Educational Intervention Improved Parental Knowledge, Attitudes, and Practices (KAP) and Adherence of Patients with Celiac Disease to Gluten-Free Diet

Abstract

Background. Raising the knowledge level though education for a celiac disease patient’s parents could improve the parent’s adherence and practice and consequently recover the patient’s adherence and symptoms and increase the patient’s compliance. Aim. The present study was aimed at assessing the knowledge, attitudes, and practices (KAP) of parents who have children with celiac disease aged from 2 to 15 years old and the change in self-reported patient’s adherence pre-/posteducational intervention. Method. This intervention study was designed as a quasiexperiment with evaluation pre-/post intervention analyses. Two educational sessions were carried for the parents of CD patients. A reliable and valid questionnaire was used to assess all independent variables pre-/post intervention. The parents were asked to complete the questionnaire pre and post the education sessions. The time between the sessions was two weeks. Results. 100 parents were recruited, and 40 parents participated and completed the study. Baseline parent’s knowledge was significantly associated with the source of information (p value = 0.02), while the patient’s adherence was associated with the onset of disease (p value = 0.04). There were significant differences in the parent’s KAP and patient’s adherence between pre- and posteducational intervention (p value was ≤0.001, for all variables). Conclusion. Based on the results, this study suggested that the educational intervention increased the parent’s KAP and improved the patient’s adherence to the gluten-free diet significantly, which may lead to improvement in the celiac disease patients’ health outcomes.

Gluten‐free diet for pediatric patients with coeliac disease: A position paper from the ESPGHAN gastroenterology committee, special interest group in coeliac disease

“…Parents were asked to complete a validated questionnaire pre and postintervention. Self‐reported patient's adherence between pre‐ and posteducational intervention showed a significant improvement in all variables 114 …”

“…Self-reported patient's adherence between pre-and posteducational intervention showed a significant improvement in all variables. 114…”

Evaluation of In-Person, Gluten-Free Diet Education for Children With Celiac Disease

“…3 Other studies have looked at different formats and the efficacy of GFD education in both pediatric and adult patients. Elsahoryi et al 4 studied education sessions for parents with children who have CeD. These included a RD and were held as in-person, large group sessions with 20 parents in each group.…”

Knowledge, Attitude and Practice of Mothers Regarding Weaning and Occurrences of Iron Deficiency Anaemia in Children 6-60 Months

“…Similarly another study in Lahore, found that 44% mothers used healthy complementary foods, and 30% of them used mixture of home-prepared and commercially made foods, whereas, 16% preferred only readymade food. 14,18…”