Toggle Main Menu Toggle Search

Open Access padlockePrints

Intentional and inadvertent non-adherence in adult coeliac disease. A cross-sectional survey

Lookup NU author(s): Dr Nicola HallORCiD, Emeritus Professor Greg RubinORCiD


Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Adherence to a gluten-free diet is the mainstay of treatment for coeliac disease. Non-adherence is common as the diet is restrictive and can be difficult to follow. This study aimed to determine the rates of intentional and inadvertent non-adherence in adult coeliac disease and to examine the factors associated with both. A self-completion questionnaire was mailed to adult coeliac patients identified from the computer records of 31 family practices within the North East of England. We received 287 responses after one reminder. Intentional gluten consumption was reported by 115 (40%) of respondents. 155 (54%) had made at least one known mistaken lapse over the same period and 82 (29%) reported neither intentional nor mistaken gluten consumption. Using logistic regression analysis, low self-efficacy, perceptions of tolerance to gluten and intention were found to be independently predictive of intentional gluten consumption. A statistical model predicted 71.8% of cases reporting intentional lapses. Intentional non-adherence to the GFD was found to be common but not as frequent as inadvertent lapses. Distinguishing the factors influencing both intentional and inadvertent non-adherence is useful in understanding dietary self-management in coeliac disease. © 2013 Elsevier Ltd.

Publication metadata

Author(s): Hall NJ, Rubin GP, Charnock A

Publication type: Article

Publication status: Published

Journal: Appetite

Year: 2013

Volume: 68

Pages: 56-62

Print publication date: 01/09/2013

Online publication date: 24/03/2013

ISSN (print): 0195-6663

ISSN (electronic): 1095-8304

Publisher: Elsevier BV


DOI: 10.1016/j.appet.2013.04.016

PubMed id: 23623778


Altmetrics provided by Altmetric