Transcultural adaptation and validation of the Celiac Dietary Adherence Test. A simple questionnaire to measure adherence to a gluten-free diet

Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva
Ricardo Fueyo-DíazRosa Magallón-Botaya

Abstract

A gluten-free diet is to date the only treatment available to celiac disease sufferers. However, systematic reviews indicate that, depending on the method of evaluation used, only 42% to 91% of patients adhere to the diet strictly. Transculturally adapted tools that evaluate adherence beyond simple self-informed questions or invasive analyses are, therefore, of importance. The aim is to obtain a Spanish transcultural adaption and validation of Leffler's Celiac Dietary Adherence Test. A two-stage observational transversal study: translation and back translation by four qualified translators followed by a validation stage in which the questionnaire was administered to 306 celiac disease patients aged between 12 and 72 years and resident in Aragon. Factorial structure, criteria validity and internal consistency were evaluated. The Spanish version maintained the 7 items in a 3-factor structure. Reliability was very high in all the questions answered and the floor and ceiling effects were very low (4.3% and 1%, respectively). The Spearman correlation with the self-efficacy and life quality scales and the self-informed question were statistically significant (p < 0.01). According to the questionnaire criteria, adherence was 72.3%. Th...Continue Reading

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Citations

Jul 25, 2019·Journal of Pediatric Gastroenterology and Nutrition·Katarina JohanssonAnna Myleus
Oct 15, 2019·Psychology & Health·Ricardo Fueyo-DíazJuan J Sebastián-Domingo
Aug 3, 2019·Nutrients·Wioleta ZyskDominika Guzek
Apr 28, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Francesc Casellas JordáMaría van der Hofstadt Rovira
Aug 25, 2020·Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)·María Fernández MiajaCarlos Bousoño García
Jun 3, 2021·Nutrients·Karla A BascuñánMagdalena Araya
Jun 7, 2021·Anales De Pediatría·María Fernández MiajaCarlos Bousoño García

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