We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease.
- Authors
Daniel Leffler; Melinda Dennis; Detlef Schuppan; Francis Cook; Debra Franko; Jessica Blom-Hoffman; Ciaran Kelly
- Abstract
Abstract Objective The only treatment for celiac disease is lifelong adherence to a gluten-free diet, yet adherence is limited and factors influencing adherence are poorly understood. The purpose of this study was to determine factors influencing gluten-free diet adherence in adults with celiac disease. Methods A questionnaire was developed and administered to 154 adults with celiac disease who then underwent a standardized gluten-free diet evaluation by an experienced nutritionist. Multivariate analysis was conducted to determine factors associated with adherence level. Results Thirteen factors hypothesized to contribute to gluten-free diet adherence were found to be significantly associated with improved adherence including: understanding of the gluten-free diet, membership of a celiac disease advocacy group, and perceived ability to maintain adherence despite travel or changes in mood or stress (P Conclusions This study identified specific factors correlated with gluten-free diet adherence. These results provide a foundation for the design of educational interventions to improve adherence.
- Subjects
CELIAC disease; GLUTEN-free diet; PATIENT compliance; ADULTS
- Publication
Digestive Diseases & Sciences, 2008, Vol 53, Issue 6, p1573
- ISSN
0163-2116
- Publication type
Article
- DOI
10.1007/s10620-007-0055-3