Evidence map›Paper›PMID 34917316›Full record

ArticleFrontline gastroenterology2021

Telephone clinic improves gluten-free dietary adherence in adults with coeliac disease: sustained at 6 months.

Humayun Muhammad, Sue Reeves, Sauid Ishaq, John Francis Mayberry, Yvonne Margaret Jeanes

Abstract read
In one paragraph

Article in Frontline gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Use of technology to educate patients with celiac disease.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2025
    Review
  4. Telemedicine in Coeliac Disease: In-Person Appointments Are Favoured by Patients With a Lower Education Attainment and Lower Household Income.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review article: Follow-up of coeliac disease.Alimentary pharmacology & therapeutics · 2022
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Humayun MuhammadDepartment of Life Sciences, University of Roehampton, London, UK.
Sue ReevesDepartment of Life Sciences, University of Roehampton, London, UK.
Sauid IshaqEndoscopy, Dudley Group NHS Foundation Trust, Dudley, West Midlands, UK.
John Francis MayberryDepartment of Digestive Diseases, University Hospitals of Leicester NHS Trust, Leicester, UK.
Yvonne Margaret JeanesDepartment of Life Sciences, University of Roehampton, London, UK.ORCID 0000-0002-0108-1645

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA gluten-free (GF) diet is the only treatment for coeliac disease (CD), non-adherence to the diet is associated with greater morbidity. The study aimed to examine the effect of a telephone clinic, designed to increase GF dietary knowledge and adherence, in adults with CD.

methodsA prospective study of 125 patients with histologically confirmed CD. Patients, not adhering to a GF diet (n=30), engaged in a personalised telephone clinic. Validated questionnaires were used to assess GF dietary adherence (Coeliac Disease Adherence Test; CDAT), knowledge of GF foods and CD-related quality of life (QoL). GF dietary adherence was assessed up to 12 months post telephone clinic. The control group completed the questionnaires only.

resultsGF dietary adherence (CDAT) median scores significantly improved at 3 and 6 months after the telephone clinic compared with baseline (16, 13 and 13, respectively, p<0.01). Reassuringly, the dietary burden QoL score remained similar to baseline values. No change in CDAT scores were observed in the control group. Change in GF dietary knowledge score was associated with improved GF dietary adherence CDAT score (r=-0.22; p=0.039). At 9 and 12 months, CDAT scores were similar to baseline values.

conclusionsTelephone clinics have a positive impact on dietary knowledge and GF dietary adherence in adults with CD, promoting health-benefitting behaviours in those previously not adhering to a GF diet. The study highlights the need for patients to have regular follow-up, with targeted reviews for those not adhering to a GF diet.

Indexed as

celiac diseasecoeliac diseasegluten free dietnutrition

Identifiers

PMID34917316
PMCPMC8640392

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.