Does a Coeliac School increase psychological well‐being in women suffering from coeliac disease, living on a gluten‐free diet?

Abstract

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.

The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis

“…Based on these tentative findings, there may be a role for psychological services in addition to dietetic input in the ongoing management and follow-up of GFD adherence for affected CD patients (Ludvigsson et al, 2014;NICE, 2015), even in cases of low-level, subclinical depressive symptoms (NICE, 2009). Online and face-to-face interventions using both individual and group-based formats have shown promise in improving GFD adherence and psychological wellbeing in CD (Addolorato et al, 2004;Ring Jacobsson, Friedrichsen, Goransson, & Hallert, 2012;Sainsbury, Mullan, & Sharpe, 2013c), and could help to achieve needed improvements in both directions. Higher depression scores were associated with poorer adherence (r = 0.48, p < .001).…”

A Randomized Controlled Trial of an Online Intervention to Improve Gluten-Free Diet Adherence in Celiac Disease

“…Th e improvements were, however, diminished when measured only 3 weeks later. Finally, a problem-based learning program was eff ective in improving psychological well-being in women with celiac disease compared with a control group ( 12 ). Unfortunately, neither of these studies included measures of gluten-free diet adherence, so it is unclear whether the improvements in knowledge or well-being would translate to improvements in actual adherence.…”

Gaining perspective on own illness – the lived experiences of a patient education programme for women with treated coeliac disease

“…All the tutors were familiar with the principles of PBL (Jacobsson et al . ,b). Using the PBL process, the participants were asked to reflect on what they had learned and how they could apply this learning to similar scenarios which, in the context of their chronic illness, they might encounter in future as described elsewhere (Williams & Pace ).…”

“…The Coeliac School was a 10‐week long programme (Jacobsson et al . ,b) using problem‐based learning (PBL) as a pedagogical method. Problem‐based learning has previously been identified by Williams and Pace () as a means of combining education, counselling and behaviour intervention in support of persons attempting to self‐manage their chronic diseases.…”

“…In previous studies we reported the impact of patient education on psychological well‐being (Jacobsson et al . ) and on gastrointestinal symptoms (Jacobsson et al . ) and also described aspects of being a woman living with CD (Jacobsson et al .…”