Healthcare experiences and quality of life of adults with coeliac disease: a cross‐sectional study
Background Coeliac disease affects many aspects of quality of life and treatment can be burdensome. Access to healthcare services is necessary for the diagnosis and management of coeliac disease. The present study aimed to investigate the healthcare experiences of adults with coeliac disease and exp...
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| Veröffentlicht in: | Journal of human nutrition and dietetics 2020-12, Vol.33 (6), p.741-751 |
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| container_title | Journal of human nutrition and dietetics |
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| creator | Crocker, H. Jenkinson, C. Peters, M. |
| description | Background
Coeliac disease affects many aspects of quality of life and treatment can be burdensome. Access to healthcare services is necessary for the diagnosis and management of coeliac disease. The present study aimed to investigate the healthcare experiences of adults with coeliac disease and explore the relationship between experiences and quality of life.
Methods
A cross‐sectional postal survey was sent to 800 members of Coeliac UK and contained questions about diagnosis, dietary advice, follow‐up appointments, prescriptions, knowledge and information provision, and quality of life [Coeliac Disease Assessment Questionnaire (CDAQ)]. Descriptive statistics were calculated. A total problem score summarised the number of problems experienced with healthcare services. Multiple linear regression analyses were conducted to investigate experiential and demographic factors associated with quality of life.
Results
An average of 5.5 problems with healthcare services was reported, with females reporting significantly more problems than males (6.5 versus 5.0, P = 0.003). The total problem score was significantly related to the CDAQ overall index score and all CDAQ dimension scores (stigma, dietary burden, symptoms, social isolation, and worries and concerns) (P |
| doi_str_mv | 10.1111/jhn.12757 |
| format | Article |
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Coeliac disease affects many aspects of quality of life and treatment can be burdensome. Access to healthcare services is necessary for the diagnosis and management of coeliac disease. The present study aimed to investigate the healthcare experiences of adults with coeliac disease and explore the relationship between experiences and quality of life.
Methods
A cross‐sectional postal survey was sent to 800 members of Coeliac UK and contained questions about diagnosis, dietary advice, follow‐up appointments, prescriptions, knowledge and information provision, and quality of life [Coeliac Disease Assessment Questionnaire (CDAQ)]. Descriptive statistics were calculated. A total problem score summarised the number of problems experienced with healthcare services. Multiple linear regression analyses were conducted to investigate experiential and demographic factors associated with quality of life.
Results
An average of 5.5 problems with healthcare services was reported, with females reporting significantly more problems than males (6.5 versus 5.0, P = 0.003). The total problem score was significantly related to the CDAQ overall index score and all CDAQ dimension scores (stigma, dietary burden, symptoms, social isolation, and worries and concerns) (P < 0.001). The analyses highlighted four key areas of healthcare experiences that were significantly related to quality of life: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.
Conclusions
Poorer experiences of healthcare services in coeliac disease are related to worse quality of life. Improving services in the four key areas identified may help adults with coeliac disease to achieve a better quality of life.
Poorer experiences of healthcare services are correlated with poorer quality of life. This study identified four key areas for service improvement: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.</description><identifier>ISSN: 0952-3871</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.12757</identifier><identifier>PMID: 32383338</identifier><language>eng</language><publisher>HOBOKEN: Wiley</publisher><subject>Adults ; Autoimmune diseases ; Celiac disease ; coeliac disease ; Cross-sectional studies ; cross‐sectional survey ; Diagnosis ; Diet ; Health care ; healthcare services ; Life Sciences & Biomedicine ; Medical personnel ; Nutrition & Dietetics ; patient experience ; Quality of life ; Regression analysis ; Science & Technology ; Signs and symptoms ; Social interactions</subject><ispartof>Journal of human nutrition and dietetics, 2020-12, Vol.33 (6), p.741-751</ispartof><rights>2020 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association</rights><rights>2020 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000530830300001</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c3887-eb96471338e3c04640d23a1f0de6def1aac47cb07d5f9ab285d07bd365ad51373</citedby><cites>FETCH-LOGICAL-c3887-eb96471338e3c04640d23a1f0de6def1aac47cb07d5f9ab285d07bd365ad51373</cites><orcidid>0000-0002-0076-5981 ; 0000-0002-9786-0749</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjhn.12757$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjhn.12757$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,781,785,1418,27928,27929,45578,45579</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32383338$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Crocker, H.</creatorcontrib><creatorcontrib>Jenkinson, C.</creatorcontrib><creatorcontrib>Peters, M.</creatorcontrib><title>Healthcare experiences and quality of life of adults with coeliac disease: a cross‐sectional study</title><title>Journal of human nutrition and dietetics</title><addtitle>J HUM NUTR DIET</addtitle><addtitle>J Hum Nutr Diet</addtitle><description>Background
Coeliac disease affects many aspects of quality of life and treatment can be burdensome. Access to healthcare services is necessary for the diagnosis and management of coeliac disease. The present study aimed to investigate the healthcare experiences of adults with coeliac disease and explore the relationship between experiences and quality of life.
