title: Does a Coeliac School increase psychological well-being in women suffering from coeliac disease, living on a gluten-free diet?
abstract: OBJECTIVE
  To assess the effects of an active method of patient education on the psychological well-being of women with coeliac disease in remission.
  
  
  BACKGROUND
  Despite remission with a gluten-free diet, adults with coeliac disease and especially women experience a subjective poor health. Self-management education seems to be promising tool to help patients suffering from coeliac disease to cope with their disorder.
  
  
  METHODS
  A randomised controlled trial.
  
  
  METHODS
  A total of 106 women, ≥ 20 years, with confirmed coeliac disease, who had been on a gluten-free diet for a minimum of five years. The intervention group (n = 54) underwent a 10-session educational programme, 'Coeliac School', based on problem-based learning. The controls (n = 52) received information regarding coeliac disease sent home on a regular basis. The primary outcomes were psychological general well-being measured with a validated questionnaire.
  
  
  RESULTS
  Participants in the Coeliac School reported a significant improvement in psychological well-being at 10 weeks, whereas the controls given usual care reported a worsening in psychological well-being. After six months, a significant improvement remained for the index of vitality.
  
  
  CONCLUSIONS
  Patient education increased psychological well-being in women with coeliac disease. There is a need to refine the methods of patient education to make the effects of well-being more pronounced over time.
  
  
  CONCLUSIONS
  Patient education using problem-based learning promotes self-management in coeliac disease by improving the well-being of patients who have been struggling with the gluten-free diet for years.
authors: Department of Social and Welfare Studies, Linköping University, Norrköping, Sweden. lisa.ring.jacobsson@liu.se
authors: Lisa
authors: L
authors: Ring Jacobsson
authors: Maria
authors: M
authors: Friedrichsen
authors: Anne
authors: A
authors: Göransson
authors: Claes
authors: C
authors: Hallert
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002446:Celiac Disease / Q000175:diagnosis / Q000178:diet therapy* / Q000523:psychology*; D055050:Diet, Gluten-Free; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic / Q000379:methods*; D018794:Problem-Based Learning; D011584:Psychology; D012016:Reference Values; D018570:Risk Assessment; D013315:Stress, Psychological / Q000453:epidemiology / Q000209:etiology* / Q000503:physiopathology; D016896:Treatment Outcome; D016387:Women's Health; D055815:Young Adult