Does a Coeliac School increase psychological well-being in women suffering from coeliac disease, living on a gluten-free diet?
Version of Record online: 1 NOV 2011
© 2011 Blackwell Publishing Ltd
Journal of Clinical Nursing
Volume 21, Issue 5-6, pages 766–775, March 2012
How to Cite
Ring Jacobsson, L., Friedrichsen, M., Göransson, A. and Hallert, C. (2012), Does a Coeliac School increase psychological well-being in women suffering from coeliac disease, living on a gluten-free diet?. Journal of Clinical Nursing, 21: 766–775. doi: 10.1111/j.1365-2702.2011.03953.x
- Issue online: 10 FEB 2012
- Version of Record online: 1 NOV 2011
- Accepted for publication: 19 June 2011
- coeliac disease;
- Coeliac School;
- gluten-free diet;
- patient education;
- problem-based learning;
- randomised controlled trial
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.