Does a Coeliac School increase psychological well-being in women suffering from coeliac disease, living on a gluten-free diet?
2012 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 21, no 5-6, 766-775 p.Article in journal (Refereed) Published
Aim and objective. To assess the effects of an active method of patient education on the psychological well-being of women with coeliac disease in remission.
Background. Despite remission with a gluten-free diet, adults with coeliac disease and especially women experience a subjective poor health. Self-management education seems to be promising tool to help patients suffering from coeliac disease to cope with their disorder.
Design. A randomised controlled trial. Methods. A total of 106 women, ≥20 years, with confirmed coeliac disease, who had been on a gluten-free diet for a minimum of five years. The intervention group (n = 54) underwent a 10-session educational programme, 'Coeliac School', based on problem-based learning. The controls (n = 52) received information regarding coeliac disease sent home on a regular basis. The primary outcomes were psychological general well-being measured with a validated questionnaire.
Results. Participants in the Coeliac School reported a significant improvement in psychological well-being at 10 weeks, whereas the controls given usual care reported a worsening in psychological well-being. After six months, a significant improvement remained for the index of vitality.
Conclusions. Patient education increased psychological well-being in women with coeliac disease. There is a need to refine the methods of patient education to make the effects of well-being more pronounced over time.
Relevance to clinical practice. Patient education using problem-based learning promotes self-management in coeliac disease by improving the well-being of patients who have been struggling with the gluten-free diet for years.
Place, publisher, year, edition, pages
Blackwell Publishing, 2012. Vol. 21, no 5-6, 766-775 p.
Disease, Coeliac School, gluten-free diet, patient education, problem-based learning, randomised controlled trial
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-72452DOI: 10.1111/j.1365-2702.2011.03953.xISI: 000300504000019PubMedID: 22039932OAI: oai:DiVA.org:liu-72452DiVA: diva2:459723