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Dissemination of an online theory-based intervention to improve gluten-free diet adherence in coeliac disease: the relationship between acceptability, effectiveness, and attrition.

International journal of behavioral medicine
June 1, 2015
Kirby Sainsbury et al. (3 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to assess the acceptability and feasibility of an online intervention to improve gluten-free diet (GFD) adherence in coeliac disease and examine relationships with participant characteristics, attrition, and effectiveness.

Results Summary

Participants who rated early modules less favorably were more likely to drop out. Acceptability and feasibility ratings were linked to psychological symptoms, adaptive coping strategies, GFD duration, and attitude change.

Population

Individuals with coeliac disease

Effective Dosage

Not specified

Duration

Six intervention modules (duration not specified)

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
online intervention to improve gluten-free diet (GFD) adherence
increase
attrition
participants who rated the early modules less favourably
-
were more likely to drop-out
#1
online intervention to improve gluten-free diet (GFD) adherence
neutral
acceptability and feasibility ratings
participants
-
associated with
#2
online intervention to improve gluten-free diet (GFD) adherence
neutral
presence of psychological symptoms
participants
-
associated with
#3
online intervention to improve gluten-free diet (GFD) adherence
neutral
use of adaptive coping strategies
participants
-
associated with
#4
online intervention to improve gluten-free diet (GFD) adherence
neutral
GFD duration
participants
-
associated with
#5
online intervention to improve gluten-free diet (GFD) adherence
neutral
attitude change
participants
-
associated with
#6
Abstract

BACKGROUND: Both acceptability and behaviour change data provide important information about the likelihood of success of an intervention when disseminated outside the research context. Despite this, few studies have combined such data for use in ongoing intervention development. PURPOSE: To assess the acceptability and feasibility of an online intervention to improve gluten-free diet (GFD) adherence in coeliac disease, and to examine the relationships with participant characteristics, attrition, and effectiveness to inform ongoing intervention developments to ultimately reduce attrition and improve the reach and effectiveness of the programme. METHODS: All participants completed measures of GFD adherence, theory of planned behaviour variables, psychological symptoms, and demographic and disease characteristics. Acceptability and feasibility ratings were obtained at the conclusion of each of the six intervention modules. Chi-square analyses were used to examine differences between completers and non-completers, and Spearman's correlations were used to determine the relationships between participant characteristics, effectiveness, and acceptability and feasibility. RESULTS: Participants who rated the early modules less favourably were more likely to drop-out of the intervention. Acceptability and feasibility ratings were also associated with the presence of psychological symptoms, use of adaptive coping strategies, GFD duration, and attitude change. CONCLUSIONS: The findings suggest that changes to the structure and implementation of the intervention may be useful in minimising attrition and maximising effectiveness for future dissemination in a wider coeliac disease population.

Medical Subject Headings (MeSH)
Adaptation, PsychologicalAdultCeliac DiseaseDiet, Gluten-FreeFemaleHumansMalePatient Compliance
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations13
Citations/Year1.3
Relative Citation Ratio0.77
NIH Percentile40.8%
Research Impact Scores
APT Score0.50
Weight Score1.69
Normalized Score0.66
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