Methods
A cross‐sectional postal survey was sent to 800 members of Coeliac UK and contained questions about diagnosis, dietary advice, follow‐up appointments, prescriptions, knowledge and information provision, and quality of life [Coeliac Disease Assessment Questionnaire (CDAQ)]. Descriptive statistics were calculated. A total problem score summarised the number of problems experienced with healthcare services. Multiple linear regression analyses were conducted to investigate experiential and demographic factors associated with quality of life.
Results
An average of 5.5 problems with healthcare services was reported, with females reporting significantly more problems than males (6.5 versus 5.0, P = 0.003). The total problem score was significantly related to the CDAQ overall index score and all CDAQ dimension scores (stigma, dietary burden, symptoms, social isolation, and worries and concerns) (P < 0.001). The analyses highlighted four key areas of healthcare experiences that were significantly related to quality of life: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.
Conclusions
Poorer experiences of healthcare services in coeliac disease are related to worse quality of life. Improving services in the four key areas identified may help adults with coeliac disease to achieve a better quality of life.
Poorer experiences of healthcare services are correlated with poorer quality of life. This study identified four key areas for service improvement: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.</description><subject>Adults</subject><subject>Autoimmune diseases</subject><subject>Celiac disease</subject><subject>coeliac disease</subject><subject>Cross-sectional studies</subject><subject>cross‐sectional survey</subject><subject>Diagnosis</subject><subject>Diet</subject><subject>Health care</subject><subject>healthcare services</subject><subject>Life Sciences & Biomedicine</subject><subject>Medical personnel</subject><subject>Nutrition & Dietetics</subject><subject>patient experience</subject><subject>Quality of life</subject><subject>Regression analysis</subject><subject>Science & Technology</subject><subject>Signs and symptoms</subject><subject>Social interactions</subject><issn>0952-3871</issn><issn>1365-277X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>AOWDO</sourceid><recordid>eNqNkcFu1DAQhi1ERZfCgRdAlrhQobTjOI6z3NCqsFQVXEDiFk3sidYrb7KNHZW98Qg8I0-Cs7v0gFSpvowPn2f--czYKwEXIp3L9aq7ELlW-gmbCVmqLNf6x1M2g7nKM1lpccqeh7AGgFIAPGOnMpeVlLKaMbsk9HFlcCBOP7c0OOoMBY6d5bcjehd3vG-5dy1NFe3oY-B3Lq646ck7NNy6QBjoPUduhj6EP79-BzLR9R16HuJody_YSYs-0MtjPWPfP159Wyyzm6-fPi8-3GRGVpXOqJmXhRYpF0kDRVmAzSWKFiyVllqBaAptGtBWtXNs8kpZ0I1NC6NVQmp5xt4e-m6H_nakEOuNC4a8x476MdR5AaAKlYYl9M1_6Lofh5R4opSel3lZiESdH6j9YgO19XZwGxx2tYB6Ul8n9fVefWJfHzuOzYbsPfnPdQLeHYA7avo2mL3peyx9jpJQSZDpBtPo6vH0wkWchC_6sYvp6eXxqfO0ezhyfb38csj-F2uZrwc</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Crocker, H.</creator><creator>Jenkinson, C.</creator><creator>Peters, M.</creator><general>Wiley</general><general>Blackwell Publishing Ltd</general><scope>24P</scope><scope>WIN</scope><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0076-5981</orcidid><orcidid>https://orcid.org/0000-0002-9786-0749</orcidid></search><sort><creationdate>202012</creationdate><title>Healthcare experiences and quality of life of adults with coeliac disease: a cross‐sectional study</title><author>Crocker, H. ; Jenkinson, C. ; Peters, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3887-eb96471338e3c04640d23a1f0de6def1aac47cb07d5f9ab285d07bd365ad51373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adults</topic><topic>Autoimmune diseases</topic><topic>Celiac disease</topic><topic>coeliac disease</topic><topic>Cross-sectional studies</topic><topic>cross‐sectional survey</topic><topic>Diagnosis</topic><topic>Diet</topic><topic>Health care</topic><topic>healthcare services</topic><topic>Life Sciences & Biomedicine</topic><topic>Medical personnel</topic><topic>Nutrition & Dietetics</topic><topic>patient experience</topic><topic>Quality of life</topic><topic>Regression analysis</topic><topic>Science & Technology</topic><topic>Signs and symptoms</topic><topic>Social interactions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Crocker, H.