{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:27:07Z","timestamp":1783945627005,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T00:00:00Z","timestamp":1437436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2016,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There is little information available on the use of social support systems for patients with coeliac disease (<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>). We performed a cross\u2010sectional study aiming to examine the association between participation in different types of social support networks and quality of life (<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>) in adults with<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey including a validated<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>specific<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>instrument was administered online and in\u2010person to adults with<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>who were following a gluten\u2010free diet. Participation in social support networks (type, frequency and duration) were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 2138 participants, overall<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores were high, averaging 68.9 out of 100. Significant differences in<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores were found for age, length of time since diagnosis and level of education. Most (58%) reported using no social support networks. Of the 42% reporting use of social support networks (online 17.9%, face\u2010to\u2010face 10.8% or both 12.8%),<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores were higher for those individuals who used only face\u2010to\u2010face social support compared to only online support (72.6 versus 66.7;<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0001). A longer duration of face\u2010to\u2010face social support use was associated with higher<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.0005). By contrast, a longer duration and increased frequency of online social support use was associated with lower<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participation in face\u2010to\u2010face social support networks is associated with greater<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>scores compared to online social support networks. These findings have potential implications for the management of individuals with<jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>. Emphasis on face\u2010to\u2010face support may improve long\u2010term<jats:styled-content style=\"fixed-case\">QOL<\/jats:styled-content>and patient outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jhn.12319","type":"journal-article","created":{"date-parts":[[2015,7,21]],"date-time":"2015-07-21T05:51:52Z","timestamp":1437457912000},"page":"383-390","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Coeliac disease: the association between quality of life and social support network participation"],"prefix":"10.1111","volume":"29","author":[{"given":"A. 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