University of Hertfordshire

From the same journal

By the same authors

Documents

Links

View graph of relations
Original languageEnglish
Number of pages10
Pages (from-to)607-616
JournalJournal of Human Nutrition and Dietetics
Journal publication date1 Oct 2016
Volume29
Issue5
Early online date16 May 2016
DOIs
Publication statusPublished - 1 Oct 2016
EventBritish Dietetic Association Research Symposium 2015 - Birmingham, United Kingdom
Duration: 2 Dec 20152 Dec 2015

Abstract

Background
Coeliac disease (CD) is managed by life-long adherence to a gluten-free diet and dietitians have the potential to facilitate this. Patient involvement through shared decision-making is central to behaviour-change skills used by dietitians but there is little evidence supporting its inclusion in evaluating dietetic interventions. The aim of this study was to explore patients’ preferences for diet and nutrition-related outcomes in CD.
Methods
Adults with CD or adult carers of children with CD were invited through support networks. Participants took part in a telephone, face-to-face interview or focus group which was audio-recorded and transcribed. Themes were developed using a framework method. Ethical approval was obtained.
Results
Twenty-nine adult patients and five parents of CD children participated 0-34 years after diagnosis. Four main outcome-related themes emerged: (1) Participants wanted information specific to their lifestyle and time since diagnosis, focussing on food containing gluten, practical issues, prescribable items and general nutrition. (2) The degree of satisfaction with the consultation process impacted on participants’ experience, including the dietitian’s CD expertise, consistency of dietitian seen and the frequency and length of appointments. (3) Health concerns were important to participants and focussed on risk of osteoporosis, unwanted weight gain and the fat and sugar content of manufactured gluten-free products. (4) Clinical monitoring including bone scans and antibody measurements, were mentioned but were not described as being of importance for most participants.
Conclusion
The outcomes preferred by CD patients and carers focussed primarily on information and resources received and satisfaction with their dietetic consultation.

Notes

This is the peer-reviewed version of the following article: A. M. Madden, A. M. Riordan & L. Knowles, ‘Outcomes in coeliac disease: a qualitative exploration of patients’ views on what they want to achieve when seeing a dietitian’, Journal of Human Nutrition and Dietetics, Vol 29(5): 607-616, May 2016, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jhn.12378/epdf This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.

Research outputs

ID: 9948100