</creatorcontrib><creatorcontrib>Jenkinson, C.</creatorcontrib><creatorcontrib>Peters, M.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human nutrition and dietetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Crocker, H.</au><au>Jenkinson, C.</au><au>Peters, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healthcare experiences and quality of life of adults with coeliac disease: a cross‐sectional study</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><stitle>J HUM NUTR DIET</stitle><addtitle>J Hum Nutr Diet</addtitle><date>2020-12</date><risdate>2020</risdate><volume>33</volume><issue>6</issue><spage>741</spage><epage>751</epage><pages>741-751</pages><issn>0952-3871</issn><eissn>1365-277X</eissn><abstract>Background
Coeliac disease affects many aspects of quality of life and treatment can be burdensome. Access to healthcare services is necessary for the diagnosis and management of coeliac disease. The present study aimed to investigate the healthcare experiences of adults with coeliac disease and explore the relationship between experiences and quality of life.
Methods
A cross‐sectional postal survey was sent to 800 members of Coeliac UK and contained questions about diagnosis, dietary advice, follow‐up appointments, prescriptions, knowledge and information provision, and quality of life [Coeliac Disease Assessment Questionnaire (CDAQ)]. Descriptive statistics were calculated. A total problem score summarised the number of problems experienced with healthcare services. Multiple linear regression analyses were conducted to investigate experiential and demographic factors associated with quality of life.
Results
An average of 5.5 problems with healthcare services was reported, with females reporting significantly more problems than males (6.5 versus 5.0, P = 0.003). The total problem score was significantly related to the CDAQ overall index score and all CDAQ dimension scores (stigma, dietary burden, symptoms, social isolation, and worries and concerns) (P < 0.001). The analyses highlighted four key areas of healthcare experiences that were significantly related to quality of life: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.
Conclusions
Poorer experiences of healthcare services in coeliac disease are related to worse quality of life. Improving services in the four key areas identified may help adults with coeliac disease to achieve a better quality of life.
Poorer experiences of healthcare services are correlated with poorer quality of life. This study identified four key areas for service improvement: information provision, general practioners’ knowledge, communication with health professionals and access to prescriptions.</abstract><cop>HOBOKEN</cop><pub>Wiley</pub><pmid>32383338</pmid><doi>10.1111/jhn.12757</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-0076-5981</orcidid><orcidid>https://orcid.org/0000-0002-9786-0749</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library All Journals |
| subjects | Adults Autoimmune diseases Celiac disease coeliac disease Cross-sectional studies cross‐sectional survey Diagnosis Diet Health care healthcare services Life Sciences & Biomedicine Medical personnel Nutrition & Dietetics patient experience Quality of life Regression analysis Science & Technology Signs and symptoms Social interactions |
| title | Healthcare experiences and quality of life of adults with coeliac disease: a cross‐sectional study |
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