A Simple Validated Gluten-Free Diet Adherence Survey for Adults With Celiac Disease

Leffler, Daniel A.; Dennis, Melinda; George, Jessica B. Edwards; Jamma, Shailaja; Magge, Suma; Cook, E. Francis; Schuppan, Detlef; Kelly, Ciarán P.

doi:10.1016/j.cgh.2008.12.032

Cited by 256 publications

(287 citation statements)

References 32 publications

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“…Scores range from 7-35, with higher scores indicating more frequent use of the coping strategy (51). GFD adherence was measured using the Coeliac Dietary Adherence Test (52), which is a seven-item questionnaire shown to correlate highly with dietitian rated estimates of adherence (the gold standard). It contains items pertaining to three relevant domains: CD-related symptoms (2 items; e.g., "Have you been bothered by low energy levels in the past four weeks?…”

Section: Methodsmentioning

confidence: 99%

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Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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Section: Methodsmentioning

confidence: 99%

“…The mean adherence score fell in the excellent or very good range (52.7% excellent or very good; 36.4% moderate; 6.8% fair to poor) (52). The mean score for perceived difficulty indicated predominantly positive perceptions about the ability to manage the GFD (29).…”

Section: Sample Characteristicsmentioning

confidence: 96%

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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“…The Coeliac Dietary Adherence Test (CDAT; Leffler et al, 2009) is a sevenitem questionnaire designed to assess GFD adherence in CD. It has been shown to have adequate reliability and face, internal, and external validity, and correlates highly with dietitian rated estimates of adherence (Leffler et al, 2009).…”

Section: Methodsmentioning

confidence: 99%

“…It has been shown to have adequate reliability and face, internal, and external validity, and correlates highly with dietitian rated estimates of adherence (Leffler et al, 2009). The authors suggest that the CDAT can be used alone or in conjunction with biological markers to assess adherence to the GFD.…”

Section: Methodsmentioning

confidence: 99%

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Measuring beliefs about gluten free diet adherence in adult coeliac disease using the theory of planned behaviour

Sainsbury

Mullan

2011

Appetite

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The theory of planned behaviour (TPB) was used to elicit the salient beliefs about gluten free diet (GFD) adherence in adults with coeliac disease (CD) and to design a TPB questionnaire to predict adherence levels. This questionnaire was administered to 265 CD participants with adherence and quality of life (QOL) measures, a GFD knowledge test, and self-reported psychiatric history. Regression analyses were used to test the fit of the TPB in predicting adherence, and to determine the nature of the relationships between adherence, QOL, knowledge, and psychiatric history. The TPB combined with self-reported depression and anxiety, and QOL explained significant variance in intention (41.0%) and adherence (33.7%). Poorer dietary adherence and psychiatric history were also associated with lower QOL. Findings suggest that the TPB provides an adequate model for predicting GFD adherence in CD, and the presence of psychiatric conditions represents a potential intervention target to improve adherence and QOL.School of Psycholog

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Celiac Disease Diagnosis and Management

Leffler¹

2011

JAMA

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Celiac disease is one of the most prevalent autoimmune gastrointestinal disorders but as the case of Ms. J illustrates, diagnosis is often delayed or missed. Based on serology studies, the prevalence of celiac disease in many populations is estimated to be approximately 1% and has been increasing steadily over the last 50 years. Evaluation for celiac disease is generally straightforward, and uses commonly available serologic tests, however the signs and symptoms of celiac disease are nonspecific and highly heterogeneous making diagnosis difficult. While celiac disease is often considered a mild disorder treatable with simple dietary changes, in reality celiac disease imparts considerable risks including reduced bone mineral density, impaired quality of life, and increased overall mortality. In addition, the gluten free diet is highly burdensome and can profoundly affect patients and their families. For these reasons, care of individuals with celiac disease requires prompt diagnosis and ongoing multidisciplinary management.

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A Simple Validated Gluten-Free Diet Adherence Survey for Adults With Celiac Disease

Cited by 256 publications

References 32 publications

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Measuring beliefs about gluten free diet adherence in adult coeliac disease using the theory of planned behaviour

Celiac Disease Diagnosis and Management

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