ___________________

(you can opt out at any time)

(agree to consent document check box and link)

Image Verification

SUBMIT

Thank you

Email sends link to the symptom tracker questions (a new email will be sent each week at

the same time until they opt out of the program)


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Symptom Tracker Weekly

Questionnaire Pre-populate date and time, IP address and location (ONLY in database)

when they click on link they can complete the survey once every 7 daysand a database needs to be created to track data over time. Databaseshould create unique Subject ID linked to email and site user name.

------

In general, would you say your health is:

O Excellent O Very Good O Good O Fair O Poor

On a scale of 0 (worst possible health) to 100 (best possible health) howwould you rate your health today?

0 to 100 (some type of visual scale would be good)

In the past 7 days did you have or are you currently experiencing a gout attack(flare)? (yes,no)

Is this a new flare? (yes,no)


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ONLY FOR PATIENTS with a FLARE

Considering PAIN from your gout flare over the last 1week when you are RESTING (for example in bed orsitting quietly) please indicate (0 to 10) the numberindicating the level of pain when it was at its WORST:

No pain (0) to Worst imaginable pain (10)

During this gout flare, did you have warmth of themost severe joint (yes,no)

During this gout flare, did you have swelling of themost severe joint? (yes,no)

During this gout flare, did you have tenderness of themost severe joint (yes,no)


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ONLY FOR PATIENTS WITH A FLARE

Did you eat or drink anything prior to the flarethat may have triggered the flare? (yes, no)

List up to 3 foods or drinks that may have causedthe flare: 1. _________

2. _________

3. _________

Where there any out of the ordinary stressfulevents which may have contributed to the flare:

If yes, please describe: (e.g., stressful week atwork) _____________________


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ONLY FOR PATIENTS with a FLAREDuring the last week, did you visit or call any of the following health care services because of your gout flare? (Iselect all that apply):

Primary Care Physician or General Practitioner

How many total number ofvisits were made to the health care provider(s)for this flare? _____. (allow 0 7)

How many times did you talk directly on the phone with the health care provider(s) for this flare? _____. (allow 0 7)

Rheumatologist or other specialist



Physician Assistant or Nurse Practitioner



Urgent Care Facility



Emergency Room

How many total number ofvisits were made to the health care provider(s)for this flare? _____. (allow 0 7)How many times did you talk directly on the phone with the health care provider(s) for this flare? _____. (allow 0 7)

On how many days during the last week did your symptoms cause you to miss school or work or leave you unable to do your normal daily

activities? (allow 0-7 )

On how many days during the last week did you feel so impaired by your symptoms, that even though you went to school or work, your

productivity was reduced? (allow 0-7)


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All subjects in the Tracker Program

Please indicate which gout medications you arecurrently takingO Allourinol

O Febuxostat

O Probenecid

O Benzbromarone

O Pegloticase

O Colchochine (Colcrys)

O Pain medicationsO Gout medication in a clinical trial

O Other (Please identify:______________)


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All subjects in the Tracker Program

For each medications that you indicated you are taking please tell us the following:

What dose of _allopurinol_ are you currently taking? _0 to 1000___mg/day

- When did you start taking _allopurinol_? MMYYYY (This question is ONLY asked once per drug andnot every week)

- How much does it cost you out-of-pocket (e.g., $20 co-pay) to obtain _allopurinol_? ________($,Euro, Etc)

(this question should only be asked one time per year e.g., if they answer this question in2012 it should only come up again in 2013)

Repeat (above) for each medication they checked on the previous page / exclude the Goutmedication in a clinical trial and Other category

During the last week did you miss taking your gout medication?

No, I took my gout medication as prescribed everyday.

Yes, I missed 1 day of my gout medication.

Yes, I missed 2-3 days of gout medication.

Yes, I missed 4 days or more of gout medication.


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Common Lab values

We want to help keep track of your lab values over time. sUA is related to

gout attacks/flares and other health problems. Achieving sUA below 6 may

reduce and potentially eliminate flares. (show past values & dates in table

they will be asked this every week and data is not likely to change much

but I want to track changes over time)

sUA _value Date previous value/date

LDL _value Date previous value/date

HA1c _value Date previous value/date

_Other User Defined_1 Date previous value/date




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TRACKER REPORT

Personalized Record for Participants in GoutTracking Program (this should be part of the users profile(or a link available on the user profile page) and they can choice tokeep private or share with other members)

User name:

Tracking Since: Date

Number of completed assessments: _n_

Currently taking the following gout medications: Allopurinol 300mg per day and

Flares: _n_ flares in the last _n_ weeks Possible flare triggers include: _list flare trigger patient identified_

Most recent sUA value: _________

Generally doctors aim to treat sUA unitl it is less than 6. Taking sUA lowering drugs every day (oras instructed by your physician) is very important to lower sUA.


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If Registered



iPhone App (link)


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Gout Treatment Evaluations

Please indicate which gout treatments youwould like to evaluate:

O Allourinol

O FebuxostatO Probenecid

O Benzbromarone

O Pegloticase

O Colchochine (Colcrys)

O Other (Please identify:______________)


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For Each Treatment Identified

Are you currently taking allopurinol? Yes/no

How long have you been taking or did you take_allopurinol_? Years and Months

- What is the highest dose of the _allopurinol_ used?

_____mg per day

How satisfied are you with _allopurinols_ ability to reducegout flares?

How satisfied are you with _allopurinols_ ability to reducesUA?


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How bothersome are the side effects of

_allopurinol_?

1 Extremely Bothersome

2 Very Bothersome

3 Somewhat Bothersome

4 A Little Bothersome5 Not at All Bothersome


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How convenient or inconvenient is it to take the_allopurinol_ as instructed?

1 Extremely Inconvenient2 Very Inconvenient

3 Inconvenient

4 Somewhat Convenient

5 Convenient6 Very Convenient

7 Extremely Convenient


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Taking all things into account, how satisfied ordissatisfied are you with_allopurinol_?

1 Extremely Dissatisfied2 Very Dissatisfied

3 Dissatisfied

4 Somewhat Satisfied

5 Satisfied6 Very Satisfied

7 Extremely Satisfied


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TREATMENT EVALUATIONS REPORT

Personalized Record for Participants (this should be partof the users profile (or a link available on the user profile page) and they

can choice to keep private or share with other members)

User name:

For each Drug Evaluated the following information should be summarized:

Drug name_allopurinol_

Time taking drug _Years_Months_

Highest Dose

Efficacy for flare reduction: 0 (lowest) to 10 (best) or NA

Efficacy for sUA reduction: 0 (lowest) to 10 (best) or NA

Side effects: 1 to 5

Convenience: 1 to 7

OVERALL SATISFACTION: 1 to 7


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If Registered



IPhone App


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IPhone App

The Iphone App is a mirror of the tracker

application on the web site and the data

entered on the web site should sync to the

Iphone app.


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Additional Pages Needed

About Us

Privacy Policy and Consent (see patientslikeme.com)

Mailing Address and Phone Number

For Policy Makers (need to draft)

Disclaimer

GoutChoices WireFrame

Documents

Transcript of GoutChoices WireFrame