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Cited by 15Celiac Disease Research and ManagementDietetics, Nutrition, and EducationNutritional Studies and Diet

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Adults following a gluten-free diet report little dietary guidance in a pilot survey exploring relationships between dietary knowledge, management, and adherence in Nova Scotia, Canada

Jamieson, Jennifer A., Gougeon, Laura·2019·Nutrition Research

Abstract

The strict nature of a gluten-free diet (GFD) poses a challenge for patient adherence and for clinicians to provide comprehensive client-centered care. Evidence on the relationship between nutrition knowledge, food skills, dietary management, and adherence can guide healthcare professionals counseling patients following this diet. In this explanatory pilot study, a province-wide survey (phase I) with 68 community-dwelling Nova Scotians following a GFD was conducted to investigate relationships between personal, social, and health care factors and dietary adherence using a mixed-methods approach. A sub-sample of 19 survey respondents were interviewed (phase II) to explore contextual experiences related to GFD knowledge, food skills, dietary management, and adherence using a food literacy lens. Here, we report findings from phase I, in which 37 participants with self-reported celiac disease (CD) and 31 participants reporting non-celiac reasons for wheat restriction (NCWR) completed a detailed 41-item online questionnaire. Self-reported data combined for both CD and NCWR respondents showed 76% perceived their health status as good to excellent. Most (62%) reported not receiving GFD advice from a health professional. Respondents with higher frequency of intentional consumption of gluten were more likely to have fewer correct answers to a food label quiz (ρ = -0.44; P = .0002). Most participants (75%) made at least one error in identifying gluten-free and gluten-containing foods,…

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Research works printed but not linked: 20

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Metadata

Authors
Jamieson, J. A., & Gougeon, L.
Affiliations
St. Francis Xavier University (CA)
Corresponding author
  • Jamieson, Jennifer A.
  • Gougeon, Laura
Venue
Nutrition Research
Publisher
Elsevier BV
Published
2019-06
Volume
66
Pages
107-114
ISSN
0271-5317 (ISSN-L)
OpenAlex
W2915464402
Cited by
15
References
0
Citations by year
2026: 1 · 2025: 4 · 2024: 2 · 2022: 4 · 2021: 1 · 2020: 3
FWCI
1.82
Type
journal article
Language
en
Open access
closed
Locations
  • Nutrition Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
Nova Scotia Health Research Foundation (DI-2016-812)
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Nursing › Nutrition and Dietetics › Dietetics, Nutrition, and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
Keywords
gluten-free diet, dietary adherence, celiac disease, food literacy, nutrition knowledge, food skills, nutrition counseling, Nova Scotia
MeSH terms
Adult, Celiac Disease, Counseling, Female, Health Status, Humans, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Nova Scotia, Patient Compliance, Patient Education as Topic, Pilot Projects, Surveys and Questionnaires, Diet, Gluten-Free, Self Report

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CoChat. (2026). Citation check: Adults following a gluten-free diet report little dietary guidance in a pilot survey exploring relationships between dietary knowledge, management, and adherence in Nova Scotia, Canada. https://app.cochat.ai/papers/10.1016/j.nutres.2019.02.005
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Jamieson, J. A., & Gougeon, L. (2019). Adults following a gluten-free diet report little dietary guidance in a pilot survey exploring relationships between dietary knowledge, management, and adherence in Nova Scotia, Canada. Nutrition Research. https://doi.org/10.1016/j.nutres.2019.02.005

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