Gout is a very painful type of arthritis that occurs when too much uric acid builds up in the body, leading to repeated inflammation and deformity in the joints. It affects over 1 million Canadians, which is expected to increase as the population ages. Studies have shown that gout often is not properly managed or patients do not stick to their treatment plan. As a result, patients often do poorly, suffering from repeated gout attacks, and complications that lead to extra hospital visits, higher costs and even death. There is little research showing how to solve this problem. In this sub-project of the PRECISION study, we evaluated an eHealth-supported, decentralized care model for gout. A team of healthcare providers—including rheumatologists, pharmacists, and dietitians- supported patients who participated. Our goal was to see if this model could help patients manage their gout more effectively, particularly in lowering their serum urate levels, and to understand patients’ experiences with this care approach. We also wanted to know how patients actually become engaged in managing their gout, from their own perspectives.